Gynecomastia(Correction of enlarged male breast)

Gynecomastia Surgery is about Reduction of Enlarged Male Breasts and Removal of gynecomastia glands by Surgical procedure.

Gynecomastia treatment is more for psychological reason as it takes away the confidence owing to female like breasts. Without treatment the constant feel of inadequacy leads to loss of self confidence and self esteem. Ultimately the person becomes shy, frustrated and introvert.

Gynecomastia

Gynecomastia Problem

Moreover the existing excessive breast tissue is prone to develop problems like female breasts. Studies have revealed that men with gynecomastia have about a fivefold greater risk for developing male breast cancer when compared with the general population. It is believed that the gynecomastia itself is not a precancerous condition, but rather that the hormonal changes (relative increase in estrogens, lower levels of androgens) that produce gynecomastia in adult men also increase their risk of developing breast cancer.

Gynecomastia in Delhi Planning

You are advised to consult for detailed examination and treatment plan. Those who are from out of town or abroad can consult online by sending query.

It is appreciable to reveal any medical condition if you are having any. You may be asked to get investigated accordingly. If some hormonal disturbance is suspected then you may get advised to undergo hormonal assay.

In a male with gynecomastia who is otherwise healthy, usually there is no need of investigations except few required for anesthesia purpose.

The surgical Facility for Gynecomastia in Delhi at Olmec

At Olmec we have dedicated well equipped operation theater with sate of art facilities. The center is exclusively dedicated only to Plastic surgery procedures.

Gynecomastia-marking-in-delhi

The Anesthesia For Gynecomastia

The procedure is usually carried out under general anesthesia (you will not feel anything as you will be sleeping during the procedure. This can be carried out under local anesthesia (with or without sedation) also.  Dr. Narendra Kaushik along with the anesthetist will discuss these options with you.

Gynecomastia-Liposuction Gynecomastiadelhi-Liposuction

Gynecomastia Liposuction is Being Done

Gynecomastia in Delhi Procedure

The excessive fat is removed with state of art latest liposuction techniques(tumescent/vaser). This entails a very small incision to allow entrance to fine suction cannula usually through a concealed area.

Once the fat is out..the disc of the gland is taken out by making a small incision in lower half of areola at the natural border of skin and areola. This small incision is closed with extremely fina dissolvable sutures. The dressing is applied (the dressing will be invisible under your shirt).

In that sense the procedure can practically be described as stitch and scarless  as the resultant small scars become practically invisible with time.

After the procedure

You may feel mild pain/discomfort after the procedure that is well controlled with medicines. This is a day care procedure and you go to your house in the evening. If you have undergone general anesthesia then it is preferable not to drive yourself.

Gynecomastia-glands-removed

Glands Removed From Both Side

If you feel the need to stay you may stay overnight.

You will need to wear a pressure garment (that is like inner garment and is not visible through your shirt) on the same day or after 3 to 4 days of the procedure. This is to help you out to get the skin in shape and swelling to settle down. The garment needs to be worn for about 2 to 3 weeks.

Gynecomastia-Pressure Garment

Gynecomastia-Pressure Garment

You will be permitted to walk around for routine activities from next day onward.

The strenuous activities like vigorous exercises should be avoided for about 4 weeks, though light exercises and sexual activities can be resumed after one or two weeks depending on your feel of well being.

The Final Result/benefit

The gynecomastia treatment has been found to give most satisfying results among all cosmetic surgeries.  Getting rid of breasts not only gives a well shaped masculine chest but also results in Tremendous boosting in self confidence. A shy and depressed personality gets changed by this simple and safe procedure to a healthy confident one. Moreover with obvious reasons you are getting rid of increased chances of developing breast cancer owing to getting rid of breast tissue.

After-Gynecomastia

Front View-After Gynecomastia

The expert Cosmetic surgeon Dr. Narendra Kaushik performs it with ultimate perfection and there are no complications and post-operative problems after the procedure.

Revision/corrective for those who were unhappy with treatment done outside

It is not so uncommon to see the patients who have undergone unsuccessful gynecomastia treatment outside. DR Narendra Kaushik has performed corrective surgeries for hundreds of these patients helping them to come out of the agony of feeling of persistent concern about the residual disease and cosmetic deformity.

The corrective procedures are.

    1.  Persistent/residual gynecomastia is due to insufficient removal of fat and gland. This needs re-treatment in the form of liposuction and excision of gland to get rid of the excessive tissue completely to avoid recurrence.
    2.  Residual Gland: This is due to left over glandular tissue. Usually this is felt like a lump/swelling below and around the areola. The treatment is excision of gland and this is permanent.
    3.  Puffy /asymmetrical Nipple: This is a common occurrence. Usually this is due to residual gland under the nipple. On an off nipple enlarges like female nipple. The treatment is thinning out the undersurface of nipple along with excision of residual gland.
    4.  Loss of nipple/areola: The nipple can be reconstructed with ultrafine plastic reconstructive procedures.
    5.  Scarring due to previous surgeries can be improved either with lasers or can be  revised surgically.
    6.  Depression in the area of areola or chest.
      1. Staic -this is seen when the muscle (pectoralis) is relaxed. This may require treatment if it bothers cosmetically.
      2. Dynamic -this is seen only when the muscle is active (likewhile lifting the arm).This is usually less bothering to the patient and usually does not need treatment.

Corrective procedure for the depressed area are

      1.  Fat grafting
      2.  Dermo-fat grafting
      3.  Use of fillers.

Please note that Gynecomastia treatment is completely safe and gratifying provided that it is done by qualified and certified Plastic Surgeon.

At Olmec in the hands of MCh Plastic Surgeon Dr Narendra Kaushik (certified by International Board of Medicine and Surgery) we have carried out thousands of  gynecomastia treatment procedures with hundred percent satisfaction rate not only for those coming first time but also for those who were unhappy by their procedures done somewhere else. Plastic and Cosmetic surgeon Dr. Narendra Kaushik performs the procedure with ultimate perfection and dedication aiming that there are no complications and post-operative problems after the procedure.

Gynecomastia in Brief

Duration of Procedure: 1-2 hrs

Anesthesia: General / local with sedation.

Recovery Tim: Back to work in 2 – 5 days. Strenuous activites Should be avoided for inital 4- 6 weeks. You may need to wear a pressure garment for 2 – 4 weeks.

Longevity of Results: Permanent. It does not recur.

 Gynecomastia in Delhi FAQ

Q:1  What Is Gynecomastia?

Ans: Gynecomastia is the enlargement of male breasts as a result of an abnormal increase in glandular and/or fatty tissue. The term derives from the Greek words “gyne” meaning associated with women and “mastos” meaning breast. In true Gynecomastia the tissue present is histologically breast tissue. In pseudogynecomastia, the tissue is fatty in composition. Mixed Gynecomastia is a combination of the two.

       Most patients with either kind of Gynecomastia attending OLMEC coming to Dr Narendra Kaushik pursue treatment because of embarrassment by their feminine appearance and cosmetic embarrassment.

Q:2 What is the incidence and age distribution?

Ans: Gynecomastia is quite common affecting an estimated 40-60 % of men in varying degrees.

          Gynecomastia typically present in three different age groups:  neonates, pubertal boys and adult men between the ages of 50 and 80 years. Gynecomastia in delhi needs treatment in the form of liposuction in all except neonates where it is transient owing to affect of maternal hormones.

Q:3 What is the cause of Gynecomastia?

Ans: Male Breast gets Enlarged when there is a relative imbalance of hormones estrogen and testosterone during a certain period of life. During this, the imbalance leads to enlargement of breasts and later even if the hormonal balance is out, Gynecomastia that is enlarged  glands akin female breasts persist.

          In Majority of Patients (about 25%),the disorder is idiopathic(cause not known) in origin. Exogenous medications (long term use of medicines like ketaconazole, ranitidine, rifampicin, isoniazid etc) may be a causative factor in 10-20 % of all these patients.

The majority of middle aged or older men who present to the Plastic Surgeon for treatment of Gynecomastia are overweight, whereas the younger population May have Gynecomastia even if they have normal weight. Many patients especially bodybuilders have been found to have gynecomastia owing to excessive use of anabolic steroids.

Q:4 Why I need Treatment and what is the Treatment?

Ans: Having large breasts is probably one of the highest psychological embarrassment. Actually men with Gynecomastia present to Plastic Surgeon owing to this persistent, embarrassing breast enlargement.

          The treatment is liposuction (tumescent liposuction gives extremely rewarding results) with gland excision.

Q:5 Can Exercise treat Gynecomastia?

Ans: NO,  doing exercise/gym cannot treat Gynecomastia. instead, exercise will  lead to increase in size of underlying muscle (pectoralis major) that can lead to relative in size of gynecomastia.

As per a study by DR Narendra Kaushik, most of the patients agree that exercise has not at all helped them for gynecomastia.

Q:6 Prior to surgery What work up do I need?

Ans: If the disease has persisted for a long period and patient is asymptomatic, laboratory investigations (including hormonal workup) is usually not fruitful and etiology may be disregarded in healthy patients. If clinical picture indicated then you may be advised to undergo certain hormonal investigations.

Minor blood investigations may be advised for anesthesia point of view.

Q:7 What type of Anesthesia is used for Gynecomastia treatment?

Ans: The procedure will be done under general anesthesia (you will be totally unaware during the procedure and will become once the procedure is over). In other words you will not feel any pain or sensation during the procedure.

Q:8 What shall I expect on the day of procedure. What does Gynecomastia surgery involve?

Ans: Prior to the procedure, Dr Narendra Kaushik will discuss the procedure along with proceedings to make you feel absolutely comfortable. The protuberant area will be marked with marking pen. The more lateral fat deposits like below the axilla (including tail of breast), are also marked if present.

The state of art liposuction is used to remove the fatty tissue, using fine cannula.

 The firm discrete gland present under the nipple is removed by a small incisors made at lower border of areola. The incision is closed with dissolving type of extremely fine sutures and hence stitches do not need to be removed. After the procedure a firm dressing is applied to keep the skin in shape.

Q:9 How long does the surgery take?

Ans: The Gynecomastia surgery typically takes 1-3 hours depending on the individual patient.

Q:10 Can I go Home on the same day?

Ans: Yes.  At Olmec, owing to the modern state of art liposuction treatment available which is minimally invasive (practically stitch less and atraumatic), most patients can go home on the same day of procedure. However you may stay in the hospital for one or two days if you feel a need to stay especially if you are out of Town.

Q:11  What can I expect from Gynecomastia Surgery?

Ans: Gynecomastia is one of the best rewarding surgery with excellent results without any side effects. This gives tremendous boost up in your self esteem. After the surgery you get a flatter, firmer and better contoured masculine chest. The treatment is permanent and gynecomastia will not come again.

Actually few studies have indicated that gynecomastia surgery is number one cosmetic surgery in terms of most satisfying results and it takes away a  major burden (of constant feeling of feminine component in you) from your mind.

Q:12  What are the side effects?

Ans:  The gynecomastia surgery is safe with no side effects provided It is done by qualified Plastic Surgeon.

The  minor unlikely complications like temporary fluid collection, loosening of stitches may occur, which settles down very fast. Some patients develop numbness which usually settled in few weeks to months.

At Olmec we rarely encounter these things owing to meticulous and dedicated treatment.

Q:13 Will the surgery have Scarring?

Ans: Gynecomastia in delhi at Olmec is  scar less surgery. The procedure involves a minor incision and the minor scar along the border of areola  becomes practically  invisible over the time.

Q:14 What precautions do I need to take after operation?

Ans: Usually there are no special precautions.

      • You need to wear a pressure garment(it is vest like undergarment and will not be visible through shirt) for about 2-4 weeks. This is recommended to help the skin to gain natural shape.
      • Routine activites/office duty can be started within a week.
      • After 4 to 6 weeks you can do exercises without any restrictions.

Q:15 Will skin be hanging after Gynecomastia surgery?

Ans Usually in male chest the skin gets redraped nicely after liposuction. To enhance the retraction of skin you will be advised to wear a pressure garment (it is vest like undergarment and is not visible with normal shirts) for about 2-4 weeks. Minor insignificant asymmetry of skin may occur in very large long standing Gynecomastia and usually doesn’t cause any concern. If so (though very rarely), minor touch up procedures may be needed.

Q.16 . I have undergone treatment of gynecomastia, still I feel large breasts and puffy nipple areola. What should I do?

Please note that if gynecomastia treatment is not done properly then not only skin but the fat and gland component persists and excessive skin and nipple still look protuberant. Specially on anf off puffiness of nipple and areola remains a concern and indicates residual gynecomastia.

 At Olmec Dr Narendra Kaushik receives many such patients who have undergone unsuccessful treatment somewhere else. He has performed many secondary gynecomastia corrective procedures thus making these patients feel tremendously confident who were more depressed especially after previous unsuccessful surgery.

Q:17 Is the procedure is Painful?

Ans:  No. Procedure is done under general anesthesia and patient is unaware during the operation.

After operation you will be prescribed painkiller and antibiotics for a few days (5-7 days) to get rid of minor discomfort

Gynecomastia Surgery in Delhi

 


Olmec’s Gynecomastia surgery in Delhi

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