Understanding Gynecomastia:

Gynecomastia, the enlargement of male breast tissue, is a common condition affecting millions of men worldwide. At JJAesthetics, we are dedicated to providing effective treatments to help you regain confidence and improve your quality of life.

What Causes Gynecomastia?

1. Puberty: During puberty, hormonal imbalances are common, leading to temporary gynecomastia. This usually resolves on its own as hormone levels stabilize.

2. Medications: Certain medications, such as steroids, anti-androgens, and some antidepressants, can cause gynecomastia as a side effect.

3. Medical Conditions: Conditions such as liver disease, kidney disease, and hyperthyroidism can disrupt hormonal balance, leading to gynecomastia.

4. Aging: As men age, testosterone levels naturally decline, which can result in gynecomastia.

5. Obesity: Excess weight can increase estrogen levels in the body, contributing to the development of gynecomastia.

When to See a Doctor?

If you are concerned about gynecomastia, it is important to consult a doctor. They can diagnose the condition and recommend the most appropriate treatment based on the severity and underlying cause.

Treatment Options for Gynecomastia:

1. Medications: For severe or persistent cases, medication may be prescribed. Options include:

   • Aromatase Inhibitors: These medications block the production of estrogen.
   • Testosterone Replacement Therapy: This can help balance hormone levels.

2. Surgery: In cases where gynecomastia causes significant emotional distress or does not respond to medication, surgery may be recommended.

   • Breast Reduction Surgery: This procedure removes excess breast tissue to create a more masculine chest contour.

Important Considerations

• Gynecomastia is a common condition and is not usually indicative of a serious underlying health issue.
• Most cases resolve on their own without treatment.
• Severe or persistent gynecomastia can be effectively treated with medication or surgery.

Take the Next Step

If you are concerned about gynecomastia, talk to our  doctors. They can help you determine the best course of treatment for your individual situation. At JJ Aesthetics, our experienced team is here to provide you with the care and support you need to achieve your aesthetic goals.

Common Causes of Gynecomastia

Gynecomastia causes may involve the contribution of different factors like:

1. Hormonal imbalance (Increased estrogen and decreased testosterone levels) is one of the major culprits behind the development of increased breast size. 
2. Medications especially the ones used to treat depression, heart disease, and prostate cancer. 
3. Obesity may contribute to increased estrogen levels and the accumulation of fat cells around the breast. 
4. Medical conditions such as thyroid disorder, liver disease, and kidney failure.

Symptoms of Gynecomastia

There are certain gynecomastia symptoms and signs which confirm its presence:

• Abnormally enlarged breast size 
• Breast or nipple pain 
• Nipple discharge 
• Changed nipple appearance such as darker, more prominent, redness, dimpling, feeling harder
• Lump in the breast or nipple 

Don’t feel embarrassed or reluctant to visit a doctor if you see any of these changes in your breast. The doctor will diagnose the condition and discuss the treatment options available. 

Even some celebrities with gynecomastia have shared their journeys of treatment and healing to make it easier for others to talk about this condition.

Benefits of Gynecomastia Surgery

• Improved Chest Contour

Reshape your chest as flat and masculine.

• Boost in Confidence

Boosts your self-esteem by making you feel more confident and manly in fitted clothes. 

• Permanent Results

It gives you long-lasting results by removing excessive tissues permanently. 

• Minimal Scarring

The latest technology and advanced treatment methods at JJ Aesthetics ensure minimal scarring to promote quick healing after the surgery.

Preparation for surgery

You get a consultation session with our experienced doctors at JJ Aesthetics who take your detailed medical history, current medication usage and may advise you lab tests before surgery. 

You can discuss all your concerns including benefits, risks, and complications associated with gynecomastia treatments. The doctor also describes gynecomastia stages for your proper understanding.

The doctor advises you to quit smoking before surgery to avoid any delays in recovery.  Don’t consume food 6 hours before surgery. Before taking you to the operation theatre, the surgeon marks the areas on the breast to confirm the size and shape of the breast you require to have after the surgery.

The Procedure – Step By Step

There are two types of treatment options. If gynecomastia is due to accumulation of fat cells then liposuction technique is performed. If there is excessive breast tissue or skin causing gynecomastia, then it is removed by excision technique by the surgeon. 

Step 1: Anesthesia: Local or general anesthesia is given to the patient. 

Step 2: Incision: A small incision is made near the nipple which may look like a keyhole. 

Step 3: Tissue removal: Using either liposuction or excision techniques, excessive fat breast tissue and skin are removed to reduce the breast size. 

Step 4: Reshaping: The surgeon reshapes the breasts and repositions the nipple. He ensures the symmetry of both breasts however, there may be differences in symmetry. 

Step 5: Incision closure: Sutures are applied to close the incisions. The doctor applies a compression on the treated area for 6 weeks. 

The procedure usually takes 90 minutes and You can leave home within 3 to 4 hours. 

Gynecomastia surgery gives you very promising results without any visible scarring. 

Post Surgery protocols

Day 0 (day of surgery) 

• Once the surgery is complete, you will be kept in the recovery room to recover from the effects of general anesthesia. 
• You may feel nausea drowsiness and vomiting as the normal side effects of general anesthesia which usually subside within a few hours 
• There may be drains and catheters for fluid discharge from your body and monitoring purposes. Chest bandages and overtime dressing will be applied to maintain the shape and compression. 
• Eating and drinking or not allowed (unless approved by the surgeon) 

Day 1 ( Post-op) 

• You will be encouraged to do short distance walks with the help of assistance. 
• You may see the reddish or light pinkish fluid draining out from the surgical site which is normal. Medical staff change your dressing accordingly. 
• The doctor advises you to eat depending upon the condition. 
• You can expect discharge within 24 hours if the condition is stable. Take your compression west and prescribe medications. 
• Stay well hydrated  (1.5 – 2L fluid daily)

Day 2

• Start taking all medications as prescribed by the doctor. 
• You can take a light shower carefully. 
• Cover the treatment area with a sterile gauze pad to absorb excessive fluid and then wear your compression garment. 
• Work for 20 minutes, 2 to 3 times a day to promote steady healing and avoid any complications. 

Day 3 – 6

• Ensure the cleanliness of your chest area. Take a shower daily with a mild soap and water. Dry the ancient area before reapplying your compression vest. 
• Keep wearing your compression vest 24/7 except during showers. It minimizes the swelling and bruising and helps in contouring your chest. 

Day 7

• Visit the clinic for your first follow up. Stitches ( if any) will be removed today. 
• The doctor does the assessment and removes the drain ( if still present)  depending upon the healing status. 

Day 8 and onwards 

• Keep applying the moisturizer or healing ointment as recommended by the doctor on the treated ( chest) area. Do a gentle massage to maintain the blood circulation and reduce fluid buildup. 
• Continue light routine activities such as office work and minimal travelling. Avoid hard exercises and chest workouts.

Weeks 2-6

• Keep wearing compression garments for 4 to 6 weeks. 
• Scar treatment (silicone gel or sheets) will be given depending upon your tissue healing.   
• Avoid alcohol intake or smoking as it can imbalance the hydration and healing rate. 

3 months follow up plan 

• Visit the clinic every 3 months for 
• Physical examination 
• Skin and scar treatment 
• Hormonal assessment (if required) 

Notes: 

• Mild bruising swelling and tightness or normal after the surgery. Don’t worry if the chest feels slightly uneven during the healing phase. 
• Immediately visit the hospital in case of emergency symptoms like sudden and severe pain, increasing redness, discharge, fever, pus or difficulty in breathing. 
• Adjust the size of the pressure garment as the swelling subsides. 
• Be patient to see full recovery and final results as it may take several months.

What is the Recovery time?

The recovery period varies from patient to patient. Generally, you can start your routine activities within 3 to 5 days however complete recovery often takes 3 to 4 weeks.

Am I A Good Candidate For Gynecomastia Treatment?

You can consider yourself an ideal candidate for the gynecomastia surgery if you: 

• Are above 20 years of age 
• Are in a good physical and mental state and following a healthy lifestyle. 
• Not suffering from any serious medical condition at the present.
• Have a fully developed body 
• Realistic expectations from the treatment results.

What are the risks involved in Gynecomastia Surgery?

Possible risks and complications expected from gynecomastia surgery are: 

• Asymmetry of the breast 
• Post-surgery pain 
• Blood clot formation 
• Numbness around the nipples 
• Infection at the treated site 
• Bleeding at the site of the incision 
• Bruising 
• Damage to underlying muscles, nerves, or blood vessels

Gynecomastia Surgery Cost in Islamabad

Gynecomastia surgery cost in Pakistan starts from 1,90,000 PKR. However, it may vary after reviewing the concerns of the candidate. Our surgeons make customized gynecomastia surgery cost plans according to your affordability and concerns to make the treatment easier and smoother for you.

Why do you need to trust us?

Your procedure success is directly proportional to the choice of the right plastic surgeon for your surgery. At JJ Aesthetics, we have a highly experienced and board-certified team of surgeons who utilize the latest equipment and facilities to perform gynecomastia surgery. Our patients report a 92.6% success rate from gynecomastia surgery. Book your appointment without any delays.