Gynecomastia Surgery is about the reduction of enlarged male breasts. It is also known as removal of gynecomastia glands by the surgical procedure.
Gynecomastia treatment is more for a psychological reason. It takes away the confidence owing to female-like breasts. The constant feel of inadequacy leads to loss of self-confidence and self-esteem. The person becomes shy, frustrated and introvert.
Moreover, the excessive breast tissue is prone to develop problems like female breasts. Studies revealed that male with gynecomastia faces a greater risk of developing breast cancer. when compared with the general population, Gynecomastia itself is not a precancerous condition. The hormonal changes like increase in oestrogens, decrease in levels of androgens. These changes produce gynecomastia in adult men. This also increases the risk of developing male breast cancer.
Gynecomastia Surgery Planning Delhi
It is advisable to consult for detailed examination and treatment plan. Those who are from out of town or abroad can consult online by sending a query.
If you have any medical condition, reveal it to your surgeon. Based on that we will perform medical examinations and investigations. If the reports suspect some hormonal disturbance then you may 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.
Surgical facilities at Olmec
At Olmec, we have dedicated well-equipped operation theater with state of art facilities. Dr. Kaushik devotes Olmec to only plastic surgery procedures.
Anesthesia for Gynecomastia
Surgeons perform gynecomastia under general anesthesia. It is also done under local anesthesia (with or without sedation). Dr. Narendra Kaushik along with the anesthetist will discuss these options with you.
Gynecomastia Procedure Delhi
Surgeons remove excess fat with state of art latest liposuction techniques (tumescent/vaser). This entails a very small incision to allow entrance of fine suction cannula. It is usually done through a concealed area.
Once the fat is the out, we remove the disc of the gland by making a small incision in the lower half of areola. We remove this disc at the natural border of skin and areola. The small incision is then closed with fine dissolvable sutures. We apply dressing after the completion of surgery. The dressing will be invisible under your shirt.
We can describe the procedure as stitch and scarless. Small scars become invisible with time.
You may feel mild pain/discomfort after the procedure. It is well controlled with medicines. This is a day care procedure and you go to your house in the evening. If you have undergone gynecomastia under general anesthesia. Then it is preferable not to drive yourself.
If you feel the need to stay you may stay overnight.
You will need to wear a pressure garment on the same day or after 3 to 4 days of the procedure. The pressure garment is like an inner garment and is not visible through your shirt. This is to help you out to get the skin in shape and swelling to settle down. You have to wear the garment for about 2 to 3 weeks.
From the next day onward, we can permit you to walk around of routine activities.
You have to avoid strenuous activities like vigorous exercises for about 4 weeks. After one or two weeks depending on how you feel. you can resume light exercises and sexual activities.
The Final Result/Benefit
The gynecomastia treatment gives most satisfying results among all cosmetic surgeries. Getting rid of breasts gives a well shaped masculine chest. It also results in Tremendous boosting in self-confidence. A shy and depressed personality gets changed to a healthy confident one. Moreover, You get rid of increased chances of developing breast cancer.
The expert Cosmetic surgeon Dr. Narendra Kaushik performs it with ultimate perfection. There are no complications and postoperative problems after the procedure.
It is common to see the patients who have undergone unsuccessful gynecomastia treatment. DR Narendra Kaushik has performed corrective surgeries for hundreds of these patients. Helping them to come out of the agony of a feeling of persistent concern about the residual disease and cosmetic deformity.
The corrective procedures are.
- Persistent/residual gynecomastia is due to an insufficient removal of fat and gland. This needs re-treatment in the form of liposuction. An excision of the gland is also required for removal of the excess tissue to avoid recurrence.
- Residual Gland: This is due to left over glandular tissue. Usually, this feels like a lump/swelling below and around the areola. The treatment is excision of the gland.
- Puffy /asymmetrical Nipple: This is a common occurrence. Usually, this is due to residual gland under the nipple. On an off nipple enlarges like a female nipple. The treatment is thinning out the under-surface of the nipple. Moreover, excision of the residual gland is also made.
- Loss of nipple/areola: Dr. Kaushik also reconstructs the nipple with ultra-fine plastic reconstructive surgery.
- We Improve scarring due to previous surgeries either with lasers. Sometimes scar removal surgery can also remove scarring.
- Depression in the area of areola or chest.
- Static -You see it when the muscle (pectoralis) is relaxing. This may need treatment if it bothers.
- Dynamic – You see it only when the muscle is active (like while lifting the arm). This is usually less bothering to the patient and usually does not need treatment.
- Fat grafting.
- Dermo-fat grafting.
- Use of fillers.
Please note that Gynecomastia treatment is completely safe and gratifying. if qualified and certified Plastic Surgeon does it.
we have carried out thousands of gynecomastia treatment procedures. Plastic and Cosmetic surgeon Dr. Narendra Kaushik performs the procedure with ultimate perfection. He dedicates himself in aiming that there are no complications and post-operative problems.
Gynecomastia in Brief
Duration of Procedure: 1-2 hrs
Anaesthesia: General / local with sedation.
Recovery Time: Back to work in 2 – 5 days. You have to avoid strenuous activities for initial 4- 6 weeks. You may need to wear a pressure garment for 2 – 4 weeks.
Gynecomastia in Delhi FAQ
What is Gynecomastia?
Gynecomastia is the enlargement of male breasts. This results in the abnormal increase in glandular and/or fatty tissue. The term derives from the Greek words. “Gyne” meaning associated with women and “mass” meaning breast. In true Gynecomastia the tissue present is breast tissue. In pseudo-gynecomastia, the tissue is fatty in composition. Mixed Gynecomastia is a combination of the two.
Most patients with either kind of Gynecomastia. who attends OLMEC and coming to Dr. Narendra Kaushik. They pursue treatment because of embarrassment by their feminine appearance and cosmetic embarrassment.
What is the incidence and age distribution?
Gynecomastia is quite common affecting an estimated 40-60 % of men in varying degrees.
Gynecomastia is present in three different age groups. These are 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 for neonates where it is transient owing to the effect of maternal hormones.
What is the cause of Gynecomastia?
Male Breast gets Enlarged due to the relative imbalance of hormones oestrogen and testosterone. It happens during a certain period of life. During this, the imbalance leads to enlargement of breasts. Later if the hormonal balance is out, Gynecomastia glands akin female breasts persist.
In Majority of Patients (about 25%), long term the disorder is idiopathic (cause not known) in origin. Exogenous media long-term use of medicines may cause gynecomastia. The medicines like ketoconazole, ranitidine, rifampicin, isoniazid etc are the causative factor in 10-20 % of all patients.
The majority of middle-aged or older men who are present for the treatment are overweight. The younger population may have gynecomastia even if they have normal weight. Many patients especially bodybuilders have gynecomastia owing to excessive use of anabolic steroids.
Why I need Treatment and what is the Treatment?
Having large breast is one of the highest psychological embarrassment. Men with Gynecomastia present to surgeon owing to this persistent, embarrassing breast enlargement.
The treatment is liposuction (tumescent liposuction gives rewarding results) with gland excision.
Can Exercise treat Gynecomastia?
No, doing exercise/gym cannot treat Gynecomastia. Exercise will lead to increase in size of the underlying muscle. This will lead to the relative increase in the size of gynecomastia.
Most of the patients agree that exercise has not at all helped them for gynecomastia.
Before surgery What work up do I need?
If the disease has persisted for a long period. If the patient is asymptomatic, laboratory investigations are usually not fruitful. We may ignore etiology in healthy patients. If clinical picture indicates then you will undergo certain hormonal investigations.
we may advice minor blood investigations for anesthesia point of view.
What type of Anaesthesia is used for Gynecomastia treatment?
Surgeons do this procedure under general anesthesia. You will be unaware during the procedure and will become conscious after the procedure. In other words, you will not feel any pain or sensation during the procedure.
What must I expect on the day of the procedure. What does Gynecomastia surgery involve?
Before the procedure, Dr. Narendra Kaushik will discuss the procedure along with proceedings. This will make you feel comfortable. Dr Kaushik marks the protuberant area with marking pen. The more lateral fat deposits like below the axilla (including a tail of breast) are also marked if present.
We use state of art liposuction to remove the fatty tissue, using fine cannula.
We remove the firm discrete gland present under the nipple by small incisors. Dr. Kaushik makes this incisor at the lower border of the areola. The surgeon closes the incision with a dissolving type of fine sutures. Hence there is no need to remove sutures. After the procedure, Dr. Kaushik applies a firm dressing to keep the skin in shape.
How long does the surgery take?
The Gynecomastia surgery takes 1-3 hours depending on the individual patient.
Can I go Home on the same day?
At Olmec, owing to the modern state of art liposuction treatment available which is invasive (stitchless and atraumatic). Most patients can go home on the same day of the procedure. Yet, 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.
What can I expect from Gynecomastia Surgery?
Gynecomastia is one of the best rewarding surgery with excellent results without any side effects. This gives a tremendous boost up in your self-esteem. After the surgery, you get a flatter, firmer and better contoured masculine chest. The treatment satisfying and gynecomastia will not come again.
Actually few studies have indicated that gynecomastia surgery is number one cosmetic surgery. It gives most satisfying results. It takes away a major burden (of a constant feeling of the feminine component in you) from your mind.
What are the side effects?
The gynecomastia surgery is safe with no side effects. if a certified and qualified plastic surgeon does it.
The minor complications like the temporary fluid collection, loosening of stitches may occur. But it settles down very fast. Some patients develop numbness which usually settles down in few weeks to months.
At Olmec, we rarely encounter these things owing to meticulous and dedicated treatment.
Will the surgery have Scarring?
Gynecomastia in Delhi at Olmec is scarless surgery. The procedure involves a minor incision. The minor scar along the border of areola becomes invisible over the time.
What precautions do I need to take after an operation?
Usually there are no special precautions.
You need to wear a pressure garment. It is vest like undergarment and will not be visible through the shirt. you have to wear it for about 2-4 weeks. Pressure garment helps the skin to gain natural shape.
You can start routine activities/office duty after a week.
After 4 to 6 weeks you can do exercises without any restrictions.
Will skin be hanging after Gynecomastia surgery?
After liposuction, the skin gets redraped nicely in the male chest. To enhance the retraction of skin you should wear a pressure garment. Minor insignificant asymmetry of the skin may occur in very large long-standing gynecomastia. Usually, it doesn’t cause any concern. If so (though very rarely), Maybe we will need minor touch up procedures.
I have undergone treatment of gynecomastia, still, I have large breasts and puffy nipple areola. What should I do?
Please note that if gynecomastia treatment is not done right. Then not only the skin but the fat and gland component persists. The excessive skin and nipple still look protuberant. Especially on an off puffiness of nipple and areola remains a concern. It also indicates residual gynecomastia.
At Olmec, We receive many patients who have undergone unsuccessful treatment somewhere else. Dr. Kaushik observes and performs many secondary gynecomastia corrective procedures. These patients feel confident after corrective gynecomastia surgery.
Is the procedure is Painful?
The procedure is not painful. The surgeon performs this surgery in general anesthesia. During the operation, the patient is unaware of it.
After the operation, Dr Kauhsik will prescribe you painkiller and antibiotics. You have to take them for few days (5-7 days) because of minor discomfort
Glenn D. Braunstein, M.D.
The New England Journal of Medicine | 357;12 | september 20, 2007
Classification and Surgical Correction of Gynecomastia
SIMON BERNARD E. M.D.; HOFFMAN, SAUL M.D.; KAHN, SIDNEY M.D.
Plastic and Reconstructive Surgery: January-January 1973 – Volume 51 – Issue 1 – ppg 48-52
Gynecomastia: Clinical evaluation and management
Neslihan Cuhaci, Sefika Burcak Polat, Berna Evranos, Reyhan Ersoy, and Bekir Cakir
Indian J Endocrinol Metab. 2014 Mar-Apr; 18(2): 150–158.
Gynecomastia as a Physical Finding in Normal Men
FRANK Q. NUTTALL
The Journal of Clinical Endocrinology & Metabolism, Volume 48, Issue 2, 1 February 1979, Pages 338–340, https://doi.org/10.1210/jcem-48-2-338
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