Gynecomastia

WHAT IS GYNECOMASTIA?

Gynecomastia is the benign enlargement of breast tissue in males, typically resulting from an imbalance between the hormones estrogen and testosterone. This condition can affect one or both breasts, sometimes unevenly.

SEVERAL FACTORS CAN CONTRIBUTE TO THE DEVELOPMENT OF GYNECOMASTIA, INCLUDING:

  • Hormonal Imbalance: The most common cause is an imbalance between the hormones estrogen and testosterone. Estrogen, although present in small amounts in men, can promote breast tissue growth when its levels are elevated relative to testosterone.
  • Medications: Certain medications, such as anabolic steroids, anti-androgens, HIV medications, anti-anxiety drugs, and some antibiotics, can lead to gynecomastia.
  • Health Conditions: Conditions such as hyperthyroidism, kidney and liver disease, and tumors in the testicles or adrenal glands can cause gynecomastia.
  • Substance Use: Alcohol, marijuana, heroin, and other substances can also contribute to the development of this condition.
  • Age: Hormonal changes during puberty and aging can trigger gynecomastia. Adolescent boys and older men are particularly susceptible.

HOW DO I TELL I HAVE GYNECOMASTIA?

Patients mostly present with swollen breast gland tissue and no other symptoms. You need a consultation with a qualified plastic surgeon to make a final diagnosis. Diagnosing gynecomastia involves a thorough medical history review and physical examination. Dr. Hirra Alavi may also recommend additional tests to determine the underlying cause.

WHAT ARE THE BENEFITS OF SURGERY?

Gynecomastia surgery offers significant benefits, both physical and psychological, for men affected by enlarged breast tissue. Primarily, it provides a flatter, more masculine chest contour, which can greatly enhance a man’s self-esteem and body image. The physical transformation allows for greater comfort and confidence in various social and physical activities, such as swimming, sports, and wearing fitted clothing. Furthermore, the procedure can correct asymmetry and improve the proportionality of the chest, contributing to a more balanced and aesthetically pleasing physique.

HOW DO I TELL I HAVE GYNECOMASTIA?

Patients mostly present with swollen breast gland tissue and no other symptoms. You need a consultation with a qualified plastic surgeon to make a final diagnosis. Diagnosing gynecomastia involves a thorough medical history review and physical examination. Dr. Hirra Alavi may also recommend additional tests to determine the underlying cause.

AM I A CANDIDATE FOR GYNECOMASTIA SURGERY?

Surgery is typically considered for patients who:

  • Have persistent gynecomastia that does not resolve with medical treatment or lifestyle changes.
  • Experience tenderness, or emotional distress due to the condition.
  • Desire improved chest contour for aesthetic reasons.

HOW IS THE SURGERY DONE?

  1. Liposuction: This technique is suitable for patients with excess fatty tissue but minimal glandular tissue. Small incisions are made, and a thin tube called a cannula is inserted to break up and suction out the fat.
  2. Excision: For patients with significant glandular tissue, skin excess, or sagging, excision is often necessary. This involves surgically removing the glandular tissue and possibly excess skin. The incision patterns vary depending on the extent of tissue removal required. Common approaches include:

Periareolar Incision: Around the edge of the areola, suitable for mild to moderate cases.

Inverted T Incision: Extending around the areola and vertically down the chest, used for more extensive tissue removal.

Combination of Liposuction and Excision: Many patients benefit from a combination approach, which allows for the removal of both fatty and glandular tissue, ensuring a smoother and more natural contour.

CONSULTATION WITH DR. HIRRA ALAVI:

Before undergoing gynecomastia surgery, patients will have a comprehensive consultation with Dr. Hirra Alavi, which includes:

  • A detailed discussion of medical history, current medications, and lifestyle factors.
  • Physical examination and assessment of breast tissue.
  • Review of preoperative instructions, including medication adjustments, smoking cessation, and pre-surgery hygiene.

THE SURGICAL PROCEDURE:

Gynecomastia surgery is typically performed under general anesthesia or local anesthesia with sedation, depending on the extent of the procedure. The surgery usually takes one to two hours, depending on the complexity. Dr. Hirra Alavi will make precise incisions based on the chosen surgical technique, carefully removing excess tissue and reshaping the chest. Liposuction may be performed concurrently to achieve the desired contour. Once the tissue removal is complete, the incisions are meticulously closed with sutures, and the chest is bandaged.

WHAT TO EXPECT DURING RECOVERY?

Patients are monitored in a recovery area and usually discharged the same day. They will receive detailed instructions on managing pain, caring for incisions, and wearing compression garments to minimize swelling and support healing.

Mild to moderate pain, swelling, and bruising are normal and can be managed with prescribed pain medications. Patients are advised to avoid strenuous activities and follow a balanced diet to support recovery. Swelling and bruising will gradually subside. Stitches are typically removed within one to two weeks. Dr. Alavi will schedule follow-up visits to monitor progress and address any concerns.

Most patients can resume normal activities within a few weeks, although it is recommended to avoid heavy lifting and intense exercise for about six weeks. Final results may take several months to fully manifest as residual swelling diminishes.

BOOK A CONSULTATION WITH DR. HIRRA ALAVI:

Dr. Hirra Alavi is a qualified plastic surgeon with extensive experience in gynecomastia surgery. Her approach combines technical expertise with a deep understanding of her patients' needs and concerns. She has performed numerous successful gynecomastia surgeries, earning her a reputation for excellence in cosmetic and reconstructive breast surgery. She takes the time to understand each patient's unique situation and goals, offering personalized treatment plans and attentive postoperative care.

Book your consultation today. We are eager to assist you!

FAQ's:

1Am I a good candidate for gynecomastia surgery?
Good candidates for gynecomastia surgery are healthy individuals with realistic expectations who are troubled by the appearance of their chest. A consultation with Dr. Hirra Alavi can help determine if surgery is the right option for you.
2How long do the results last?
The results of gynecomastia surgery are permanent. However, maintaining a stable weight is crucial for preserving the outcome.
3Will there be visible scars?
Dr. Hirra Alavi uses advanced surgical techniques to minimize scarring. Incisions are strategically placed to be as inconspicuous as possible, and over time, scars usually fade and become less noticeable.
4Can gynecomastia recur after surgery?
No, it is a permanent surgery. Due to weight gain, some patients might develop fat depositions in chest but gland doesn’t develop again.
5Will I need to wear a special garment after surgery?
Yes, this garment helps minimize swelling, supports the healing tissues, and aids in achieving the desired chest contour. You will need to wear it continuously for the first few weeks, as directed by Dr. Hirra Alavi.
6What are the risks and complications associated?
As with any surgical procedure, gynecomastia surgery carries certain risks. These include infection, Bleeding, scarring, changes in nipple sensation, asymmetry or irregular contours and anesthesia complications.