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Discussion in 'All Categories' started by Suraj - Jun 20th, 2024 12:22 pm.
I am having gynaecomastia. When is surgery recommended, and what does it involve?
re: Gynaecomastia by Dr. B. S. Bhalla - Jun 20th, 2024 12:44 pm
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Gynecomastia is the enlargement of breast tissue in males. Surgery is typically recommended when:

Severe or Persistent Cases: If gynecomastia persists for more than 12 months, causes significant pain, or emotional distress, surgery may be considered.

Non-Responsive to Medication: If hormonal therapy or other medications do not reduce the breast tissue.
Cosmetic Concerns: If the individual is particularly concerned about the appearance and it impacts their quality of life.

Types of Surgery for Gynecomastia


Procedure: Small incisions are made, and a cannula (a thin tube) is inserted to suction out the fatty tissue.

Recovery: Typically involves a few days to a week for initial recovery, with full recovery taking a few weeks. Compression garments may be recommended.

Procedure: This involves the removal of glandular breast tissue. It's usually performed using endoscopic techniques with small incisions, leading to minimal scarring.

Recovery: Initial recovery might take a few days to a week, with complete recovery in a few weeks. Post-operative care includes wearing compression garments and avoiding strenuous activities.

Pre-Surgical Considerations

Consultation: A thorough consultation with a plastic surgeon or endocrinologist to evaluate the severity and discuss the best surgical option.

Medical Evaluation: Blood tests, imaging studies (like ultrasound or mammography), and possibly a biopsy to rule out breast cancer or other conditions.

Lifestyle Changes: Maintaining a stable weight, avoiding drugs or substances that may contribute to gynecomastia, and following any pre-surgery guidelines from your doctor.

Post-Surgical Care

Wound Care: Keeping the surgical site clean and dry.
Medication: Pain relievers and antibiotics to manage pain and prevent infection.
Activity: Limiting physical activity, especially activities that involve the chest muscles, to allow proper healing.

Risks and Complications

Infection: As with any surgery, there's a risk of infection.
Scarring: Although minimal, there can be some scarring.
Asymmetry: Potential for uneven appearance post-surgery.
Changes in Sensation: Temporary or permanent changes in nipple or breast sensation.
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