Boosting of breasts in men by both diet and exercise and with increasing weight due to hormones is called gynecomastia. Gynecomastia may be observed in men at puberty and at increasing age. Gynecomastia surgery reduces breast size in men (caused due to hormonal imbalance or heredity), flattening and enhancing the chest contours.
The procedure involves liposuction and surgical removal of fat and glandular tissue. Gynecomastia surgery may be performed under local or general anesthesia. Your type of anesthesia is determined by considering your age and the size of your breasts. The surgery lasts approximately 1-1.5 hours. Incisions are made near the pigmented areas of the nipple, so scars are well hidden after the surgery. After the surgery, you may be discharged on the same afternoon of the surgery day or the next day.Gynecomastia cost in Thailand is between USD 1350 to USD 1650. Patient has to stay in the hospital for 2 days and outside the hospital for 3 days. The total cost of the treatment depends on the diagnosis and facilities opted by the patient.
The cost of Gynecomastia procedure includes:
The overall cost of the procedure also varies based on the patient's condition and preferences. Some of these factors are:
Listing approximate price of Gynecomastia and some related procedures. The prices may change depending upon the centers and condition of the patient.
The package includes the cost of the tests too. Before getting a gynecomastia treatment, the doctor checks blood levels of testosterone and Estrogen, complete blood count (CBC), and chest X-ray.
Medicines you consume at the hospital given by your doctor or nurse are included in the package. However, any medicines that are consumed outside the hospital are covered in the package.
The duration of the surgery is around 2 hours, and it is a one-time treatment. You need to stay in the hospital for 3-4 hours after the surgery and can go home the same day. If you have to stay in the hospital for any reason, it is not covered in the package. You need to consult your doctor if you feel any pain or swelling within a week after the surgery.
The recovery time for gynecomastia surgery is about 4-6 weeks; however, you can resume your normal routine within 2-3 days. It's vital to get follow-ups post-surgery for complete healing. Your doctor will recommend a daily dose of multivitamins and vitamin E tablets. You have to apply an antibiotic ointment and cover the area with a new dressing every day, which is not covered in the package.
Generally, you can not avail of health insurance for gynecomastia surgery because it comes under cosmetic procedures.
You can also fix gynecomastia without surgery by dieting, exercising, lowering the use of drugs or steroids, and losing weight.
For patients planning to travel abroad it is useful to know the price in destinations popular with medical travellers. The price for Gynecomastia in different countries is approximately:
The cosmetic and aesthetic surgeons specializing in gynecomastia perform this procedure.
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The success rate of Gynecomastia surgery is more than 90%, and most men are satisfied with the outcome. However, in a few cases, possibly genetic, gynecomastia can recur.
You’ll be given a compression garment to help reduce swelling. Your scars, while permanent, will fade over time and will be as unobstructed as possible. Recovery time takes about 1-2 weeks. You may take a bath after 2-3 days and return to your social life.
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In the initial phase, the chest area will be kept bandaged in order to prevent any form of post-operative infection which has been seen to occur quite often. Patients undergo this surgical procedure to remove the adipose tissue (fat) to get a flatter appearance.
People who do not have a budget for a Gynecomastia surgery can look for alternatives like Breast reduction topical cream and breast reduction pills designed for men.
Generally, gynecomastia surgery affords patients with long lasting results but in some cases, gynecomastia may return.
Usually, the doctor gives 1 cm of incisions under the armpit so there are no visible scars on the chest.
Some of the things that you will have to take care of are: Quitting nicotine use or smoking as it can delay or impair the healing process. Stopping the usage of medications having blood thinners and aspiring-containing products two weeks before the surgery. Informing the doctor about any illness, skin infection, or cold you have developed a week before the surgery. Take off from your work for at least two weeks if the job profile is labour intensive. Tend to all your household chores before the surgery to avoid dealing with them after your surgery when you require care and rest. If you remove your chest hair routinely, avoid doing so two weeks before the surgery and for about six weeks after the procedure is over.
The procedure will take about an hour or two but sometimes it is longer than that. You will be administered medications for your comfort before you undergo the procedure. General anesthesia is also common along with intravenous sedation and local anesthesia at times. You will be shifted to the recovery area after your surgery is over for keeping you under close observation.
Gynecomastia is derived from the Greek words gyne, meaning woman, and mastos, meaning breast. Gynecomastia is a synonym, and gynaecomastia is an obsolete term.
Hormone imbalance between the sex hormones estrogen and testosterone is the main cause of Gynecomastia. As estrogen (female hormone) hormone cause development of breast tissue while testosterone (male hormone) suppress the growth of breast tissue. When the level of estrogen hormone increases growth of breast tissue occurs in males. Obesity, steroids, certain medicines, hyperthyroidism are some other causes of Gynecomastia.
Gynecomastia is not a serious problem but it can be a tough condition to deal with. Men or boy having Gynecomastia have to face lots of embrassement due to their enlarged breast.
Gynecomastia doesn’t go away in all cases in some case when the boy is in puberty stage then it can subside when he reaches adolescence stage because of the hormonal level.
The Gynecomastia or man boobs consists of two main components
The symptoms of Gynecomastia are:
Men in good health who have large breasts that are not caused by side effects from medication are good candidates for Gynecomastia reduction. You should have reached a stable weight and your breast development should have stabilized.Men in good health who have large breasts that are not caused by side effects from medication are good candidates for Gynecomastia reduction. You should have reached a stable weight and your breast development should have stabilized.
Gynecomastia mainly occurs due to the hormonal imbalances between the levels of estrogen and the testosterone hormone. The level of estrogen hormone increases in men mainly at the time of puberty.
It takes around 45 minutes to one hour to do the surgery.
Gynecomastia surgery is being done by an experienced plastic or cosmetic surgeon.
Gynecomastia surgery is done under local or general anaesthesia under the following steps
The traditional technique for Gynecomastia uses an incision around the areola to open the skin and remove the underlying breast gland tissue. This procedure is designed to remove mostly breast gland tissue and a little amount of fat. It gives a big scar, more side effects; require hospital admission and long recovery period.
The results aim to be permanent if you maintain stable body weight. If the condition was as a result of anabolic steroids or other medications, using them again can bring back the previous condition.
The severity of the condition will decide the recovery time. In most cases when a combination of excision and liposuction is used, the patients are able to go back to work after a week. The recovery period is relatively gentle in this case. Though, it is extremely important for the patient to follow the instructions laid down by the doctor after the surgery is over to avoid any serious forms of complications.
Yes, it is necessary that you go for a follow up as the doctor would check that the surgery has brought in the necessary results. Even, it is important to verify that there are no major complications. The first follow-up usually takes place after a week of the surgery. The sutures will also be removed during that time.
There is NOT much swelling. Patients are generally very happy with the overall outcome as they experience more self-confidence.
It will be ideal to wear the pressure garment for 6-10 weeks. This helps reduce the sagging of the skin.
After surgery, a small dressing is done over the chest and pressure garment is applied to minimize swelling and support your new chest contour as it heals. Some of the precautions which you have to take following your Gynecomastia surgery are
After the surgery there will be small scar which will be not at all visible. The scar will heal within 6 months and after that they will not at all visible. Within a month after surgery you will start seeing the change in shape and reduction in breast size.
The procedure is completely safe and there are no chance of coming back again .The side effects after the gynecomastia procedure include
These are temporary and will resolve within 7 to 10 days after the procedure. To reduce these side effects you have to wear compression garments for first 2 months.
Yes the final result will appeared after 3 months. The improvement in shape and size will be noticeable around 1 month time and thereafter the improvement continues.
Follow up will be done on 3rd day and 2 weeks time. Final results will take around 1 to 3 month once the swelling and hardness subsides.
After the completion of Gynecomastia reduction surgery some swelling, discomfort, pain and bruising is expected. You will have some discomfort, which can be controlled by the pain killers, antibiotics and other swelling reducing tablets .after procedure you need to wear a customized compression garments for 2 month which will help to reduce swelling, as well as compress the skin to the new body contour.
The gynecomastia procedure results are seen immediately, but due to swelling the final results will take time. The final results will take one to 3 months time once the swelling get subsides completely. Most of the patients can return to their normal routine work in 2-3 days time.
Light exercise can begin after 1 week, with full exercise and activity returning in about two weeks time. Swelling and bruising are common, but will subside over a period of first two weeks. There will be stiffness, hardness and numbness which will resolve gradually over a period of tow to 4 weeks.
You need to get certain blood test before you schedule your procedure .these are HEMOGRAM, PT APTT, BLOOD SUGAR, HIV and HBSAG, renal function .once you get your test reports you can mail those reports and after paying advance deposit we will give you the available date for your procedure.
Generally, Gynecomastia surgery takes 1-2 hours and after 4 to 5 hour under observation, you will be discharged on the same day.
The temporary side effects are pain, discomfort, bruises, and numbness for few days. Sometimes seroma or hematoma can occur which is easily we do everything we can to minimize the risks associated with surgery.
Gynecomastia surgery cost includes Surgeon’s fee, OT Charges, Room charges, Anesthesia fees, Compression garment, Surgical disposable follow up charges.
Life after Gynecomastia Surgery
Life After Breast Reduction Surgery
Gynecomastia Explained by Dr. Ashwani Kumar Singh of Yatharth Hospital, Noida
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