Gynecomastia: Causes and Surgery


We all have our shares of insecurities. Well, we are all perfect in some sense as well. There is no reason for us to look down on ourselves. However, gynecomastia causes certain mental health issues in males. Male breasts affect the self-esteem of men and young boys immensely. Their confidence level goes down, they start feeling low and in cases of some teenagers, depression is also commonly known due to an unfit body.

What is Gynecomastia?

Gynecomastia is the swelling or enlargement of breast tissue in males. It is most commonly caused by male estrogen levels that are too high or are out of balance with testosterone levels. Gynecomastia is common in men and boys at various stages of development and in association with certain medical conditions. True gynecomastia refers to enlarged glandular tissue rather than the adipose tissue. The presence of fat tissue that appears in the breast area is known as false or pseudo gynecomastia.


Gynecomastia Causes

There are several different sorts of medications, diseases, and medical conditions that can result in gynecomastia, for instance, drugs like corticosteroids, antibiotics, opioids, heartburn and anti-anxiety drugs; herbs like lavender, Dong Quai, and tea tree oil. Gynecomastia is also associated with other conditions like treatments for obesity, testosterone imbalance, cirrhosis, and hyperthyroidism. They can be further understood as the following:

Hormone Imbalance

One of the most important causes of gynecomastia is hormone imbalance. This is mainly associated with the improper release of androgen. This hormone is a version of estrogen that is produced in females. The function of this hormone is mainly during the puberty, however, secretion of more androgen by the glands can lead to the growth of the male breast, that is, gynecomastia due to glandular tissues in the popular area.


When the liver is damaged and tries to fix itself, more and more scar tissue is formed over it. With this, there are certain changes that occur in the body one of which is gynecomastia. Enlargement of male breasts is considered as one of the symptoms for cirrhosis. When the function of the liver is altered, it can cause a lot of other kinds of damage to the body, including hormonal imbalance resulting in gynecomastia.


A medical condition in which the secretions from the thyroid gland are more than normal causing unusual changes in the body is known as hyperthyroidism. The thyroid gland secretes certain hormones in both, male and female bodies. Due to hyperthyroidism, loss of periods or obesity is seen, while in men loss of sex drive can be observed along with obesity. Therefore, partly contributing to the cause of gynecomastia as well.


It is a well-known term and quite a common medical condition observed all across the world. Obesity is being overweight which is higher than your standard BMI. It is also one of the reasons for the stimulation of hormone imbalance and enlargement of male breasts. Most of the obese men have this medical condition. In such cases, it can be reduced by proper exercises as well.

Grades of Gynecomastia

Gynecomastia surgery

A solution for gynecomastia is performing the gynecomastia surgery. This surgery can allow you to get rid of your male boobs with ease boosting your self-confidence and helping you believe in yourself.

The surgical procedure can be approached in different ways. The most common technique is to suction the fat out from the area of the breasts. The procedure is referred to as liposuction in which a thin tube is used for suctioning called as a cannula. The step by step procedure is given as follows:

  1. Anaesthesia: Anesthesia is the most important and the initial step. It could of any kind that will best suit the patient.
  2. Incision: The bleeding and the trauma are managed and then the cannula is inserted. The fat is then liquified so that the suctioning is easier.
  3. Suctioning: The loosened fat is sucked out with the help of a syringe attached to the cannula or a kind of vacuum that is used in the surgical procedures.
  4. Closing the incision: The incision is closed using tapes and clips and if necessary sutures are incorporated. This does not leave long-term scars.
  5. Post-surgery results: Lipo also necessitates a recovery period after the procedure. The incisions need to be repaired appropriately post-surgery infections. The body is slightly weak but is now in good shape.


Liposuction certainly has precautions that need to be taken care of in order to avoid any consequences. The body requires a good amount of rest to get back to normal function, else it could bleed even after minor strenuous exercises. Also, sustaining a balanced diet is obligatory as one of the causes of gynecomastia is obesity as well. A proper diet shall help your body regain strength by providing necessary nutrients.

Another significant factor is working out. This will help in getting your soma in proper shape and adjust to the sudden changes that have just taken place. It is best to avoid the sun for a few weeks after the surgery because firstly, it could cause infection to the wounds and secondly, it could cause nausea and at times fainting as well since the body is weak and recovering after the surgery.

We at Arra Aesthetics have the latest technology for the treatment of gynecomastia. Dr Vasant Gholave is an expert in the area of plastic and cosmetic surgery and is also one of the best cosmetic surgeons in Pune. He has helped several patients to cure gynecomastia effectively and with the latest medical procedures and approaches. Visit us today and get precise gynecomastia surgery.