FAQs Answered by Dr Ehsan Jadoon
Is Gynecomastia associated with being over weight?
True Gynecomastia is caused by increase in the size of male breast tissue which is a fibrous, rubbery structure, different form fat. Therefore, doing exercise or losing weight often does not solve the problem in majority of cases.
What is Pseudo-Gynecomastia?
Pseudo-Gynecomastia is a relatively common condition where males have excess subcutaneous body fat in the chest region. There is no enlarged breast glands as such. This condition is often associated with being overweight.
What are the causes of gynecomastia?
Gynecomastia may have several causes. Hormonal imbalance between the hormones testosterone and oestrogen can makes breast tissue grow. This usually happens around puberty.
Increase in the size and amount of fat cells in the chest area happens in males as they reach middle age. This is because of slowing in the metabolism and decrease in testosterone production.
One of the most common causes of Gynecomastia we see here at Medisculpt™ clinic is the use of performance enhancing drugs, especially the Anabolic Steroids.
Other rare causes of Gynecomastia may include:
-Alcohol abuse – alcohol abuse raises the risk of enlarged male breasts.
-Liver disease & Kidney failure
-Radiation treatmen of the testicles
-Infections or lumps in the testicles
-Thyroid gland disorders
Medications – several medications can cause the breasts in men to enlarge, including:
– Certain antibiotics
– Certain ulcer medications
– Tricyclic antidepressants
– Diazepam (Valium) and some other drugs for treating anxiety
– Some HIV medications, including efavirenz (Sustiva)
– Anti-androgens, commonly prescribed for patients with cancer or prostate enlargement
– Some heart drugs, including calcium channel blockers and digoxin.
What are the signs and symptoms of gynecomastia?
Signs and symptoms may occur in one or both breasts. This may include:
– The breast gland tissue swells.
– The breast gland becomes tender.
– The diameter of the areola increases, or the chest tissue becomes asymmetrical. (The areola is the ring of pigmented skin surrounding the nipple).
Important: You should see the doctor if there is unusual and persistent swelling, tenderness, pain, and/or nipple discharge
How Is Gynecomastia Diagnosed?
Gynecomastia is usually diagnosed by history and physical examination, accompanied by radiological investigations when required (Ultra Sound).
At Medisculpt™, our doctors will ask the patient questions regarding the onset of symptoms, medical and drug history, and possibly family history.
How Is The Procedure Performed?
At Medaesthetics®, we routinely perform gynecomastia surgery as a day procedure without the need for hospital admission. The procedure involves removal of fat ( Vaser Liposuction) and excision of gland using minimally invasive surgical technique.
Note: Liposuction is only performed if the chest wall as increased amount of fatty tissue around the gland.
How long does the procedure take?
The procedure can take up to 120 minutes.
Am I going to be awake during the surgery?
We routinely perform this procedure under local anaesthesia while patient is awake.We also offer this procedure under Twilight Sedation in an accredited Day Hospital in Subiaco if the patient prefer to be asleep during the surgery (Additional costs are associated).
I hate pain! Is It Painful?
Very few people like pain. Hence we make every effort to ensure that any procedure we perform is associated with minimal pain or discomfort. Once the treatment area is anaesthetised, patients are not able to feel anything.
What is the recovery from this surgery?
Most people tolerate this procedure extremely well. Patients are able to go home after the surgery and do not required prolonged post-surgical hospital admission and monitoring.
Is there going to be a visible scar?
In majority of cases, the incision scars are barely noticeable and begin to fade quickly within few weeks
At Medaesthetics™, we have the most extensive range of Fractional CO2 Lasers to help reduce any type of scarring whether related to a surgery or trauma.
Patients may have some numbness in the treated are after the surgery. This will disappear with time.
How much time should I take off from work?
Most patients can return to office-based work within 5 to 10 days. We recommend at least 2 to 4 weeks off work if your work involves heavy physical activity or travelling. Medical Certificate can be organised which will not mention the name of your procedure.
When can I start exercise?
Light activity is permitted after 72 hours and light exercise is usually okay after 2 weeks. It is critical not to use the chest muscles for any physical activity for at least 2 weeks after the surgery.
What are the potential risks and complications of this surgery?
Like any surgical procedure, this procedure comes with possible risks and complications that include, but are not limited to:
- Inadequate Correction
- Swelling and Discomfort
- Delayed Healing and Unfavourable Scarring
- Nerve Irritation and Numbness
- Temporary Skin discolouration in the incision lines.
What are the potential risks and complications of General anaesthesia (GA) and Conscience Sedation (Twilight anaesthesia)?
Respiratory depression and compromise
Cardiovascular depression and compromise
Increased risk of Deep Vein Thrombosis (DVT)
Prolonged Nausea and vomiting
Short term an long term amnesia (memory loss) are some of the significant side effects.
Hence all surgical procedures being done under General Anesthesia or Twilight Sedation should only be performed in a hospital environment under the supervision of a qualified Anaesthetist.
What are the risks of local Anesthesia?
Very high quantities of local anesthesia are known to cause systemic toxity which can result in cardiovascular compromise. At Medisculpt, all procedures carried out under local anaesthesia are done using minimal amount of local anaesthetic agent to ensure patient safety.
Who Is A Suitable Candidate For This Procedure?
To be considered suitable For undergoing any elective cosmetic procedure, you have to:
– Be Physically Fit and active
– Have a balanced and healthy diet
– Be of sound emotional/ mental health
– Have realistic expectations
Who Is Not A Suitable Candidate For This Procedure?
People unfit to undergo This Procedure are :
- Physically unwell with preexisting medical conditions
- People with history of keloid scarring
- Those with unrealistic expectations and body dysmorphia
- Those who are going though an emotional stress and trauma
- Those we are unable or unwilling to follow a healthy lifestyle (exercise and diet) after the surgery.
I have booked my surgery; how do I prepare for it?
Preparation for any surgical procedure involves:
– Avoiding blood-thinning medication such as Nurofen, Aspirin, Heparin, warfarin etc. Please discus this with your GP in detail and make sure you are aware of any side effects of the medications you are currently on.
– Herbal medication and nutritional supplements such as St John’s Wart, garlic, ginger, gensing, homeopathic or herbal tonics, fish oil etc have to be stopped for at least 2 weeks before surgery. These substances are known for their potential to thin blood and may cause excessive bleeding during and after the surgery.
We recommend that do all your grocery shopping before surgery and refill your fridge and pantry with healthy food. We also recommend that you organise for someone to give you a lift back home as driving is not recommended for first few days after the surgery. You also must consider organising a family member or friend to stay with you for first few days after any surgery.
What can I do to reduce any complications associated with this surgery?
It is imperative that you follow the pre surgical instructions given to you by our staff. Alcohol consumption and cigarette smoking are two major culprits when it comes to increasing potential risks associated with any surgery. Please avoid these harmful agents for at least 2 weeks (preferably more) prior to your surgery. Both Alcohol and cigarettes interfere with the normal healing process, increase the pain and discomfort associated with any surgery, increase the risk of potential complications such as bleeding, wound infection and scarring and prolong the recovery time.
What can I do to improve my recovery?
In clinical practice, we have found that a herbal substance called Arnica is helpful in reducing bleeding during or after the surgery. It also helps with healing and minimises bruising. Arnica is a naturally occurring herb and is available in oral supplement from from most health food stores and pharmacies in Australia.
Healthy lifestyle , good sleep and a balanced nutritional diet after surgery are essential factors for optimum healing.
What is cooling off period?
A “Cooling off” period of 2 weeks is required after your initial consultation to give you enough time to thoroughly evaluate the risks and benefits of any elective cosmetic surgery.
How much does it cost?
Fee for Gynecomastia starts from $5000 for both sides.
How Do I Book In for This Procedure?
To book your obligation free appointment. Please call us on (08) 9381 5840 or email us on firstname.lastname@example.org.
Alternatively please click here.