Gynecomastia (Gynecomastia) is the abnormal, noncancerous growth of one or both breasts in men. It happens when estrogen and androgen levels in the body are out of balance, which makes breast tissue grow. In Pakistan, especially many hospitals treat gynecomastia in Lahore and skilled plastic surgeons who have been doing their jobs for many years.
Up to 70% of teenage boys have gynecomastia in which 75% get better on their own within two years of the first sign. If the problem doesn’t go away in 2 years or makes you feel embarrassed, in pain, or sensitive, you should get treatment. Medical treatment is often ineffective when gynecomastia has been going on for more than two years.
Symptoms and signs
When a man has gynecomastia, one or both of his breasts tend to get bigger. Under the nipple and the skin around it, you can feel soft, compressible breast tissue, which is different from soft fatty tissue. Gynecomastia doesn’t usually cause the skin to dimple and the breasts to pull back. Milky discharge from the nipple is not a common sign of gynecomastia, but it can happen if the person has a tumor that makes prolactin. Other symptoms of gynecomastia include an increase in the size of the areola and an uneven chest.
Causes
It assumed that a change in the ratio of estrogens to androgens causes gynecomastia. This can happen when estrogen production goes up, androgen production goes down, or both. Estrogen works like a growth hormone to make the breast tissue in men bigger. About 25% of the time, the cause of gynecomastia is unknown.
Men can get breasts if they have health problems like liver disease, kidney failure, or low testosterone. Most adults get it from taking drugs or having a liver disease. Other medicines that may cause gynecomastia include;
- Methadone
- Aldosterone antagonists (spironolactone and eplerenone)
- Medicine for HIV
- Treatments for cancer
- Cancer of the prostate is treated with hormones
- Medicines for heartburn and ulcers
- Calcium channel blockers
- Ketoconazole and other antifungal drugs
- Metronidazole and other antibiotics
- Antidepressants in the tricyclic class, like amitriptyline
- Herbs like lavender, Dong Quai, and tea tree oil
- The insecticide phenothrin has been linked to gynecomastia because it blocks androgens.
Diagnosis
A doctor does a thorough history and physical exam to determine if a man has gynecomastia. Dr. Atta Ul Haq, one of the best gynecomastia surgeons in Lahore, can help you with this. As part of the physical exam, it is important to feel the male breast tissue to check for breast cancer and pseudo gynecomastia. Most of the time, both breasts are affected by gynecomastia, but it can also affect just one breast.
The medicines or illegal drugs a person takes could cause gynecomastia. To figure out what causes gynecomastia, doctors recommend some lab tests such as;
- aspartate transaminase
- alanine transaminase to rule out liver disease
- serum creatinine to check for kidney damage
- Thyroid-stimulating hormone levels to check for hyperthyroidism.
If these first lab tests don’t find the cause of gynecomastia, Dr may suggest more tests to look for an underlying hormonal imbalance. These tests include;
- serum beta-human chorionic gonadotropin (-hCG)
- follicle-stimulating hormone
- prolactin
- luteinizing hormone
- checking the total and free levels of testosterone
- estradiol
Treatment
Teens with mild cases of gynecomastia are comforted and advised on how to live a healthier life, such as how to eat right and get enough exercise. Medicine or surgery takes place to treat the illness in more severe cases. Dr. Ata-Ul-Haq (MBBS, FCPS) is a very experienced plastic surgeon in Lahore who has been doing male breast reduction surgery, Hair Transplant, Hypospadias Surgery, and Liposuction for over 16 years. For quick information about gynecomastia treatment costs, procedures, appointments, recovery, results, and side effects, call or text +92 321-5847076.
By Medication
Medical treatment for gynecomastia is effective, but only during the first two years following the onset of male breast development. Raloxifene, clomifene, and tamoxifen may help treat gynecomastia. It seems like clomifene doesn’t work as well as tamoxifen or raloxifene. Tamoxifen, the most effective treatment for this illness, may be given to adults suffering from gynecomastia.
Androgens or anabolic steroids could help with gynecomastia. Testosterone might not be suitable for treating gynecomastia because it converts into estradiol.
By Surgery
If medical treatment for chronic gynecomastia doesn’t work, glandular breast tissue usually needs to be taken out through surgery. Dr Ata-Ul-Haq does your procedure while you are either awake or asleep. If you get general anesthesia, you’ll sleep and have no idea what’s happening. The Plastic Surgery Clinic in Johar Town, Lahore, Pakistan, offers male breast reduction surgery. It has state-of-the-art facilities. Most of the time, surgery to fix gynecomastia takes one to two hours. Gynecomastia can be fixed by removing extra fat, glandular tissue, or skin. Dr. Ata carefully changes the shape of your chest to look flat. He does this by using techniques like liposuction, removing glandular tissue and extra skin, and lifting the soft tissues.
Price of Gynecomastia Surgery in Lahore:
The cost of surgery depends on the type of treatment. On average, Gynecomastia Surgery Cost in Pakistan and Lahore is between PKR 50,000 and PKR 150,000. Most of the time, Gynecomastia Surgery in Lahore is easy to get, and this is not a complex problem. Whether young or older, men with this problem have chest pain and may feel ashamed.
