DEFINITION: Benign breast development in males is called gynecomastia.
Male breast reduction, Gynecomastia correction, Male breast surgery, Gynecomastia treatment, Chest contouring surgery, Reduction mammoplasty, Liposuction for gynecomastia
It can be a just little conical protrusion called a puffy nipple to a fully developed breast like a female, to severely enlarged gynecomastia.
Mostly it is bilateral but can be unilateral gynecomastia or asymmetrical gynecomastia.
the incidence of excess breast tissue in males is 25% among men; more recent studies have reported an overall incidence of 32% to 36.
Prevalence of symptomatic gynecomastia is markedly lower than symptomatic Gynecomastia is seen in 64.6% of adolescent boys and is also common at old age.
The feeling of having a feminine look might disrupt one’s self-esteem. It often puts one in a very embarrassing situation and can harm the quality of life.
No wonder gynecomastia is one of the most common cosmetic surgery today. In 2020, the world over 210,737 and in India 22474 male boobs reduction surgery done.
Other Links: Breast Augmentation | Breast Reduction | Breast Lift Surgery
Cosmetic surgeon, Dr. Milan Doshi at Allure Medspa in Mumbai does gynecomastia surgery as daycare surgery. He does male breast reduction under local anesthesia, where he combines advanced Laser and Vaser liposuction with gland excision, it is practically bloodless, painless, stitch-less male boobs reduction surgery. It gives scarless recovery and permanent male breast reduction result.
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a. IdiopathicIdiopathic (90%) means A DEFINITE cause of male breast development is elusive.
b. Developmental/Physiological GynecomastiaNeonatal: In newborn baby because of maternal circulating hormone. It is self limiting condition. Go by itself in few monthsPubertal: More than 2/3 of the adolecent boys have small to severe gynaecomastia relative excess of plasma estradiol compared with testosterone is believed as the cause of pubertal gynecomastiaAging: With aging,plasma testosterone levels decline and peripheral conversion of testosterone to estrogen (peripheral aromatization) occurs,Increasing the plasma estrogen-to-androgen ratio at old age leads to breast enlargement
c. Tumors(increased estrogen production):
e. Congenital Disorders:
f. MalnutritionWhen your body is deprived of adequate nutrition, testosterone levels drop, but estrogen levels remain constant, causing a hormonal imbalance.
g. MedicationsThese include antidepressants, cancer treatment, antibiotics, AIDS medications substance abuse like alcohol or drugs and many more. While consulting with the physician, it is important to discuss the usage of the medicine so that the doctor can provide accurate treatment.f. Health Conditions
Note: Medical treatment of associated condition is necessary buy they hardly succeed to reduce developed male breast. Only surgery is the definitive solution for gynaecomastia.h. HIVi. Chest wall traumaj. Psychological stressk. Spinal cord injury
Pseudogynecomastia differ from gynecomastia as it doesnt contain breast gland.Consistancy Of Gynecomastia
Many studies reviewing males with gynecomastia have demonstrated no increased risk of breast cancer compared with the normal male population.One percent of all breast cancer occurs in males. The occurrence of male breast cancer is 1 in 400 to 1 in 1000. However, patients with klinefelter’s Syndrome have up to a 60 times greater risk of developing breast cancer. Thus in all non-klinefelter’s patients it is reasonable to Treat gynecomastia surgically with both liposuction and excisional techniques.
Among various gynecomastia classifications, Simons and Rohrich’s classifications are commonly used in day-to-day practice.
Grade 1 Small enlargement, no skin excess
Grade 2a Moderate enlargement, no skin excess
Grade 2b Moderate enlargement with extra skin
Grade 3 Marked enlargement with extra skin
B. Rohrich Classification: This Classification, it takes into consideration of the amount of extra skin compared to chest
Grade 1: Minimal Hypertrophy, (less than 250g of tissue) without ptosis
1a: Primarily glandular
1b: Primary fibrous
Grade 2: moderate hypertrophy (250-500g of breast tissue) without ptosis
2a: Primarily glandular
2b: Primary fibrous
Grade 3: Severe hypertrophy (>500g of breast tissue with grade 1 ptosis glandular or fibrous)
Grade 4: Severe hypertrophy with grade 2 or 3 ptosis glandular or fibrousIf gland and tissue are enlarged just below the areola and nipple is protruding. Is called puffy nipple male breast can develop really very large and form sever gynaecomastia.
There are different types of gynecomastia as mention belowGynecomastia According to Symmetry:1. Bilateral2. Asymmetric3. unilateralGynecomastia According to Size:1. Puffy Nipple2. Severe3. Various Gradations as mentioned aboveGynecomastia According to Content:1. Pseudo2. Pure Glandular3. MixGynecomastia According to Age:
Male breast reduction have psychological and physical benefit. Gynaecomastia is not a health hazard. It is an emotional concern. Benefits of the male breast reduction surgery are:Psychological Benefit1. To wear well fitted cloths.
2. Go to gym or swimming
3. Socialize. No more embarrassment and better socialising to
–Meet friends. No more taunting
–Go freely in business meetings
—Go for marriagePhysical Benefit1. Improve your appearance
2. Improve hunch back appearance -people with gynecomastia bends forward unconsciously to hide enlarged moobs giving a hunchback look.
3. Fitness-a reduced chest will help you to indulge in physical activities of your choice and keep yourself fit.
You are right candidate for male breast reduction surgery the breast growth is more than 12 months.
Free online consultation is incomplete to take major decision.Consultation is an opportunity to get personalised information about your gynaecomastia grade and composition;surgery preparation,result, recovery, and cost: it is an opportunity to know your comfort level with cosmetic surgeon, staff and the center
It is good to make a list of important questions before proceeding for the consultation step. So you won’t miss addressing any of your concerns.You should give a brief your cosmetic surgeon about:
Your Gynecomastia surgeon will evaluate the following:
Cosmetic surgeon will discuss:Your surgery options, which is best surgery to achieve your goal.May mark on your body to explain the extent of the gynecomastia surgery. Like area of liposuction, amount of gland to be removed amount of skin will be removed or not , expected length of scar and its location
1. Pre-operative PreparationThe medical general fitness assessment is done.
Any associated medical condition is controlled before surgery.PREOPERATIVE PREPARATIONS2. At the time of admissionGeneral preoperative preparation will be done
Gynecomasta surgeon will discuss your goal and plan with you.
Photographs will be taken and marking is done.3. AnesthesiaMan boobs Reduction surgery is done under local anesthesia. If you are anxious, have higher grade gynecomastia or it is a part of many area in one go than general anaesthesia will be given.4. Gynecomastia surgeryDuring gynecomastia surgery, fat and gland both removed.It gives permanent and better male breast reduction result .Now gynaecomastia surgery is practically painless, bloodless, stichless, scarless.1. Liposuction TechniqueSometime gynaecomastia have prominent fat component, particularly in obese patient.
Only liposuction will do the work.Liposuction is done by making a small tiny hole at the periareolar border. If gynecomastia is grade 3 or 4, rarely, the second puncture is done at the inframammary line.2. Excision TechniquePatient with hormone supplement or after weight loss have prominent gland/ fibrous component. Glandular tissue is excised through the same tiny periareolar incision. In puffy nipple only gland removal is enough.3. Combination of Liposuction & Excision TechniquesFat and gland both are removed.
Vaser liposuction and gland excision is done. As the gland is removed practically, it is permanent result of male breast reduction surgery4. Excision of skinAfter massive weight loss or large gynecomastia, male breast ptosis is there. One may think to need skin excision at first sight.The combination of laser & vaser gives better skin tightening. One can see improved skin tightening up to 6 to 8 months. Skin excision and additional scarring can be avoided most of the time. Which is rarely needed in only grade 4 or severe gynecomastia.See the Gynecomastia Surgery related video:-https://youtu.be/HDOY–AuO5w
Gynaecomastia surgery result is seen immediate after surgery.Major improvement will be seen within a month, as the swelling goes. The final result will be visible within 6-8 months.What are the Gynecomastia Surgery Results?Male breast reduction surgery result is permanent and scarless.Gynaecomastia surgery result depends on grade of gynecomastia, surgical expertise, technology and technique used and goal of surgery.As a result you can get
In sever or higher grade gynecomastia with extra skin, vaser liposuction leads to skin tightens over 6 to 8 months. Rarely one needs to excise the skin.
Gynecomastia surgery recovery is very smooth and fast. Gynecomastia surgery recovery time line is as follows:
1. Local care: After the procedure is completed, dressings or bandages will be applied to your incisions. You will be taught how to do dressing at home
2. Discharge: You will be discharged on same day and
3. Diet: There is no dietary restriction after surgery
4. Bathing: after 2 days. Do fresh dressing as advise by doctor.
5. Physical activity:
you can
– Resume an office job in a day or 2.
– Drive in 3 to 4 days .
– Cardio like activity after a week .
– Gym can be started after 2 weeks’ time.
6. Pressure garments: An elastic band or support garment is used to fasten recovery and mold the chest shape
– Initial 2-3 weeks 24 hours
– More 2-3 weeks 8-10 hours
7. Fly back: 2 to 3 days.
Gynecomastia surgery has same complication and risk like any other surgery. Although very rare, surgery specific and anesthesia related risk are mentioned below. Gynecomastia under local anaesthesia with Vaser liposuction has reduced the complication risk.1. Gynecomastia Surgery specific risk and complications
Internal puncture: It is extremely rare. A cannula can go too deep, may puncture an internal organ. This may require emergency surgical repair2. Anesthesia related complicationsSmall reaction to major reaction or fluid imbalance can happen. And it is rarest, rare death can happen.3. Factors that reduce the risk & complicationsThere are 2 most important factors that reduced the risk and complications:
1. Expert liposuction surgeon and
2. Accredited cosmetic surgery center with advance lifesaving facility
Dr. Milan Doshi is an expert Gynecomastia Surgeon:Dr. Milan Doshi, M Ch (plastic surgery), is an Indian board-certified plastic cosmetic surgeon with 25+ years of experience in cosmetic surgery.He has a credit for performing more than 1400+ gynecomastia surgeries in his career.He regularly performs puffy nipple and various grade of male breast reduction surgery in local anesthesia.He performs surgery through single tiny hole. Which gives scar less flat chest. He is expert to highlight chest muscle and known for male chest sculpting with 4d or vaser assisted high definition liposculpting.He has a credit for many presentations for gynecomastia or moobs reduction at various national & international conferences.
Allure MedSpa is the one-stop destination for gynecomastia treatment. We have two centers in MUMBAI with state-of-the-art facilities; the cosmetic surgery clinic at Andheri West is for the non-surgical procedure where one can get pre-procedure consultation and post-procedure follow-ups. The Andheri West centre of Allure Medspa is a prime attraction for celebrity people as it is a hotspot destination for production houses and their offices.The cosmetic surgery hospital/centre in Goregaon West are ISO 9000:2008 and NABH certified with night stay facility.The two separate modern operation theatre, advanced patient’s monitoring system during operation and post-operative care add to the safety of procedure.We are all updated with the latest technology. We recommend the particular option of the technology/method of the procedure according to the patient’s need, expectation and desired goal of cosmetic surgery.Due to the facilities of equipment such as an ultrasonic cleaner, ETO-sterilization, autoclave, fumigation and stringent protocols we ranked highest in the safety and hygiene measure.With an indoor overnight facility one can find the best ambiance in our centre where the patient’s comfort is kept in mind with in-suit bathrooms & rooms are equipped with all the necessary things such as microwave, refrigerator, LCD TV, landline phone, etc. and make a homely feeling for the patients during their hospital stay.The staffs at Allure Medspa take all precautions to make your journey of fine to fabulous a pleasant experience. One can have a homely feeling even with cosmetic surgery.Our cosmetic surgery centre is committed to providing exceptional care, standard facilities, and advanced measure for the surgery and all under a single roof.
We have the most priority for the patient’s PRIVACY and CONFIDENTIALITY!
1.Gynecomastia surgery cost at Allure Medspa, Mumbai India is:
Types | Cost (INR) |
Puffy Nipple | 35,000 to 45,000 |
Liposuction Plus Gland Excision | 50,000 to 1,00,000 |
Liposuction+ Gland Excision+ Skin Excision | 80,000 to 1,30,000 |
Note: 18% GST by GOVT of India on all cosmetic surgery.2. The Male Breast Reduction surgery cost includes:
3. Factors NOT included in Gynecomastia (Male Breast Reduction) surgery
4. How Various Factors affect the cost of Gynecomastia Surgery?
Most health insurance plans do not cover surgery or its complications, but many plastic surgeons offer patient financing plans, so be sure to ask. The cost of Gynecomastia surgery generally ranges from 50,000 to 100000 INR.
Ans. Gynecomastia surgery, also known as male breast reduction surgery. Surgical removal of breast glands and associated fat is the permanent solution for male breast reduction.
Ans. Gynecomastia surgery is one of the permanent solutions to get rid of gynecomastia. If your gynecomastia is persistent for more than 2 years, no medicine, any non-surgical method, or weight loss will be able to get rid of gynecomastia.
Ans. Yes, gynecomastia is one of the safest surgeries. Gynecomastia is done under local anesthesia with the help of advanced technology like VASER liposuction, it is now practically painless, bloodless, stitchless and scarless day care surgery.
Ans. Yes, gynecomastia surgery is worth spending your time and money on. Gynecomastia is an emotional concern; thus male breast reduction can boost your confidence and improve the quality of your life.
Ans. Practically speaking, gynecomastia is a painless surgery. With the help of advanced technologies, this surgery can be done under local anesthesia as well. This fastens your recovery. With the help of a simple painkiller, you can join your office in a day or two after getting your gynecomastia surgery.
Ans. Gynecomastia very rarely can grow back after your surgery. In advance technique fat and gland both are removed so practically gynaecomastia doesn’t recurre. This can happen if you gain a significant amount of weight or develop a hormonal imbalance.
Ans. Normally gyno surgery takes around 1-2 hours, depending on your body structure, grade of gynecomastia you have, experience of your cosmetic surgeon, and the technology used for your surgery. You should look for a safe and smooth recovery with good results over time taken.
Ans. Gynecomastia or just fat (pseudo gynecomastia) needs an accurate diagnosis and conclusions, which are best left in the hands of a qualified doctor.You can look out for gland as a hard lump that can be palpated or felt under your nipple/areola region. This lump generally is firmer than belly fat (pinch your belly) and may also be painful or sensitive to the touch.
Ans. You cannot get rid of gynecomastia without surgery. There is no amount of exercise, weight loss regime, or medical treatment that can help you in getting rid of your gynecomastia.
Ans. There is no pill or medicine that can reduce gynecomastia permanently. Some doctors may prescribe medicines like tamoxifen which can temporarily reduce your gynecomastia. Once you stop taking this anti-estrogen medicine, your gynecomastia will recur with many side effects.
Ans. You can get rid of gynecomastia only with surgery. Other methods like diet, exercise, and medicines will not help you permanently and may cause side effects also.
Ans. Gynecomastia will not go away by just exercise. Gynecomastia is caused by glandular tissues of your chest, which will not go away by exercising.
Ans. If you wish to be awake during your gynecomastia surgery, you can do that. Due to availability of advanced VASER liposuction technology, gynecomastia surgery can be done under local anesthesia too. Traditionally gynecomastia surgery was performed under general anesthesia, keeping you asleep during the whole surgery.
Ans. You can shower 2 days after having your gynecomastia surgery. Earlier it used to take a long time to recover, but due to advanced technologies, now this surgery is done through a tiny puncture. These punctures need simple dressing after each shower.
Ans. Losing weight will give you some reduction in the size of your gynecomastia, but it will still be noticeable as gland will not reduce in size with weight loss. Surgery is the only permanent solution for getting rid of gynecomastia.
Ans. Practically speaking, there is no long-term side effect after having your gynecomastia surgery. However, very rarely, like every surgery, gynecomastia surgery may have some complications like bleeding, infection, scarring, irregularity of your skin, etc.
Ans. There is no compulsion to sleep on your back after having your gynecomastia surgery. You can sleep on your side immediately after your surgery. After 3 to 4 days of having your gynecomastia surgery, you can sleep in a prone position, depending on your recovery.
Ans. Mostly you do not need any drains after having your gynecomastia surgery. If your gynecomastia is of high grade, then you might need a drain for a day or two.
Ans. The primary disadvantages of gynecomastia are more psychological. Having man boobs in some men takes a toll on their mental health and significantly affects their confidence. In some cases where hormonal disturbances are major, gynecomastia may rarely cause breast cancer in men too.
Ans. Surgery is the best treatment for permanent reduction of gynecomastia. The surgery is painless, bloodless, stitchless and scarless daycare surgery. These features make this surgery extremely safe and reliable. It is therefore essential to pick a highly trained, board-certified plastic cosmetic surgeon to get your desired results for safe and smooth recovery.
Ans. There are 4 stages of gynecomastia. They are:
Ans. Surgery is the only solution to reduce man boobs. Weight reduction reduces man boobs a little but not completely. Any medicine or any non-invasive procedure can not reduce man boobs.
Ans. Permanent reduction of chest fat or gynecomastia can be achieved only with the surgery. Diet, exercise, or weight loss will have minimal effect. No medicine will give permanent chest fat reduction.
Ans. More than 90 percent of times genetics or hereditary is the cause of gynecomastia.
Natural hormone changes, certain medications, illegal drugs, obesity, certain health conditions, some herbal products, etc. are commonly associated with causing man boobs.
The basic mechanism in other causes is, Gynecomastia is triggered by a decrease in the amount of the hormone testosterone compared with estrogen. The decrease can be caused by conditions that block the effects of testosterone, reduce testosterone, or increase your estrogen level.
Ans. One can identify the signs of gynecomastia by:
– Swollen breast tissue
If one were to tighten their chest muscle, they should feel hard. Now you can identify gynecomastia as soft and mobile tissue over the chest muscle. You may feel the breast gland as a bunch of fibers, soft rubbery mass below the nipple-areola complex.
Ans. Fat accumulates in excess around the chest area is called as pseudo gynecomastia.
If one were to tighten their chest muscle, they should feel hard. Now you can identify gynecomastia as soft and mobile tissue over the chest muscle. You may feel the breast gland as a bunch of fibers, soft rubbery mass below the nipple-areola complex.
Ans. Only surgery works for permanent removal of gynecomastia.
Ans. Permanent removal of gynecomastia can be done only with surgery. Now with the help of advanced technologies, gynecomastia surgery is done as a daycare surgery in local anesthesia. Practically it is stitchless scarless surgery.
Ans. Chest shaping and muscle can be highlighted by an expert plastic surgeon during gynecomastia surgery. The surgeon can inject fat into the chest muscle to make them more prominent, it is called as 4-D sculpting.
Ans. A gynecomastia surgery in India could cost you around 60,000 to 10,0000 INR. The expertise of cosmetic surgeons and accreditation/ quality of the hospital set up and type of technology used are major and most important gynecomastia surgery cost factors. The final cost depends on the gradation of the gynecomastia surgery and your goals of the surgery like 3-D or 4-D chest sculpting.
Ans. Average cost of Gynecomastia surgery in India is 60,000 to 100,000 INR. Gynecomastia surgery cost in India is almost one third that of western countries. Metro city and the prime location of the clinic will have more cost for gynecomastia surgery.
You should weigh the expertise of a board-certified plastic surgeon and accredited hospital set up to get the safe and best result of gynecomastia surgery. The extent and goal of gynecomastia surgery are also important cost factors.
Ans. No. Many patients seen at Allure Medspa had testosterone levels checked that are well within the “normal” range. There could be many other reasons like the ingestion of drugs or medical ailment like kidney issues. If other secondary sexual characteristics are normal, probably the hormone level will be normal.
Ans. No, breast enlargement occurs quite often in both male and female babies in the first month or so of life. The reason behind this could be the presence of maternal estrogen, which crosses the placenta prior to birth. This ’neonatal gynecomastia’ seen in male babies generally goes away in 4-6 weeks of birth. Interestingly, ‘neonatal gynecomastia’ does not occur in children who are born prematurely.
Ans. The cosmetic surgery is allowed to perform after 18 years of age and who considered a right candidate if they are physically and mentally fit to undergo surgery. However, if a person is below 18 and feeling embarrassment, theprocedure can be done with parental consent.
Ans. Patients need to rest and let the body heal immediately after the surgery. Indulging in rigorous exercise could lead to large blood or fluid collections which can lead to infection or contour irregularities, ruining a great result. One should try avoiding repetitive arm and chest motions, heavy lifting, and straining or excessive trunk motion for 2 weeks following surgery.
Ans. Yes, other cosmetic procedure can be done with Gynecomastia surgery. There is an added advantage that the recovery period is same and a single anesthesia is enough to administer.
Ans. The scars for the liposuction and gland excision are 4-5mm long and placed right in the peri areolar area or at the inframammary fold, armpit crease, so they are not visible once healed. To avoid an obvious ‘operated on’ look, these scars are purposely placed asymmetrically.
Ans. There is no written proof of a gynecomastia and male breast cancer. It is a known fact that excess estrogen compared to androgens increases the risk of both benign (gynecomastia) and malignant (cancer) growth of male breast tissue. Examples of risk factors for such abnormal growth of male chest tissue would include aging, obesity, alcoholism, liver disease, and estrogen treatment for prostate cancer &Klinefelter’s syndrome.
CPT Code | CPT Description | ICD -10 Procedure |
19300 | Surgical removal of Glandular breast tissue in Male | N62 |
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