Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Male Breast: Treatment, Procedure, Cost and Side Effects

What is the treatment?

Gynacomastia is the enlargement of the gland tissue of the male breast. It can affect men who are middle aged or even older and even strike during infancy or puberty. This condition occurs due to the growth of the grandular or breast tissue, which is actually present in small quantities in men. It is caused due to the imbalance of testosterone or estrogen hormones and can affect one or both the breasts. This is not a very serious problem but men with male breasts may experience some pain.

The symptoms that may be associated with gynacomastia are swollen breast gland tissue and tenderness of the breast. Male breasts can develop as part of the normal development process and can affect a normal pubertal male. However, other factors that may influence the onset of this condition are: aging, as the production of testosterone decreases with age, as a side-effect of some other disease or condition and as a reaction to some other medication.

There is no such treatment required for physiologic gynacomastia. In most of the patients, pubertal gynacomastia gets resolved within a few weeks to a couple of years. When gynacomastia occurs due to hypogonadism, parenteral or transdermal testosterone therapy is done. A patient will have to undergo medical or surgical treatment if they are suffering from idiopathic gynacomastia or residual gynacomastia. Pharmocologic therapy requires the use of some drugs. Breast surgery is recommended for those who suffer from long-standing gynacomastia or those who have not benefitted from medical treatment.

How is the treatment done?

Reduction mammoplasty is done to surgically reduce the size of male breasts. The chest is flattened by reducing the size of the breasts and this helps to improve the shape of the male chest. The location and size of the areola can also be adjusted if the breast tissues are extremely heavy causing the areola to sag. On the other hand, liposuction is done if male breasts appear due to too much fat. In this procedure, a narrow canula is used to suction off the excess fat. Excision technique is utilized if excess skin and grandular tissues are to be removed.

Other than surgical interventions, some medications can also help to deal with male breasts. Testosterone replacement medications can help older men to reduce their male breasts. Clomiphone is another drug used to treat gynecomastia. Tamoxifen which is a selective estrogen receptor modulator helps to reduce the size of male breasts. This medication is mostly used to treat painful or severe disorders. Danazol is a drug which is not used as commonly as other drugs to treat gynecomastia. However, it is a synthetic derivative of testosterone and it helps to regulate the production of sex hormones.

However, it has to be kept in mind that medications help to curtail gynecomastia only in the initial stages of the treatment. Scarring of the tissues occurs after about 12 months and medications do not produce any beneficial effects after the 12 months. In this scenario, surgical intervention is required.

Who is eligible for the treatment? (When is the treatment done?)

A man is eligible for surgery to treat gynecomastia if he feels that his breasts are too large and alternative medical therapies are not helping them to successfully address the condition. Some of the prerequisites for this surgery include: a man should be healthy and be of average weight, he does not suffer from any other medical conditions or takes medications that may interfere with this treatment and he has stabilized breast growth. Testosterone replacement therapy may be good for older men but it may cause further enlargement of breasts in men with healthy levels of testosterone.

Who is not eligible for the treatment?

A person who is not too old and has healthy amounts of testosterone are not eligible for testosterone therapy. A person suffering from any other medical condition for which he is receiving treatment should consult his doctor before going for gynecomastia surgery. An unhealthy person is also not eligible for any surgical intervention.

Are there any side effects?

Some of the side-effects associated with testosterone replacement therapy are acne or oily skin, stimulation of prostate tissue resulting in increased urinary symptoms like decreased stream or frequency, increased risk of blood clots, occurrence of sleep apnea, reduction of size of testicles, mood swings and increased risks of heart attacks and strokes. Sometimes, testosterone replacement surgery can cause breasts to get enlarged in people with normal levels of testosterone.

What are the post-treatment guidelines?

A person undergoing testosterone replacement therapy needs to go for regular check-ups and adhere strictly to the guidelines recommended by the doctor. A person should take proper rest for at least 3 days after the gynecomastia surgery. Movement of the limbs is also restricted in some cases. A person can resume normal physical activities only after 3 weeks. After the surgery, direct exposure to sunlight should be avoided till the bruising and swelling subsides. Consumption of alcohol and other drugs should be completely halted till a few days after the surgery.

How long does it take to recover?

A person undergoing reduction mammoplasty will have to take a break for about 1 month to recover from the effects of the surgery. A person will feel tired and may also experience some pain due to bruising and swelling. It will take about 4-6 weeks for these effects to subside. A person undergoing testosterone replacement therapy will experience the beneficial effects within 4-6 weeks in most cases. However, the entire treatment may take a lot of time and the duration varies from person to person.

What is the price of the treatment in India?

Gynecomastia surgery in Indian generally costs something around Rs 60000. It can vary according to the procedure used and also according to which surgeon is performing the surgery. Clomifone may cost between Rs 650 – Rs 6500 depending on the duration of the treatment cycle. Tamoxifen medication for 1 month also costs around Rs 6500. Testosterone injections are available for Rs 5000 per injection approximately.

Are the results of the treatment permanent?

The effects of breast reduction surgery in males are deemed permanent. However, a man may again develop a larger breast if he gains weight or due to the effect of some other medications. Medications used for breast reduction normally help to deal with the external manifestations but do little to address the underlying causes. Therefore, their effects are not permanent as a person may again develop larger breasts once he is stops taking the medication.

What are the alternatives to the treatment?

Breast reduction can be done by men by reducing their body weight. A couple of cups of green tea every day helps in this aspect due to it is a natural anti-oxidant. Turmeric boosts the levelof testosterone and so helps to address gynecomastia. Milk thistle contains silymarin and so helps to cure gynecomastia. Other treatments may include consumption of hot water and dandelion leaves, consumption of ginger root tea and taking a bath in water mixed with Epsom salt.

Safety: High Effectiveness: High Timeliness: High Relative Risk: Low Side Effects: Low Time For Recovery: High Price Range:

Rs 650 - Rs 60000

Popular Health Tips

Why Go For Surgery In Case OF Enlarged Male Breast?

MBBS, MS - General Surgery, FBD (Fellowship in Breast Diseases), UICC Fellowship
Oncologist, Pune
Why Go For Surgery In Case OF Enlarged Male Breast?

The development of breasts is one of the most prominent physical difference between the structure of a man and a woman. In some cases, hormonal imbalances can cause enlargement of the male breast gland, which is known as gynecomastia.  Apart from being a cause for embarrassment, it is also associated with a number of medical conditions such as kidney failure and liver cirrhosis. However, there is little need to worry if you have been diagnosed with such a condition as it can easily be treated with dietary changes, medication and surgery. Among these, surgery is the only method of treatment that guarantees a permanent and immediate solution to the problem. 

Surgical treatment for gynecomastia is of two types

The type of surgery suitable for you will depend on a number of factors including the extent and type of gynecomastia.

Liposuction involves the removal of fat from the breast, but does not touch the breast tissue itself. For this surgery, a surgeon makes a small incision on either side of the chest or along the edge of the areola. Excessive fat is then removed through these incisions and the skin and remaining tissue is then restructured. Liposuction can take anywhere between a week and 3 weeks for complete recovery. In the meanwhile, the patient must wear a compression garment to minimize the swelling and support the chest tissue as it heals. 

A mastectomy on the other hand is used to remove the breast tissue. A mastectomy is performed endoscopically and hence is less invasive. In this case, the incisions are located around the edge of the areola or in the natural crease of the chest. A mastectomy requires a shorter recovery period. In some cases, a combination of the two techniques may also be used. 

The results of both surgical approaches can be seen immediately after the surgery. Slight soreness and pain is a common side effect of this procedure and can be relieved with pain medication. Some men may also experience a temporary loss of sensation over the treated area. 

Though the results of both types of surgeries are permanent, it is important to maintain a healthy lifestyle after the surgery. Unhealthy eating that leads to significant weight gain can make the problem recur. Use of steroids or medication that affects the testosterone levels in the body and certain medical conditions can also lead to recurring gynecomastia.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3273 people found this helpful

Gynecomastia (Male Breast) - Is Surgery The Best Option?

MCh - Plastic and Reconstructive Surgery, MBBS, MS - General Surgery, Fellowship Reconstructive Microsurgery
Cosmetic/Plastic Surgeon, Gurgaon
Gynecomastia (Male Breast) - Is Surgery The Best Option?

Are you thinking of undergoing a surgical procedure to get rid of your enlarged breasts? This condition, which involves the enlargement of the breast tissue in men is known as gynecomastia. It is commonly referred to as ‘man boobs’. The condition is not always permanent, but is quite embarrassing for any man to face. Among the various modes of treatment of gynecomastia, surgery is considered to be an ideal method after taking into consideration long-term results.

Treatment

  1. Usually, this condition requires no treatment. When it occurs because of a certain health condition, professional treatment is required to be carried out.
  2. Surgery is an effective option for restoring your chest shape, which improves your self-image rapidly.
  3. During the surgical procedure, a small incision is made on your breasts and all extra breast tissues are eliminated. This results in smaller and flatter breasts.
  4. Your nipple may also be repositioned during the procedure.
  5. Surgery is considered to be the best long-term treatment measure for gynecomastia.
  6. You need to follow a very healthy lifestyle for maintaining your new breast shape.
  7. An unhealthy lifestyle may lead to the recurrence of gynecomastia, and you should abstain from gaining too much weight and taking drugs.
  8. Can be performed under tumescent anaesthesia.

Pros and Cons of Gynecomastia surgery

  1. Usually, breast reduction surgery is not considered to be a very sensible option for reducing man boobs.
  2. When you are not suffering from a medical condition that demands the surgery, such as having cancerous lumps in the breasts, undergoing a surgery is generally not recommended by a lot of health professionals.
  3. It is quite expensive and many health professionals consider natural ways for reducing man breasts to be more healthy instead of undergoing invasive procedures.
  4. For people who want to get rid of their man boobs as soon as possible, and people who are couch potatoes, gynecomastia surgery is the best way.
  5. In case you are undergoing treatment for gynecomastia for more than a year, and are observing no results or improvements, your gynecomastia may be of chronic type. In such cases, you may need to undergo a surgery for the removal of your glandular breast tissue.

However, there are several side effects that are associated with a gynecomastia surgery. Although there are many options for the management of gynecomastia, such as following a strict diet plan, working out regularly, and making other lifestyle modifications, a surgery is effective for a fast removal of the breast tissues. It is more long-term than any other treatment when followed properly.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3501 people found this helpful

Male Breast (Gynecomastia) - How Important Is It To Get Corrected?

MCh - Plastic & Reconstructive Surgery
Cosmetic/Plastic Surgeon, Bangalore
Male Breast (Gynecomastia) - How Important Is It To Get Corrected?

Although the breasts are one of the most significant contributors of a woman’s physical beauty, a man with breasts not only looks awkward but feels clumsy and graceless as well. An individual who is suffering from such problems which are referred to as gynecomastia in medical terms, should not neglect the problem but consider opting for male breast reduction surgery. In this surgical intervention, a qualified doctor would help in restoring your natural masculine looks around the chest. And there is nothing to be anxious about as there are advanced techniques which would help you recover quickly and result in virtually invisible scars.

What is gynecomastia?
Gynecomastia can be described as an enlargement of male breasts which can be effectively removed with the aid of male breast reduction surgery. This process helps in removal of excess fat as well as glandular tissue for the restoration of a flatter and firmer contour to the chest of the male.

Although it may appear strange, there are some men all over the world who have such development due to genetic conditions or side effects of certain medicines or some other unspecified reasons. Gynecomastia can happen at any age, and the male breast reduction surgery can be safely performed on both teenagers and adult men.,

Why is it important to have male breast reduction surgery?
Though weight loss can assist the reduction of the appearance of male breasts for some individuals, in some instances it has been speculated that the excess glandular tissue which may result in noticeably large breasts even in men with a lean body. In the present scenario, the male breast reduction surgery is the only method for alleviating the problem with long-lasting results. Most individuals who have undergone this surgery report that they feel comfortable without the shirt and also experience enhanced self-confidence.

If an individual is uncomfortable or self-conscious regarding the appearance of the chest or when he is compelled to avoid certain activities where he may have to go shirtless, the male breast reduction surgery is an option that deserves consideration. When there is an experienced and professional surgeon to carry out the process, the affected individual would be able to see dramatic improvements with nominal scars.

Liposuction
Liposuction is yet another option that deserves special mention in this respect. This is owing to the advancement of liposuction technology which has proffered the surgeons with a wider selection of comparatively less invasive methodologies. The recovery period is shorter compared to conventional surgeries, and the patients are given a compression garment which they are required to wear for the first few couple of weeks which helps in reduction of swelling and offer support for the healing tissues.

It is important to note here that vigorous exercises must not be performed within three weeks after the treatment. But it is crucial to understand that each and every person heals at a unique pace, the cosmetic surgeon would give the patient insight into the treatment so that he can set realistic expectations. In case you have a concern or query you can always consult an expert & get answers to your questions!

3374 people found this helpful

Gynaecomastia Surgery & Contouring for Males

MBBS, MS - General Surgery, DNB - Plastic Surgery
Cosmetic/Plastic Surgeon, Gurgaon
Play video

I am Dr Amit, plastic surgeon and director of Divine Cosmetic Surgery, we are located in South Extension Part- 2 in New Delhi.

So today I am going to talk little bit about one of the most common cosmetic surgery problem in men Gynecomastia, ye jo problem hai yeh sirf males me affect hoti hai jisme jo chest hota hai woh thoda sa jyada develop ho jata hai toh ek female like appearance aa jati hai, so it is also called man boobs ya male breast problem. Now as such isme koi functional problem nahi hoti hai kabhi bhi long term life mein usse koi dikkat nahi aayegi what happens is a patient is hesitate to take off his clothes, woh beech pe ja rahi hai ya ek tight T- shirt pehnane mein they feel very hesitant because ek female breast ki appearance aati hai toh unko ek psychological hitch aata hai, mentally wo itna comfortable nahi ho pate, toh normally lose clothes pahnte hain. Toh hamare paas jo patients aate hain unki ek hi complaint hoti hai ki hamari clothing suffer karti hai ya hum usko tighter clothes pehnane ya humko beech jaana hai toh we want better body. So Gynecomastia ki jo surgery hai woh bahut straight forward hai usme liposuction surgery karte hain aur dusri jo surgery hoti hai woh isliye hoti hai ki kuch patients mein fat ke alawa breast gland hota hai, nipple ke bilkul niche gland develop ho jata hai to usko nikalne ke liye surgery karni padti hai. Total procedure time 25 to 35 minutes hai or 2 se 3 ghante mein aap discharge bhi ho jate hain and aapki normal activity you can start as soon as the next day. Now this procedure is essentially scarless aap is procedure mein scar almost dekh hi nahi payenge jo liposuction ka nishan aata hai woh 4 millimetre ka ya even 3 millimetres ka hota hai woh dekh hi nahi sakta aur jo nipple ke neeche fat gland jo hota hai usko nikalne ke liye jo surgery hoti hai woh bhi 3 to 4 week ke baad wo nishan nazar nahi aata hai. So essentially scarless procedure hai, recovery in terms of rest hardly 2 din aap weekend pe karte hain toh monday ko back in office. Precautions kareeb 10 days tak heavy exercising mana hai so any sort of biking or gym, sports 10 din tak hum mana karte hain. Now ek aur isme surgery aati hai usko 4D Body Contouring bolte hai usme hum log chest packs ko bana pate hain, chest packs matlab normal ek breast gland, breast hai usme humne suction kara, gland nikal diya shape better kar diya. Agar hum ko ek athlete wali ya bodybuilder wali body dikhana chahte hain ki chest packs banaye huye hai toh 4D Body Contouring se hum log chest packs ko bhi create kar sakte hain, usme kareeb 1 ghanta lagta hai and within 3 weeks mein woh pura chest packs ki appearance aa jati hai. Now yeh surgery local anaesthesia mein bhi ki ja sakti hai ya general anaesthesia mein hospital mein jaake bhi kar sakte hain, jo hospital based procedures hai usme comfort jyada hai kyuki aap behosh ho jate hain you don't even come to know what's going on and within 3 to 4 hours hum aapko discharge kar dete hain. Absolutely complication free procedure 0% isme koi risk nahi hota, koi complication nahi hota and result is 100%. Jo patient satisfaction rates hai wo bahut high hai and kabhi complaint hi nahi aati also recurrence nahi hoti hai kyunki humne gland nikal diya, fat nikal diya, unless aapka weight 10-12 kilo badd jaye, uske bina fat aata nahi hai, essentially yeh one time procedure hai.

So agar aap consult karna chahte hain humko to aap Lybrate ke through ya phir hame South Extension mein hamare clinic pe directly contact kar sakte hain. Mera naam Dr. Amit and I am from Divine Cosmetic Surgery.

2630 people found this helpful

Male Breast Surgery - What Should You Know?

MCh - Plastic and Reconstructive Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Mohali
Male Breast Surgery - What Should You Know?

One of the most common cosmetic procedures performed in the world today is that of breast augmentation or reduction. This is a fairly common surgery wherein depending on the requirement of the patients; the breasts are either made bigger with the help of implants or reduced in size by excising fat and tissue. Although a majority of these patients are female, there are an increasing number of male patients, who opt for male breast surgery as well.

The need for male breast surgery-

The requirement for male breast surgery arises due to the occurrence of Gynecomastia or the development of male breasts. In this condition, fat and glandular tissues are stored within the male chest in the pattern of female breasts, thus giving it a feminine look. This is a common occurrence among men and can be a cause of social embarrassment for the man as well as affecting his self-esteem. Some of the causes for gynecomastia or male breasts would be –

  1. Excessive Weight Gain.
  2. Hormonal changes within the body where testosterone levels drop due to conditions such as ‘Hypogonadism’ (in men, the inability of the testicle’s to function correctly) and estrogen levels increase.
  3. Medications used to treat other disorders such as certain anti -depressants, cancer medication, and anti-anxiety medications among others.
  4. Excess consumption of alcohol and certain drugs.
  5. Hyperthyroidism (excess thyroid secretion by the thyroid gland).

It isn’t always just fat!

While many people tend to blame male breasts due to the accumulation of fat, this may not be the case always. Even skinny or people with an athletic build may notice misshapen chest that has more of a feminine appearance and thus would like to correct that. This is obviously caused by hormonal factors and genetics of body shape as well rather than just being obese or overweight.

Types of Male Breast Surgery-

Male breast surgery revolves around breast reduction and contouring to give it a more flat and toned look. This can be achieved in either of these ways:

  1. Liposuction – This is a fairly common procedure and is minimally invasive; meant to suck out the fat through a small opening on the skin. With the help of liposuction, doctors can easily contour your chest to have a more masculine look by removing the excess fat. This procedure is a very popular one as it takes less time to recover and also isn’t invasive. However, this is used as an option for male breast surgery when the problem isn’t acute.

  2. Surgery to remove excess tissues and fat – If the male breasts have excessive glandular tissue and the problem is acute, a more extensive form of surgery wherein the glandular tissue is excised may be required. However, this is also not very invasive and you can get back to your regular routine within a few days after surgery. 

    In case you have a concern or query you can always consult an expert & get answers to your questions!

2759 people found this helpful

Popular Questions & Answers

I am 18 year old ,I have problem on my chest, i have a man breast, how I can minimize that one?

Advanced Aesthetics, M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Indore
Male breast or gynecomastia reduction. Is one of the most frequently performed office surgeries and we are the pioneers in central India since last 30 years. To the best of our knowledge no medicines or creams work to decrease the breast Size. Gynecomastia is treatable only by surgery. There is no medical treatment. It is a one day out patient surgery with very gratifying results. It boosts self esteem also. The Dr. Can examine and tell you what is the problem, gynecomastia has a breast tissue and a fat component. No one wants surgery unless it is necessary. There is no medication which can give the results. Surgery is the only answer. It can be a day care surgery or 1 day hospital stay. There is no bed rest but 3-5 days are required for recovery and 10 days for full recovery.In 3 weeks you can go the the Gym. Gynacomastia is not a disease but excess response to hormones. If it does not bother you you don't have to get it removed. As long as the Breast size is big it is taken as Gynacomastia which could be because of More fat or More Breast tissue or a mixture of the two. The surgery is almost painless because there are enough medications to keep the pain under control. We need to examine the patient to know what is wanted and what can be done and to work out how much, when, where, etc No, there are no known medications to reduce Adult Gynecomastia. SInce it is not a disease it is not necessary to remove it. For removal surgery is the only choice. Wait till you are 18 years, some times they may go away. If they are painful you may need medications. Wait till the age of 18 years, if it has to reduce it may if it has not already been there for long. If they do not resolve by 18 years and bother you cosmetically then you may want surgery.

I am having a large nipples it seems like a breast.Please suggest how to reduce it can any help me?

MBBS
General Physician, Mumbai
To shape your breast and nipples I will suggest you to do suryanamaskar daily as per your capacity for a minimum of six months

I am male but I have breast like a girls size 34 what should I do to reduce it's so embarrassed me? please Help me.

Advanced Aesthetics, M.Ch - Plastic Surgery, MS - General Surgery, MBBS
Cosmetic/Plastic Surgeon, Indore
Male breast or gynecomastia reduction. Is one of the most frequently performed office surgeries and we are the pioneers in central India since last 30 years. To the best of our knowledge no medicines or creams work to decrease the breast Size. Gynecomastia is treatable only by surgery. There is no medical treatment. It is a one day out patient surgery with very gratifying results. It boosts self esteem also. The Dr. Can examine and tell you what is the problem, gynecomastia has a breast tissue and a fat component. No one wants surgery unless it is necessary. There is no medication which can give the results. Surgery is the only answer. It can be a day care surgery or 1 day hospital stay. There is no bed rest but 3-5 days are required for recovery and 10 days for full recovery.In 3 weeks you can go the the Gym. Gynacomastia is not a disease but excess response to hormones. If it does not bother you you don't have to get it removed. As long as the Breast size is big it is taken as Gynacomastia which could be because of More fat or More Breast tissue or a mixture of the two. The surgery is almost painless because there are enough medications to keep the pain under control. We need to examine the patient to know what is wanted and what can be done and to work out how much, when, where, etc

I have Gynecomastia (man Boobs), How can I get ride of it, Is their any chance they will grow after treatment, How much time it will take in treatment, How much treatment will cost, Do I need take rest after treatment, How much time I should avoid normal routine workout and lifestyle, Thanks.

American Board of Plastic Surgery, , American Board Of General Surgery, MS - Dermatology, M.B.B.S
Cosmetic/Plastic Surgeon, Delhi
Dear Mr. lybrate-user, The best treatment to treat Gynecomastia is surgery, where excess fat is removed which is followed by removal of breast tissue or glands. For best results VASER liposuction can be used to remove the excess fat. This can be done on a daycare basis. The procedure will take approximately one hour. You will need to take rest for 2-3 days after the procedure. You can resume your normal activities after 3 days with some precautions like you have to avoid heavy weight lifting 6 weeks after the procedure and also you will need to wear a compression garment for 6 weeks after the procedure. Regards.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Having issues? Consult a doctor for medical advice