What is Gynecomastia?

Gynecomastia is the enlargement of male breasts. This results in the abnormal increase in glandular and/or fatty tissue. The term derives from the Greek words. “Gyne” meaning associated with women and “mass” meaning breast. In true Gynecomastia the tissue present is breast tissue. In pseudo-gynecomastia, the tissue is fatty in composition. Mixed Gynecomastia is a combination of the two.
Most patients with either kind of Gynecomastia. who attends OLMEC and coming to Dr. Narendra Kaushik. They pursue treatment because of embarrassment by their feminine appearance and cosmetic embarrassment.

What is the incidence and age distribution?

Gynecomastia is quite common affecting an estimated 40-60 % of men in varying degrees.
Gynecomastia is present in three different age groups. These are neonates, pubertal boys, and adult men. Between the ages of 50 and 80 years. Gynecomastia surgery in Delhi needs treatment in the form of liposuction in all. Except for neonates where it is transient owing to the effect of maternal hormones.

What is the cause of Gynecomastia?

Male Breast gets Enlarged due to the relative imbalance of hormones oestrogen and testosterone. It happens during a certain period of life. During this, the imbalance leads to enlargement of breasts. Later if the hormonal balance is out, Gynecomastia glands akin female breasts persist.
In Majority of Patients (about 25%), long term the disorder is idiopathic (cause not known) in origin. Exogenous media long-term use of medicines may cause gynecomastia. The medicines like ketoconazole, ranitidine, rifampicin, isoniazid etc are the causative factor in 10-20 % of all patients.
The majority of middle-aged or older men who are present for the treatment are overweight. The younger population may have gynecomastia even if they have normal weight. Many patients especially bodybuilders have gynecomastia owing to excessive use of anabolic steroids.

Why I need Treatment and what is the Treatment?

Having large breast is one of the highest psychological embarrassment. Men with Gynecomastia present to surgeon owing to this persistent, embarrassing breast enlargement.
The treatment is liposuction (tumescent liposuction gives rewarding results) with gland excision.

Can Exercise treat Gynecomastia?

No, doing exercise/gym cannot treat Gynecomastia. Exercise will lead to increase in size of the underlying muscle. This will lead to the relative increase in the size of gynecomastia.
Most of the patients agree that exercise has not at all helped them for gynecomastia.

Before surgery What work up do I need?

If the disease has persisted for a long period. If the patient is asymptomatic, laboratory investigations are usually not fruitful. We may ignore etiology in healthy patients. If clinical picture indicates then you will undergo certain hormonal investigations.
We may advice minor blood investigations for anesthesia point of view.

What type of Anaesthesia is used for Gynecomastia treatment?

Surgeons do this procedure under general anesthesia. You will be unaware during the procedure and will become conscious after the procedure. In other words, you will not feel any pain or sensation during the procedure.

What must I expect on the day of the procedure. What does Gynecomastia surgery involve?

Before the procedure, Dr. Narendra Kaushik will discuss the procedure along with proceedings. This will make you feel comfortable. Dr Kaushik marks the protuberant area with marking pen. The more lateral fat deposits like below the axilla (including a tail of breast) are also marked if present.
We use state of art liposuction to remove the fatty tissue, using fine cannula.
We remove the firm discrete gland present under the nipple by small incisors. Dr. Kaushik makes this incisor at the lower border of the areola. The surgeon closes the incision with a dissolving type of fine sutures. Hence there is no need to remove sutures. After the procedure, Dr. Kaushik applies a firm dressing to keep the skin in shape.

How long does the surgery take?

The Gynecomastia surgery takes 1-3 hours depending on the individual patient.

Can I go Home on the same day?

At Olmec, owing to the modern state of art liposuction treatment available which is invasive (stitchless and atraumatic). Most patients can go home on the same day of the procedure. Yet, you may stay in the hospital for one or two days if you feel a need to stay especially if you are out of Town.

What can I expect from Gynecomastia Surgery?

Gynecomastia is one of the best rewarding surgery with excellent results without any side effects. This gives a tremendous boost up in your self-esteem. After the surgery, you get a flatter, firmer and better contoured masculine chest. The treatment satisfying and gynecomastia will not come again.
Actually few studies have indicated that gynecomastia surgery is number one cosmetic surgery in delhi. It gives most satisfying results. It takes away a major burden (of a constant feeling of the feminine component in you) from your mind.

What are the side effects?

The gynecomastia surgery in delhi is safe with no side effects. if a certified and qualified plastic surgeon does it.
The minor complications like the temporary fluid collection, loosening of stitches may occur. But it settles down very fast. Some patients develop numbness which usually settles down in few weeks to months.
At Olmec, we rarely encounter these things owing to meticulous and dedicated treatment.

Will the surgery have Scarring?

Male Breast Reduction surgery in Delhi at Olmec is scar less surgery. The procedure involves a minor incision. The minor scar along the border of areola becomes invisible over the time.

What precautions do I need to take after an operation?

Usually there are no special precautions.
You need to wear a pressure garment. It is vest like undergarment and will not be visible through the shirt. you have to wear it for about 2-4 weeks. Pressure garment helps the skin to gain natural shape.
You can start routine activities/office duty after a week.
After 4 to 6 weeks you can do exercises without any restrictions.

Will skin be hanging after Gynecomastia surgery?

After liposuction, the skin gets redraped nicely in the male chest. To enhance the retraction of skin you should wear a pressure garment. Minor insignificant asymmetry of the skin may occur in very large long-standing gynecomastia. Usually, it doesn’t cause any concern. If so (though very rarely), Maybe we will need minor touch up procedures.

I have undergone treatment of gynecomastia, still, I have large breasts and puffy nipple areola. What should I do?

Please note that if gynecomastia treatment is not done right. Then not only the skin but the fat and gland component persists. The excessive skin and nipple still look protuberant. Especially on an off puffiness of nipple and areola remains a concern. It also indicates residual gynecomastia.

At Olmec, We receive many patients who have undergone unsuccessful treatment somewhere else. Dr. Kaushik observes and performs many secondary gynecomastia corrective procedures. These patients feel confident after corrective gynecomastia surgery in delhi

Is the procedure is Painful?

The procedure is not painful. The surgeon performs this surgery in general anesthesia. During the operation, the patient is unaware of it.
After the operation, Dr Kauhsik will prescribe you painkiller and antibiotics. You have to take them for few days (5-7 days) because of minor discomfort