Gynecomastia is a condition where male breast tissue becomes enlarged, causing the appearance of male breasts. Enlarged breast tissue can be extremely embarrassing for men, especially in social situations like the beach or pool. If you’re experiencing mental distress because of gynecomastia or are considering gynecomastia surgery, you’re not alone. Although many men opt for gynecomastia surgery (or male breast reduction surgery) as a way to manage and remove excess breast tissue, lifestyle modifications for gynecomastia can also be an ideal solution. However, knowing more about gynecomastia and the specific changes that can produce noticeable results is key. Here’s what to know about managing gynecomastia symptoms and how an experienced plastic surgeon such as Dr. Miguel Delgado can help you explore your treatment options.
Healthy Diet Recommendations
Gynecomastia is often tied to a variety of health factors like diet and hormones. In fact, eating a balanced diet can have many different health benefits, including treating gynecomastia. It can be helpful to consider switching to a gynecomastia diet to maintain the results of your procedure or help reduce symptoms. As with any dietary changes, however, make changes slowly and don’t try to overhaul your diet all at once. Adjust the following accordingly:
Reduce Estrogenic Foods
Certain foods have higher levels of estrogen-rich compounds which can contribute to male breast development through misbalancing hormone levels. These tend to include foods rich in soy (such as soy milk), saturated fats, and flaxseeds. Instead, incorporate more lean proteins, fruits, vegetables, and whole grains into your nutritious diet. Additionally, processed foods are notorious for containing high levels of estrogen-rich compounds, so try to enjoy these in moderation.
Fiber is key for digestion and also plays a role in hormonal imbalances (one of the common causes of gynecomastia). Try to find sources of fiber that you enjoy and can incorporate daily. Good sources of fiber include whole grains, legumes, and leafy greens, as well as certain fruits and vegetables.
Exercise is key when it comes to gynecomastia because it can help reduce body fat and the appearance of male breast development. Focus especially on toning the chest muscles and incorporate exercises that bring you to a healthy weight, if you’re not already. Keep in mind that body changes can occur slowly when it comes to exercise, so consistency is key. Whether or not you already exercise regularly, consider the following changes to your schedule:
Cardio exercises are designed to increase your cardiovascular health as well as burn excess fat as energy. Some of the most effective cardiovascular exercises for losing weight include swimming, running, or cycling. It’s recommended to get at least 150 minutes of cardiovascular exercise of moderate intensity per week, or at least 20 minutes per day.
An important accompaniment to any exercise regimen is weight training. Focus on exercises that target the chest muscles to increase muscle mass and reduce fat. These exercises include push-ups, chest presses, and dumbbell flys. Make sure to incorporate good sources of protein into your diet to support muscle growth.
Lifestyle Changes for Gynecomastia
Gynecomastia may be tied to health changes, but there are a variety of causes including lifestyle factors. In fact, other lifestyle changes can help reduce the appearance of gynecomastia and glandular tissue. These include:
If your gynecomastia is related to fat, then it may be helpful to lose weight. Make sure to focus on a healthy lifestyle and sustainable changes to your diet and exercise regimen. By losing fat tissue, you may also reduce hormonal fluctuations that can contribute to breast development. With a little long-term dedication, you can achieve more average breasts and better confidence – and prevent weight gain that may cause male breast enlargement to come back.
Clothing and Outfits
Your choice of clothing can exaggerate the appearance of gynecomastia, meaning taking stock of your wardrobe can help. Look for well-fitting clothing and consider having your wardrobe tailored to minimize the appearance of breasts. Additionally, look for shirts with thicker fabrics, layers, or patterns to better conceal your chest and create a more masculine chest contour.
Medications and Drugs
Certain medications can produce enlarged breasts (sometimes by affecting estrogen levels) meaning that switching medications can sometimes produce results. Make sure to consult your physician before making any changes. Secondly, illicit drugs can also produce gynecomastia symptoms – as can alcohol consumption. Stopping these lifestyle choices can often treat gynecomastia without the need for surgery.
Underlying Health Conditions
There may be an underlying cause that is unknown to you, meaning treating underlying health conditions can sometimes produce results. Hormone imbalance may cause excess estrogen and thus enlarged breast gland tissue, meaning you may be able to resolve gynecomastia through hormone therapy. Testing your testosterone levels and whether it may be playing a role in developing gynecomastia can be a good first step in your treatment plan.
Schedule a Consultation
There are many causes of gynecomastia and a board-certified plastic surgeon is often the best place to start. During a consultation, you can discuss your many treatment options and learn more about the impact that gynecomastia has on many men. To meet with Dr. Delgado, San Francisco’s leading gynecomastia expert, contact us today through our online form.
Boys and males who suffer from enlarged male breasts often have a condition called gynecomastia. This condition is not life-threatening but can take a negative toll on the mental health of those living with it. Gynecomastia can actually be divided up into seven different types. Read on to learn more about these types and the best gynecomastia treatment option.
True gynecomastia is caused by excess breast tissue and glandular tissue, causing large male breasts. This cannot be resolved with weight loss alone, and gynecomastia surgery is the only long-term solution.
Adult gynecomastia usually affects men around the age of 50, because this is when “male menopause” begins, resulting in a decrease in testosterone production. In fact, one in four men will develop gynecomastia symptoms between the ages of 50 and 80. However, adult gynecomastia may also be the result of untreated adolescent gynecomastia.
Adolescent gynecomastia affects teenagers due to a hormone imbalance caused by puberty. The most common symptoms include tenderness in the chest area, nipple soreness and sensitivity, a small lump beneath the nipple, and a puffy or shiny look to the nipple. If left untreated, this condition may follow patients into their adult years.
In some cases, gynecomastia can be caused by certain prescription medications. The most common medications associated with gynecomastia include those for high blood pressure, ulcers, antidepressants, HIV, and prostate cancer. Illegal drugs that can lead to male breast growth include marijuana and heroin.
Gynecomastia can also be brought on by the use ofanabolic steroids. This type is common among bodybuilders and athletes.
Patients with severe gynecomastia will have severely large breasts and excess skin. Older men or those who are obese with diminished skin elasticity may experience this form of gynecomastia.
Pseudo-gynecomastia, or false gynecomastia, is the result of fatty tissue rather than glandular tissue and can often be resolved with weight loss.
Gynecomastia Treatment Options
The best way to treat gynecomastia is with male breast reduction surgery. During this surgical procedure, Dr. Delgado will remove excess glandular tissue, remove excess breast tissue, and eliminate excess fat with liposuction techniques for a more masculine chest contour. He will create a personalized treatment plan for you that includes the best incision patterns and liposuction technique to help you reach your body goals.
This is an outpatient procedure, which means that you can return home to heal. You will need to wear a special compression garment during healing to reduce swelling and support your new chest contour. Also, be sure to follow Dr. Delgado’s instructions regarding pain medication for proper healing.
Schedule a Consultation for Gynecomastia Surgery in San Francisco
If you are bothered by enlarged male breasts, please do not hesitate to contact board-certified plastic surgeon,Miguel Delgado, MD. To schedule a one-on-one consultation regarding the male breast reduction treatment, please contact our San Francisco office today by giving us a call or filling out ouronline form.
Gynecomastia surgery, also called male breast reduction surgery, can be a life-changing procedure for males living with excess tissue in their breasts. If you have decided to undergo gynecomastia surgery, you are probably wondering what your recovery period will look like. Read on to learn more about what to expect during male breast reduction, and how you can best increase your odds for the best results.
Male Breast Reduction Aftercare Basics
During your gynecomastia surgery, drains may be placed temporarily under the skin to drain away any excess blood or fluid that may collect. When you wake up from anesthesia, your drains will already be placed and will need to be kept in place for a set amount of time. Dr. Delgado will give you instructions on how to empty your drains at home and let you know when it’s time to remove your drains.
You will also be asked to wear a special compression garment to help support your new chest contour. Be sure to follow Dr. Delgado’s specific instructions regarding protective and compression garments. Dressings or bandages will be applied to your incisions and a support garment may be used to help minimize swelling.
You may also be prescribed pain medication to help with any initial discomfort. It is important that you take your medication as prescribed and do not deviate from that prescription.
Exercise Following Gynecomastia Surgery
Many patients are eager to know when they can return to their workout routines. While post-surgery requirements previously prescribed six weeks of downtown, newer methods allow for patients to return to their regular routines quicker. When returning to exercise following surgery, go slow to minimize the risks of complications.
For at least one month following your surgery, avoid chest and arm exercises or any strenuous exercise that strains the treatment area. You may feel free to start light lower body exercises such as light cardio or using a Peloton. Do not push yourself and be sure to listen to your body. Be patient; you will be able to return to your routine soon. Most patients can return to exercise including upper body weights after six weeks, but should slowly ease back into a routine.
Those with a desk job at home can often return to work after 3-4 days, and in the office after 5-7 days. You can return to driving a vehicle once you have completed taking pain medication. Drains will be removed after 3-4 days, after which you will become more mobile and can enjoy leaving the house to run short errands, go out to eat, etc.
Signs to Look Out For
While the chances for complications are greatly reduced when gynecomastia surgery is performed by a board-certified plastic surgeon such as Dr. Delgado, all forms of invasive surgery do come with certain risks. If you notice an abnormal amount of aching, discomfort, unusual pains, redness, shortness of breath, or an unusual heartbeat, seek immediate medical attention. Do not hesitate to reach out to our office if you have any questions or concerns.
Schedule a Consultation
If you are interested in learning more about gynecomastia surgery in San Francisco and if you are an ideal candidate, please contact us today to fill out our online form. Your first step will be to schedule a one-on-one consultation appointment with Dr. Delgado.
Male Breast Reduction Surgery FAQs
What is the cost of male breast reduction surgery in San Francisco?
The cost of male breast reduction surgery may vary depending on a multitude of factors. If you are interested in learning more about male breast reduction cost in San Francisco, please contact Dr. Delgado’s office today.
Will Hormone Imbalances go away after male breast reduction?
If you have hormonal imbalances it is best to address those before gynecomastia surgery. This is because the surgery alone will not be able to correct hormonal imbalance.
What is glandular tissue in the breasts?
Glandular tissue in the breasts is the part of the breasts that are made up of lobules and ducts. Males with gynecomastia will have excess glandular tissue on their chest. Male breast reduction surgery can help to achieve a more masculine chest appearance.
Is a Surgical Procedure the Only Gynecomastia Treatment?
Males with gynecomastia that is not due to weight gain often see the best results with male breast reduction surgery. This procedure will remove excess glandular tissue to achieve a flatter chest contour.
What Causes Gynecomastia?
Hormone imbalance, certain medications, anabolic steroids, and marijuana are all possible causes of true gynecomastia in males. Men who are overweight and have large male breasts due to excess fat in the chest area have “psuedogynecomastia”.
What Can I Expect During My Initial Consultation?
During your initial consultation, you will meet with Dr. Delgado in person or virtually. You will then discuss your gynecomastia concerns, why you desire male breast reduction in San Francisco, the ideal way to treat gynecomastia, your options for eliminating excess breast tissue, excess fat, and excess skin, and more. Dr. Delgado will work with you to determine the ideal surgical option to help you achieve a flatter, firmer male chest.
Is the Male Breast Reduction Procedure Plastic Surgery?
Yes, gynecomastia surgery is considered a plastic surgery procedure. When performed by a board-certified plastic surgeon such as Dr. Delgado, you can achieve amazing results.
Gynecomastia And Klinefelter Syndrome: How Are They Related?
Are you familiar with gynecomastia and Klinefelter syndrome? Did you know that both conditions are related to one another? Klinefelter syndrome results from a male’s low testosterone levels, which lead to gynecomastia or the development of large breasts.
Testosterone, a natural sex hormone, plays a vital role in the body. It helps control libido, bone solidity, muscle mass and strength, fat distribution, and red blood cell and sperm production in men. Furthermore, it is known to control a man’s physical appearance, mood and drive for sex. When the body hormones including testosterone are out of control, gynecomastia then develops.
Both Klinefelter syndrome and gynecomastia are curable. However, dealing with these conditions needs patience and acceptance. Also, it is essential to know and understand each condition’s underlying causes first.
What Is Klinefelter Syndrome?
Klinefelter syndrome is a common chromosomal disorder in males caused by a chromosomal abnormality, wherein there is an extra copy in the X chromosome along the Y chromosome. It is a hereditary condition that affects testicular growth that leads to lower testosterone production.
Furthermore, the potential signs of Klinefelter syndrome are loss of facial hair, body loss, swollen breast tissue, and reduced muscle mass. However, not everyone shows the same signs and symptoms.
Kleinfelter Syndrome and gyneomastia
What Is Gynecomastia?
On the other hand, gynecomastia is a condition wherein the amount of breast gland tissue in boys and men increases due to a hormonal imbalance between the estrogen and testosterone. In addition, it affects one or both breasts in various ways.
Moreover, this condition is caused by a low reduction of the hormone testosterone in comparison to estrogen. In some cases, it develops when boys reach puberty, and there is a recognizable difference in hormonal activity. This condition needs to be treated, but it may go away on its own for some cases.
Furthermore, the signs and symptoms of gynecomastia are breast tenderness, swollen breast tissue, and nipple discharge in one or both breasts. If these symptoms get worse, consult your doctor.
Adolescent male with gynecomastia
The Causes Of Gynecomastia And Klinefelter Syndrome
The causes of both conditions are as follows:
Impairment of cells in the testes that builds testosterone
Swelling or inflammation
Cancer treatments, including radiation and chemotherapy
Various diseases affecting a part of the hypothalamus and pituitary of the brain
The Diagnosis For Gynecomastia And Klinefelter Syndrome
In order to diagnose gynecomastia, the doctor will need to review your drug and medical history, along with your medical family tree. In addition, the doctor will have to conduct a physical test to examine your abdomen, genitals, and breast tissues.
Moreover, the initial tests to identify the cause of this condition are:
Blood test; and
Further testing may include:
Computerized tomography (CT) scans;
Magnetic resonance imaging (MRI) scans;
Testicular ultrasounds; and
After these tests, the doctor will make sure if your symptoms are indeed caused by gynecomastia and not by other health conditions.
The doctor will conduct a thorough physical exam and ask specific questions about your symptoms and overall health. It includes examining the genital area and chest, tests for reflexes, and evaluating functions and development.
The primary tests for this condition include:
Hormone testing. It involves urine and blood samples.
Chromosome analysis. It is also known as karyotype analysis that verifies Klinefelter syndrome. It involves a blood sample to examine the shape and number of chromosomes.
In some cases, Klinefelter syndrome is diagnosed before birth.
The Treatment For Gynecomastia And Klinefelter Syndrome
Gynecomastia is a type of condition that goes away on its own. Hence, it is essential to have a consistent body observation.
There are no proven drugs to treat gynecomastia. However, there are various medical treatments available as listed below:
Testosterone replacement therapy is effective for older men with low testosterone levels but not adequate for normal testosterone levels.
Clomiphene is known to treat gynecomastia, which is taken for up to 6 months.
Tamoxifen (Nolvadex) is a selective estrogen receptor modulator (SERM) to alleviate gynecomastia’s breast volume. It is used for painful and severe gynecomastia.
Danazol is a testosterone derivative that inhibits the testes’ development of estrogen. It prevents the pituitary from secreting LH and FSH, hormones that guide hormones in the sex organs. Furthermore, it is used less than other drugs for gynecomastia.
The treatment for this condition is based on the signs and symptoms of the following:
Testosterone replacement therapy. It starts at the beginning of puberty to help promote changes that naturally occur during puberty, such as evolving facial and body hair, developing an extensive voice, and increasing muscle mass and sexual desire. Also, it enhances bone density and fracture prevention, as well as behavior and mood.
Breast tissue removal. Plastic surgeons remove excess breast tissue that grows swollen breasts for men.
Speech and physical therapy. These therapies are intended for males who have speech, language, and muscle weakness problems.
Educational evaluation and support. It is helpful for males who have trouble socializing and learning.
Fertility treatment. A procedure called Intracytoplasmic Sperm injection (ICSI) is used for low sperm output in men.
Psychological counseling. It assists in resolving men’s emotional problems, including coping with infertility and living with the disease during puberty and early adulthood.
How Do Klinefelter Syndrome And Gynecomastia Affect Men?
Dealing with Klinefelter syndrome and gynecomastia in men is tough, especially in the puberty and adolescence stage. These conditions cause a grave impact on their lives as it gives them psychological distress and emotional problems. Additionally, men with enlarged breast development develops low self-esteem, anxiety, loneliness, tension, restlessness, humiliation, embarrassment, rejection, and worst, depression that may leading to suicide. That is why it is necessary to provide these patients support, counseling, and treatment to help them cope and recover.
Gynecomastia and Klinefelter syndrome are among the most common conditions among men, particularly as they start aging. Dealing with these diseases is challenging and may cause emotional problems and infertility. The good news is there are various treatment options to choose from. Furthermore, discussing your condition with your doctor is the healthiest way to determine your treatment. You may also consult a therapist regarding your disease and other concerns. Just remember that you are not the only one who can cope up with those conditions. Talk to a group of men who have gynecomastia to help you cope with these disorders.
While it may be every woman’s dream to inherit a set of well-sculpted breast, it is however, every man’s nightmare to find a pair of ‘man boobs’ aka Gynecomastia, hanging from their chests.
For most men, Gynecomastia robs away their self-esteem and has become a stumbling block in achieving the masculine male body.
But it is more than just the embarrassment of having a flabby chest that should be a cause for concern.
Gynecomastia is essentially a medical condition that should be addressed immediately.
And while many men may seek the gym for the solution to their unsightly bulge, unfortunately, the growing discomfort and swelling that stem from Gynecomastia does not simply ebb away with time nor hours spent at the gym.
Conversely, the soreness and pain experienced on a daily basis will be exacerbated with each passing day should treatment not be administered.
The main symptoms of Gynecomastia include the enlargement of the glandular tissue in both breasts and tenderness experienced around the area and nipple.
But what exactly is the cause of this distressing condition?
The truth is, there are a variety of reasons that contribute to Gynecomastia. Amongst the many causes are side effects of medication and aging.
Hormonal imbalance, where there is a plunge in testosterone levels, is one of the main culprits that results in this condition.
While symptoms of Gynecomastia are not uncommon during puberty, however, should symptoms not be alleviated upon reaching adulthood, surgical intervention is the answer to counter Gynecomastia.
Common questions on Gynecomastia
But to combat Gynecomastia requires more than just the acknowledgement of the causes of the condition.
A holistic and thorough understanding of Gynecomastia is what we need to tackle the ‘man boobs’ situation.
So, just what can we do to potentially diminish the effects of this agonising condition? Or is there anything that can be done to avoid Gynecomastia all together?
Let’s delve into these common and pressing questions to help answer your urgent queries on Gynecomastia.
Can taking hormones cure Gynecomastia?
Being a naturally occurring hormone, testosterone is not only directly responsible for the male physical features, but it also affects a man’s sex drive and mood.
Gynecomastia, or the development of larger breasts, can develop when there is an imbalance of the body’s hormones in men, including testosterone. This is also the case, when there is a low testosterone levels in men.
Both issues of low testosterone levels and gynecomastia are often treatable. However, it is of utmost importance to first understand the underlying causes for each condition.
Can gynecomastia decrease libido?
As age catches up, low testosterone levels and gynecomastia are common conditions among aging men.
With a decrease in testosterone levels, this results in reduced libido, low sperm count, erectile dysfunction, and enlarged male breast tissues.
Are there any food to avoid that can cause gynecomastia?
Being overweight or obese can cause larger breasts in men. As such, avoid foods that are high in saturated fat as these contribute to undesirable weight gain.
Also, highly processed foods that are high in sugar and fats content can promote weight gain and should likewise be avoided.
Foods such as soy can cause hormone imbalances are to be avoided as they can lower the testosterone levels and raise the estrogen levels, thereby causing male breast tissue growth, even in the absence of obesity.
Can’t I just diet and workout to get rid of my “man boobs”?
Gynecomastia is not merely an aesthetic issue; it is a medical condition that should be tended to. The causes of the condition vary, including hormonal imbalance, side effects of certain medications and aging, as mentioned above.
Gynecomastia Surgery not only permanently removes excess glandular tissues, but it also sculpts the chest area, leaving a more defined and masculine appearance.
A gynecomastia surgery has a short recovery time, thereby causing little disruption to your daily routine.
It is essential to discuss your goals and raise any concerns you might have in regard to the procedure during the consultation with your doctor.
As individual’s clinical condition varies, the treatment strategy and outcome will be different. It is important to look for a doctor with an extensive experience, knowledge in gynecomastia surgery and that you get to see the before and after pictures of the doctor’s own patients.
For personalized information about gynecomastia plastic surgery procedures, please complete Dr. Delgado’s inquiry form.
Gynecomastia affects 40-60% of adolescent males, making it a relatively common condition. Despite being so, it is not an openly discussed issue for the most part due to its “embarrassing nature” – a stigma that often overshadows its true and at times urgent medical condition. An individual should not feel discouraged from seeking help, as it can be a much-needed relief.
Gynecomastia is brought on by hormonal imbalance. The causes vary, which includes genetics and from the side effects of taking steroids for bodybuilding and medications for medical conditions. The latter includes medications for heart, stomach, and even mental issues. One interesting fact to note and remember – it is not a condition that is associated only with an obese person. Any male with predispositions as mentioned – such as genetics and medicine consumption habit/need is susceptible to the condition.
How do you know if you have gynecomastia?
Pain or tenderness, which may increase over time and swelling are just two possible telltale signs of gynecomastia. To the touch, it feels like a rubbery lump under the nipple affecting one or both. Indicative appearance includes a resemblance to that of a woman’s breasts.
Often, gynecomastia is confused with the expected presence of fat tissue, particularly among young men who are overweight. Hence, an accurate diagnosis and conclusion are best left in the hands of a qualified doctor.
How do you know if it’s Pseudogynecomastia?
An individual may conclude that given the possible telltale signs, they are suffering from gynecomastia. It could be a wrong assumption. They could, in reality, be experiencing what is known as pseudogynecomastia. Men, in general, tend to accumulate fat in the chest and abdomen regions.
When this fat accumulates in excess around the chest area, it renders a puffy and swollen appearance which is called pseudogynecomastia. Dr. Ivan Puah, our Medical Director who has treated a number of gynecomastia patients, observed that “most men who came in with complaints of pseudogynecomastia were shown to have true gynecomastia after medical assessment.” This reiterates the essential need to seek qualified assessment and help.
Does Pseudogynecomastia go away?
Pseudogynecomastia is breast enlargement caused by fat accumulation. In theory, the male breast fat tissues can be improved with exercise and weight loss. However, in many patients, male breast fat can be rather resistant to weight fluctuation, so losing weight may not lead to significant improvement.
Can VASER Lipo get rid of pseudogynecomastia successfully?
VASER Lipo, a tissue-selective fat reduction procedure, is the treatment choice for those suffering from pseudogynecomastia. During the process, small incisions are made on the area to be treated and infiltrated with anesthetic fluid. Subsequently, I utilize the Vaser probe that transmits ultrasonic sound wave energy to the targeted fat tissues to emulsify the stubborn fat. Once the fat cells are liquefied, they are removed via suction cannulas that are specially made for this procedure.
As VASER Lipo is tissue-selective, it only targets fat tissues, preserving the health of nerves, blood vessels, and other important connective tissues. Therefore, post-treatment recovery is easy with minimal downtime because only the fat tissues are targeted and removed. Bruising and swelling are minimized with this procedure. As VASER Lipo is a form of liposuction (albeit an improved form of liposuction), it can only be performed by doctors who are trained and accredited by the Ministry of Health (MOH) Singapore.
As a proven clinical treatment for pseudogynecomastia, many men have benefited from its results. While this is certainly good news for those afflicted with the condition, bear in mind to practice due diligence in one’s research when seeking help.