Planning To Get A Gynecomastia Surgery in Jaipur?
Gynecomastia is swelling of the breast tissue in boys or men, caused by an imbalance of the hormones estrogen and testosterone. ALCS offers the world class Gynecomastia Surgery in Jaipur.
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DO YOU NEED A GYNECOMASTIA SURGERY?
Is It Gynecomastia or Just Extra Fat Deposition or Loose Skin?
It is common to get confused between gynecomastia and pseudogynecomastia. While gynecomastia refers to the actual growth of the breast tissue in men, pseudogynecomastia refers to male breast enlargement due to the excess deposition of fat tissue in the male breasts due to weight gain.
Gynecomastia can also be confused with loose skin or skin laxity in the male breast region. Skin laxity is often the result of excess weight loss, extreme fluctuations in weight, or the aging process, and does not involve any male breast tissue enlargement.
Although gynecomastia, pseudogynecomastia, and loose skin in the male breast region may appear similar, it is important to get an accurate diagnosis from a good plastic surgeon to determine the most effective treatment plan for the condition present.
Key differences between gynecomastia, pseudogynecomastia, and loose skin:
| Gynecomastia | Pseudogynecomastia | Loose skin | |
|---|---|---|---|
| Causes | Hormonal imbalance, obesity, or certain liver or kidney diseases | Excess body weight, unhealthy diet, or sedentary lifestyle | Excessive weight loss, extreme fluctuations in weight, or aging |
| Symptoms | Breast pain, swelling, nipple discharge in one or both breasts, uneven breast development | Excess fat tissue in the chest region, flabby and soft chest, sagging of skin, no nipple discharge | Loose or saggy skin in the chest region, no pain or swelling, no nipple discharge |
| Diagnosis | Blood tests to check the hormone levels, mammography, ultrasound, breast tissue biopsy | Physical examination to check the texture of the chest | Physical examination, and history of extreme weight loss or weight gain |
| Treatment | Liposuction, mastectomy surgery | Exercise, healthy diet, lifestyle modifications, liposuction | Surgery |
| Complications | Increased risk of breast cancer development if left untreated | Decreased self-confidence and poor mental health if left untreated | Decreased self-confidence and poor mental health if left untreated |
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What are the Causes of Gynecomastia?
Gynecomastia is generally caused due to a decrease in the levels of testosterone hormone (male sex hormone) compared to the levels of estrogen (female sex hormone). This may occur due to the following different reasons:
Gynecomastia Due to Hormonal Fluctuations
The testosterone hormone is responsible for controlling male traits, like body hair and muscle mass. Estrogen hormone, on the other hand, is responsible for controlling female traits, like the growth of breasts and menstruation.
Estrogen hormone is not exclusively limited to females. Men also produce this hormone in small quantities. When the male estrogen levels are too high or are not in balance with the testosterone levels, it can result in gynecomastia. This condition is commonly seen in the following three male stages:
- Infants: Many male infants are born with enlarged breasts due to the effect of the mother’s estrogen levels. This condition usually disappears within two to three weeks after birth.
- Puberty: Hormonal changes during puberty may result in the enlargement of male breasts. This condition usually disappears without any treatment within six months to two years.
- Adults: Research suggests that the prevalence of gynecomastia in men between 50 to 80 years of age is between 24% and 65%.
Medications Causing Gynecomastia
The use of certain medications may lead to gynecomastia. These medications may include the following:
- Anabolic steroids and androgens: They are used to treat delayed puberty, hormone deficiencies, or loss of muscle due to another disease.
- Anti-androgens: They are used to treat prostate cancer, an enlarged prostate, and other conditions.
- AIDS medications
- ADHD medications containing amphetamines: These medications are used to treat attention deficit or hyperactivity disorders.
- Anti-anxiety medications
- Antibiotics
- Tricyclic antidepressants
- Ulcer medications
- Chemotherapy drugs: They are used to treat cancer
- Heart medications
- Stomach-emptying medications
Gynecomastia Because of Certain Health Conditions
The presence of certain health conditions could also lead to gynecomastia. These health conditions may include the following:
- Increase in age: Hormonal fluctuations that may occur due to aging may lead to gynecomastia. This is especially true in the case of overweight men.
- Malnutrition: When the body is deprived of adequate nutrition it may lead to a drop in the levels of the testosterone hormone, while the levels of the estrogen hormone remain the same, leading to hormonal imbalance and subsequently, gynecomastia.
- Hyperthyroidism: This condition involves the production of excess amounts of thyroxine hormone from the thyroid gland.
- Tumors: Certain tumors like those involving the pituitary gland, testes, or adrenal glands, may produce certain hormones that could alter the male-female hormone balance.
- Liver failure and liver cirrhosis: There may be fluctuations in the hormone levels due to liver diseases and intake of cirrhosis medications.
- Kidney failure: Many people on dialysis due to kidney failure may have gynecomastia due to changes in hormone levels.
- Hypogonadism: Certain conditions like pituitary insufficiency and Klinefelter syndrome could lower the production of the testosterone hormone, leading to gynecomastia.
Gynecomastia Caused by Substance Abuse
The use of certain substances, like recreational drugs, illicit drugs, alcohol, can lead to gynecomastia. These substances may include:
- Heroin
- Marijuana
- Methadone
- Amphetamines
- Anabolic steroids
- Excess alcohol
Herbal Products Leading to Gynecomastia
The use of certain plant oils in soaps, shampoos, or lotions may lead to gynecomastia due to their weak estrogenic activity. These plant oils may include the following:
- Tea tree oil
- Lavender oil
Who Are the Best Candidates for Gynecomastia Surgery?
Gynecomastia surgery is generally considered to be an elective procedure. A man having gynecomastia needs to meet a few requirements to be eligible for gynecomastia surgery.
The following men are considered to be good candidates for undergoing gynecomastia surgery:
- Men with good overall general health and not having any life-threatening medical conditions, such as a blood disorder
- Men who have relatively normal body weight and are physically healthy
- Men who can manage any underlying medical conditions that they may have
- Men who are concerned about the appearance of large breasts
- Men who have tried lifestyle modifications, but have been unable to treat gynecomastia
- Men who do not smoke, or use any illicit and recreational drugs
- Men having realistic expectations from the surgery
- Boys or men who can take the prerequisite time off from school, work, or any other professional or personal commitments after the surgery
- Men who have a positive outlook and are committed to following all the post-operative instructions provided by the doctor
- Men in whom the breast development has stabilized
- Men having the availability of one or more caretakers during the recovery period after surgery
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Which Are the Different Types of Gynecomastia?
Gynecomastia can be classified into three different types depending on how long the man has had the condition. Alternatively, gynecomastia can also be classified based on the age of occurrence, the difference in breast sizes, and what the enlarged male breast tissue is made up of. The type of treatment performed for gynecomastia will depend on the type of gynecomastia present.
Gynecomastia Types Based on the Duration of the Condition
Depending on how long the person has had gynecomastia, gynecomastia can be classified as follows:
- Florid gynecomastia: This condition is usually seen in the early stages of gynecomastia, normally about four months or earlier. There is an increase in the ductal tissue and noticeable veins, also known as vascular tissue, in this type of gynecomastia.
- Intermediate gynecomastia: This type of gynecomastia denotes the progression of florid gynecomastia to fibrous gynecomastia.
- Fibrous gynecomastia: Once a person reaches this stage of gynecomastia, the condition is usually irreversible and it is, therefore, important to get an early diagnosis and treatment for gynecomastia. A person usually reaches this stage after about one year. This stage is characterized by the presence of a few ducts and dense breasts with very little vascular or glandular tissue, that is, more of stromal fibrosis.
Types of Gynecomastia According to Age
Gynecomastia can also be classified depending on the age of occurrence. The different types include:
- Gynecomastia at birth: This condition is seen in newborn male babies due to an increase in the level of circulating estrogen hormone from the mother. The condition usually disappears on its own after a couple of days.
- Adolescent gynecomastia: Hormonal fluctuations may cause gynecomastia in adolescent boys. The condition usually resolves on its own with time with an increase in testosterone levels.
- Adult gynecomastia: This is a common type of gynecomastia seen in approximately 65% of men between 27 to 92 years of age. The condition could develop due to hormonal imbalance, genetics, the presence of certain medical conditions, the use of certain medications, substance abuse, or weight gain.
Types of Gynecomastia Depending on the Breast Sizes
Gynecomastia can also be classified based on the difference in breast sizes. The different types may include:
- Unilateral or Asymmetric gynecomastia: This condition involves the enlargement of the breast tissue in one or both breasts such that the two breasts appear different in their size, giving an asymmetric appearance. This condition is usually rare in occurrence and needs to be treated by surgery.
- Bilateral gynecomastia: This condition involves a two-sided or bilateral growth of both breasts.
Gynecomastia According to the Type of Tissue Present
The different types of gynecomastia based on what the enlarged breast tissue is made up of may include the following:
- True gynecomastia: This condition is characterized by excess growth of the glandular tissue in the male breast region.
- Pseudogynecomastia: This condition is characterized by the deposition of excess fat or adipose tissue in the male breast region, giving it an enlarged appearance.
- Mixed gynecomastia: This condition involves the presence of both, the glandular and fat tissue, in the male breast region.
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What Happens in Gynecomastia Surgery?
Gynecomastia surgery, also called male breast reduction surgery, is a procedure performed to reduce the size of breasts in men, as well as flatten and enhance the chest contours of the man. This type of surgery is performed to treat enlarged or overdeveloped breasts in men.
The plastic surgeon will first thoroughly evaluate the gynecomastia patient and only after proper diagnosis will the surgeon suggest undergoing surgery based on the individual circumstances of the patient. A gynecomastia surgery can be performed using any one of the following different types of techniques:
Gynecomastia Surgery by Liposuction Technique
This type of surgery is primarily performed in cases of deposit of excess fat tissue in the male breast region leading to gynecomastia. This procedure is performed as follows:
- The anesthesiologist will first administer general anesthesia to make the patient unconscious.
- The surgeon will then make several small incisions or cuts in the breast region.
- A mixture of saline solution is then injected by the surgeon into the fatty region.
- A cannula is then inserted through the incisions made.
- The cannula will then be moved back and forth in a controlled manner to loosen the excess fat.
- The loosened fat will then be suctioned out from the body.
- The surgeon will then close the incisions using sutures or stitches.
Gynecomastia Surgery Using Excision Technique
This type of surgery is performed in cases where the glandular breast tissue or excess skin needs to be removed to correct gynecomastia. It could also be recommended in cases where the repositioning of the nipple and areola is required to produce a more natural male contour. This procedure is performed in the following way:
- The anesthesiologist will first administer general anesthesia to make the patient unconscious.
- The surgeon will then make many incisions around the breast region. The incisions made are larger compared to the liposuction technique.
- The pattern, lengths, and locations of the incisions made will vary depending on the breast size of the patient and the desired final appearance of the breasts.
- The excess tissue around the breasts is then taken out by the surgeon from the nipple region.
- The surgeon will reposition the nipple and areola if required.
- The incisions are then closed using sutures or dissolvable glue.
Gynecomastia Surgery by Combination Technique
The surgeon may sometimes choose to use a combination of liposuction and excision techniques for the removal of as much unwanted fat and tissue deposit as possible.
Sometimes, the excess weight of the enlarged male breast tissue can lead to the sagging of the breast tissue, causing the nipple to be pulled downwards. This may stretch the skin around the nipple or areola and give them an enlarged appearance.
The combination technique involves resizing and repositioning the nipple, besides the removal of the fat and glandular tissue. This technique is more invasive compared to liposuction or excision techniques alone and may need more healing time.
Gynecomastia Surgery Cost In Jaipur
The cost of Gynecomastia treatment in Jaipur begins at a minimum of 50,000 INR, providing an accessible option for male breast reduction. The maximum price for the procedure is 90,000 INR, offering a range suitable for different budgets. Factors such as surgeon expertise, clinic reputation, location and the extent of the treatment can affect the final cost. Consultation is advised to assess your unique requirements and determine the personalized factors influencing the overall price.
Factors that Affect Gynecomastia Surgery Cost in Jaipur
The different factors that affect the cost of gynecomastia surgery cost in Jaipur include the following:
1. Severity of the condition present
A gynecomastia patient may have excess deposition of glandular tissue, fat tissue, or both in the male breast region. Patients having both may need a more extensive procedure, which will cost more.
Additionally, gynecomastia patients having sagging skin may need additional medical procedures like skin tightening, which will increase the overall cost of gynecomastia surgery.
2. Type of technique used for surgery
There are two main types of gynecomastia surgery, namely liposuction, and excision. The liposuction procedure involves the use of a thin tube known as a cannula for suctioning out the excess fat from the breast region, whereas the excision procedure involves the removal of the glandular tissue through incisions made in the breast region. Liposuction is a lesser invasive procedure compared to excision and is, therefore, cheaper than excision.
Certain patients may need a combination of liposuction and excision techniques to treat gynecomastia. The cost of a combination technique will be more compared to liposuction or excision technique alone.
3. Surgeon chosen for treatment
The cost of gynecomastia surgery in Jaipur will also vary depending on the expertise and experience levels of the surgeon chosen for treatment.
An experienced and skilled surgeon will charge more for the consultation and surgery as they have a history of high rate of success. A less experienced surgeon will charge the patient less, but there could be an increased risk of getting poor results and post-surgery complications.
4. Location of the hospital or clinic
The location of the hospital or clinic chosen for treatment will also affect the cost of gynecomastia surgery. Hospitals or clinics located in prime or posh localities of Jaipur will have higher fees compared to those located in less developed localities.
The cost will also be more in multispecialty hospitals or private well-equipped clinics compared to government hospitals in Jaipur.
5. Diagnostic tests
The doctor will suggest certain preparation tests before the surgery to ensure that the patient is in good general health for undergoing surgery.
The cost of these diagnostic tests will be added to the total cost of gynecomastia in Jaipur.
6. Medications and anesthesia used
The surgery will generally be performed under general anesthesia. The cost of the anesthesia and the anesthesiologist, who will be administering the anesthesia, will be added to the total cost of the surgery.
The surgeon will also prescribe certain medications to prepare the body before the surgery. Certain medications like pain-relieving medications, antibiotics, and other medications may be prescribed after the surgery for a smooth and quick recovery. The cost of these medications is added to the total cost of gynecomastia surgery.
7. Insurance coverage
Most insurance companies do not cover the gynecomastia surgery cost in the early stages of gynecomastia when the condition is asymptomatic. The patient generally opts for gynecomastia surgery at this stage only due to cosmetic reasons.
In advanced cases of gynecomastia, where the condition is causing problems like back pain, postural problems, or even spinal deformities, treating the condition becomes necessary. Insurance companies usually cover the cost of gynecomastia surgery at this stage.
It is important to check with your insurance company and doctor if your condition is covered by insurance, as this will affect your overall cost of gynecomastia surgery.
8. Post-surgery follow-up appointments
The patient will need to go back to the surgeon for follow-up appointments after the gynecomastia surgery to check if the healing is good and recovery is smooth.
The cost of the follow-up appointments is added to the total cost of gynecomastia surgery.
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What Are the Benefits of Gynecomastia Surgery?
Gynecomastia surgery can offer several benefits to men who experience embarrassment or physical discomfort due to breast enlargement. It is, however, important to have realistic expectations from the surgery and have a discussion with your surgeon before the procedure to understand what to expect after the surgery.
The various benefits associated with gynecomastia surgery are as follows:
Improved Chest Contour and Posture
Gynecomastia surgery helps a man in obtaining a better chest contour through the removal of enlarged breast tissue.
Over time, a heavy chest can result in hunching and poor posture. Gynecomastia surgery helps in improving posture through a reduction in chest size.
Masculine Appearance
The society we live in sadly has a preconceived notion about how a man should look. Men having a toned and sculpted chests are considered to be masculine, whereas a bulky chest is thought to be an indication of being feminine. Men having gynecomastia may face several complexes as a result of this belief.
Gynecomastia surgery helps a man get rid of excess breast tissue to give them a more masculine appearance.
Reduced Back Pain
Men with enlarged, heavy breasts and poor back muscle support may suffer from chronic back pain.
Gynecomastia surgery reduces the heaviness in the chest region to relieve back pain.
Participation in More Physical Activities
The excess tissue in the chest region can make physical exercise challenging or painful. Simple physical activities like jumping or running can make a man having gynecomastia conscious due to unwanted movement in the chest region.
Reduction of the excess tissues in the chest region helps a man in feeling more comfortable while performing physical activities.
Easy Maintenance of Healthy Body Weight
Not all men suffering from gynecomastia are overweight. However, men suffering from this condition may find it difficult to maintain a healthy body weight as the excess breast tissues may cause pain and discomfort while performing physical activities.
Gynecomastia surgery will help them in performing physical activities like running and jumping with ease, thereby enabling them to maintain a healthy body weight.
Increase in Self Confidence
A firmer and flatter chest can help in boosting the confidence and self-esteem of a man. Many men suffering from gynecomastia may suffer from poor body image and depression due to their enlarged breasts.
Gynecomastia surgery will help make a man feel more confident and comfortable with their body.
Quick and Painless Procedure
Gynecomastia surgery is generally performed under local anesthesia or general anesthesia, making the procedure painless and comfortable for the patient.
The procedure usually takes only 90 to 120 minutes to complete and the patient can go home on the same day after the surgery after a brief observation period.
Rapid Recovery
The patient may need to take some pain-relieving medications for 72 hours after the procedure and will be asked to wear a compression garment for one or two weeks after the surgery.
Most patients can resume their normal routine activities a month after the surgery, except that the patient is recommended to avoid heavy lifting for an extended time. Therefore, most patients have a quick and smooth recovery after gynecomastia surgery.
Long-lasting Outcomes
The results of gynecomastia are long-lasting. After the removal of the fat cells and excess tissue from the breast region, they do not grow back.
It is important to maintain a healthy weight after the surgery to avoid the accumulation of new fat in the chest region. The correct diagnosis and treatment of the original cause of gynecomastia, including hormonal imbalances, will prevent the regrowth of excessive male breast tissue.
More Clothing Options
Many men suffering from gynecomastia prefer to wear baggy clothes to disguise their enlarged breasts.
Gynecomastia surgery will enable men to wear well-fitted clothes and make them look and feel better.
What are the Risks and Safety Considerations?
Gynecomastia surgery is considered to be one of the safest plastic surgeries with very little or no risk of developing complications after the procedure. However, it is important to discuss with your plastic surgeon the possible risks that could occur after the surgery and how they can be managed.
It is important to choose an experienced and skilled plastic surgeon for the procedure to minimize your risk of developing complications. The common risks that may be associated with gynecomastia surgery include the following:
Hematoma
Bleeding after surgery may lead to the collection of blood under the skin, between the skin and the muscle layer, known as a hematoma.
A small hematoma may resolve on its own. However, most hematomas may require drainage by the surgeon.
Infection
The risk of developing infections is rare following a gynecomastia surgery. Undrained hematomas and seromas (fluid collections) can increase the risk of developing infections.
The surgeon usually prescribes antibiotics after the surgery to prevent infections. If an infection does take place, drainage of the infection area is recommended.
Scarring
It is important to discuss with the surgeon the expected scars from the surgery. The scars may develop at the planned incision site or the unplanned site of loss of skin.
The scars usually heal predictably well after the surgery.
Loss of Nipple Sensation
A lot of nerves that travel from the deep breast tissue layers to the nipple may be cut or injured during the removal of the breast tissue gland. This may result in temporary or permanent loss of sensation in the nipple or breast area.
Irregularities in the Chest Contour
There could be an increased risk of developing irregularities in the breast contour and shape after gynecomastia surgery.
It is therefore important to choose a skilled surgeon to reduce your risk of developing irregularities in the chest contour.
Asymmetry of Breasts
There could be a risk of removal of more or less amount of breast tissue from either of the breasts, resulting in breast asymmetry.
Persistent Pain
It is normal to have some pain immediately after the surgery. Pain-relieving medications usually help in relieving this pain and discomfort, which generally disappears after a few days.
However, in certain cases, the pain may persist for a longer period and may even increase with time. The patient fails to get pain relief from medications in such cases and needs to consult the surgeon as soon as possible.
Recurrence
Normally, the excised glandular and fat tissue will not grow back after a gynecomastia surgery unless there is a hormonal stimulus due to natural hormones or certain ingested or injected substances. The risk of recurrence of breast tissue enlargement after surgery is, therefore, rare.
In case of a recurrence, the surgeon needs to perform a re-excision procedure to remove the excess breast tissue.
Damage to the Deeper Structures
There is a risk of unintentional damage to the deeper structures below the breast, that is, the nerves, muscles, blood vessels, and lungs during surgery.
Anesthesia Risks
Some patients may experience allergic reactions to the anesthesia used during the surgery.
Deep Vein Thrombosis
The surgery may increase the risk of developing a blood clot in one or more deep veins in the body, which is a condition known as deep vein thrombosis.
This could also lead to cardiac and pulmonary problems.
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Recovery after Gynecomastia Surgery
Most patients have a recovery time of four to six weeks after gynecomastia surgery. However, this timeline will vary depending on the individual recovery pace and overall health of the patient. The recovery and post-operative care after gynecomastia surgery involve the following steps:
- It is normal to experience some pain, tightness, and discomfort in the chest region after the surgery. The doctor will recommend pain-relieving medications to ease this discomfort. The pain should gradually go away in a week or so.
- The patient needs to start with a liquid diet immediately after surgery and gradually move to semi-solid and solid food.
- It is recommended to avoid heavy lifting and strenuous activities immediately after surgery. However, moderate exercises like brisk walking are recommended after the first day of surgery.
- Most patients can resume going to work two to three days after gynecomastia surgery.
- The doctor recommends wearing a compression garment after the surgery to reduce swelling and bruising. The compression garment needs to be worn for twenty-four hours a day for the first week after surgery, and for eighteen hours a day in the second week after surgery. After three weeks, the compression garment can usually be replaced with more comfortable clothing.
- The patient needs to keep his incisions clean using water daily. The doctor recommends the application of antibiotic ointments and covering the incision area with a new dressing.
- Smoking and alcohol consumption needs to be avoided for at least three days before and three days after surgery.
- Blood-thinning medications need to be stopped a few days before and after the surgery, as recommended by the doctor.
- The patient needs to follow a healthy and hygienic lifestyle during the recovery period.
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- Dr. Sunil Arora has earned his MCH (Plastic Surgery) degree from C.S.M Medical University (Upgraded KGMU), Lucknow (2009).
- President, Rajasthan Association of Plastic Surgeons – 2024
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- Article, Association of Hair Restoration Surgeons India: Hair News Bulletin – 2023
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FREQUENTLY ASKED QUESTIONS
This condition can be sorted on its own in due course of times but only in some cases. Many times doctors will prescribe some medicines in order to treat gynecomastia. When nothing works then the last resort is surgery always. Although this condition is not that dangerous as it is always curable but it can be uncomforting for men. It can also develop insecurities in the minds of the people suffering from it and can hamper their confidence. The gynecomastia treatment in Jaipur is medicines and surgery both depending upon the situation of the condition.
The surgery performed for gynecomastia decreases the size of the breast in men minimizing the risk of getting the condition into the worst stage. The male breast surgery in Jaipur is highly recommended by doctors of India. There are many doctors and surgeons available in Rajasthan which can help you cure gynecomastia in an effective manner. The estimated gynecomastia surgery cost in Jaipur can vary accordingly. It can range according to the hospital and surgeon in Jaipur. The top-rated doctor & clinic for gynecomastia treatment in Jaipur is Dr.Sunil Arora & ALCStudio. Male breast surgery in Jaipur is affordable and effective. There are many leading doctors and clinics which will surely help the patients to cure there gynecomastia.
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