Glands of enlarged male breasts from a male patient, excised by Dr Ivan Puah, who has been performing gynecomastia surgery for over a decade.
✓ Gynecomastia
Involves only the glandular tissue or glandular tissue with a combination of excess fat tissues on the chest.
✕ Pseudogynecomastia
Due to only fat deposits without the involvement of glandular tissues.
✓ Gynecomastia
Hormonal imbalance leading to the development of enlarged breast tissues. It can affect one or both breasts.
✕ Pseudogynecomastia
It is simply due to the extra fat accumulation in the chest area, usually caused by weight and/or fat gain.
✓ Gynecomastia
The affected area can feel sore, tender, and/or painful, accompanied with swelling and sometimes, nipple discharge. You will feel a firm, rubbery lump in one or both breasts.
✕ Pseudogynecomastia
Breasts feel soft and evenly enlarged. There is no pain or soreness upon touch. Your areolas are not enlarged, and your nipples are not sore or discharging.
When you pinch a typical breast tissue, it usually feels firm. The tissue may also resist the pinch a little. Also, when you pinch the areola from end to end with your thumb and forefinger, the tissue rim should be no bigger than 1/2 cm in diameter. When one has gynecomastia, there would be no resistance and no tissue rim.
This misunderstanding frequently occurs because teenage boys can develop gynecomastia throughout puberty, which goes away in two years or less. In cases where gynecomastia persists for over a year, it will likely become permanent. In adults, the development of gynecomastia is often associated with increasing age, body fat, and an increase in estrogen/androgen ratio.
Once developed, gynecomastia that persists after 6 months of unsuccessful medical treatment will require surgery.
Usually, your gynecomastia condition will not return after surgery, as most of the enlarged breast tissue and fat in that area is excised. Depending on your pre-existing clinical condition, the doctor may leave a small amount of breast tissue behind to avoid crater deformity in the future. Should you notice any changes in your results in years to come, that is probably due to weight gain or skin laxity.
With Dr Ivan Puah's surgical approach, there is no need for the patient to undergo general anaesthesia. The patient will be under twilight sedation during the procedure. Our anesthesiologist will ensure that you are safe and comfortable throughout the process.
Aside from discomfort and pain, gynecomastia, if left untreated, will not improve or resolve by itself. It may affect the individual physically, emotionally, mentally and psychologically.
No, chest workouts will not eliminate moobs or enlarged male breasts. This is because glandular tissues do not respond to this method. Gynecomastia surgery is still the best option to eradicate the condition effectively.
Men complaining of long nipples are a minority and are bothered mainly by their appearance. Nipple reduction surgery is a solution to treat this condition.
The costs of gynecomastia surgery in Singapore will vary between practices, and the following factors will determine the price.
Generally, the doctor's fees for performing gynecomastia surgery are based on experience and the case's complexity. Other charges include the type of anaesthesia used, surgical facility costs, medical tests such as blood tests, post-surgery garments, pre and post-medication, specimen (biopsy), etc.
While costs are one of the variables you need to consider, the doctor's experience and the variety of gynecomastia cases he has treated and your comfort level with him are just as necessary as the final cost of the surgery.
No. Gynecomastia is a male breast disorder involving abnormal proliferation of breast tissues. It cannot be treated non-surgically with fat freezing or low-energy laser, nor can it be resolved by exercising or dieting. Cream and spray will not work either.
Before understanding if your gynecomastia surgery is covered financially by insurance or MediSave, we encourage you to visit Dr Ivan Puah for a consultation.
A complete history, physical examination, and appropriate diagnostic tests are needed to determine the underlying cause of your condition. Following that, he will be able to advise you on whether surgery is medically necessary or not. If proven it is, you may be able to tap into your insurance or MediSave.
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We will reply you as soon as we can!
OOPS! Something went wrong while submitting the form. Please call us at 6536 4211 instead.
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Your submission has been received.
We will reply you as soon as we can!
OOPS! Something went wrong while submitting the form. Please call us at 6536 4211 instead.
Our yearly-audited MOH-approved OT is equipped with modern surgical equipment and European monitoring systems with private suites and 12-bed recovery units. It has direct hospital access and blood transfusion facilities.
Performing surgeries at an accredited facility with our panel of anaesthesiologists and offering comfortable twilight sedation (no GA) allows the best possible care, safety and monitoring for you during surgery.
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[1] Nuzzi, Laura C. B.A.; Cerrato, Felecia E. M.P.H.; Erikson, Cameron R. B.S.; Webb, Michelle L. B.A.; Rosen, Heather M.D., M.P.H.; Walsh, Erika M. M.D.; DiVasta, Amy D. M.D., M.M.Sc.; Greene, Arin K. M.D., M.M.Sc.; Labow, Brian I. M.D.. Psychosocial Impact of Adolescent Gynecomastia: A Prospective Case-Control Study. Plastic and Reconstructive Surgery 131(4):p 890-896, April 2013. | DOI: 10.1097/PRS.0b013e3182818ea8
[2] Esenboğa, S., Akgül, S., Kanbur, N., Tüzün, Z., & Derman, O. (2015). The effect of gynecomastia on body image perception and gender roles in adolescents. Turk J Pediatr, 57(1), 60-67.
[3] El Noamani, S., Thabet, A. M., Enab, A. A., Shaeer, O., & El-Sadat, A. (2010). High grade gynecomastia: surgical correction and potential impact on erectile function. The Journal of Sexual Medicine, 7(6), 2273-2279.
[4] Simon, B.E., Hoffman, S., Kahn, S. Classification and surgical correction of gynecomastia. Plast.
Reconstr. Surg. 51:48-52, 1973.