Dr. Buddhi Prakash Sharma MBBS, M.Ch. Plastic Surgery Hair Transplant , Cosmetic and Plastic Surgeon

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    Gynecomastia Surgery in Jaipur, Male Breast Reduction - By Dr. Buddhi Prakash Sharam, Cosmo-Hair

    Gynecomastia Surgery in Jaipur

    Gynecomastia, a result of an excess of the hormones estrogen and testosterone, is an increase in the amount of breast gland tissue in boys or men. Gynecomastia can affect, often unevenly, one or both breasts. As a result of natural changes in hormone levels, newborns, boys who go through puberty and older men may develop gynecomastia, although there are other causes as well. If you are looking for a cosmetic surgeon for Gynecomastia Surgery in Jaipur, Male Breast Reduction then contact Dr. Buddhi Prakash Sharma at Cosmo-Hair.

    Gynecomastia is not necessarily a severe concern, but it can be difficult to deal with the disease. Often, men and boys with gynecomastia have breast pain and can feel ashamed. Gynecomastia can, on its own, go away. Medication or surgery may assist if it persists.

    Gynecomastia Symptoms

    A lump of fatty tissue under the nipple may be the first symptom of gynecomastia. This lump is tender or sore occasionally. This could make you think about getting breast cancer, which occurs in a small number of men. Gynecomastia is not usually a sign of cancer, but to rule it out, your doctor can run some tests.

    There may be uneven swelling of the breasts, with one becoming larger than the other. You may have breast tenderness as well. See your doctor if you find that your breasts are swollen, sore, or tender, or that one or both breasts have been discharged from your nipple.

    Causes

    A reduction in the amount of the hormone testosterone relative to estrogen causes gynecomastia. Conditions that block the effects of testosterone, decrease testosterone, or increase your level of estrogen may cause the decrease.

    Several factors, including the following, can disrupt the hormone balance.

    Natural hormone changes

    In both males and women, the hormones testosterone and estrogen regulate sexual organs. Male characteristics, such as muscle mass and body hair, are dominated by testosterone. Estrogen, including the growth of breasts, controls female traits.

    Most individuals think of estrogen as an exclusively female hormone, but it is also produced by men, but usually in small amounts. Gynecomastia can be caused by male estrogen levels which are too high or are out of balance with testosterone levels.

    Gynecomastia in infants: Due to the effects of their mother’s estrogen, more than half of male babies are born with enlarged breasts. The swollen breast tissue usually goes away within two to three weeks of birth.
    Gynecomastia in adults: Around 50 and 69 years of age, the incidence of gynecomastia peaks again. It affects at least 1 in 4 men in this age group.
    Gynecomastia during puberty: It is relatively normal to experience gynecomastia caused by hormone changes during puberty. In most cases, without surgery, the swollen breast tissue will go away within six months to two years.

    Medications

    Gynecomastia can be caused by several medications which include:

    • For the treatment of enlarged prostate, prostate cancer, and other disorders, anti-androgens are used. Many of these examples are flutamide, finasteride (Proscar, Propecia), and spironolactone (Aldactone, Carospir).

    • Medications for AIDS. Gynecomastia can grow in men who are HIV-positive and undergoing a treatment regimen called highly active antiretroviral therapy. Gynecomastia is more generally associated with Efavirenz (Sustiva) than other HIV drugs.

    • Anabolic steroids and androgens are recommended for certain conditions by doctors or are often used illegally by athletes to build muscle and boost results.

    • Medications for anti-anxiety, such as diazepam (Valium).

    • Antidepressant tricyclic.

    • Antibiotics.

    • Medicines for ulcers, such as the over-the-counter drug cimetidine (Tagamet HB).

    • Treating cancer.

    • Medications for the heart, such as digoxin (Lanoxin) and blockers of calcium channels.

    • Drugs that are stomach-emptying, such as metoclopramide (Reglan).

    Substances that can cause gynecomastia are:

    • Alcohol

    • Cannabis

    • Heroin

    • Methadone (Dolophine, Methadose)

    Health conditions

    By affecting the normal balance of hormones, many health conditions may cause gynecomastia. These include:

    Hypogonadism: Gynecomastia may be associated with conditions that interfere with normal testosterone production, such as Klinefelter syndrome or pituitary insufficiency.
    Aging: Hormone changes that occur with normal aging, particularly in men who are overweight, can cause gynecomastia.
    Hyperthyroidism: In this case, too much of the hormone thyroxine is released by the thyroid gland.
    Tumors: Some tumors may produce hormones that modify the male-female hormone balance, such as those involving the testicles, adrenal glands, or pituitary gland.
    Kidney failure: Due to hormonal fluctuations, about half the individuals infected with dialysis experience gynecomastia.
    Malnutrition and starvation: Testosterone levels drop when your body is deprived of adequate nutrition, while estrogen levels stay the same, causing a hormonal imbalance. When normal feeding returns, gynecomastia may also happen.
    Liver failure and cirrhosis: Gynecomastia is associated with changes in hormone levels due to liver disorders and drugs for cirrhosis.

    Risk factors

    Gynecomastia risk factors include:

    • Adolescency

    • Older Age

    • Usage of anabolic steroids or androgens for athletic performance enhancement

    • Any health disorders, such as liver and kidney disease, thyroid disease, hormonally active tumors, Klinefelter syndrome, etc.

    Complications

    There are few physical complications of gynecomastia, but psychological or emotional issues induced by appearance may be induced.

    Prevention

    There are a few factors you can handle that can decrease the risk of gynecomastia:

    Review your medications: Ask your doctor if there are any options if you are taking medicine known to cause gynecomastia.
    Don’t use drugs: Steroids and androgens, amphetamines, heroin, and marijuana are examples of these.
    Avoid alcohol: Don’t drink alcohol.

    Diagnosis

    Your doctor will ask you questions about your history with medications and drugs, and what health problems your family is experiencing. A physical examination may also be conducted by the doctor and will require a thorough inspection of the breast tissue, abdomen, and genitals.

    To determine the cause of your gynecomastia, initial tests can include:

    • Checks for blood

    • Mammography

    Depending on your initial test results, you can need more testing, including:

    • Scans for computerized tomography ( CT)

    • Ultrasounds of the testicles

    • Biopsies on tissues

    Treatment

    Without care, most gynecomastia cases resolve over time. Your doctor may suggest stopping or substituting other medications if you are taking medications that may cause gynecomastia.

    The doctor may prescribe periodic re-evaluations every three to six months for adolescents with no clear cause of gynecomastia other than natural hormone changes during puberty, to see if the condition improves on its own. Sometimes, gynecomastia goes away in less than two years without medication.

    If gynecomastia does not resolve on its own, or if it causes severe pain, tenderness, or humiliation, care may be required.

    For some men with gynecomastia, drugs used to treat breast cancer and other conditions can be helpful. These include:

    • (Soltamox) tamoxifen

    • Aromatase inhibitors, such as Arimidex (anastrozole)

    While the Food and Drug Administration approves these drugs, they have not been expressly approved for use in people with gynecomastia.

    Recovery after surgery

    In patients who only need liposuction to correct their swollen male breasts, it is usually less than one week to return to exercise and work. It can take from two and four weeks for patients who require surgical removal of the excess breast tissue and recover enough to tolerate regular activities. In my specialty, my patients can return to work after 7-10 days of surgery. They can return to the gym for 2 weeks of cardio and 4 weeks of weightlifting, except for surgical complications.

    For Gynecomastia surgery in Jaipur, contact Cosmo-Hair one of the best Plastic & Cosmetic Surgeons is Dr. Buddhi Prakash Sharma. He provides you with the right advice about your illness. Well-experienced physicians will protect you during your treatment. Cosmo-Hair Jaipur provides modern treatment equipment that assists in painless surgery. One of the ideal Jaipur hospitals for their successful outcome is Cosmo-Hair Jaipur.

    Conclusion

    Gynecomastia is a common condition that can be attributed to an estrogen/androgen imbalance caused by several etiological factors. The treatment for GM should be tailored after verifying the diagnosis, looking for a specific cause, and classifying the case according to severity level. Valid personalized therapeutic options are lifestyle guidance, reassurance, medical treatment, and surgical correction.