Difference in the size of right or left breast is very common in Gynecomastia. Sometimes right breast may be larger while at other times, left breast may be larger. These variations may be minor or major. The visible asymmetry is not much appreciable if the variations are minor. However, in cases where the asymmetry is very gross, the surgery results may also be not symmetrical for obvious reasons. Extreme asymmetry is seen in a well-developed breast on one side only while the other side is flat. This is called Unilateral Gynecomastia. On the side where the breast is larger, more breast tissue that is fat, glands and skin will be present. Complete symmetry after surgery in such individuals is very difficult to achieve. Natural body responses which lead to skin and tissue shrinkage will be effective only to that extent. Therefore, a person having gross bilateral asymmetry before surgery should not expect complete symmetry on both sides after surgery. Some right-left differences will remain. However, over a period which may be a few years, these differences may reduce further, and acceptable degrees of symmetry may be gained.
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Incidence of Gyno / Gynecomastia is very high. Almost 25-30% of boys suffer from this condition. It can be a very psychologically disturbing condition as boys are supposed to have flat, muscular chest. Breasts are not at all appropriate on boys’ chest.
Sometimes male patients feel they have puffy nipples. Surgery removes the puffy nipples with minimal possible scar. The surgery is outpatient and avoids the large open incisions and scars including free nipple grafting scars that are typical of the traditional techniques. Most patients notice significant flattening of the chest as well as a shrinkage of the often dilated size of the areola. Special compression vests are utilized post-op for good healing. Patients need only a day off of work and can resume full working out and exercise in six weeks. Results are immediate but, improvement continues for about three months.