Gynecomastia
IN DELHI
Gynecomastia, casually known as “man boobs,” is a typical condition in men and boys. In this condition, breasts expand and become more extensive in size. It is mainly seen in infants, young men during puberty and older age. This word is derived from the Greek word Gynae means woman, and masters, means breast.
For most men, Gynecomastia can be a significant issue as it can cause a lot of social embracement and humiliation. Men feel humiliated because of their appearance of female-like breasts. Boys or men affected with Gynecomastia try to gather, events, and take showers in pools. Boys who go to school avoid participating in athletics activities such as in any case they have to take off their t-shirt. 66% of males are affected with Gynecomastia during puberty, and sometimes it is also seen persists until essence.
At AWISH clinic, Gynecomastia surgery is being done by our Gynecomastia specialist using the world’s most advance and recent technique, which is hi-def VASER liposuction.
What is the cause of Gynecomastia in men?
Hormone imbalance between the sex hormones estrogen and testosterone is the leading cause of Gynecomastia. As estrogen (female hormone) hormone causes breast tissue development, testosterone (male hormone) suppresses breast tissue growth. When the level of estrogen hormone increases, the growth of breast tissue occurs in males. Obesity, steroids, certain medicines, hyperthyroidism are some other causes of Gynecomastia.
What are the components of Gynecomastia?
The Gynecomastia or man boobs consists of two main components
- Fatty tissue – which is soft.
- Glandular tissue – which is thick and dense.
- The proportion of glandular to fatty tissue differs from patient to patient. In people with Gynecomastia, there may be two types of tissues.
What are the types of Gynecomastia?
Gynecomastia is usually of two types:
- True Gynecomastia: Due to proliferation of ducts and periductal tissues.
- Pseudo Gynecomastia: Due to deposition of adipose tissue or to the presence of an excessive amount of skin.
Treatment of Gynecomastia
The gynecomastia treatment in males also known by various names Male boobs surgery, male boob reduction, male breast treatment. Men boob gynecomastia reduction surgery, man boob surgery, man boob reduction, men boob reduction surgery. Male breast reduction surgery, puffy nipple treatment in men, Gynecomastia liposuction, gynecomastia removal, Gynecomastia surgery, gynecomastia reduction, gynecomastia operation, Gynecomastia surgery
Gynecomastia surgery is done under local or general anesthesia under the following steps:
- In Gynecomastia surgery, the first marking is done from where all the abundance fat and glandular breast tissue are removed.
- After that, anesthesia is administered. It can be either local or general. The selection of anesthesia depends on the variety and grade of Gynecomastia, obesity, underlying medical conditions.
- A tiny incision is being made near the nipple-areolar region, and a VASER probe is being inserted for breaking fat and fibrous tissue. Fat and fibrous tissue is damaged and by ultrasonic cavitation, and a proper contour of the whole chest is given.
- When no fat is seen to be coming out from the area, then suction is being stopped.
- The extra glandular breast tissue is being removed by enlarging incision. After the surgery, only a small scar is visible, which gradually goes away with time.
What are the precautions you have to take after Gynecomastia surgery?
After surgery, a small dressing is done over the chest, and a pressure garment is applied to reduce inflammation and maintain your new chest shape as it heals. Some of the precautions which you have to take following your Gynecomastia surgery are:
- You can take a bath the next day after the procedure, and after that, no dressing is applied. The sutures will be removed around 10 to 14 days.
- You will be prescribed seven days course of antibiotics and analgesics after the procedure.
- You can resume regular activity once you are comfortable doing movements. Mostly 1 or 2 days’ rest is enough to recover.
- You can start exercise after 1 or 2 weeks once you are satisfied.
- You have to avoid driving for the first 24 hrs and, if possible, accompany a person with you.
When will you see the final result of the procedure?
After the surgery, there will be a small scar that will not be at all visible. The spot will heal within six months, and after that, it will not be visible. Within a month after surgery, you will start seeing the change in shape and breast size reduction.
What are the safety and risks of Gynecomastia surgery?
The procedure is entirely safe, and there is no chance of coming back again. The side effects after the gynecomastia procedure include
- Swelling
- Bruising at some part of the chest
- Pain and Discomfort
- Numbness
These are temporary and will resolve within 7 to 10 days after the procedure. To reduce these side effects, you have to wear compression garments for the first two months.
Cost of Gynecomastia
Gynecomastia surgery cost mainly depends on the type and grade of Gynecomastia. Some other factors on which Gynecomastia surgery cost depends are the:
- The technique of liposuction used
- The gland is needed to be excised or not
- Type of anesthesias used during the procedure
- Choice of Anaesthesia administered
- Charges of the anesthetics
- Type of compression garment used
- Location of the clinic
- Whether the patient stay is needed or not
- The facilities provided after the surgery
Gynecomastia FAQ
Q: Am I a suitable candidate for male breast reduction?
Overall, the best candidates for breast reduction are:
- Mature enough to fully explain the procedure
- Experiencing discomfort and social interference due to breast enlargement,
- Having good skin elasticity.
- Knowledgeable about the process.
- In good psychological and physical health.
- Prepared to attempt diet and exercise as primary options,
- Desiring to improve their appearance and comfort,
- Realistic in their expectations.
- Not a heavy user of alcohol.
- Non-smokers or prepared to stop smoking during the healing process.
Q: At what age can you go for Gynecomastia surgery?
Usually, 18 years is the recommended age for surgery, but in some cases, the patient can go for surgery before this age also.
Q: What results can I expect?
The result of Gynecomastia surgery is determined. The more you prepare yourself by taking care of nutrition, diet, and exercise, the better and early you will appreciate the change in shape. We are liposuction with the VASER technique, which targets only the fat we can give full sculpted chest with gland removal.
Q: What are the risks of Gynecomastia surgery?
Usually, a scar in the lower part of the areola is generally inconspicuous. The surgery of Gynecomastia doesn’t leave any significant visible scar after complete healing of the incision site.
Q: What kind of scar should I expect?
Usually, a scar in the lower part of the areola is generally inconspicuous. The surgery of Gynecomastia doesn’t leave any significant visible scar after complete healing of the incision site.
Q: Will I have pain that will require medicines?
Usually, pain is least after men’s boob surgery, but since we want to make sure you will be comfortable, we give you a prescription for pain medicine.
Q: What types of anesthesia do you offer?
The treatment of Gynecomastia is done under local anesthesia with some light sedation. After the procedure, you will slightly tired for the first 2 hrs. Then, you can begin the initial sips of water and then some fluids. You can have a light meal at night.
Q: How much time should I get off from work or school?
This depends on the variety of work you do and the size of the male breast reduction procedure. Usually, it’s within 2 to 3 days, but healing time differs for each person and should be considered with your surgeon.
Q: What type of dressing will I have?
A small dressing is prepared around the chest area after your men’s boob reduction procedure which can be removed after two days. You can shower after the dressing’s removal, and after that, no sauce is needed.
Q: What types of anesthesia do you offer?
The treatment of Gynecomastia is done under local anesthesia with some light sedation. After the procedure, you will slightly tired for the first 2 hrs; then, you can begin first sips of water and then some liquids. You can have light food at night.
Q: Will I have a drain?
No drain is kept for the gynecomastia surgical procedure.
Q: Is the surgery that painful?
Assessing pain following surgery is very difficult, for everyone’s threshold for pain is different. Most patients comment that the gynecomastia surgery was nowhere related to as painful or awkward as they considered it would be. Most cases do not have severe pain following VASER liposuction and surgical cutting. The pain is most usually described as mild or minor in nature and severity. Yes, you’ll have a prescript for a pain medicine strong enough to reduce your postoperative aches.
Q: How will my chest look like when the dressings are removed?
At the point when the dressing is evacuated, you’ll be in for a shock. There is frequently wounding, growing, forming from the dressing seasoning, and maybe your cut may release a couple of drops of blood.
Kindly don’t be concerned. Mending is never entirely similar when surgery is performed on the two breasts. Healing takes time and patience. Adhere to the directions concerning what you’re permitted to do and when, and you’ll see them advance over the postoperative period into the ideal shape and size.
Q: Does it take three months to see the final result?
Yes, the final result will appear after three months of surgery. The change in shape and size will be observable around one month time, and after that, the progress continues.
Q: When can I return to usual sports, exercise, or driving a car?
If you’re healing is proceeding as expected, you can return to your routine exercise and sporting activities by one week following your surgery. You should start slowly doing all your activities so that healing should be proper and you should not have much pain. Within few days of the procedure, you can begin driving also.
Q: If my nipples feel uniquely after the surgery, what can be done?
In most cases, nipple sensation becomes normal; time may take more than few weeks to few months.
Q: How long does the surgery take time?
Usually, this procedure takes one to two hours, and once you are comfortable, we will discharge you on the same day.
Q: Will the Gynecomastia come back?
The epithelial element will not return unless you stimulate the tissue with steroids or other drugs, in which case it can become stretched again. The surgery removes most, but not all, of the glandular tissue. We surgically extract the gland and fibrofatty tissue to obtain the best cosmetic outcome.
Q: Can liposuction be done alone?
Yes, liposuction alone can produce a good result, but only if you have pseudo-Gynecomastia. As mentioned earlier, liposuction does not remove glandular tissue and, as such, is not the most effective approach.
Q: Can I drive myself home?
No, you cannot drive yourself home after surgery. You will need assistance for the first 24 hours.
Q: Do I need to lose weight before the procedure?
No, your weight may be a concern of yours, but it will not affect the surgery. If you have pseudo-Gynecomastia (“fatty tissue”), this will naturally reduce weight loss.
Q: Why do I have to use a vest after surgery?
The vest creates compression for the “dead space” formed by removing the glandular and fibrofatty tissue. The skin will adhere to the underlying tissue, and the swelling will be significantly reduced. It is essential to follow instructions regarding wearing the vest after surgery.
*Disclaimer: Plastic Surgery effects can vary from patient to patient.
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