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Gynecomastia Surgery

Gynecomastia (pronounced guy-neh-co-mastia) is Greek for women's breasts. The term was first coined by Galen, a second century AD physician. Gynecomastia is used to describe excess glandular and/or fatty breast tissues in man. It refers to enlargement of the glandular component of the breast, in reality for most patients, there is an excess of both fat and glandular tissue.
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Gynecomastia comes in a variety of degrees ranging from very mild to significant enlargement, sometimes accompanied by sagging of the skin.
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Disclaimer: Individual results may vary. Image above is for illustrative purposes only.

what causes gynecomastia?

Gynecomastia is not just an aesthetic problem; it is a medical condition. Symptoms include tenderness around the breast, swelling of the breast gland tissue and more. The cause of the condition varies, and this includes hormonal imbalance and also from the side effects of certain medications.

Ageing is also a known cause of the condition. Gynecomastia during puberty is not uncommon, but if the problem persists into adulthood, surgical intervention is the recommended option.
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• Reduces excess fat and overly enlarged glandular tissues
• Define masculine appearance on the chest area

Who gets gynecomastia?

Gynecomastia is caused by hormone imbalance. The majority of patients developed the condition during puberty that doesn't go away even well into adulthood. This is known as natural or "idiopathic" gynecomastia.
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Another common cause is the consumption of hormones or prohormones supplements. This usually happens among young men and commonly for bodybuilding reasons. These supplements over time cause a hormonal disturbance which can lead up to the development of glandular type gynecomastia. Uncommon medical issues and medications make up the last and minute category of gynecomastia patients.
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Although the causes of gynecomastia may vary, the treatment is the same - "Gynecomastia Surgery."

What does gynecomastia look like?

A normal male chest is not round, and the nipples are small and flat. The outline of the pectoralis muscle is also visible and moves when flex. In gynecomastia, patients and because there is tissue development between the muscle and skin, the chest is more rounded, and the nipples appear puffy.
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Visually, it looks like a person has headlights on his chest when wearing a tight t-shirt. What is seen may only be a small indication of a more significant problem.
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So it is always best to seek qualified advice to better understand and effectively address the issue.

Gynecomastia or man boobs are just fat?

As with women, breasts in men are made up of glandular and fatty tissue. Gynecomastia occurs when excess glandular tissue is produced. When an abundance or excess fat is appearing in the chest area, it is known as pseudogynecomastia (fake gynecomastia), and this condition can be treated with liposuction alone.

Gynecomastia is caused by obesity?

Contrary to popular misconception, being overweight is not the only cause of gynecomastia. It may be caused by hereditary and ageing as some men experience bodily changes as they get older.

Is gynecomastia always caused by genetics?

Gynecomastia is an endocrine system disorder that causes an enlargement in the size of male breast tissue. Other causes of man boobs may be due to:

• Certain medications
Some antibiotics, heart medicines, heartburn medications, anti-anxiety drugs, antidepressants, and other medications
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• Drugs and Alcohol
Marijuana, heroin, amphetamines, steroids, and excessive alcohol

• Medical Conditions
Overactive thyroid, kidney disease, etc

Is gynecomastia an early sign of breast cancer?

Breast cancer is not only subjected to women as men can get them, although it's very rare that it happens. Gynecomastia, however, is not a sign of developing breast cancer. Also, excessive breast development and breast cancer are not correlated.

Is gynecomastia caused by male menopause?

According to statistics, male menopause or andropause happens when testosterone production drops in men aged 50 or older. Testosterone fuels changes during puberty and affects a man's mental and physical energy. It also regulates other key evolutionary features. As the levels of testosterone drops, it causes a hormonal imbalance, and these may eventually lead to the development of gynecomastia.

I am overweight. How do I lose the fat and excess breast tissue?

For those who are overweight, it is to assume that they can lose the extra fat that is prevalent in the chest area with dieting and exercise, only to make things worse. The unflattering chest appearance became more noticeable.
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Maintaining a healthy weight and body is always recommended. If being overweight is an issue, do make an effort to lose the extra weight. If you think you're suffering from gynecomastia, then do seek a qualified doctor's advice as soon as possible to safely and effectively address the issue.

Can I exercise or diet gynecomastia away?

Unfortunately, it is not possible to get rid of gynecomastia with exercise because the majority of the time, the problem is excess glandular tissue which no amount of exercise or healthy eating will eradicate. In fact, many men have reported that as they lose weight, the gynecomastia actually looks worse because the fatty tissue around the gland shrinks and the gland subsequently stands out more, making the condition more prominent.

Can only overweight men get male boobs?

The more fat tissues you carry, the higher your chance of developing gynecomastia, so the problem is prevalent among overweight men. However, men who are in great shape do suffer from the condition as well because it is caused primarily by a hormone imbalance.

Can doing more chest exercise reduce the swollen man boobs?

Gynecomastia is caused by hormone imbalance, so while exercising is good, it does not resolve the underlying issue at all.

Can steroids eliminate gynecomastia?

Anabolic steroids contain a lot of testosterone, which when considering that gynecomastia is caused by a hormone imbalance where one's estrogen level is higher, sound like a solution right? Wrong.
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Apart from other potential health issues, steroid use is actually the primary trigger for gynecomastia. When you're on steroids and then stop taking them, your testosterone levels will fluctuate, causing an increase in your estrogen level. This often leads to fat development in the chest area.
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Don't self-medicate and mess with your hormones, always seek appropriate and qualified doctor’s advice.

Can Gynecomastia be treated?

Yes, the predominant treatment to deal with gynecomastia is surgical - gynecomastia surgery.

Topical creams and massages will rectify gynecomastia?

Despite what's being purported, there is no scientific evidence to prove that topical creams, fat freezing machine, fat reduction machines, or massage techniques can solve the condition permanently. Gynecomastia surgery is the option for surgical correction of gynecomastia.

Can food containing soy beans cause gynecomastia?

Soy contains isoflavones, a class of phytoestrogens which may mildly mimic the hormone estrogen. The effects of soy isoflavones on estrogen levels are complex, but in general, soy is safe to be consumed in moderation. Eggs, milk and other food products that contain hormones are safe for consumption when taken in moderation.

Male breasts can be reduced by using pills and creams?

Currently, there is no scientific evidence that pills or creams marketed can address gynecomastia. Your best option would be surgery.

Can beer give you male boobs?

Hoppy beers like IPA (Indian Pale Ale) contain phytoestrogen, a plant-based estrogen hormone. The common myth is that drinking too much of them will cause estrogen levels to skyrocket. Truth is, the phytoestrogen levels are too low to create any hormone imbalance. But still, consuming beers or any alcohol excessively can be detrimental to your overall health.

Am I a suitable candidate for Gynecomastia?

Only a consultation will be able to determine if you are suitable for gynecomastia surgery. The best patients for gynecomastia surgery are those individuals who are active and healthy and have reasonably good skin tone and elasticity.

What happens during gynecomastia consultation?

During the consultation, do inform the doctor of your goals and raise any concerns you might have in regards to the procedure.

What does Gynecomastia surgery involve?

Treatment of gynecomastia is a process of reducing enlarged male breasts through fat removal with the most advanced ultrasonic sound wave technology and excision of breast glands. This is done to achieve a sculpted, well-defined chest while tightening the skin.

Is gynecomastia surgery a complicated procedure?

Gynecomastia surgery takes approximately 2 hours. Breast tissue and/or fat tissues are removed during the procedure. Patients are discharged on the same day, and most patients can resume work within 1 to 2 days.

How long does the surgery take?

Gynecomastia surgery may take between 1 to 2 hours.

How does gynecomastia surgery work?

Gynecomastia is a dual component problem of excessive breasts glands and fat tissues that cannot be eradicated through diet and exercise alone. Gynecomastia surgery is done in the form of liposuction, or mastectomy, a surgical procedure involving the removal of the tissue or excess glandular underneath the breast.

Can the GYNECOMASTIA SURGERY only be performed by plastic surgeons?

No. As gynecomastia surgery involves liposuction and breast tissues removal, all doctors who are offering this service, including plastic surgeons alike, have to meet the stringent criteria set by the board and be accredited by the Ministry Of Health Singapore. Dr Ivan Puah is one of the doctors to receive the accreditation.

What should I expect after my procedure?

The recovery time varies with every patient and the type of activity the patient intends to resume. The patient can return home after surgery and will require adequate rests in the days after surgery. Most patients resume light activities within 2-3 days. Exercise is usually commenced at about 4-6 weeks.

Will my skin sag after gynecomastia surgery?

Most of the patients have degrees of gynecomastia that are not excessively saggy, and so in these instances, the skin elasticity will ensure that the skin snaps appropriately into a more aesthetically pleasing position. Wearing the compression garment will also help to guide the skin back into the desired position.

Do you offer any aftercare treatment?

At Amaris B. Clinic, aftercare plays a significant role not only to assist you with faster recovery but to ensure optimum results. Therefore after the treatment, we offer a bespoke aftercare program designed to help with the healing process.

Is recurrence of gynecomastia common after gynecomastia surgery?

Even in the event of a complete excision, the doctor may still leave behind some glandular tissue. This is due to both structural and aesthetic reasons, particularly to make the chest appear more natural. Although rare, 10% of patients who have had surgery may experience a recurrence of gynecomastia. Aging, hormonal changes, alcohols, the use of opioids, steroids, certain medication and drugs are usually associated with the onset of gynecomastia.

4D Chest RemodellingⓇ by Amaris B. Clinic

A masculine-looking chest is arguably one of the key physical traits that are more than just a boost of confidence for a man. The length that a man goes to achieve it can be extensive, but sometimes, the results are hard to come by.
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At Amaris B. Clinic, our forte lies in not just performing various forms of lipo procedures, but also in body remodelling. We are committed to providing the results that you want.
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4D Chest RemodellingⓇ developed by Dr Ivan Puah is a customised 4-step program to not only reduce fat tissues and remove excess glandular tissues permanently but also to stimulate subdermal collagen production to induce tissue remodelling and production of new collagen and elastin.
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Unlike the standard gynecomastia surgery, 4D Chest RemodellingⓇ is a more complex treatment modality especially planned for those whose ultimate objective is to achieve skin tightening through volumetric stretching using the body vectoring technique.
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Step 1: Gynecomastia Surgery
Gynecomastia is commonly caused by hormone imbalance and is the result of excess glandular and/or fatty breast tissues in men. It comes in a variety of degrees from the very mild to significant enlargement. Gynecomastia surgery is still the best option to address the issue effectively.
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Step 2: Fat Tissue Removal
For those who not only have enlarged glands issue but also fat accumulation, fat reduction will be carried out. VASER® Lipo is a less invasive form of liposuction. Unlike the standard liposuction, it can precisely target problem areas without causing damage to surrounding tissues. This leaves a more contoured and defined appearance.
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Step 3: Subdermal Collagen Production Stimulation with VASER® Lipo
Collagen is important as it gives structure to our skin, bones and all other connective tissue. VASER® Lipo is not only effective in removing excess fat; it also stimulates collagen production and skin retraction resulting in smoother skin.
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Step 4: Nipple Reduction in 4D Chest Remodelling
Gynecomastia patients also may experience nipple issues. 4D Chest Remodelling® can help reduce their sizes for a more symmetrical nipple-areola creating a more masculine appearance.

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Gynecomastia Surgery