What type of Surgery is Recommended For Gynecomastia?


Gynecomastia, also known as ‘Man breasts,’ is a disorder that affects men. Gynecomastia is a condition in which a man’s or boy’s breast tissue overdevelops or enlarges. Reduced male hormones (testosterone) or increased female hormones cause male breast tissue to bulge (estrogen). Puberty, aging, medicine, and health issues that influence hormones are some of the causes.

When a preteen or teenage boy goes through the hormonal changes of puberty, he is more likely to develop gynecomastia. It can, however, happen to newborn newborns and males as they get older.

Causes Of Gynecomastia

There can be many reasons for this condition to occur in a male and the most common cause is hormonal imbalance.

Other causes include:

  • Being Overweight
  • Fluctuating Hormonal Levels at Puberty
  • Health Conditions
  • Aging
  • Drug Intake
  • Alcohol Consumption
  • Medicine side-effects
  • Testicle infections
  • Other medical issues
Gynecomastia Surgery

What are the Symptoms of Gynecomastia?

  • Swelling in the chest art
  • Nipple sensitivity
  • Pain and tenderness
  • Tenderness in Areola that is painful
  • Swollen or puffy chests
  • A mound or disc of tissues in the chest that is hard
  • Occasionally, soft fatty tissue beneath the chest

What are the Surgeries Available for Gynecomastia?

While regular exercise, medicines, and following a proper diet will reduce the

swelling, but in certain cases, one might need to turn to male breast reduction surgery.

The surgeries accessible for Gynecomastia Treatment in Bangalore are:

Liposuction: This procedure removes fat in the breasts/boobs and not the

breast gland tissue that caused the development of breast buds. Therefore, this Procedure is limited in its effectiveness.

Mastectomy: Mastectomy is an endoscopic procedure that removes the breasts. The glandular breast tissue that produced the breast enlargement is removed using merely a few minor incisions For the patient, this operation requires minimal recuperation time.

Gynecomastia was formerly treated surgically by removing glandular tissue and fat, which was occasionally paired with skin reduction. This treatment has a significant complication rate due to frequent contour defects, deformed scars, diminished nipple responsiveness, hematomas, and seromas, and the results are frequently disappointing for patients and surgeons.

Since the introduction of liposuction in cosmetic surgery, a new treatment strategy has emerged, with non-scarring sparing procedures being chosen. Treatment can be combined with glandular tissue removal and done as an outpatient surgery with local anesthesia

How Excision is done with Liposuction?

Before the procedure, the treatment area is marked while the patient is upright. 0.5 percent lidocaine, adrenalin, and 100–200 ml isotonic NaCl enter breast tissue, depending on the size of the breast. It is necessary to make a little infraareolar incision. The surgeon uses cannulas measuring 6 mm and 3 mm to do liposuction. The glandular tissue was removed using the same incision as for the liposuction. The surgeon usually spares around 1 cm of glandular tissue under the areola to avoid postoperative asymmetry. For two weeks, the incisions were sutured and encased in a bandage. Two weeks, three months, and 18 months after surgery, patients were followed upon. Gynecomastia Treatment

Advantages of liposuction with a combination of excision surgery

The majority of patients seeking treatment for gynecomastia have a combination of fat and glandular tissue. The majority of this component is usually made up of fat tissue.

The combination of liposuction and glandular tissue removal provides various advantages over surgical excision alone. Liposuction ensures precise sculpting of the peripheral, and the treatment is performed through a smaller incision. A minimally intrusive procedure, this aids in achieving a better cosmetic result. Liposuction before glandular tissue removal surgery aids glandular tissue removal.

Gynecomastia Treatment

Preoperative injections of isotonic NaCl and local anesthetics including adrenaline ensure tissue compression and vasoconstriction, reducing blood loss considerably. Furthermore, liposuction increases coagulative elements in the treated area, which aids in spontaneous hemostasis and means that future operation will result in less bleeding.

The connections between the skin and the fascia are not disrupted by liposuction. As a result, compared to surgical excision, the region’s responsiveness is significantly reduced. In bigger gynecomastia, tissue bridges appear to increase postoperative skin contractibility, potentially obviating the requirement for skin excision and nipple lift. The glandular tissue will not be removed by suction alone. When combined with sharp excision, it greatly lowers the recurrence rate.

After this operation, postoperative bleeding is uncommon. At the same time, there is a high level of patient satisfaction. According to the reviews, this technique is quite effective in treating gynecomastia and has no side effects.

In gynecomastia, a day-care surgery combining liposuction and surgical removal of the gland can be performed under local anesthetic.

Complications in the Surgery This technique has a low risk of complications. We believe that liposuction combined with gland excision resulted in higher patient satisfaction, fewer problems, and better cosmesis than traditional surgical excision.

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