When Should You Consider Surgery for Gynecomastia?

What Is Gynecomastia?

Gynecomastia, commonly known as “man boobs,” refers to the excessive growth of glandular tissue in a man’s chest area. It typically resembles a female-like breast appearance rather than the typical firm pectoral muscles. This condition can affect one or both breasts and may be asymmetrical, meaning one breast may be noticeably larger than the other.

What Are the Common Causes of Gynecomastia?

Gynecomastia is typically idiopathic, meaning there is no identifiable cause. However, several factors may contribute to its development, including:

• Hormonal Imbalances

  : An increase in oestrogen or a decrease in testosterone can lead to breast tissue growth. This imbalance can be due to natural changes during puberty, ageing, or conditions affecting hormone production, such as hypogonadism.

• Medications

  : Some medications are known to induce gynecomastia as a side effect. These include anti-androgens (for prostate conditions), anabolic steroids, antidepressants, and heart medications.

• Chronic Conditions

  : Certain underlying health conditions can contribute to gynecomastia. Obesity, liver and kidney diseases, thyroid disorders, and tumours affecting hormone levels can all lead to enlarged breast tissues.

When Should You Seek Medical Advice for Gynecomastia?

Recognising the early signs of gynecomastia is crucial for managing the condition before it progresses. Seek medical attention if you notice any of these symptoms:

• Breast swelling
• Severe chest pain
• Tenderness or sensitivity
• A firm or rubbery lump under the nipple
• Nipple discharge
• Asymmetry between the breasts

What Non-Surgical Options Can You Consider for Managing Gynecomastia?

For individuals with mild to moderate gynecomastia, non-surgical treatments can be effective in addressing the underlying causes and alleviating symptoms without the need for invasive procedures.

If gynecomastia stems from a hormonal imbalance, medications can be an effective treatment. In select cases, medications such as aromatase inhibitors or selective oestrogen receptor modulators may be prescribed to reduce breast tissue size and block the effects of oestrogen in the body.

When Should You Consider Surgery for Gynecomastia?

Surgery should be considered if gynecomastia is persistent, resistant to non-surgical treatments, and significantly impacts quality of life.

Candidates for surgery typically include men with:

• Prominent breast enlargement
• Asymmetrical breasts
• Protruding or enlarged areolas
• Saggy breasts following massive weight loss and dieting

What Can You Expect from Gynecomastia Surgery in Singapore?

Gynecomastia surgery is typically performed under general anaesthesia, meaning patients are asleep during the procedure. The surgeon begins by making small incisions, often around the edge of the areola to remove excess fat and glandular tissue. In cases where the enlargement is mainly due to fatty tissue, liposuction may be used to suction out the fat.

For more severe cases involving significant glandular tissue or excess skin, a combination of excision (surgical removal) and liposuction may be necessary. Once the excess tissue is removed, the incisions are closed with stitches. The resulting scars are usually discreet and well-hidden due to their strategic placement.

Gynecomastia surgery typically takes one to two hours. After the surgery, patients may experience mild pain, swelling, and bruising for the first few days before subsiding over time. They may also need to wear a compression garment for several weeks to help reduce swelling and support the newly contoured chest. Patients can resume work and normal activities within a week or two.

At The Plastic Surgery Practice, we offer safe and effective gynecomastia surgery in Singapore. Our clinic will tailor each treatment plan based on the severity of the condition, helping you achieve optimal results and minimal downtime. Schedule a consultation today to discuss your needs and expectations.

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