Gynaecomastia Surgery

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Gynecomastia is a very frustrating condition faced by many men in Bangalore and India. This can be easily resolved by gynecomastia surgery performed by expert liposuction specialists.

Gynaecomastia or man boobs is an abnormal swelling of breast tissue in men. Normally, breast tissue including the glandular tissue is not developed. In some individuals, due to various causes, this tissue can enlarge and become visible. This tissue has two components:

  • Fatty tissue: This is soft and made up of fat cells
  • Glandular tissue: This is firm and made up of enlarged glands and fibrous tissue.

Is Gynaecomastia/manboobs dangerous?

Gynaecomastia is not dangerous per se, and does not adversely affect your health. However, gynaecomastia causes much social embarrassment, and psychological stress as these young men are not able to wear tight-fitting dresses, visit public gyms, swimming pools, religious ceremonies which need disrobing of the upper clothes etc. Young men in hostels are often at the receiving end of jokes and ridicule. These people try to hide gynaecomastia by wearing loose clothes, but severe grades are difficult to hide.

Gynecomastia treatment | Bangalore plastic surgeon | Venkat Center India

What causes gynaecomastia?

The most common cause of gynecomastia is puberty. Men also have breast gland tissue like women, but in most men, it doesn’t develop. In some individuals, due to hormonal changes at puberty, these glandular tissues are activated and they grow in size.

Gynecomastia can occur due to other hormonal abnormalities. There are several drugs which also cause hormonal changes and gynaecomastia. It is important to be seen by a qualified surgeon to rule out any underlying condition causing it for long term results.

What are the stages of gynaecomastia?

There are various classifications for gynaecomastia. One of the most popular ones is the following:

Gynaecomastia Surgery 2

The stages are shown along with actual results after gynaecomastia surgery from The Venkat Center in Bangalore.

  • Grade One – Mild enlargement of the breast bud concentrated behind the areola.
Gynaecomastia Treatment at Venkat Center
  • Grade Two – Breast growth spreading beyond the areola with edges that blend with the chest wall.
Gynaecomastia Treatment at Venkat Center
  • Grade Three – Breast growth spreading beyond the areola, with clear edges and redundant skin.
Gynaecomastia Treatment at Venkat Center
  • Grade Four – Marked breast enlargement with redundant skin and feminisation of the breast.
Gynaecomastia Treatment at Venkat Center

Does going to the gym cause gynaecomastia?

Working out does not directly cause manboobs, however often in gyms, men can be pressured into taking supplements or steroid injections. These can have hormonal components which can cause gynaecomastia, which is much more severe than the type cause by puberty.

What causes male breast (gynecomastia)? How can I treat it?

What are the treatment options for gynecomastia?

Drugs such as Tamoxifen have been advocated for management, but gynecomastia surgery remains the mainstay of treatment for many patients. Selected cases may need to be checked for any hormonal abnormality and by ultrasound scanning to rule out any breast pathology.

Till now, an extensive procedure subtotal mastectomy was the treatment of choice. However, with the introduction of tumescent liposuction, male breast reduction treatment has become simpler and effective. It is cosmetically more acceptable as the scar is minimal.

Can I reduce gynaecomastia by working out?

Unfortunately, working out and cardio does not get rid of manboobs, as the glandular tissue cannot be broken down by exercise alone. The fatty tissue is also resistant to breaking down.

How does liposuction treat gynaecomastia?

Liposuction for gynecomastia under local anesthesia at Venkat center

Gynaecomastia can be treated easily by liposuction at The Venkat Center in Bangalore. Gynecomastia surgery removes the enlarged tissue in a simple manner under local anesthesia. In liposuction for gynaecomastia, 1-2 small holes (adits) of size 3 mm are made on either side. Then three steps are done:

  1. Liposuction to remove fatty tissue: A powered machine is used to remove tougher fat tissue.
  2. Glandular extraction: Through the same small holes, the glandular tissue is teased out and removed. This is tissue is difficult to remove with liposuction alone.
  3. Laser lipolysis and skin tightening: Laser is used to break down the tissue further, which improves the result post-operatively. At the same time, it also causes the skin to contract and adhere to the chest wall.

 

Gynecomastia treatment pictorial representation

What is mastectomy?

Mastectomy is male breast reduction surgery to remove the enlarged breast tissue. It is done under general anesthesia. A 5 cm incision is made around the nipple, the gland is dissected and removed. Drains are placed to resolve any bleeding.

How is liposuction superior to mastectomy?

Liposuction is preferable to mastectomy for several reasons:

  • Anesthesia: We perform liposuction under local tumescent anesthesia, while mastectomy requires general anesthesia.
  • Incision: Liposuction is done through small 3 mm incisions which are not visible and need no sutures. Mastectomy needs a bigger 5 cm incision which can heal with a bad scar in people
  • Result: Liposuction gives a smoother result as it gradually removes tissue from all areas and can be sculpted as needed. Mastectomy can sometimes lead to a saucer-like deformity if all the tissue is removed from the center and none from the edges.
  • Bleeding: Liposuction causes minimal blood loss. Mastectomy often needs the use of drains after surgery to remove collected blood.

What is the cost of gynaecomastia surgery?

The cost of gynecomastia surgery depends on the stage and extent. It can vary from Rs 40,000 to Rs 80,000 depending on the severity. This includes the surgery, dressings and follow up.

Why undergo gynecomastia surgery at Venkat Center Bangalore?

  • Our surgeons have treated over 700 cases of gynaecomastia.
  • Our speciality is we perform this completely under local anesthesia which is safer, painless, and has a faster recovery time.
  • We perform glandular extraction as well and are careful to avoid saucer deformities.
  • We try to avoid skin excision and scars. We use non-surgical skin tightening treatments for the same.
  • Our priority at all times is the safety of the patient.
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