Gynecomastia (Male Breast Reduction)

What Is Gynecomastia?

Previous abdominal surgery
Poor healing of the surgical wound
Infection at the surgery site
Heavy lifting too soon after surgery
Multiple surgeries in the same area
Weak stitches or sutures
Increased pressure in the abdomen

Grades of Gynecomastia

Grade I

Minor breast enlargement, no excess fat

Grade II

Moderate breast enlargement with some excess fat

Grade IlI

Moderate breast enlargement with excess fat and skin

Grade IV

Large breast enlargement with excess skin, similar to female breast sagging

Gynecomastia is classified based on severity:

Common signs include:

  • Swollen or enlarged breast tissue
  •  Breast tenderness or pain
  •  Uneven or asymmetrical chest appearance
  •  Nipple discharge (rare but important to evaluate)
  •  Lump may be painful and appearance of blood.

Symptoms of Gynecomastia

Gynecomastia can develop due to:

  • Hormonal changes during puberty or aging
  •  Certain medications (steroids, anti-androgens, antidepressants, ulcer drugs)
  • Obesity and excess body fat
  •  Low testosterone levels (hypogonadism)
  • Excessive alcohol consumption
  • Use of anabolic steroids or recreational drugs

Causes of Gynecomastia

You may be at higher risk if you:

  • Thyroid disease
  •  Obesity
  •  Certain Medications
  •  Cirrhosis
  •  Kidney Failure
  •  Tumors that impact hormones
  •  Breast Cancer

Risk Factors for Gynecomastia

Benefits of Gynecomastia Treatment

  • Creates a flat, masculine chest shape
  • Tightens loose chest skin
  • Reduces embarrassment and social anxiety
  •  Allows wearing fitted clothes comfortably
  •  Minimal scarring with modern surgical techniques
  •  Quick recovery and minimal downtime
  • Prevents long-term psychological stress

Benefits of Gynecomastia Treatment

You should consult a doctor if:

  •  You notice breast swelling or pain

  •  There is nipple discharge

  •  The condition causes emotional distress or embarrassment
    Seek medical attention if you notice breast swelling, pain, tenderness, or nipple discharge. Consult a doctor if the condition causes significant psychological distress, doesn't resolve naturally within two years during adolescence, or if you suspect medication side effects. Immediate evaluation is needed for sudden changes or accompanying symptoms like testicular lumps.

    Early evaluation helps rule out serious conditions and decide the right treatment.

When Should You See a Doctor?

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