It is a problem which can be socially embarrassing for men as well as professionally uncomfortable. We understand that men suffering from this may be depressed, due to social embarrassment, may not be actively involved in outdoor sports activities like swimming, etc, may not be able to wear tight fit clothes and may be feeling dejected about it. However, you may not be the only one suffering from it as significant percentage of men suffer from it, but choose to do nothing about it (Up to 30-40% in different populations). It could be due to a small abnormal variation during development of breast in childhood through adolescence (due to hormonal interplay).

However there may be other causes leading to its development also like, intake of some medicines, drugs (other pathy’s) and some other systemic diseases as well. Hence, it would be prudent to get an appointment with us to rule out other causes and get rid of this socially embarrassing problem, without leaving any tell-tale signs of the procedure itself!

Who should consider surgery for Gynecomastia?

  • If you are not comfortable to remove your shirt in public, to swim, to participate in outdoor sports or gymming
  • If you are shy of wearing tight fitting T-shirts / body fit clothing
  • If you want to improve your body contours
  • If you want to build up your confidence

What will be the scars like?

It depends on the magnitude of your problem. Most of the patients, get scars which are usually less than 5mm (keyhole) in hidden areas. For a very severe problem scar may be bigger around the areola (dark skin around the nipple) so that it is also hidden and camouflaged. Following surgery, you will have nice contour without obvious scars so that you can have the confidence to go out in public removing your shirt and participate in outdoor activities like swimming, gymming, etc.

Gynaecomastia pic showing grades - Dr Rajat Gupta

What is a Compression (Pressure) Garment?

A compression (Pressure) garment or belt is recommended by the surgeon after cosmetic procedures like liposuction, gynaecomastia, breast reduction and tummy tuck. It helps to reduce the swelling by applying pressure on tissues and pushing the fluid back into veins and lymphatic vessels. The surgeon will ask you to wear the compression belt 24×7 (except while bathing, etc) for at least 3-4 weeks.

We strongly recommend the use of a compression garment, as it brings the following benefits to help the procedure become more effective and rewarding:

  • Postoperative swelling/edema is controlled
  • Prevents Collection of left-over fluids
  • Contour and final appearance are improved
  • It helps to improve/reduce scarring

We design custom made pressure garments as per the patient’s size. Custom sizes are required because one size doesn’t fit all and the technical requirements vary as per the procedure. A perfect compression garment after liposuction, abdominoplasty, gynaecomastia surgery, etc is the tool to achieve better contouring and to sustain the results.

Some points worth mentioning:

A distinction must be made between “real” gynaecomastia and “pseudo” gynaecomastia. Real gynaecomastia is a male breast formation due to a growth of the mammary gland. It is due to a mismatch in the levels of the male hormone testosterone and the female hormone estrogen in an individual. There are various reasons which can lead to such a mismatch. Pseudo-gynaecomastia occurs more often . This involves fat accumulation in the male breast region. To distinguish these two forms of gynecomastia, a simple ultrasound (sonography) is sufficient. Sometimes an appointment is made with an endocrinologist who checks the hormonal balance in the blood.

With pseudo-gynaecomastia a simple liposculpture suffices if it is of a lesser grade. In real gynaecomastia, the excess breast gland tissue must be surgically removed through a two-cm fine incision at the lower pole of the areola. Both procedures usually take place under general anaesthesia. In very pronounced but fortunately rare cases with excess skin excess, a real breast reduction will be needed with longer scars.

The recovery is usually very smooth and depends on the extent. There is hardly any question of incapacity for work.

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