Scar less Gynecomastia
Surgery Delhi India, Male Breast Reduction
Surgery in New Delhi, India by Dr. Prabhash
Gynecomastia Surgery or Male Breast Reduction or
Male Breast Correction Surgery :-
Gynecomastia or Male Breast : Gynecomastia literally
means development of female or women like breast in male.
Types Of Gynecomastia or Male Breast:
Three usual types:- (a) Neonatal Gynecomastia
or male breast enlargement (Man Boob) (in new born, under influence of maternal
sex hormone) (b) Adolescent Gynecomastia or male breast (Man Boob) enlargement,
(at puberty), (c) In old age or Senile Gynecomastia or male breast (Man
Boob) enlargement, (when circulating male sex hormone is reduced and female
sex hormone predominates) (d) other reasons may be pathological or drug
induced Gynecomastia or male breast enlargement.
Drug Treatments for Gynecomastia or Male
breast (Man Boob) :- Can be tried after consulting some endocrinologist
but invariably they fail to reduce size surgery is ultimately required.
Various Approaches for Gynecomastia (Man
Boob) Surgery :-
Peri-areolar or Circum-areolar Incision:- In
open approach & En-bloc or In too removal , incison is made either at areola skin junction or just
inside , gland is dissected through the same opening and entire gland is
delivered out. this is classical surgery for gynecomastia in cases where there
is no skin sagging and no skin excision is required. En-bloc removal is an old
technique which removes gynecomastia tissue as well as nerves & blood vessels.
With our modification (see below), nerve and blood vessels are preserved.
Infra-mammary approach :- incision below the breast
in breast fold to take out gland as well as extra skin. this surgery may
become obligatory in some cases where skin sagging is too much or breast is
very large , otherwise its best avoided, as it leaves an ugly scar in visible
area. till now, we never needed to perform it even in bigger gynecomastia cases
Minimally Invasive (Scar less) Surgery :- through
remote tiny incisions ( 3-4 mm) and removal of entire Fat & gland through that.
Tumescent male breast Liposuction & Lipo-sculpture removes fat from around the glands as well as sides
of chest followed by another cannula to remove glands. Scar less Male Breast Reduction Surgery
we are without creating any scar on breast or nipple areola complex.
Currently, we are doing male breast reduction through minimally invasive
surgery in almost all cases, its not only scar less but time saving also,
entire surgery takes 60-80 minutes only. Technique of gland removal
through 4 mm cannula only has revolutionized gynecomastia treatment. We call it total chest reshaping (see below)
Total Chest Reshaping :- Males
who have Gynecomastia or male breast enlargement also have fat distribution
and shape of upper body more like females. In such cases only removal of Gynecomastia
tissue from beneath the nipple is not sufficient. In such patients we are
doing total chest reshaping with Liposuction, including front and sides of chest along
with Gynecomastia removal so that their feminine appearance changes to normal
regular masculine shape.
Note : In most cases of Gynecomastia Surgery Liposuction with Gland cutting
Cannula itself is sufficient and we dont need to put any cut near Nipple Areola Complex
(see next video below), which has been shown here. Its needed only in a few cases
where glands are more slippery or densely embedded in surrounding tissue, even
then scar is almost never visible, (see last part in video).
Scar less male breast reduction or gynecomastia surgery through
male breast liposuction with complete chest reshaping
Male Breast Reduction Surgery during operation and Gynecomastia
Surgery before after picture- Comparison of Breast Mass before and after scar less removal.
Gynecomastia Surgery - Picture showing Instrument entry points
(three) , each 3-4 millimeters punctures in skin only away from breast area ,
practically no scar, Correction of entire breast area along with side bulges (
arrow on sides)
Before After Picture Scar less Gynecomastia
Surgery / Male Breast Reduction Correction
Gynecomastia or
Male Breast : Before after Picture scar
less removal, Skin contracts well no
skin removal required
Unilateral Male Breast Enlargement or Gynecomastia
, Before after Gynecomastia Surgery
Scarless Gynecomastia Male Breast Reduction surgery with Chest Reshaping
Gynecomastia Revision : We are frequently doing gynecomastia surgery revision (all cases operated somewhere else).
Most revision cases are for either residual gynecomastia or breast gland tissue there due to incomplete removal or unecceptable scar.
It can happen with any surgery with any surgeon and patient. Revision surgery can be done three to 6 months after primary surgery once the skin there becomes soft and supple.
Gynecomastia Surgery
FAQs :-
Q :- Why Gynecomastia
or male breast enlargement occurs?
Ans:- Male and Females both are having hormones of
both the sexes. During puberty both hormones rise, in some cases excess
rise in estrogen (female hormone) leads to female like breast in males which
is called Gynecomastia in medical term and male breast enlargement or man boob
in lay man terminology.
Q :- Is there
any chance of regression without surgery?
Ans:- yes, regression can be seen within one year of development
of Gynecomastia. After one year chances of regression are less and persistence
of male breast or Gynecomastia beyond two years is clear indication for surgery.
Q :- What are surgeries available for Gynecomastia?
Ans:- Gynecomastia
Surgery has already been mentioned above . you may see there. In nutshell two
types are there - open circum-areolar and minimally invasive. We prefer to
do chest reshaping with Gynecomastia surgery to make look totally masculine.
Q : What about awake Tumescent Gynecomastia Surgery?
Ans : Tumescent anesthesia and analgesia is used in every case of liposuction
everywhere in body , so it doesn't need special mention. We are doing tumescent
liposuction for fat removal, chest reshaping and use gland cutting cannula for
gland removal . So both Gynecomastia removal as well as total chest
removal has become possible with minimally invasive technique.
Q:- is Gynecomastia
surgery a big surgery?
Ans:- No, its moderate level Day Care surgery. You may go
back to home 6 hours after gynecomastia surgery.
Q :- How long Gynecomastia Surgery and Recovery takes?
Ans:- Surgery usually takes around one hour, we prefer
general anesthesia so that complete work can be done safely and smoothly. Very
small cases with no contour deformity can be done in local anesthesia also but
not much preferable. Anesthesia starts 5-6 minutes before surgery and is over
5-6 minutes after surgery. 2-3 hours of rest followed by increasing
mobility. Normal diet after 3-4 hours and you may go home after 6 hours. Next morning you are fully active but with slight discomfort
or stiffness in operated area similar to that which you get after starting
exercise .
Q:- How much
rest required?
Ans :- If you are office worker with no much physical
activity you may resume work in 1-2 days , if more physical work is there
should delay for 3-4 days then resume gradually. Strenuous work and heavy
weight lifting should be avoided for at least three weeks.
Q :- Any complication
possible and what is incidence?
Ans:- Almost all complication related to surgery including
infection, bleeding , pain , unsatisfactory result may happen in Gynecomastia surgery
also. Till Now we have not seen any of them. We take proper precaution right
for very beginning and getting good result.
Q :- Any Chance
of breast cancer in Gynecomastia?
Ans:- Male breast cancer are rare but yes rarely some
cases may develop cancer. Chances are remote. Rather tumors of testis and
hormone secreting glands are more common.
Q :- Any systemic disorder which may be associated with
Gynecomastia ?
Ans :- Yes, a vast majority of abnormal hormonal disorders
may be associated with Gynecomastia but in a few percentage of cases. majority
of Gynecomastia are idiopathic . Most common association are hormone secreting
tumors.
