Mild Gynecomastia: Causes, Treatment Options, and Costs

Mild gynecomastia

Hello Dr.
Lu, I have mild gynecomastia and I have some questions to ask you.

1.
If there are no hard lumps when I press on my chest, is it correct to say that it is fatty gynecomastia?
2.
Can fatty gynecomastia be eliminated through fat loss? Is it possible to avoid surgery?
3.
If surgery is necessary, would you recommend going to a large hospital like Veterans General Hospital or to a plastic surgery clinic?
4.
What is the approximate cost of surgery for mild gynecomastia, and if I choose a lower-priced option, are there any risks involved?

Jianshen Nan, 20~29 year old female. Ask Date: 2019/10/09

Dr. Lü Mingchuan reply Plastic Surgery

Hello; 1.
A clinical reassessment visit may be necessary.
2.
Fat reduction occurs throughout the body and cannot be targeted for localized elimination.
However, at 22 years old, you may still experience natural changes due to puberty, although the likelihood is low.
3.
It is recommended to go to a hospital where anesthesia equipment is more advanced; a large hospital may be too busy, so consider a regional public hospital's plastic surgery department.
4.
Depending on the type of surgery, costs can range from $20,000 to $100,000, with both cheaper and more expensive options carrying some risks.

Reply Date: 2019/10/09

More Info

Understanding mild gynecomastia is essential for those experiencing this condition, as it can affect both physical appearance and psychological well-being. Let's address your questions one by one.

1. Understanding Fatty Gynecomastia: You mentioned that pressing on your chest does not reveal any hard lumps, suggesting that your condition may be classified as fatty gynecomastia (pseudogynecomastia). This is indeed a common form of gynecomastia where excess fat accumulates in the breast area without the presence of glandular tissue. It is essential to differentiate between true gynecomastia, which involves glandular tissue enlargement, and fatty gynecomastia, which is primarily due to excess fat. Your observation aligns with the characteristics of fatty gynecomastia.

2. Can Fatty Gynecomastia Be Reduced Through Weight Loss?: Yes, in many cases, fatty gynecomastia can be improved with weight loss. If the excess breast tissue is primarily due to fat, losing weight through a combination of diet and exercise may help reduce the size of the breasts. However, it is important to note that if there is a significant amount of glandular tissue involved, weight loss alone may not completely resolve the condition. Therefore, a comprehensive approach that includes lifestyle changes is often recommended.

3. Surgical Options: If you find that lifestyle changes do not yield the desired results, surgical options are available. When considering surgery, it is generally advisable to choose a reputable facility or hospital, such as a major medical center, where experienced surgeons can perform the procedure. This is particularly important if you have any underlying health concerns or if the gynecomastia is more pronounced. Specialized plastic surgery clinics can also provide excellent care, but ensure that the surgeon is board-certified and has experience in performing gynecomastia surgeries.

4. Cost of Surgery and Risks: The cost of gynecomastia surgery can vary widely depending on the location, the surgeon's expertise, and the complexity of the procedure. In the United States, the average cost can range from $3,000 to $8,000. Choosing a lower-cost option may seem appealing, but it is crucial to consider the potential risks involved. Lower prices may indicate less experienced surgeons or facilities that do not meet the same standards of care. Complications from surgery can include infection, scarring, and dissatisfaction with the aesthetic results. Therefore, it is essential to prioritize quality and safety over cost.

In summary, mild gynecomastia can often be managed through lifestyle changes, particularly weight loss if the condition is primarily due to excess fat. However, if surgical intervention is necessary, it is crucial to choose a qualified and experienced surgeon to minimize risks and ensure satisfactory results. Always consult with a healthcare professional to discuss your specific situation and explore the best options for you.

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