Male Gynecomastia: Laser Treatment vs. Surgery Options - Breast and Thyroid

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Gynecomastia


Hello Dr.
Wu, I would like to ask if gynecomastia in males can be treated with laser therapy, or is surgery the only option? If surgery is necessary, what is the approximate cost? Will there be any complications or scarring after the procedure?

fan nao, 10~19 year old female. Ask Date: 2010/11/18

Dr. Wu Jingtang reply Breast and Thyroid


Hello: 1.
Currently, laser treatment for gynecomastia in males is not available; the usual management involves surgical excision or liposuction.
2.
Patients often request surgery due to aesthetic concerns, psychological factors, or pain, and the National Health Insurance does provide coverage, so it may not necessarily be out-of-pocket.
3.
The size of the incision varies, but it is usually made along the edge of the areola, resulting in minimal scarring postoperatively; liposuction is suitable for more severe cases and involves smaller incisions.
Wishing you peace and health.
Sincerely, Dr.
Wu Ching-Tang, Attending Surgeon, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2010/11/18

More Info


Gynecomastia, the enlargement of breast tissue in males, can be a source of significant psychological distress and social embarrassment. The condition can arise from various factors, including hormonal imbalances, certain medications, and underlying health issues. When it comes to treatment options, both laser therapy and surgical intervention are available, each with its own set of advantages and considerations.

Laser Treatment for Gynecomastia:
Laser treatment for gynecomastia is a minimally invasive option that utilizes laser energy to target and reduce excess breast tissue. This method is often preferred by patients who are looking for a less invasive approach with minimal downtime. The laser works by breaking down fat cells and tightening the surrounding skin, which can lead to a more contoured appearance. However, it is important to note that laser treatment is generally more effective for cases of gynecomastia that are primarily due to excess fatty tissue rather than glandular tissue.
One of the main advantages of laser treatment is that it typically results in less scarring compared to traditional surgical methods. The recovery time is also shorter, allowing patients to return to their normal activities more quickly. However, the effectiveness of laser treatment may not be as pronounced in cases of significant glandular tissue enlargement, and some patients may require additional procedures or a combination of treatments to achieve their desired results.

Surgical Options:
Surgery remains the most definitive treatment for gynecomastia, especially in cases where there is a significant amount of glandular tissue present. The most common surgical procedure is called gynecomastia excision, which involves the removal of excess breast tissue through an incision. In some cases, liposuction may also be used to remove fatty tissue, particularly if the gynecomastia is primarily due to fat accumulation.

The cost of gynecomastia surgery can vary widely depending on several factors, including the surgeon's experience, the complexity of the procedure, and the geographic location of the surgery. On average, patients can expect to pay anywhere from $3,000 to $8,000 for the procedure. It is essential to consult with a qualified plastic surgeon to get a detailed estimate based on individual circumstances.

As for potential side effects, surgical intervention does carry risks, including scarring, infection, and changes in nipple sensation. Scarring is often a concern for patients; however, skilled surgeons aim to place incisions in discreet locations to minimize visible scars. Most scars will fade over time, but they may not completely disappear.
Postoperative Considerations:
After surgery, patients may experience swelling, bruising, and discomfort, which can be managed with prescribed pain medication. Recovery typically takes a few weeks, during which patients are advised to avoid strenuous activities and follow their surgeon's postoperative care instructions closely.

In conclusion, both laser treatment and surgical options are viable for addressing gynecomastia, with the choice largely depending on the specific characteristics of the condition and the patient's preferences. For those with significant glandular tissue, surgical excision is often the most effective route. It is crucial to have a thorough consultation with a healthcare provider to discuss the best treatment plan tailored to individual needs and to understand the potential risks and benefits associated with each option.

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