What is Gynecomastia?

Gynecomastia, derived from the Greek words ‘gyne’ (woman) and ‘mastos’ (breast), refers to the condition in men where the breast tissue becomes abnormally enlarged. While it is quite common in adolescent boys, with about 90% experiencing a reduction in symptoms within a few months to a few years, the remaining 10% may continue to deal with the condition, which can lead to significant emotional distress and social embarrassment.
Potential Causes of Gynecomastia Include:

Ageing

Castration

Chronic liver disease

Genetic disorders

Gilbert’s Syndrome

Klinefelter Syndrome

Marijuana use (a debated cause)

Obesity

Puberty

Side effects from certain medications

Steroid abuse (sometimes referred to as ‘bitch tits’)

Tumours

THE REMEDY

Weight loss can help reduce the appearance of gynecomastia in some cases, but it rarely eliminates the condition completely. For most, surgery is the only effective solution. However, even after surgery, emotional and psychological scars may persist, requiring a different kind of healing.

PRE-SURGICAL TESTS

Before surgery, your surgeon will conduct laboratory tests and/or diagnostic examinations to ensure you are fit for the procedure.

TIME REQUIRED

1-2 hours

ANAESTHETIC

General anesthesia – discussed with your surgeon

PSYCHOLOGICAL IMPACT

In a society that often emphasises masculinity, gynecomastia can be emotionally damaging. Many men opt for surgery to correct the condition, but it’s important to address the psychological aspect as well. From childhood teasing to a lifelong struggle with body image, the emotional pain does not simply disappear after a breast reduction. Accepting and reconciling with your body and past experiences is crucial to healing and gaining a sense of freedom.

Men who develop gynecomastia later in life, often due to steroid use or other factors, may not experience significant psychological distress. However, some may feel a loss of control or masculinity. In such cases, surgery may address physical concerns, but therapy can help alleviate emotional distress by providing support and helping men realise they are not alone in their experience.

RECOVERY

Return to work: Within one week or more

Strenuous activity: Avoid for at least one month
Scarring: Scars will gradually fade over several months to a year, or longer in some cases

Scarring: Scars will gradually fade over several months to a year, or longer in some cases

RISKS AND COMPLICATIONS

Knowing what complications may arise, as well as what can prevent them, will help patients enjoy a positive experience. As with any surgery, complications, though rare, can occur. These may include:

Temporary loss of breast sensation (numbness) |
Temporary pain |
Swelling |
Soreness

It's crucial to follow your surgeon's post-operative instructions carefully to minimise the risk of complications and ensure the best possible outcome.

IMPORTANT

Every surgical or invasive procedure comes with risks. It's advisable to seek a second opinion from a qualified healthcare professional before proceeding.