So many Gynecomastia patients have shared with our doctors the self-consciousness, embarrassment, frustration and psychological stress that they have endured because of breast enlargement. Most never feel comfortable taking off their shirt at the beach or at the pool or wearing a snug-fitting shirt.

Forty to sixty per cent of men experience breast tissue enlargement. Changes in hormone levels as you grow older and weight gain can contribute to developing gynaecomastia. Many use compression vests in an attempt to reduce the unsightly appearance of gynecomastia. And many describe a feeling of discomfort and embarrassment with regard to sexual intimacy.

The main image with Gynecomastia is  most patients get nervous about surgery in general; the risks, the recovery, pain. Although this might be important to be concerned about but the face is this is what people say after the Gyno operation:

Gyno Testimonials in Malaysia

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Benefits of Gynecomastia surgery

  • ProsGynecomastia surgery is a 100% guaranteed option to get rid of Gynecomastia.
  • ProsIt is the only treatment option that is personalized from start to finish. The surgery is done based on your personal preferences.
  • ProsThere is no guesswork involved and you will be counseled by the surgeon before about how your chest will look like after surgery.
  • ProsThe difference is LIFE CHANGING!, not to mention the turbo boost in your self-confidence.

What are the symptoms that you decide it’s a Gynecomastia?

When you see a palpable breast tissue (PBT) measuring more than 2 cm in diameter, which feels like a firm, rubbery disc-like fullness centered beneath the areola.  This condition is a result of abnormal overgrowth of breast glandular and fibrous tissue in a male.

However in some cases an “enlarged male breast and excessive fat tissue”.  This is called “Pseudo-gynecomastia”, which is best treated solely by liposuction, since there is no “gland” to be removed.

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Major Gyno causes

  • It’s caused by natural changes in estrogen (a “female hormone” that men also have) and testosterone. Newborn babies sometimes have short-term gynecomastia, too. That’s because some of their mothers’ estrogen stays in their blood for a while after birth.
  • Middle-aged and older men can also have the condition. It could be due to aging (which also shifts hormone levels) or because of certain medicines, including some:
  • Marijuana and drugs like heroin, amphetamines, and steroids can cause it. So can drinking too much alcohol.

Common approach for surgical treatment with Gynecomastia

Gynecomastia procedures vary patient to patient.  Gynecomastia can range from liposuction only techniques to treat a mostly fatty chest area, to a combined procedure with limited subareolar incision to directly resect glandular tissue not removed by liposuction (this includes laser and vaser assisted), to full breast reduction/amputation with free nipple grafting for men who have breasts that would qualify for a female breast reduction!

Many surgeons use a combination of ultrasonic-assisted liposuction (UAL), power-assisted liposuction (PAL), and traditional liposuction. The surgical dissection, which proceeds after the liposuction, entails a dissection that is extended to the pectoralis major fascia. The fat and breast tissue are excised en bloc from the pectoralis fascia.

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The goal of gynecomastia surgery is to flatten the chest mound into a more normal contour, which for men is nipple flush with the skin above the inframammary fold.

Can Gynecomastia Recur?

Gynecomastia can return under three conditions.
1. If there was an inadequate glandular excision
2. If what remaining gland is stimulated (i.e. steroids, medical condition)
3. If the patient gains a moderate to significant amount of weight in a short period of time.

If done correctly and the above conditions are avoided, then the Gynecomastia should not recur.

Common Types:

Grade I Small breast enlargement with localized button of tissue that is concentrated around the areola.

Grade II : Moderate breast enlargement exceeding areola boundaries with edges that are indistinct from the chest.

Grade III: Moderate breast enlargement exceeding areola boundaries with edges that are distinct from the chest with skin redundancy present.

Grade IV: Marked breast enlargement with skin redundancy and feminization of the breast.

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Pathological gynecomastia refers to breast enlargement due to a pathological process. Pathological gynecomastia in adolescent boys may be due to a variety of causes, including Klinefelter’s syndrome, congenital hypogonadism,hermaphroditism, testicular trauma, a breast tumor, ingestion of any of a variety of prescription medications, contact with family members who use estrogen creams, abuse of anabolic steroids, abuse of heroin, malnutrition, liver disease, or treatment with chemotherapy. Treatment of pathological gynecomastia depends on the cause.

Pseudogynecomastia: In true gynecomastia, the breast enlargement is due to glandular breast tissue growth. It is associated with both androgen deficiency and estrogen excess. In pseudogynecomastia, the breast enlargement is due to the accumulation of fat. Pseudogynecomastia often affects obese boys and men. It can be treated by weight loss or liposuction.

Before and After Photos of Average results from Gynecomastia operations:

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How long Gynecomastia Operations takes?

Surgery usually takes around an hour, If your gynecomastia doesn’t require extensive skin excision, you may be a great candidate to have your surgery done under twilight with local anesthesia. However, in most situations plastic surgeons prefer general anesthesia due to the fact that most cases have  dense glandular component under the nipple/areola that requires direct excision via an incision around the areola.  Still the argument weather to go for general anesthesia or local anesthesia is subjective to each case and scenario.

Post-op Care

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You will need to take a week off work to fully recover. You should avoid any heavy lifting or strenuous activity for 3-4 weeks after surgery.

This chart is a guide to stages of recovery only. Everyone heals differently so your results may vary.

1-7 days

 

 

2 Weeks

4 weeks

6 weeks

-You may have some discomfort for a week. Mild painkillers will help with this but avoid taking aspirin.

-Keep walking around to avoid post operative complications.

-Support garment worn day and night for up to 3 weeks.

-Might pull and hurt a little when you move around.

-Any non dissolvable stitches will be removed.

-Gradually begin to increase your activity.

-You may be able to return to work if your job does not involve strenuous activity or heavy lifting.

-Bruising and swelling fades

-No longer need to wear support garment.

-Return to work and resume most normal activities.

-No strenuous activity or exercise yet.

-Resume exercise

-You can begin to judge the result.

-Avoid exposing the treated area to direct sunlight for 6 months

Surgery Cost in Malaysia

If you are interested to get rid of gynecomastia through surgery, under normal medical circumstances, you are looking at paying between USD 6000 – 8500 depending upon the facility where the surgery is carried as well as the experience and profile of the surgeon. On the other hand, many come to Kualalumpur, Malaysia to have this operation not only because of the no waiting time and high quality but simply due to the fact you get to save at least 30% as the price in Malaysia starts from 4000 USD – 5000 USD which includes surgeon fees, facility fees, transportation and 4 star hotel accommodation, plus you simply turn the whole surgery concept into a holiday and week off to enjoy the beauty of the other side of the world.

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