Gynecomastia



This procedure removes excess male breast development, which may be due to weight gain or overall body weight loss, use of hormones or steroids, fatty tumours, genetic predisposition, or hormonal imbalances. If one-sided enlargement is found, testing is required prior to treatment.

The treatment involves stopping the causative agent or weight control, and may include conventional, laser-assisted liposuction, or liposculpture, with or without a direct excision.

Surgery is performed under local anaesthetic, conscious sedation with local anaesthetic, or general anaesthesia.

Discomfort is controlled with oral medication and long-acting local anaesthetic. A garment should be worn for several weeks and tumescent fluid drainage is expected for several days. Sutures are removed within one to two weeks and normal activities may be resumed within a couple of days.

1) What is Gynecomastia?

Gynecomastia refers to a condition in which the men overdevelop their breasts. One out of five men is suffering from this condition due to hormonal changes, heredity, obesity, or usage of some specific drugs. 

Gynecomastia may not be painful, but it affects the individual's self-confidence, social, and personal life. Men who develop this condition tend to avoid participating in sports, public interaction or indulge in any form of intimacy to escape the embarrassment. 

Gynecomastia often occurs due to the excess weight of male breast tissue. The heavyweight puts pressure on the breast, stretching the areola (the dark skin around the nipple), resulting in a saggy appearance. 

Gynecomastia surgery in Dubai is one of the most-sought cosmetic treatments among men. Under this procedure, your cosmetic surgeon will surgically improve the areola's shape and position and remove the excess skin around the breasts. Gynecomastia is commonly termed as male breast reduction surgery. 

Other factors that cause Gynecomastia are:

• Excess fat contained around the breast tissues
• Excess growth of glandular tissue
• Excess breast skin

Young men aspiring to become bodybuilders often indulge with some substance abuse, steroids, and drugs, which in the long run, results in causing Gynecomastia.

Being an expert cosmetic surgeon, we encourage men always to have an open conversation with a doctor or professional gym trainer before indulging with harmful substance abuse. 

2) What is Gynecomastia Surgery?

In most of the cases, Gynecomastia resolves over time without any treatment. In many cases, it may indicate an underlying condition such as Hypogonadism, malnutrition, or cirrhosis. After examining your health condition, the doctor may suggest a few medications and closely monitor your health for at least six months. 

Usually, Gynecomastia wears off within these six months. But, treatment becomes necessary if the situation is otherwise, especially when the condition is followed by pain and tender breasts. 

After examining your case, the doctor will prescribe a few medications approved by the Food and Drug Administration. For patients with extreme Gynecomastia, the doctor suggests surgery. 

Gynecomastia surgery options include:

• Liposuction: A cosmetic surgery removes excess fat from the patient's breasts but excludes the breast epithelial tissues.
• Mastectomy: This surgery involves removing the breast gland tissue by making small incisions on the chest region. The process is less invasive, more effective, and requires less healing period. 

After carefully examining your Gynecomastia and other healthcare factors, the cosmetic surgeon will decide the approach towards Gynecomastia treatment for the patient's complete recovery and best results. 

3) CAUSES OF GYNECOMASTIA

 Gynecomastia is commonly referred to as "man boobs" and is very common in boys during puberty. It is often caused due to some changes in estrogen (a female hormone also present in men). Infants are born with Gynecomastia, which goes away after a certain period. However, the condition can occur among older people and middle-aged people. Some other factors that cause Gynecomastia include:

• Excess dose of antibiotics
• Medicines for a heart condition
• Anti-anxiety drugs
• Treatment for AIDS
• Tricyclic anti-depressants
• Chemotherapy
• Medications to reduce heartburn
• Drugs and steroids
• Herbal products that contain tea tree oil and lavender oil
• Overactive thyroid
• A tumor on one of the glands that control your hormonal levels
• Injuries or disease that affects the testicles

4)Why are Gynecomastia surgeries done?

Gynecomastia refers to a condition that causes breast tissue enlargement in men. It is often a source of embarrassment in men. The number of men who chose Gynecomastia surgery in UAE has increased over the years. If you are planning to consider the surgery, we suggest you first consult an expert doctor because Gynecomastia sometimes may be an initial symptom of an underlying condition. 

Patients diagnosed with Gynecomastia often have asymmetrical or unilateral breasts. Men can also self-examine to determine whether their breasts are palpable, tender, firm, mobile, or a round-disc like a mound of tissue has formed. Any unusual changes in your breast should be immediately reported to an expert doctor for further diagnosis. 

Amwaj Polyclinic is one of the best aesthetic clinics in Dubai. We have the best team of doctors, nursing staff, and our clinic is equipped with all kinds of facilities to ensure our patient's safe and happy recovery. 

5) Who is a good candidate for Gynecomastia surgery?

 During your first consultation, the doctor will thoroughly examine your health and medical history to determine your Gynecomastia treatment candidature. The decision is taken on the following factors:

• The alternative medical treatment options failed to correct the condition
• The candidate should be healthy and is not suffering from any life-threatening disease or medical condition that can disrupt his healing process.
• The candidate should be a non-smoker and non-drug abuser
• The candidate should have a positive outlook towards improving his physical appearance disrupted due to Gynecomastia
• The candidate should be physically fit and with healthy weight and height 
• The candidate should have realistic expectations from the surgery
• The candidate's breast development process should be stabilized
• A self-conscious individual who feels that his breasts are too enlarged

If you feel now that you may be an ideal candidate for Gynecomastia surgery, we invite you to discuss your concerns with our experts. They will guide you and make sure your physic gets countered in a shape you always desired. 

6)Deciding about Gynecomastia surgery

Gynecomastia often occurs due to excess breast tissue, excess fat, or loose skin around the areolar. Gynecomastia surgery can help remove these excess fats and re-counter your chest appearance. But, before you proceed with the operation, here are a few things one must understand. 

Choosing the surgeon

The scars from Gynecomastia surgery can quickly get hidden under your shirt, but it is safe to consider an expert, board-certified surgeon for such complex and delicate procedure. The surgeon you choose should have a lot of experience in handling Gynecomastia surgical cases. The surgeon should also remain aware of the underlying causes of the condition. A well-accomplished plastic surgeon will know that many factors cause Gynecomastia, including hormonal imbalance, anabolic steroids, recreational drugs, and obesity. A proper series of tests will be conducted for an appropriate diagnosis. Only when the reports have arrived, the doctor shall proceed with the surgery. 

Diet and Health

If you are aware of the fact that your Gynecomastia is a result of weight gain, consider following these tips before signing up for the surgery:

• Increase your fruits and leafy vegetable intake
• Limit your sugar intake and avoid eating artificial sweetener in candies and sweets
• Limit your alcohol and carbonated drink consumption
• Perform 30 minutes of cardiovascular exercises every day
• Give up on your sedentary lifestyle 

Like any other surgical procedure, Gynecomastia surgery comes with a fair share of risks and side-effects (infection, scars, and blood clotting). Following a strict lifestyle routine and choosing a well-accomplished surgeon will work as a guarantee for your safe and healthy recovery. Get in touch with our expert professionals for more insight on Gynecomastia surgery and its recovery process. 

7)What are the types of Gynecomastia surgeries?

Enlarged breast tissue can be a source of real embarrassment for men. They feel conscious while wearing a tight-fitting t-shirt or go shirtless on any occasion. Men suffering from Gynecomastia tend to wear loose, ill-fitted clothes to hide their flaws. Fortunately, Amwaj Polyclinic brings you an opportunity to get rid of this embarrassment. Understanding your flaws will help you act upon the solution. Gynecomastia is often measured through its types, such as:

Type 1: The man has a puffy look on his nipples, which appears to be cone-like and protruding outside his chest. This condition requires surgical removal of the enlarged glandular tissue to make the chest appear smooth and firm.

Type 2: The man has an extreme amount of glandular tissue and fat, making his chest feel tight, firm beneath the nipple, and softer from the outside region.

Type 3: It is a more extreme form of Gynecomastia in which the man suffers from saggy breasts with the nipples drowning outwards.

Type 4: At this stage, the man's breast becomes enlarged and saggy, requiring immediate surgical intervention to remove the excess glandular fat tissue and create a smooth, tight, and firm chest region.

Type 5: This type of Gynecomastia occurs when the man suffers from excess breast tissue sagging below the chest fold and appears like a female breast structure.

Type 6: This condition occurs when the breast droops below the chest, under the armpits, and extends towards the back.

Type 7: It is the most severe type of Gynecomastia, which involves extreme breast sagging. The nipples appear to be at the bottom of the sagging breast tissue.

8) What are the steps of a Gynecomastia procedure?

Following are the steps to perform Gynecomastia surgery:

Anesthesia: The surgery is performed under anesthesia to help the patient get comfortable throughout the procedure. Your doctor will decide the best anesthesia option, which includes intravenous sedation or general anesthesia.

The liposuction technique: This procedure is recommended when there is a correction needed in a tiny region. The surgeon makes a small incision at the side of the areola and inserts a thin hollow cannula attached to the suction to remove the breast region's excess fat. Your surgeon will pull out the underlying glandular tissue via the incision. After completing the procedure, the incisions will be closed very carefully to ensure there are no scars formed around the treated region. 

The Excision technique: Men who require an extensive operation to treat

Gynecomastia are recommends the excision technique. Under this procedure, the surgeon will perform a more invasive breast reduction surgery. The process may last for at least 2-3 hours. The goal is to remove the excess fat and restore the natural shape of your breast. An expert surgeon will make an incision on the lower hemisphere of the chest, around the areola's circumference. The excess breast tissues get enhanced to give it a new, contoured shape. Depending on the patient's health, the surgeon will decide the type of approach needed to perform the surgery. 

Discuss with your doctor regarding the benefits, risks, and healing process of each surgical procedure to decide on the best-suited method.

9)Gynecomastia results – what can you expect?

• Immediately after the surgery, it may take a few days for swelling to draw back. You may use a cold compress or warm compress for 2-3 days to manage the swelling. Let your doctor decide what will work best for your healing. 
• As most of the Gynecomastia surgery requires a 1-inch long incision, it is likely for the scar to be visible on initial days. However, with every passing day,the scar will slowly fade away. 
• The first two weeks, avoid direct exposure to heat and the Sun. Do not skip the follow-up appointment with the doctor. It helps the doctor to monitor your recovery process closely and remove the bandages over time.
• When the swelling gets reduced, you will see the changes made in the shape of your chest and admire your enhanced masculinity.  
• Follow a healthy diet, exercise, and weight-loss activities for long-lasting results.

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