Gynecomastia or enlarged male boobs is one of the most common cosmetic problems in young males. Due to this problem, young and middle-aged males are suffering a lot in society and are facing social, psychological issues, cosmetic issues and loss of self-confidence and self-esteem. Males are very much disturbed due to this Gynecomastia problem and they feel shy to remove shirts in gathering and feel uncomfortable when they have to take shower in the pool or public place like beech. Also, they feel discomfort while they wear short shirts and T-shirts and their body image is disturbed and feel movements of breast tissue while they used to play games like football, hockey or any other games. Concerning this males with Gynecomastia problems feel depressed and socially outcast in some cases. Due to this issue Gynecomastia surgery or enlarged male boobs, surgery is becoming common day by day and many clients are undergoing this surgery to finish their social dilemma with enlarged male boobs. With time, the size of breasts increases and they feel more uncomfortable.
Dr Abdul Malik is doing this surgery in Multan at Medicare Hospital Multan (0345-4492128).
Causes of Enlarged Breast/Gynecomastia
- Idiopathic means without any reason
- Hormonal problem – with hormonal changes that occur at puberty / 17-18 years age
- Different medications
- Use of steroids
- Bodybuilding and use of supplements
- Testicular problem
- Thyroid disease
- Renal or liver problems
- Obesity or increase in weight
Grading of Gynecomastia
With time their size increases and along with that severity of the problem increases. According to size, it is divided into three main grades;
Grade-1: When there is mild enlargement of the breast without skin laxity
Grade-2A: When there is a moderate enlargement of the breast without skin laxity
Grade-2B: When there is a moderate increase in size with looseness of skin
Grade-3: When there is a severe enlargement of the breast with loose hanging skin
Patients can suffer from different grades and on both sides of the breast, their grades can be different depending upon the size of the breast and skin laxity.
Assessment and Preparation
Patient or client visit at Dr Abdul Malik Mujahid’s clinic and Dr Abdul Malik himself examines the patient in-depth after the detailed history. During the assessment, Dr Abdul Malik assesses the size of both breasts, the shape of both breasts, whether there is more gland tissue or fatty tissue, the position of nipples and areola, the asymmetry between both breasts, and chest and breast deformity. Then Dr Abdul Malik asks a client about his concern and guides him about the procedure, the timing of surgery, duration of surgery which can be around one to two hours, post-operative care, recovery, outcome and complications of the procedure. Then baseline investigations are advised for fitness for anaesthesia. And the patient is advised to follow the instructions as advised for surgery.
Dr Abdul Malik performs the Procedure in both local anaesthesia with sedation along with his expert team of Assistants or under general anaesthesia depending on size and grading of Gynecomastia and patients comfort level for local or general anaesthesia. Dr Abdul Malik first does preoperative marking and then after paint and drapped to keep a sterile environment, do infiltration of solution through a small incision of about 0.5cm size. Then with special Cannulas liposuction is performed first in both breasts to remove fat. After that Dr Abdul Malik gives an incision around the areola to remove the breast gland, then dissection is done and breast tissue /gland is removed. The wound is washed and hemostasis is secured. Then the wound is closed and the dressing is done.
Post-operative Care and Recovery
After the procedure, the patient is shifted to the recovery room and Dr Abdul Malik visits the patient in the recovery room. The patient is either discharged on the same day if surgery is done under local anaesthesia or is kept admitted for one day of surgery is performed under general anaesthesia. The patient is advised pain killers and antibiotics for one week. The patient is advised to sleep straight and is advised to wear a compression garment for 4-6 weeks for the skin to retract so loose skin should not remain and good results can be achieved. Swelling and bruising can occur which is usually settled in a one to two week time period. The patient can feel altered sensation around the nipple for some time but that usually recovered in 3-4 weeks and good results are achieved around 2-3 months. The patient is advised bed rest for one to two days then he can start to walk at home, and 3-7 days can do routine work. The gym is avoided for 1-2 months so that good healing and recovery can be achieved.
Benefits and Side Effects
It is always recommended to have surgery performed by a trained and experienced plastic surgeon for a good outcome and in this regard, Dr Abdul Malik is one of the best and experienced plastic surgeons with 10 years of experience in this field and performed hundreds of such procedures with more than 95 per cent satisfaction rate.
- Get rid of loose hanging skin and enlarged breast
- Increased confidence
- Can wear the dressing of your own choice
- Can wear t-shirts and tight shirts
- Can remove the shirt and take shower in pool or beech or public place
- Can play games and return to society with confidence and regain his self-esteem
In the experienced hands, these are minimal but some of them can occur which usually settle with time;
- Fluid collection/seroma at the lower part of breast when patient remain in sitting position for a long time in initial days after surgery
- Blood collection/hematoma formation
- Altered nipple sensation
- Nipple blood supply compromise -rare
- Loose skin
- Visible scar
The cost of Gynecomastia surgery in Pakistan is in the range of 70,000 to 1,10,000 Pkr
depending on whether surgery is performed under local anaesthesia or general anaesthesia.