Male Breast Reduction
Men and women have evolved differently and have a different breast structure. Gynaecomastia also referred to as “man boobs” is a common condition that causes boy’s and men’s breasts to swell and become larger than normal, which can be quite bothersome.
It is commonly seen in teenage boys and older men.
This can cause embarrassment, low self confidence. Something as simple as being unable to be bare chest and are unable to wear T-shirts are quite mentally disturbing for youngsters.
Why Male Breast Reduction Surgery
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Causes of Male Breast Enlargement
- Obesity, also has the profound impact on the level of female hormones in the body. These hormones which are usually in minute quality even in males are produced more in obese men increasing the amount of breast tissue.
- Diseases of Liver and adrenal gland and tumors of the testes and some other tumors can also cause a rise in the female hormone levels and cause male breast enlargement.
- Long-term uses of some medicines can also give rise to large breasts.
- Many times, there is no obvious cause which is called idiopathic. These enlargements are bilateral or both sided. Unilateral or one sided enlargement can occur in the tumors of the breast
Gynecomastia Surgery At La Transformationé
We are one of the best center’s for gynecomastia surgery in Mumbai. La Transformationé, is one of the best leading Cosmetic Clinic in Mumbai, providing Male Breast Reduction Surgery in Mumbai .
La Transformationé has been established by Dr. Anshuman Manaswi who is a senior cosmetic & plastic surgeon in Mumbai.
The Gynecomastia Doctor starts with the consultation in which you will be asked about your expectation. Our surgeon will scrutinize the chest size and skin quality to determine and a plan elaborate steps as to what can be achieved in your Gynecomastia Surgery / Gyno Surgery.
The most important and often omitted part is the examination of the testes to rule out any a testicular tumor. The specific test which is used to start with, is an ultrasound of the breasts which can show the anatomy of the breasts. Usually, this is the only test required. In case of a tumor or other diseases, other tests may be asked for like FNAC, Biopsy or MRI or the breast. Tests for fitness maybe required if surgery is contemplated.
Assessment
Gynaecomastia or male breast enlargement can be mild or severe. The breast which is enlarged consists of fat, the breast tissue, and the enlarged skin envelope. To treat the condition well, one needs to know each one of the parameters. It has been classified into grade 1 to grade 4. The grades are based on the size of the breasts and the laxity of the skin.
Technicalities apart, the aim of these classifications is to understand how good the final outcome would be after the treatment and how and where the scar will be there after the gynecomastia surgery. Naturally, if the patient has a huge breast with large excess sagging skin, the patient will have bigger scar due to the removal of the excess skin. In contrast, patients with firm skin and not very big breasts may have a very minimal scarring.
Treatment
The treatment is usually surgical unless the gynecomastia is due to some secondary cause like tumor of the testes or liver issues where the treatment of the primary cause may impact the breast enlargement also. Similarly losing weight or stoppage of offending medicines, if any, can lead to some reversal. Usually, liposuction is used to suck out the fat component of the breast and loses the dense breast tissue. The residual breast tissue is removed through a small peri-areolar incision at the junction of the areola to the normal skin. This cut is hardly visible in the long run. For larger breasts with loose skin, the techniques may be different including the techniques which are used for female breast reduction or at that time staged surgery is performed.
Recovery
Sutures are removed after 7 to 10 days. The swelling lasts for about 6 to 8 weeks’ time. The final result is obvious by around 6 weeks after which gradual improvement takes over some months. Office work can be resumed in a couple of days. Aerobic exercises can be started after about 10 days but isometric exercises (weight training) are avoided until about 4 – 6 weeks. Pressure garments need to be worn for about a month or so. Massaging of the tissue is advised after a couple of weeks.
Hospitalization
Usually Gynaecomastia surgery in Mumbai is done under general anaesthesia and as a day care procedure. In large breasts, hospitalization may be required.
Complications
Usually the results of the male breast reduction surgery are very gratifying. Sometimes there may be bruising, pain and swelling which may last longer than usual. Blood clots or hematoma may happen rarely. Irregular contour of the reduced breast may happen which usually settles with time. At times, a minor secondary correction may be required.
Other surgeries which are usually combined with Gynaecomastia correction surgery is liposuction of the tummy or lateral chest wall. Usually, liposuction of only the breast area will leave the fat on the side of the chest leaving a feeling of depression on the chest wall. This is best avoided by fully marking the surrounding area in the standing position for liposuction which means the upper adjacent abdomen and sides of the chest. This being, not an extensive surgery, it can be combined with other procedures as well.
Words of Wisdom
Male breast reduction surgery or Gynaecomastia correction surgery is a simple surgery with minimal scarring. Contrast to the older days before the use of Liposuction, there used to be a large scar along the chest wall. Such incisions are obsolete now except for exceptional cases. It is imperative thus, that the patient discusses in detail about the incision and the post-op scarring to avoid any disappointment post-operatively. On the part of the patient, it is equally important to know that there may be small irregularities which are likely to be minimized over a few months. Very rarely any additional secondary surgery may be required.
At La Transfromationé, we have helped many patients, usually young boys, overcome their anxiety and complex due to enlarged breasts. Male Breast Reduction in Mumbai (Gynaecomastia Surgery in Mumbai) is gathering acceptance and popularity.
