Gynecomastia

Gynecomastia is enlargement of the male breast caused by an imbalance in hormones estrogen and testosterone. Physiological gynecomastia may be observed in new born boys, pubertal teenage boys and older men because of natural hormonal changes. Pathological enlargement may occur in some other diseases due to hormonal imbalance like genetic factors, obesity, medications like anabolic steroids, chronic alcoholism and drug addiction.

3 Simple Steps to Gynecomastia

01

Consultation

After thoroughly discussing about your concerns, our team of surgeons will examine your chest region for the grade of gynaecomastia, excess amount of fat and skin, nature of the gland, size of the areola, and any asymmetries.

03

Tests

You will be advised to undergo same blood tests for checking your fitness for surgery and to rule out other causes of gynaecomastia (hormonal tests).

02

Documentation

Sometimes, the doctors might examine your other body parts like testis to rule out other sources of the disease.Your chest area will be photographed in various angles for documentation and academic purposes

In men with predominantly fatty breasts, liposuction alone may be considered. In most of the cases, a combination of liposuction (for removing excess fat) and open surgery (for removing fibrous tissue) is required to achieve satisfactory results. In men with grade 3 or grade 4 enlargement, staged procedures give the ideal result. Some patients with extremely large breast, might require surgery similar to female breast reduction with visible scars.

Post Operative Care for Belly Button Reshaping

Immediately after the surgery

Your pain and discomfort will be addressed by analgesics. You will be advised to wear a compression garment or surgical bra 24/7 for a period of 4-6 weeks. This aids in reducing the swelling and gives you more comfort.

The weeks that follow

You will be advised to follow lymphatic massages starting in the 2 nd week to be continued till 6 weeks. These exercises help you reduce the swelling, knotting and achieve better contours.

Full recovery timeline

You may resume work in 2-3 weeks time from your surgery. Scar modulation creams may be recommended for softening the scars. Lymphatic massages once the suture line is dry which improves the breast contours. It may take 3 months for one to appreciate the final results.

Post Operative Recovery

Patients may experience pain, bruising, swelling for the initial 5-8 days after surgery. You may return back to your work in 4 – 10 days depending upon the complexity of the surgery and type of your professional work.

FAQ

If you are a male person who have crossed the teenage years and suffering from enlarged breasts on one side or both sides, causing social embarrassment (not allowing to wear a fitting T-Shirt or to take off the shirt in front of others), then you may consider gynaecomastia surgery.

Antiestrogen medication may be considered in selected patients with hormonal imbalance. If the medical management fails, surgery is the only option to be considered.

Our team of surgeons have enough experience to ensure and provide you
restore natural and masculine chest which is firm, that is better contoured
and aids in boosting your self-esteem and confidence.

As with any other surgical procedures, gynaecomastia is associated with
risks like bleeding, infection, seroma (fluid collection), haematoma (collection
of blood), temporary loss of sensations, scarring, asymmetry and
unsatisfactory results, although they are very rare in our experience.

The excess fibro fatty gland tissue and excess skin area once removed are going to be permanent. You need to maintain a healthy lifestyle to make the results long lasting and permanent. Significant weight gain, steroid abuse and other hormonal conditions may lead to recurrence and fatty gynaecomastia.

  • If you are planned to manage with liposuction only (fattygynaecomastia especially in elderly people) you may find only 5mm long liposuction cannula access site scars in the hidden areas.
  • If a combined liposuction with subcutaneous mastectomy is planned, you may expect an additional scar at the junction of areola and skin at the lower hemi-circumference which is barely visible.
  • If a male breast reduction is planned for you (in case of huge breast with excessive skin) you may expect visible scars around and below the areola. With strict adherence to scar management protocol in the post-operative period, you may expect the scars to fade away in 6 months to 1 year time.

You may be able to see the results immediately after the surgery but, you can perceive the final result after 6 weeks’ time once the swelling, and bruising subsides and scars fade away.

In elderly people with predominantly fatty breasts, exercise might reduce the size of the breasts to some extent, but in people with more fibrous tissue (young patients), surgical removal of the breast is the only solution. You may need to continue the healthy lifestyle and exercise regimen to make the results long lasting.

The pricing various based on the grade of the gynecomastia condition and the procedure. Check with our patient co-ordinator for more details.

FAQ

  • Abdominal etching is a high definition liposuction procedure that helps to sculpt and enhance the appearance of waistline and create six-pack abs. Instead of removing fat from your midsection with the simple goal of a slimmer appearance, abdominal etching removes fat deposits in an advanced and strategic way. This type of liposuction moulds and shapes the abdominal wall so that the ab muscles look more prominent and attractive.
  • The best candidates for abdominal etching are men and women in relatively good shape, with mild to moderate amount of abdominal fat. People with large amounts of abdominal fat aren’t suitable for 6 pack liposuction as it results in an unnatural appearance. The ideal candidate for abdominal etching is a healthy person who doesn’t smoke, has no life threatening health conditions, and doesn’t have obesity. Abdominal etching works best for people who are less than 30 percent over their ideal body weight, with healthy muscle and skin tone. Your age and your skin’s elasticity should also be considered when being realistic about the results of abdominal etching.
  • Abdominal etching is similar to traditional liposuction in that the preparation for surgery, recovery time, and requirements for the procedure are very similar,  but there’s one important distinction. It is considered a form of advanced or 3-D liposuction where the fat deposits that cover your abdominal muscles are carefully carved off your body, using small incisions usually based around your belly button deepening the natural grooves in your body and make your ab muscles appear much more prominent. Fat deposits may also be taken from the sides overlying your oblique abdominal muscles to narrow your midsection. When the swelling subsides and the area heals, you should see a visibly toned midsection. Abdominal etching only targets your waistline and midsection. Instead of artistically removing the fat between muscle prominences, the etching literally creates a fake 6 pack appearance by removing such a pattern from the fat over the muscles giving the appearance of a 6 pack where there is none. 
  • Common side effects after a liposuction procedure like abdominal etching include: nerve and blood vessel damage, skin discoloration, bumpy skin or irregular healing, swelling, fluid accumulation, anesthesia bruising or headaches. Almost all of them are temporary and settle down in few days.
  • After 4 to 5 months, you’ll be able to see the full results of your abdominal etching procedure. As swelling subsides and your skin begins to adhere to its new shape, you should be able to see your abs more visibly and a tighter, more toned-looking midsection.
  • Abdominal etching claims to produce permanent results, with some caveats. Weight gain and pregnancy can erase the results of this procedure. Also, the natural aging process of your body means that eventually your abs might not be as defined and visible as they are right after the procedure. So, maintenance in the form of strict healthy diet and exercise is the secret for long lasting results after abs etching surgery.
  • The incisions are very minute and will be placed in the natural creases, making them less noticeable and usually fade over a period of time.
  • Yes, this can be combined with gynaecomastia surgery in men and breast or buttock surgery in women. But, tummy tuck (abdominoplasty) can’t be combined with abdominal etcing because, it compromises the blood supply to the skin flaps resulting in skin necrosis.

 4D body contouring combines VASER liposuction and removes  unwanted fat throughout the torso and reveals the muscle tone beneath using specialized cannulae (fat removal instruments) that can reduce fat around the ab muscleswith greater precision, allowing us to better sculpt an attractive shape. 

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