Gynecomastia is basically a condition of enlarged or over-developed breasts in men which can occur at any age. This condition is often the result of obesity, heredity, hormonal changes or due to usage of certain drugs. Gynecomastia can often cause emotional discomfort & impair self confidence of the person. Many men suffering from this condition also found to avoid certain physical activities & intimacy simply because they want to hide their condition.
Gynecomastia is characterized by the Following Features
- Excessive localized fat
- Excessive development of glandular tissue
- Excessive breast skin in some cases
- Unilateral (single breast) or bilateral (both breasts) presence of Gynecomastia
What is Male Breast Reduction or Gynecomastia Surgery?
Gynecomastia or Male Breast Reduction Surgery is designed to reduce size of the male breast alongside flattening & enhancing chest contours. Weight of excessive breast tissue may sometimes cause male breasts to sag & stretch the dark skin surrounding the nipple (areola) in severe cases of Gynecomastia. Position & size of the areola can also be surgically improved & excessive skin removed in such cases with the help of male breast reduction surgery. Gynecomastia plastic surgery which is meant to correct Gynecomastia conditions is clinically known as Reduction Mammaplasty.
Good Candidates for Gynecomastia Surgery
Good candidates for Gynecomastia surgery include the following.
- Men, whose Gynecomastia condition cannot be corrected with alternative medical treatment procedures.
- Healthy males who are not having any life-threatening illnesses or medical conditions which can impair the healing process following surgery.
- Males who are non-smokers & are not using drugs.
- Men having positive outlook & specific goals in mind towards improving physical symptoms of their Gynecomastia problem.
- Men who are relatively normal in weight & physically healthy.
- Men who are having realistic expectations from male breast reduction surgery.
- Matured men whose breast development has stabilized.
- Men who are concerned about feeling that their breasts are large in size.
Adolescents may benefit from Gynecomastia surgery, but then secondary procedures may also be required in future in case breast development continues following male breast reduction surgery.
Initial Consultation for Gynecomastia Surgery
Patients must be prepared to discuss the following during initial consultation for Gynecomastia surgery.
- Surgical goals of the patient.
- Drug allergies, medical conditions & medical treatments involving the patient.
- Current medications, herbal supplements, vitamins, tobacco, alcohol & recreational drugs including steroids which the patient is taking.
- Previous surgeries which the Gynecomastia patient has undergone.
Gynecomastia surgeons may also take the following steps.
- Evaluate the general health of Gynecomastia patients & look for any pre-existing risk factors or health conditions.
- Perform diagnostic tests which are essential to determine underlying causes of Gynecomastia in patients. This may also include testing of the endocrine function.
- Examine patient’s breasts & take detailed measurements of breast shape & size, along with quality of skin & placement of areolas & nipples.
- Take photographs of patient’s breasts for medical records.
- Discuss the range of options which the patient has.
- Recommend an effective course of treatment.
- Discuss likely outcomes from Gynecomastia correction surgery along with any risks & potential complications which are associated with the procedure.
- Discuss use of the type of anesthesia which will be employed for the surgical procedure.
Questions Patients Can Ask the Gynecomastia Surgeon
Gynecomastia patients must make sure to ask as many questions as they can think of. However, following is a checklist of questions which patients can take with them during initial consultation. It is extremely important that patients understand all aspects of the Gynecomastia surgical procedure. It is also quite natural that patients feel some anxiety, either as excitement for the anticipated new look or due to preoperative stress. Nevertheless, it would be sensible as to not feel shy about discussing their feeling with the plastic surgeon.
Use this checklist as a guide about asking questions to the Gynecomastia surgeon during initial appointment.
- Are you a medical agency certified plastic surgeon?
- Are you specifically trained in the field of plastic surgery?
- How many years of training have you undergone for plastic surgery?
- Which are the hospitals in which you are having privileges to perform Gynecomastia surgery?
- Are these hospital facilities accredited by a national or state recognized accrediting agency or is it Medicare- certified or state-licensed facility.
- Am I a good candidate for Gynecomastia surgery procedure?
- What is expected of me so as to obtain the best results of Gynecomastia surgery?
- How & where will you perform my Gynecomastia surgery procedure?
- Which Gynecomastia surgical technique is recommended in my case?
- What is the duration of recovery period that I can expect?
- What type of help will I need during my recovery period?
- What risks & complications are associated with my Gynecomastia surgery procedure?
- How will my complications, if any, be handled?
- What options do I have in case I am dissatisfied with outcome of my Gynecomastia surgery?
- Can you show me before & after photographs of Gynecomastia procedures that you have performed in the past?
- What results would be reasonable from my Gynecomastia surgery?
Preparing for Gynecomastia Surgery
- Lab testing procedures or medical evaluation of the patient.
- Taking certain medications or adjusting current medications by the doctor.
- Quit smoking.
- Avoid taking medications like aspirin, herbal supplements & anti-inflammatory drugs as they increase chances of bleeding.
Success & safety of Gynecomastia procedures most often depend upon complete candidness displayed by the patient during initial consultation. Gynecomastia patients will be asked a number of questions regarding their health, desires & lifestyle habits. Gynecomastia surgery patients must make sure that they arrange for someone to drive them back home following surgery & to stay with them for at least the first night after the operation.
Gynecomastia Surgery Procedure
Male breast reduction surgery operation involves the following steps.
- Anesthesia – Medications are normally administered to patients during the Gynecomastia surgical operation. Options for anesthesia during this procedure include intravenous sedation & general anesthesia. However, the plastic surgeon will recommend which is the best option in individual cases.
- Liposuction Technique – This is usually employed in cases where Gynecomastia is primarily resulting from excessive fatty tissue. Only liposuction techniques are most useful in such cases. This procedure involves insertion of cannula, which is a thin hollow tube, through several small incisions made on the operation site. Cannula is then moved back & forth in a controlled motion so as to loosen excessive fat which is subsequently removed from the body with help of vacuum suction. Various liposuction techniques are used for this purpose & the most appropriate technique in each case will be defined by the operating surgeon prior to undertaking Gynecomastia surgery.
- Excision Technique – Excision techniques for Gynecomastia surgery are normally recommended when breast tissue or excessive skin is required to be removed as correction for Gynecomastia. Excision is also necessary when areola is to be reduced or when the nipple is expected to be repositioned in order to provide a more natural male contour to chest. Incision patterns in excision techniques for Gynecomastia often vary depending upon specific conditions & surgical preferences of the patient & the plastic surgeon.
- Combination of Liposuction & Excision Techniques – In some cases Gynecomastia is also treated using both liposuction & excision techniques.
Results of Gynecomastia Surgery
Results of male breast reduction surgery are immediately visible. Post-surgical swelling will resolve over time & incision lines will also fade. Satisfaction with the newly found self image will continue to grow as patients recover from the operation. Final results of Gynecomastia surgery will emerge over the next few months after the procedure. Although incision lines from the surgical intervention are permanent, they will however continue to fade over time.
Scars Following Gynecomastia Surgery
All types of surgical treatments employed to correct Gynecomastia will invariably require incisions. Although doctors make it a point to conceal all incision lines within natural contours, some of these may however be visible & are necessary as resulting from male breast reduction surgery. All scars resulting from Gynecomastia surgery are permanent including even those which may be concealed within natural contours of breast. Nevertheless, improved upper body contours of Gynecomastia patients are most likely to enhance their self image & confidence, irrespective of whether they wear a shirt & tie, t-shirt or even when they bare their chest at beaches. Practice of medicine or surgery is not considered an exact science. There is no guarantee even though good results are expected from Gynecomastia surgery. In certain situations it may not be possible for Gynecomastia patients to achieve optimal results with a single surgical procedure. Another surgical intervention may invariably necessary in the following circumstances.
- Patients requiring additional tightening or repositioning of breasts.
- Cases where complications may occur & which require treatment.
Recovery from Gynecomastia Surgery
Dressings or bandages will be applied on Gynecomastia surgery incisions & an elastic bandage or support garment may be utilized so as to minimize swelling & support the new chest contour while healing after surgery during the recovery period. A small & thin tube may also be temporarily placed under skin in order to allow drainage of excessive blood or fluid which may collect. Gynecomastia surgery patients are given specific instructions which may include caring for drains & the surgical site. These instructions will also include medications which are required to be applied or taken orally so as to aid healing & reduce potential for infection. Patients are also advised to look out for specific concerns at the surgical site & in general health & as to when they should follow-up with the plastic surgeon.
Questions Patients Must Ask Plastic Surgeons Following Gynecomastia Surgery
Gynecomastia surgery patients must make it a point to ask specific questions to plastic surgeons about what they can expect during their individual recovery period. Some pertinent questions which patients can ask are listed below.
- Where will I be taken to after my Gynecomastia surgery is complete?
- Which medications will be given to me or prescribed after Gynecomastia surgery?
- Will my surgical site be dressed or bandaged after surgery?
- In case I have bandages, when will they be removed?
- Will my stitches be removed & when?
- When will I be able to resume normal activity & exercise following Gynecomastia surgery?
- When will I have to return for follow-up care?
However, it is very important for Gynecomastia surgery patients to follow plastic surgeon’s instructions & return for follow-up visits as scheduled. Final results of this procedure are permanent in most cases. But then in cases where Gynecomastia resulted from using certain drugs including steroids, prescription medications or weight gain, these patients must stay completely free of these substances & remain at stable weight in order to maintain the results they have derived from Gynecomastia surgery. Patients must also ensure that they discuss this with their doctors before making any changes to medications which were prescribed for them.
Recovery at Home Following Gynecomastia Surgery
Gynecomastia surgery patients experiencing chest pains, shortness of breath or unusual heart beats must seek immediate medical attention. In case any of these complications are found to occur, they may require additional treatment & hospitalization as well. It is essential for the patient to follow the doctor’s instruction for the success of Gynecomastia surgery. It is very important for patients to make sure that surgical incisions are not subjected to motion, abrasion, swelling, or excessive force during the time of healing. Plastic surgeons will give specific instructions to Gynecomastia surgery patients as to how to care for them.
Risks & Complications Following Gynecomastia Surgery
Decision to undergo Gynecomastia surgery is extremely personal & therefore patients will have to eventually decide if benefits can achieve goals they have in mind & if risks & potential complications of this procedure are acceptable to them. However, patients wanting to undergo this procedure will have to sign a consent form which ensures that they fully understand this procedure & are also aware of risks & complications associated with this surgical intervention.
Gynecomastia surgery is found to include the following risks.
- Reactions to glues, suture materials, tapes, injected agents or topical preparations
- Risks of anesthesia
- Blood clots
- Hematoma – bleeding
- Breast shape & contour irregularities
- Breast asymmetry
- Changes in breast or nipple sensation which may be temporary or permanent
- Poor wound healing
- Persistent pain
- Infection
- Seroma – fluid accumulation
- Fat Necrosis – death of fatty tissue found in breast
- Deep Vein Thrombosis
- Pulmonary & cardiac complications
- Damage to deeper structures including lungs, muscles, blood vessels & nerves. This can sometimes occur & may be temporary or permanent in nature.
- Unfavorable scarring
- Possibility of Revisional Surgery
Above risks & others are normally fully discussed by plastic surgeons with Gynecomastia patients while seeking their consent. It is therefore very important that patients address their questions directly with the plastic surgeon.
Affordable Gynecomastia Surgery Cost in India
India is home to some of the most affordably high quality of medical procedures around the world. Healthcare infrastructure in this country is robust & has gradually evolved to where it stands over the last few decades. Featuring some of the most talented & skilled doctors & surgeons serving a vast chain of internationally accredited hospitals, most medical procedures in India are low cost including cosmetic treatments. Moreover, many plastic surgeons in the country are globally reputed & have initially trained & experienced in developed western countries like UK, Canada & United States before returning to practice in their homeland. They are therefore well aware of emerging trends & are adept at handling latest technologies.
Avail Low Cost Cosmetic Treatments with HealthYatra
HealthYatra is a globally reputed online medical tourism company which is based in India. It is one of the fastest growing healthcare service providers in South Asia. They are offering a wide spectrum of affordable medical procedures for international patients. Extensive variety of seamless services offered by HealthYatra begin with the first telephonic conversation with the patient & move on to identifying the best doctor or surgeon & the most appropriate hospital facility for treatment in consultation with the patient. Other services offered by this company include assistance in obtaining medical visas for the patient & his/her accomplice, warm reception at airport when the patient arrives for treatment, convenient local travel options, comfortable accommodation in budget hotels, luxury hotels or serviced apartments as per the patient’s budget, scheduling appointments with doctors & surgeons for treatment procedures without any waiting period, choice of an exotic recuperative vacation at reasonable costs, follow-up evaluation checks at the hospital & a warm farewell sendoff at the airport when the patient decides to head back home.
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