Gynecomastia: Causes

In gynecomastia, breast tissue enlarges abnormally, affecting the body’s proportions and often causing discomfort, insecurity, or low self-esteem.
While it can occur at any age, it is most common during puberty and adulthood.

Common Causes:

• Hormonal imbalance between estrogen and testosterone

• Fat accumulation in the chest area

• Obesity, which increases estrogen levels

• Certain medications or anabolic steroids

• Genetic factors or health conditions that affect hormone production

Maintaining a healthy lifestyle and proper medical evaluation can help determine the cause and the most effective treatment approach.

Ideal Candidates for Gynecomastia Surgery

Enlarged breast tissue in men can cause physical discomfort and emotional distress.
Gynecomastia surgery is suitable for men who are in good overall health and have adequate skin elasticity for reshaping.

You may be a good candidate if you:

• Feel uncomfortable or self-conscious about your chest appearance

• Have not achieved improvement through diet or exercise

• Are not overweight but still have large or puffy breasts

• Experience pain, tenderness, or tightness in the chest

If you want to restore a flatter, firmer, and more masculine chest, schedule a consultation with Dr. Paulo today to discuss your personalized treatment plan.

Gynecomastia Treatment Procedure

Choosing an experienced plastic surgeon ensures the safest and most effective results.
The exact surgical technique depends on the type and severity of gynecomastia.

Common Techniques:

1. Liposuction

For patients with fat-based gynecomastia and good skin elasticity, liposuction is often the best approach.
A thin metal cannula is inserted through a small incision in the chest to remove excess fat and contour the area.

2. Glandular Tissue Excision

When there is excess glandular tissue, a small incision is made to surgically remove the gland.
This approach provides a flatter, firmer chest contour and long-lasting results.

3. Combination Approach

In many cases, liposuction and excision are combined to achieve optimal chest definition and symmetry.

The procedure usually takes 2–3 hours and is performed under general anesthesia or local anesthesia with sedation, depending on the case.

Post-Surgery Recovery

Recovery from gynecomastia surgery is relatively quick and smooth when post-operative instructions are followed carefully.

General Recovery Guidelines:

• Most patients return to normal activities within 2 weeks

• Avoid strenuous physical activity for 4–6 weeks

• Compression garments may be worn to reduce swelling and support healing

• Temporary swelling, bruising, or tightness are normal and will subside gradually

• Scars are small and fade over time, becoming nearly invisible

Gynecomastia Treatment FAQs

How Long Will the Results Last?

When performed by an expert like Dr. Paulo, results are long-lasting and typically permanent, as the removed tissue does not grow back.
Maintaining a healthy weight and hormonal balance helps preserve your results.

What is the Cost of Gynecomastia Surgery in Dubai?

The cost depends on factors such as surgical technique, complexity, and surgeon’s expertise.
Dr. Paulo’s experience ensures that patients receive the safest, most natural results with the highest aesthetic standards.

What are the Risks Involved in Male Breast Reduction?

Gynecomastia surgery is safe and effective, but as with any surgery, minor side effects may occur:

• Temporary swelling or bruising

• Mild discomfort or numbness

• Rarely, scarring or temporary loss of sensitivity
  All risks are discussed in detail during consultation to ensure informed decision-making.

How Long is the Recovery Period?

The surgery takes approximately 2–3 hours.
Most patients can resume daily activities after 2 weeks, while heavy workouts should be avoided for 2–3 months, depending on the surgeon’s advice.