How to Emotionally Support Someone with Gynecomastia Singapore

Gynecomastia is a male breast disorder that affects 65% to 70% of males worldwide, young and old. It is the proliferation of breast glandular and may be accompanied by fatty tissue [1]. 

This medical condition, which can affect male breasts bilaterally or unilaterally, is generally caused by hormonal imbalances. 

As gynecomastia generally cannot be hidden under clothing, it can bring about psychological distress to the individual affected by it, adversely affecting their quality of life and self-confidence. 

Here's how to emotionally support someone with  gynecomastia in Singapore.

Is your loved one suffering from gynecomastia?

When your husband, son, brother, etc suffers from such male breast disorder, he may keep it to himself. However, you may notice a change in his behaviour or demeanour:

• He may easily become moody or even depressed. 
• Hiding under baggy clothes is also a telltale sign that he lacks body confidence. 
• Watch out if he gradually withdraws from social activities.
• Does he find no pleasure in activities he used to enjoy?
• He may be avoiding undressing in front of you or others.
• Observes his body language to see if he is constantly slouching.

Gently ask or have an empathetic conversation with him in a private setting

Physically, he may complain about breast soreness or discomfort; in some cases, discharge may occur. It is essential to recognise these psychological and physical signs and address them as early as possible. 

Leaving them alone can adversely lead to deep-seated feelings of low esteem, social withdrawal, and for some, depression. 

You can help him by encouraging him to seek medical treatment for a proper clinical assessment so that he can understand his issue and know that help is available.

Physical and visual checks 

If he allows, you may want to perform a quick pinch and visual test on him to determine the extent of his condition:

• If you feel a mound of fibrous and firm tissue when pinching his breasts, it is almost certain he has gynecomastia. 
• Apart from that, an enlarged male breast is also highly visible when he is wearing a form-fitting shirt. 
• In some severe cases, the breasts look like female breasts with a certain degree of droopiness and loose skin present. 

See a doctor experienced in treating this issue to assess him and advise on the next best step, whether he would need further observation or if gynecomastia surgery is required.

Gynecomastia cannot be fixed with non-surgical treatments, exercise or diet

Besides genetics and hormonal imbalance, other possible causes may include anabolic steroids, drug abuse, and prolonged use of certain medications.

“Gynecomastia sufferers have excess glandular breast tissue and excess fat tissues in the majority of cases. The glandular tissue is firmer and more fibrous than fat tissue, and most importantly, it does not respond to changes in exercise or diet,” says Dr Ivan Puah.

Non-surgical fat reduction treatments such as cryolipolysis (fat freezing), low-energy lasers, creams, and massages do not work on gynecomastia, as claimed. 

“I see a lot of young men with less than 10% body fat who are into fitness training and bodybuilding. The primary cause is the development of enlarged glands, for which they will only require glandular excision. These cases are known as true gynecomastia,” explains Dr Puah.

The only effective and proven treatment that works is gynecomastia surgery. This may entail surgical excision of the glandular tissues and liposuction to remove the fatty tissues for patients with mixed gynecomastia (where glandular and fat tissues are the culprit).

Gynecomastia surgery

It may sound gruesome, but gynecomastia surgery is less invasive than imagined. 

Depending on the patient’s clinical condition, Dr Ivan Puah may perform his proprietary technique known as 360°GTD®.

This technique, combined with the MDC-Sculpt® Lipo technique, can permanently remove enlarged glandular tissue and excess fat deposits, while contouring your sculpt smoothly following the natural chest contours while retracting your skin.

“Each gynecomastia case is unique and requires an individualised approach to ensure that not only the glandular tissues and fatty tissues are removed effectively, but also, the chest is meticulously sculpted and defined,” explains Dr Puah, who has received dedicated surgical training in gynecomastia in the USA.

Choosing a gynecomastia doctor in Singapore

Wanting to have surgery is a huge decision, so finding the right doctor with the knowledge, experience, and keen aesthetic sense is crucial to yield the desired results. 

When looking for a doctor who does gynecomastia surgery, it is imperative to find one that performs the surgery regularly and has a proven track record with a high satisfaction rate and consistent results.

The doctor must also display confidence, be able to present a variety of gynecomastia cases that he has performed, and answer your queries, addressing all of your concerns regarding the procedure.

Body sculpting: 30% science and 70% art

This is Dr Puah’s philosophy when it comes to body sculpting. Just like a sculptor who creates masterpieces with his chisels, Dr Ivan Puah believes it takes both scientific know-how, attention to detail, and a keen artistic sense to create well-contoured results.