Gynecomastia Surgery or Male Chest Fat Reduction Surgery
Are you feeling like your chest is increasing in size and you are getting breasts like a woman? These signs may be a sign of gynecomastia (man boobs) and the condition can be uncomfortable for men.
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About Gynecomastia
Gynecomastia, or man breast, developed glandular tissues, making them feel uncomfortable or self-conscious. It is a condition in which boys and men develop breast tissues due to a hormonal imbalance or high levels of estrogen.
Gynecomastia develops slowly and there are four stages:
- Grade 1 Gynecomastia: The breast has only slight enlargement and a small lump can be felt in the nipple or areola.
- Grade 2 Gynecomastia: The breast tissues expand to the chest width and include coverage of the pectoral muscles. The enlargement may still not be prominent.
- Grade 3 Gynecomastia: The breasts are moderately enlarged and can be easily seen from clothes. The tissues also become firm.
- Grade 4 Gynecomastia: This is the worst stage of gynecomastia where the chest looks like breasts and affects the physical and psychological state.
In addition to the above explanation, gynecomastia is also divided into true and pseudo-gynecomastia. In this type of true gynecomastia, only breast glandular tissues are present. This is different from this, in pseudo gynecomastia, only fat tissues are present in the chest and make the person’s chest look like a female’s breasts.
Gynecomastia Diagnosis
To distinguish between real and pseudo gynecomastia and gynecomastia itself the doctor may do the following:
- Medical History: The doctor will ask you about any symptoms you have, medical history, any medications or substances you may be taking that might have caused the condition. Some drugs that contain estrogen can cause gynecomastia are anabolic steroids, anti-androgens, or medications.
- Physical Exam: The doctor will first start with the physical examination to check for abnormal growth of tissues, including the shape, size, and feel of the breast tissues. The test is called the pinch test. The gynecomastia pinch test is a physical examination where the examiner will grab the breast tissue between the thumb and fingers to look for any lump or mass. The physical exam may help to distinguish it, but the exam may also be inconclusive. If so, further testing will be recommended for the individual.
- Blood Test: A complete blood panel test may be ordered by the doctor to check on the hormone levels.
- Imaging Test: In order to establish the level of growth and avoid the chances of breast cancer, the doctor may ask for mammography, CT scan, MRI scan, or ultrasound.
- Biopsy: If the doctor may suggest a biopsy test if he/she thinks that the breast tissue growth is cancerous.
These tests help the plastic surgeon to select the most appropriate approach to gynecomastia Surgery.
Who is a candidate for gynecomastia surgery?
Surgery is appropriate for anyone who has some amount of gynecomastia, Kaplan explains. Outside of that, people usually need to meet the criteria for any elective surgery.
- Not having a blood disorder
- Not going immune-suppressing medication
- Not using nicotine and tobacco products before surgery and until recovery is complete
- Also managing any underlying health conditions
- Being able to miss the requisite time from school, work or other commitments to recuperate having one or more people who can be caretakers during your recovery
What is the treatment for gynecomastia?
If you are one of those who do not require or desire treatment for gynecomastia, that’s totally fine. But if you decide you want it treated, your doctor will likely recommend the following solutions according to the source of your problem:
- Stopping or switching a medication: It is advised to inform your doctor about any non-prescription medicines that you are taking, including dietary and herbal supplements. Do not stop taking prescription medication until and unless the doctor advises so.
- Treatment of the underlying condition: Treatment of the cause of the condition, such as a tumor or hypogonadism, may also lead to gynecomastia.
- Gynecomastia surgery: Some people decide to go for the surgery for gynecomastia (male breast reduction) to remove the extra breast tissue. This is a voluntary cosmetic surgery.
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What will aftercare and recovery from gynecomastia surgery entail?
Gynecomastia is typically an outpatient surgery.
In most cases, “once the patient has recovered from anesthesia, they’re able to return home with a responsible caretaker that same day”
You may experience symptoms commonly associated with anesthesia, such as:
- Feeling groggy, confused, or foggy
- Generalized muscle aches
- Nausea
- Vomiting
- Itching
- Patients typically experience pain together with discomfort at the surgical area. Your clinician may prescribe medication to help manage these effects.
- The patient needs one to two weeks for recovery before returning to work according to him. Patients need to use compression vests for at least thirty days.
- The compression vest functions to reduce discomfort while protecting the surgical area and minimizing swelling.
- Patients need to stay away from soaking activities and swimming for two weeks after surgery and must avoid strenuous exercise for one month after surgery.
- Most surgeons suggest patients stay away from sunlight and perform scar massage and use scar cream and fractionated laser treatments to reduce scar visibility.
What are the possible side effects or risks that may occur after gynecomastia surgery?
The recovery after gynecomastia Surgery will take around 2 to 4 weeks. The exact duration will vary for each patient depending on the extent of surgery and the patient’s healing abilities.
- Gynecomastia surgery carries the same risks as all invasive surgical procedures. “Namely, bleeding and infection at the incision site.”
- According to experts the possible complications after surgery include prolonged numbness together with fluid accumulation and skin color abnormalities.
- Gynecomastia surgery carries rare yet possible risks which are specific to this procedure. The procedure comes with a small chance of creating a sunken nipple appearance together with nipple loss.
- The return of nipple sensitivity and sensation usually happens within weeks or months following surgery yet some patients experience permanent nipple numbness after surgery.
Are side effects or risks possible after gynecomastia surgery?
- The risks involved after the gynecomastia surgery are bleeding, infection at the incision site.
- There might be a bit of numbness and fluid might buildup and there may be a skin color.
- Risks that are specific to gynecomastia surgery are rare but possible. “There is some risk of a sunken appearance of the nipple or loss of the nipple altogether.”
- Sometimes people also lose sensitivity in their nipples.
- “Usually, nipple sensitivity and sensation returns a few weeks or months after surgery, but some people will permanently lose sensation following surgery.”
Does gynecomastia go away?
The condition is more likely to clear up once the hormones have returned to the normal levels in newborns and adolescents. People with chronically low testosterone levels may not have spontaneous regression of gynecomastia. If you have had gynecomastia for a very long time or if it is bothering you, feel free to consult your healthcare provider.
Factors affecting cost of Gynecomastia surgery or gynecomastia removal surgery
- Grade of gynecomastia: The criticality of the condition decides the cost of surgery.
- Type of surgery: The surgery cost sometimes depends on if you are planning for liposuction or male breast reduction.
- Surgeon’s expertise: The more experienced surgeons you decide for, the cost of the surgery will be accordingly
- Hospitalization charges: The charges for hospitalization depend on the reputation of the hospital, its location and the facilities offered.
Conclusion
If you are uncomfortable about the look of your breasts (chest), then you should consult your doctor. Your provider is there to assist you and not to criticize you. They will be able to give a possible cause of the increased size and when it may subside on its own or if there is a need for treatment. If you are feeling anxious or depressed about how you look, please consult a mental health professional
Medically Reviewed By
Dr.Ashutosh Misra
23 Years Experience Overall
Last Updated : March 15, 2025
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