Hello doc. I am 21 years old. I am 5.9 height and 87 kg. I find myself to be obese. And I always become tired and disinterested towards any work. I cannot concentrate on any work and studies as well. I keep thinking about many things and find myself in a state of confusion always. However,I am very weak and too flabby. I feel like I suffer from gynecomastia. Bit worried Any reasons for what could be the problem. Suggestions are respected.

Dr. Prakash ChhajlaniCosmetic/Plastic Surgeon38yrs exp

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Male breast or gynecomastia reduction. Is one of the most frequently performed office surgeries and we are the pioneers in central india since last 30 years. To the best of our knowledge no medicines or creams work to decrease the breast size. Gynecomastia is treatable by surgery. There is no medical treatment. It is a one day out patient surgery with very gratifying results. It boosts self esteem also. The Dr. Can examine and tell you what is the problem, gynacomastia has a breast tissue and a fat component. No one wants surgery unless it is necessary. There is no medication which can give the results. Surgery is the only answer. The surgery is almost painless because there are enough medications to keep the pain under control. We need to examine the patient to know what is wanted and what can be done and to work out how much, when, where, etc we need to examine the patient to know what is wanted and what can be done and to work out how much, when, where, it can be a day care surgery or 1 day hospital stay. There is no bed rest but 3-5 days are required for recovery and 10 days for full recovery. In 3 weeks you can go the the gym. Gynacomastia is not a disease but excess response to hormones. If it does not bother you you don't have to get it removed. As long as the breast size is big it is taken as gynacomastia which could be because of more fat or more breast tissue or a mixture of the two. Wait till 18 years of age and then if not resolved look for surgical treatment. Hot or cold weather can change the nipple size. 

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