Gynecomastia: Treatment Options and Costs in Taiwan - Plastic Surgery

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Gynecomastia


I am 19 years old and from Pingtung.
It is the age for military service, but since middle school, I have felt that my chest is larger than that of normal males, especially around the nipples.
I used to be overweight, but now I am thin, and the situation has not changed.
I would like to ask if the Pingtung Health Bureau offers services for this condition.
Should I go directly to a plastic surgeon? Is the surgery covered by health insurance, and how much would I need to pay out of pocket? How long does recovery take after the surgery? These are my questions.

At sign, 10~19 year old female. Ask Date: 2016/04/23

Dr. Lu Daokuan reply Plastic Surgery


Gynecomastia in males is classified into three grades.
Grade I does not require treatment, while Grade II is more common and can be treated with liposuction or minor surgical procedures, costing around NT$60,000.
Grade III requires major surgery.
Generally, recovery from a typical Grade II procedure takes only a few days.

Reply Date: 2016/04/23

More Info


Gynecomastia, or the enlargement of breast tissue in males, is a common condition that can occur due to hormonal imbalances, obesity, certain medications, or other underlying health issues. For a 19-year-old like yourself, it can be particularly concerning, especially as you approach military service. Understanding the treatment options available in Taiwan, particularly in Pingtung, is essential for making an informed decision.


Treatment Options for Gynecomastia
1. Observation: In many cases, especially in adolescents, gynecomastia may resolve on its own as hormone levels stabilize. If the condition is not causing significant discomfort or psychological distress, a doctor may recommend a wait-and-see approach.

2. Medications: In some instances, medications that address hormonal imbalances may be prescribed. However, this is less common and usually reserved for specific cases where gynecomastia is linked to hormonal issues.

3. Surgery: If gynecomastia persists and causes physical discomfort or emotional distress, surgical options are available. The most common surgical procedures include:
- Liposuction: This technique removes excess fat but is less effective if there is a significant amount of glandular tissue.

- Mastectomy: This involves the removal of glandular breast tissue and is often the preferred method for more severe cases.


Costs and Insurance Coverage
In Taiwan, the cost of gynecomastia surgery can vary widely based on the type of procedure, the surgeon's experience, and the facility. Generally, the costs can range from NT$30,000 to NT$100,000 or more. If the condition is deemed medically necessary, it may be covered by Taiwan's National Health Insurance (NHI). However, coverage can depend on specific criteria, including the severity of the condition and whether it causes significant psychological distress.

To determine if your surgery would be covered, you would need to consult with a healthcare provider who can assess your situation and provide documentation if necessary.


Recovery Time
Recovery from gynecomastia surgery typically involves a few weeks of downtime. Most patients can return to light activities within a week, but full recovery may take several weeks. During this time, it's essential to follow post-operative care instructions, which may include wearing a compression garment to reduce swelling and support healing.


Seeking Treatment in Pingtung
In Pingtung, you can start by consulting with a general practitioner or a specialist in endocrinology or plastic surgery. They can evaluate your condition and refer you to a qualified plastic surgeon if surgery is necessary. It's advisable to seek out a surgeon who has experience specifically with gynecomastia procedures.


Conclusion
Gynecomastia can be a challenging condition, especially for young men. However, there are effective treatment options available in Taiwan, including surgical interventions that can significantly improve your quality of life. If you're considering surgery, consult with a healthcare provider to discuss your options, potential costs, and whether your procedure may be covered by health insurance. Remember, you are not alone in this, and many young men face similar challenges. Seeking help is the first step toward feeling more comfortable in your body.

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