Board Certified Plastic & Reconstructive Surgeon
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Clinical Patient Guide•Dr. Nanthini Dhevi

Gynecomastia ( Enlargement of Male Breast’s Glandular Tissue )

Enlargement of male breast’s glandular tissue, a very common condition. It is usually benign and commonly results from an imbalance between the hormones testosterone and estrogen.

Gynecomastia Male Chest Contouring
01/Condition Overview

Understanding Male Breast Gland Enlargement

Enlargement of male breast’s glandular tissue, a very common condition. It is usually benign and commonly results from an imbalance between the hormones testosterone and estrogen.

Gynecomastia does not usually cause serious health problems, but the emotional effects can be significant. People with this condition avoid social activities, swimming, sports, or close-fitting clothing because of embarrassment. For some it may affect their self confidence.

Dr. Nanthini’s Perspective On Emotional Health

“The emotional effects alone are valid enough to get this condition treated.”

02/Classification & Grading

GRADING OF GYNECOMASTIA TO FACILITATE TREATMENT

Grade 1Mild

Mild enlargement without excess skin

Grade 2Moderate

Moderate enlargement without sagging

Grade 3Moderate-Severe

Enlargement with mild skin laxity

Grade 4Severe

Significant enlargement with excess skin, resembling a feminine contour

03/Clinical Case Studies

Surgical Markings & Contouring Outcomes

Actual photographic documentation from Dr. Nanthini's clinical records illustrating pre-operative markings and post-operative chest flattening:

Clinical Records
GRADE 1 GYNECOMASTIA
Grade 1
Pre-Op MarkingsPost-Op Tape

GRADE 1 GYNECOMASTIA

Pre-op anatomical markings and post-op result with support tape.

GRADE 2 GYNECOMASTIA Case 1
Grade 2 (Case 1)
Pre-Op MarkingsPost-Op Flat Contour

GRADE 2 GYNECOMASTIA

Pre-op glandular volume markings and post-operative masculine contour.

GRADE 2 GYNECOMASTIA Case 2
Grade 2 (Case 2)
Pre-Op MarkingsPost-Op Result

GRADE 2 GYNECOMASTIA

Radial transitional markings and smooth post-operative pectoral flattening.

04/Clinical Consultation

WHAT CAN YOU EXPECT DURING YOUR CONSULTATION WITH ME

1

Clearly understanding your history and symptoms

2

Clinical examination of your chest and appropriate grading

3

Explanation of how the surgical procedure is performed

4

Giving you an idea of what to expect from the surgery

5

You will be explained about the tests needed for surgery

6

Once tests are done you will meet the anesthetist for a pre anesthesia work up.

05/Recovery Timeline

WHAT ABOUT RECOVERY PERIOD?

48 Hours

Dressing change

Dressing change at 48hrs post surgery

Min. 3 Weeks

Compression garment

Compression garment use is advised according to the grade of gynecomastia - minimum 3 weeks

10th Day

Suture removal

Suture removal on 10th day in ideal circumstances

Post-Suture

Shoulder mobilisation

Shoulder mobilisation started after suture removal

06/Physical Activity Guidelines

WHEN TO START ACTIVITIES?

10 Days

Driving after suture removal , that is 10 days

2 Weeks

Cardio workouts can be started after 2 weeks

4 Weeks

Lifting objects at home such as buckets, bags can be done after 4 weeks

6 Weeks

Resistance training can be started after 6 weeks

07/Results & Maintenance

WHAT ABOUT RESULTS?

  • •Final results take 6 months time
  • •Flatter chest with a better contour
  • •Results can be maintained in long term when proper lifestyle modification are made & weight is maintained
  • •Avoiding anabolic steroids, drugs & habits that initially caused the issue is important to prevent recurrence.
08/Frequently Asked Questions

Questions and Answers