Gynecomastia
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Take off your shirt
Gynecomastia is a condition of enlarged or overdeveloped breasts in men which can occur at any age.
Gynecomastia is a condition of enlarged or overdeveloped breasts in men which can occur at any age. This condition can occur due to hormonal changes, obesity, can be hereditary ormay occur afterconsumption of few drugs/medicines. Gynecomastia is generally painless and feels like a rubbery mass below the surface of the nipple and can be observed either on one side or both the sides. Although Gynecomastia is painless, sometimes tenderness or sensitivity can be observed in the affected region.
This condition can sometimes reduce your self-confidence and can also cause emotional discomfort. Because of this condition men may avoid certain physical activities to hide it. They avoidwearing T shirts or taking out their shirt / T shirt in front of everyone.
Gynecomastia is broadly classified into two types:
- Primary Gynecomastia appears during puberty and is found in males in the age group of 13-17 years. This generally happens due to hormonal imbalance when an increase in the hormone oestrogen over the hormone testosterone can be observed.
- Secondary Gynecomastia appears in males of any age group and is generally associated with weight gain. This is often also called as pseudogynecomastia.
Grades of Gynaecomastia
- Grade 1: Small enlargement of breast
- Grade 2:Moderate enlargement
- Grade 3: Severe enlargement with little ptosis (means-less skin excess)
- Grade 4:Severe enlargement with severe ptosis (means-more skin excess)
Gynecomastia is an absolutely treatable issue.Gynecomastia surgery or Male Breast surgery reduces thesize of the breasts in men & flattens and enhances the chest contours.During Gynecomastia surgery, the surgeontargets
- excess glandular tissue development
- excess of localized fat
- excess breast skin.
The surgeon removes the excess fat and glandular elements, tightens the skin and reshapes the chest to be in proportion with the rest of the body.
Discussions during a Gynecomastia consultation should include
- The reason why you are opting for the surgery and your desired outcomes.
- Discussion on the desired chest reshaping goals.
- Any past medical conditions or surgeries.
- Any present illness, drug allergies and medical treatments.
- Any on-going supplements
- Alcohol, tobacco intake
A candidate opting for Gynecomastia should fill up these criteria for better results
- Men who think their breasts are bigger than normally how they should be, and they want to improve their physical symptoms of gynaecomastia.
- Men who want to enhance their looks and physical appearance
- You should be physically healthy and preferably anon-smoker. You should compulsorily stop smoking before at least two weeks before the planned surgery.
- You should really know well about what surgery you are planning to undergo.
- You should not have any major chronic illness or medical conditions
- You should be motivated enough to undergo the procedure.
- You should have realistic expectations
Dr Amit Agarwal's focus during consultation
- Examine your chest, excess skin, skin and muscle tone
- Examine your overall health and risk factors
- Discuss the options for your surgery
- Take photographs
- Risk and complications related to surgery
- Tell you about the procedure and the outcome of surgery.
- Combining the gynaecomastia surgery with any other surgery like abdominal etching or liposuction of the abdomen for better results if needed
- Highlight the importance of maintaining a healthy lifestyle even after surgery
Questions to be asked with Dr Amit Agarwal about your surgery
- Are you a good candidate for the procedure?
- How and where will you perform the surgery?
- What are the risks and complications related to the surgery?
- How long will be my recovery period?
- How long do I have to stay at the centre?
- When can I return to work and daily routines?
- What is expected of me to change in my lifestyle to get better results?
- When can I start exercising after the surgery?
Preparations to be done for the surgery
- Consumption of Herbal supplements and anti-inflammatory drugs should be avoided as they can increase bleeding.
- Stop smoking at least two weeks prior to the surgery.
- Get the tests done which are prescribed by Dr Amit Agarwal.
- All pre surgical work up investigations should be shown to the operating surgeon and the anaesthetist, and we will evaluate your fitness for the surgery. You will be given date for the surgery only after you are declared fit for the procedure.
- Compression garment measurement should be given for post-surgical use.
- Admission will be done on the same day at the centre.
- Written consent form will be signed explaining the procedure after the admission.
- Meeting with the anaesthetist for Pre-Anaesthetic check-up before the surgery.
- Nil per oral for minimum of 5-6 hours before the planned procedure
Gynecomastia procedure includes
Gynecomastia procedure includes following steps-
- Anaesthesia: The surgery is usually performed under general anaesthesia except in very few cases where local anaesthesia is advised
- Liposuction: The procedure involves removal of the excess fat and glandular tissues by liposuction technique. Tumescent anaesthesia solution is first infused in the fat tissues under the skin ofthe pre marked area of planned surgery to reduce bleeding, pain and trauma to the tissues.In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. This requires insertion of a cannula, a thin hollow tube, through one small incision below the chest level. The cannula is moved back and forth in a controlled motion to loosen the excess fat, which is then removed from the body by high pressure vacuum suction.
- Trans Nipple or Areolar Excision: If after liposuction, remaining glandular tissue is still prominently present or excess skin requires removal, excision technique is used to give a more natural male contoured chest. Dr Amit Agarwal prefers to use incision over the nipple areafor resection of the gland so that no scar is visible over the chest. In men with highly glandular breasts and very less fat, not amenable to liposuction or for excess skin removal, rarely incision is given on the areolar region for gland and skin excision. Any nipple areolar deformity can also be simultaneously corrected.
Recovery after the surgery
After the surgery, you are made to wear a compression garment to reduce swelling and to support your chest. You will be made to walk on the same or next day of the surgery. You will be discharged on second day of the surgery.
- Single suture will be there mostly below the chest region which will be dissolvable and do not require to be taken off.
- There can be swelling and bruising of the surgical area which usually subsides in 2 to 3 weeks.
- In the days following surgery, there will be pain which can be subsided by the pain killers given by Dr Amit Agarwal.
- Soreness might last for few weeks.
- You will be made to walk 6 hours post-surgery or the very following day, depending on your will and wish.
- You can start exercising after three weeks post-surgery.
- Pressure garment is a must wear for the next 4 to 6 months without gap or fail for almost 24 hours a day.
- You can return to work depending on your will power and the type of work required between 3-6 days.
- You can return to your normal lifestyle after a week of surgery.
Dr Amit Agarwal will give you specific instructions for
- How to take care of the surgical site
- About the medications and how to maintain the general health.
- About your follow ups.
Risk and complications post-surgery
The complications and after maths of the surgery vary from person to person and their physical well-being. Before going for the surgery, you should always understand the risks and potential complications related to surgery. Gynecomastia surgery usually gives desired results but there can be some risks involved which include:
- Rare risks related to General anaesthesia. Anaesthesia is very safe in present times and with best machines and a qualified anaesthetist, chances of encountering any complication is less than 0.1 percent in a healthy individual. We at Kayakriti Plastic Surgery and Dental Centre are equipped with world class anaesthesia workstation, other equipments and two very qualified intensivists for the surgical procedures to be very safe and smooth.
- Seroma formation or fluid accumulation can occur which sometimes persists for a week.
- Rare chances of infection, hypertrophic scar, bleeding and haematoma formation
- Irregular contours, which can be corrected by the use of the pressure garment
- Poor wound healing because of poor blood supply (mostly seen in smokers, people with high BMI, diabetics, hypothyroidism and in people with multiple diseases).
- Numbness or altered skin or nipple sensation can persist for 3-6 months.
- Persistent pain which subsides with time and slight medications.
- Prolonged swelling and skin discoloration which subsides with time.
- Rare event of Deep vein thrombosis, pulmonary or cardiac complications can occur or precipitate in patients with multiple pre-existing diseases diagnosed or undiagnosed by routinely available standard tests and if multiple procedures are done in the same sitting.
- Possibility of revision surgery if the results don't meet your desired expectations.
These are the risks and possible complications which should be discussed by you with Dr Amit Agarwal before the procedure.
The total benefits of Gynaecomastia surgery will be seen after the swelling subsides.
You should always follow a healthy lifestyle to maintain your profile and confidence. It is also very important to maintain a healthy lifestyle to maintain your shape and contour. If you are unable to maintain it or plan an exercise regime, there can be deposits of unwanted fat at other sites other than the surgical. Then probably you may have to go under another surgery
Do's and don't
- You should always discuss any previous surgery or medical condition without hesitation.
- You should always wear pressure garment as it reduces swelling and gives proper shape.
- You should immediately consult your doctor if you have any complication.
- You should always maintain a healthy lifestyle for best and prolonged results.
- You should not get into surgery if you are having any major chronic illness and you should not hide it with your doctor
Frequently Asked Questions
If you have flabby chest or man boobs and you want to improve your looks and confidence then you are a good candidate for it. The answer will be best provided after the first consultation with your doctor.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
You can be sexually active after 3 weeks of the procedure and with a little precaution with your chest.
Effects of gravity and increasing age can alter the shape of the chest little but that is a very slow process.
The scars are very small and usually fade as the time passes by.
Exercise is not a solution to treat gynecomastia. Generally, gynecomastia requires surgery in order to remove the extra breast tissue. Exercise does help treating pseudogynecomastia which is actually the bulge in the chest which men notice after they gain weight or due to obesity.
Gynecomastia Images
Indivisual results may vary from person to person.
These pictures are shown for the purpose of education only.
Shaping dreams through
Know your surgeon better
Best plastic surgeon, Dr. Amit Agarwal is an American Board Certified, extensively trained, and best Plastic & Aesthetic surgeon in Lucknow. He is the Chief Plastic Surgeon heading the Department of Plastic, Microvascular, and Craniofacial surgery at Vivekananda Polyclinic and Institute of Medical Sciences, Lucknow, U.P, India. He maintains a busy practice at Avadh and Nishat Hospital and his own center - Kayakriti Plastic Surgery & Dental Center. He was formerly a Consultant in the Department of Plastic Surgery and Burns at the prestigious SGPGI, Lucknow.
MS, DNB (General Surgery) MCh, DNB (Plastic Surgery),
MNAMS, FACS, FICS, FRCS (Edinburgh, UK)
His Credentials
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Frequently Asked Questions
If you have flat or small breast and you want to improve your breast and hip contour ratio then you are a good candidate for it. The answer will be best provided after the first consultation with Dr Amit Agarwal.
Acute pain will be there for almost a week which gradually reduces and there will be soreness and swelling which may take up to 3 weeks to subside.
You can join your work and daily routines after a week of the procedure and can start exercising after 3 weeks of it.
Yes, you have to wear it round the clock unless we suggest you to remove it.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
This surgery does not affect the ducts or the areas of the breast involved in milk production. Thus, it does not affect the breast feeding.
Kayakriti Plastic Surgery & Dental Center
D-43, Near Punjab National Bank, Rajajipuram, Lucknow, Uttar Pradesh - 226017, India
Phone No. +919695940009, +919695940006
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