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WHAT IS GYNAECOMASTIA?

Gynaecomastia is an enlargement of the breast, nipple/chest in males like female breasts, causing discomfort/awkwardness to patients, sometimes associated with pain. One or both breasts can be affected in males of all ages, including adolescents, and older adults. 

WHAT ARE THE CAUSES OF GYNAECOMASTIA?

  • Hormonal imbalances – When female Oestrogen hormone is produced at modest levels in the male body, the male breasts tend to grow. 
  • Medications – Certain medications such as heart medicine, steroids, and chemotherapy drugs that are used to treat stomach ulcers, depression, high blood pressure, and prostate cancer can also enlarge breast tissues.
  • Recreational drugs and alcohol – Alcohol abuse, Anabolic steroids, and marijuana can also lead to gynaecomastia.
  • Medical condition – With medical conditions like liver diseases, hypogonadism, thyroid disease, lung cancer, and obesity male breasts can grow.

SYMPTOMS OF GYNAECOMASTIA

LUMP OF FATTY TISSUES UNDER THE NIPPLE
BREAST TENDERNESS

GYNAECOMASTIA STAGES

  • Grade 1 – minor enlargement of the breast with no excess skin
  • Grade 2 – moderate enlargement with no excess skin
  • Grade 3 - moderate enlargement with excess skin 
  • Grade 4 – marked enlargement with excess skin

DIAGNOSIS AND LINE OF TREATMENT 

  • Blood test – To check hormone levels
  • Ultrasound to breast – To see detailed photos of breast growth

SURGICAL OPTIONS

The surgery involves the removal of breast gland tissue. It is a minimally invasive surgery with less recovery time.

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The surgery involves the removal of breast fat

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NON-SURGICAL OPTIONS

The therapy can be used to manage gynaecomastia and helps to balance the hormone levels.

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RISKS AND COMPLICATIONS INVOLVED

  • Impact on mental health 
  • Development of breast cancer in future 

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Frequently Asked Questions

The procedure is not at all painful. In fact, there is easy recovery after the surgery. Many patients experience the pain after a heavy chest workout in the gym. 

An experienced doctor knows the areas where the scars won’t be visible after the surgery. Minimal scarring will fade over time after the surgery.

A hard lump can be felt around the nipples which feel unusual touch and is painful too. 

You can return to normal gym routine around 2 weeks after surgery. 

Most patients take a day or two off before returning to work and other normal daily activities. Strenuous activity (anything that increases blood pressure) should be avoided for the first two weeks after surgery. Increased cardio and lower body activity can resume after the first two weeks

No. Most patients report minimal pain after surgery. Prescription or over-the-counter pain medication is recommended to manage post-operative discomfort.

There are no major complications of gynecomastia as such. However, it can cause psychological or emotional problems due to personal appearance.

If you have excessive fat tissues, the surgery is often combined with liposuction. Liposuction can remove a significant amount of fat tissues to achieve flatter and firmer breasts after the surgery.

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