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The Controversy: Exercise vs Surgery; the best treatment of gynecomastia?

Gynecomastia - also known as man boobs- occurs in cases whereby males develop large masses of breast tissue. It is extremely widespread in India, both in teenagers and adults. The causes may be puberty hormones, genes, obesity, or some drugs. Male gynecomastics can be self-conscious and shun tight-fitting garments or swimming. The real issue is; Can it be remedied by exercise, or can surgery solve it?


Is this good exercise and loss of weight?

It depends on the cause. The enlargement of the chest may be caused by the large amount of fat or glands.

Pseudogynecomastia (fat-related): In the case of mainly-fat chest, losing weight will help. Exercises and a good diet will help to minimize the total fat including the chest. Bench presses and push-ups strengthen the muscle of the chest and make them tighter. Other men reduce their chest enormously as a result of becoming slimmer.

True gynecomastia (gland-related): In the event that you have some firm glandular tissue beneath the nipple, then no amount of exercise will help to eliminate it. Gland tissue cannot be burnt off through working out. Actually, closer chest muscles are able to push the gland out further to cause the bulge to protrude. Exercise is therefore only the way to enhance health and muscle tone but it will fail to counter gland-related gynecomastia.

Besides, weight loss is a long process and even after achieving normal weight many men are left with an obstinate lump. The presence of puffy nipples or cone-shaped chest even after shedding off the weight is a common sign of real gynecomastia.


What Does Surgery Involve?

Gynecomastia surgery helps to remove the fat and the gland tissue to offer a flattened and masculine chest. It is normally a combination of liposuction (fat) and excision (removal of the gland).

The process is painless, fast, and prevalent in India. It is performed in 112 hours with local anesthesia and sedation, or general anesthesia. To subtly remove tissue, surgeons normally produce a small opening along the edge of the areola. Liposuction can be performed with the same or minute side cuts. The patients wear compression vests during a few weeks after surgery. In days, desk work can be done and then workouts will begin in 4-6 weeks.

Effects are irreversible - once the gland and fat are lost, it is forever unless one gains a lot of weight or is suffering hormonal problems. Scars dissipate with passing time and they are normally minor. Such risks as bleeding or swelling occur with unskilled surgeons.


Which Option Is Best?

Consider these factors:

Weight: In case you are overweight, attempt to lose the weight by first shedding it. Chest size can sometimes go a long way, and the surgeon would want you to lose excess weight before conducting an operation.

Peculiarities of the chest: The area beneath the nipple has a hard disk, indicating the presence of gland tissue that can be removed only with the help of the operation.

Age: Mild puberty gynecomastia can clear out in teenagers, although adults who develop these cases early typically require surgical treatment.

Confidence: In the cases when the problem touches on self-esteem and continues to exist when workouts are over, then the obvious solution is surgery.


Final Word

The most common combination of these two usually works best: workout to be fit and healthy and a surgery when the glandular tissue has not been removed. Gynecomastia is extremely widespread and not something to be embarrassed about. Every year thousands of Indian men are treated. It does not matter whether you prefer workouts, surgery, or both, the desired outcome is comfort and confidence in your own skin.