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Visit plastic surgery clinic in Kandy, Sri Lanka. 0776 300 580. Gynecomastia comes at a high emotional cost. Gynecomastia causes more pain and suffering than any other problem in plastic surgery, and possibly in all of medicine. It has a wide range of impacts. While some men (usually older men) may be only mildly affected, others (usually younger men) may be completely distraught and even suicidal. According to the patient's perspective, patients with grade 4 gynecomastia frequently experience these emotions. Gynecomastia has been a problem for some time, but it appears to be getting worse. He was more embarrassed by his chest than by the wrinkles on his face. Hopeless feeling is well aware of the term "gynecomastia," but has resisted seeking treatment. With his hunched shoulder and neck posture and his hands on his hips, he was always ripping the shirt off his chest. The head and eyes have been lowered. unwilling to make direct eye contact. He will not remove his shirt in front of others, is depressed and helpless, and avoids small children. wears baggy, elderly attire. Warning signs from the spouse! Observe. Are the aforementioned behaviours worsening? Have activities all but vanished? Are diets and exercise becoming obsolete? Has he purchased compression clothing to wear beneath his shirts in order to conceal his chest? Is he embarrassed when you see him without a shirt on? Is he uncomfortable with hugs? Is your sexual health failing you? Is he depressed, hopeless, or irritable? call us - 0776 300 580