Man in 30s finally gets relief from teenage bilateral gynecomastia
Rating 7/10 for emotional & physical impact of enlarged male breasts on his daily life, Mr S finally sought help to address his teenage bilateral gynecomastia.
Table of Contents
Patient's Profile
Mr S, a man in his mid-30s working in administration, has been experiencing bilateral breast enlargement, or gynecomastia, since his early teens.
Background
Despite losing a significant amount of weight during his National Service (NS), he continued to experience a condition that left him highly self-conscious about his appearance. Mr S rated the emotional and physical impact of his male chest enlargement as a 7 out of 10, which affected not only his confidence but also his daily activities.
Over the years, he tried to manage the issue through weight loss and exercise, but despite his efforts, the enlarged chest remained. Mr S felt stuck; no matter what he did, the condition wouldn’t go away. It wasn’t just the physical appearance that troubled him; the emotional toll it took on his self-esteem was particularly challenging, especially in social situations.
In early 2024, after receiving a recommendation from a friend who had successfully undergone gynecomastia surgery with Dr Ivan Puah, Mr S decided to come in for an evaluation.
Consultation & Assessment
During the consultation, Dr Puah diagnosed Mr S with Grade III gynecomastia, noting that he exhibited moderate skin laxity (Type 4/5). The excess breast tissue and fat had blurred the natural border of the pectoral muscles, giving his chest a rounded and somewhat feminine appearance.
Mr S's nipple had descended below the pectoralis border due to the skin laxity, resulting in a horizontal fold across his chest. Dr Puah explained that gynecomastia surgery would be the most effective option to permanently address this issue. The main goals of the surgery would be to remove the excess male breast tissue and fat, tighten the skin, and define the chest. He emphasised the importance of creating a natural-looking masculine chest by flattening the area without over-thinning it, as this could lead to an unnatural appearance.
The objective was to achieve a well-proportioned, V-shaped chest that Mr S could confidently display in fitted shirts. After careful consideration, he decided to proceed with the gynecomastia surgery. Dr Puah clearly explained the potential side effects, complications, and expected results to the patient. Blood tests were then conducted to ensure that he was fit for surgery.
Treatment Plan
The procedure was planned to take place at an accredited Day Surgery Centre under twilight sedation, a safer option than general anaesthesia. Mr S's vital stats were carefully monitored throughout the surgery.
The procedure was scheduled to take place at an accredited Day Surgery Centre using twilight sedation, which is generally a safer alternative to general anesthesia. Throughout the surgery, Mr S's vital signs were carefully monitored.
Dr Ivan Puah's 360° Glandular Tissue Dissection (360°GTD®) technique for gynecomastia surgery offers a refined approach to achieving a masculine chest. This method effectively addresses loose skin that has stretched over time, ensuring that the skin fits more snugly around the pectoral muscle, resulting in a more defined and athletic appearance. The incision is strategically placed low on the areola, making it almost invisible even early in the recovery process.
Excess chest fat was removed using Dr Puah's MDC-Sculpt® Lipo Technique. The surgery aimed to eliminate excess fat and tissue while carefully sculpting and defining the chest contours, ultimately providing Mr S with a more masculine and athletic-looking chest. With Dr Puah's proprietary surgical methods, patients can expect a flatter chest and improved definition, all while keeping scarring to a minimum. This technique is ideal for men seeking long-lasting results from their gynecomastia treatment.
Post-Op Recovery & Results
Mr S experienced minimal bruising and soreness after the surgery. His stitches were removed after 10 days, and Dr Puah advised him to wear a compression vest continuously for the next 8 weeks to aid in skin tightening and recovery.
The results were noticeable immediately following the surgery, and as the swelling gradually decreased over the next three months, Mr S's chest continued to improve. He also made a conscious effort to apply scar gel and sunblock on his scars whenever he was exposed to the sun. Over time, his incision scars healed well and became less noticeable.
Medical Disclaimer: Due to strict regulations from the Ministry of Health Singapore, licensed healthcare practices are not allowed to show and share before-and-after photos or videos in the public domain or through any form of push technology. "Before-and-after" or only "after" treatment visuals may be shown to patients privately during in-clinic consultation with Dr Ivan Puah.
Our patient narratives aim to provide valuable insights into individual experiences with our clinic's treatments; however, it is imperative to acknowledge the inherent variability in results. While the information shared is genuine and reflects the real journeys of our patients, it does not purport to be representative of typical outcomes, nor does it serve as a guarantee of similar results for all individuals.
Each patient's response to treatment is contingent upon a myriad of factors, including, but not limited to, their level of commitment, lifestyle choices, and medical history. It is essential to recognise that patient narratives are illustrative examples of potential outcomes and should not be construed as predictive of specific results. We advise a consultation with our doctor for comprehensive guidance tailored to individual circumstances.
