Gynecomastia Surgery Clinic in Jodhpur

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Jodhpur District is a district in the State of Rajasthan in western India. The city of Jodhpur is the administrative headquarters of the district. In the 2001 census, there were five sub-divisions in the district and seven tehsils. For ease of administration, there were four sub-tehsils (Upa-tehsils): Balesar, Bap, Jhanwar and Tinwari. Balesar and Bap has local councils (panchayat samiti). The city has well-established rail, road and air networks connecting it to other major cities of the country. Jodhpur railway station is the divisional headquarters of the North Western Railways (NWR). It is well connected with railways to major Indian cities like Alwar, Delhi, Mumbai, Kolkata, Chennai, Bangalore, Trivandrum, Pune, Kota, Kanpur, Bareilly, Hyderabad, Ahmedabad, Indore, Bhopal, Dhanbad, Patna, Guwahati, Nagpur, Lucknow, Gwalior, Jaipur etc. Jodhpur Airport is one of the prominent airports of Rajasthan. At present, there are daily flights from Delhi, Mumbai, Udaipur, Jaipur and Bangalore to the city operated by Air India and Jet Airways and Spicejet. Jodhpur is connected by road to all major cities in Rajasthan and neighboring states like Delhi, Ahmedabad, Surat, Ujjain, Agra etc. Apart from deluxe and express bus services to cities within the state, Rajasthan Roadways provides Volvo & Mercedes Benz bus service to Delhi, Ahmedabad, Jaipur, Udaipur and Jaisalmer.

The information on this site is intended for general purposes only and is not intended to nor implied to be a substitute for professional medical advice relative to specific medical conditions or questions. The information on this website is not a guide to treatment, and it should not replace seeking medical advice from your physician. We do not warrant the accuracy, completeness, correctness, timeliness or usefulness of any information contained herein. In no event Domain.com be liable to anyone for any decision made or action taken in reliance upon the information provided through this website. The photos on this website are of models & are not intended to represent the results that every patient can expect. Surgical results vary greatly from patient to patient and are not guaranteed.

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Definition of Gynecomastia and Adipomastia

In all men, there is a remnant of the mammary gland creating a discreet relief under the nipple, slightly lifting the pectoral region. Gynecomastia is the presence of excess mammary gland in men. Adipomastia when it concerns the presence of fat associated with the mammary gland.

Who is the Gynecomastia operation for?

Gynecomastia is often common in men. Many men with a large gland find it unsightly. The examination and ultrasound can determine the proportion of fat and gland in the breast. In adolescents, a consultation with the endocrinologist is desirable to detect a hormonal abnormality explaining the excessive presence of breasts.

Treatments for male gynecomastia

By far the most popular solution is liposuction with excellent results. It is often successfully combined with liposuction of the stomach and waist, which are the areas that are resistant to diet and exercise. Care should be taken in older men with a fold under the breast. The excess skin must be well evaluated: if the retraction of the skin seems insufficient a priori, it will be necessary to propose a re-tensioning, with a small circular scar around the areola which will tighten the skin in the middle, and, at a more advanced stage, re-tensioning with an inverted T scar.

1 - If there is no significant skin excess.

The solution will be simple liposuction without scars, which will harmoniously reshape the pectoral region. If there is a large gland, we will combine the liposuction which will take care of the fat and we will also make a small semi-circular incision around the areola which will allow the gland to be surgically removed for a perfectly flat and invisible result.

2 - If there is an excess of skin

The breast is sagging, the suction is not enough, the skin must be tightened;
- Or in "Round Block" with a circular scar which withdraws from the skin in a concentric way and leaves a round and discreet scar around the areola.
- Or, in very important cases, we will practice an inverted T scar as for a classic breast ptosis surgery with re-displacement of the areola. Which is a very rare eventuality.

It is more often women who use this type of treatment for the breast, but it can be done on men as well.

Excessive development of the mammary glands in humans occurring from adolescence and may persist into adulthood.

What is GYNECOMASTY of the breasts?

It is a frequent pathology specific to men resulting from excessive breast development. It is often badly lived. This abnormal growth is said to be essential when there is no pathological hormonal, drug or tumor cause : a complete assessment is requested before surgery.

Among the pathological causes are obesity, hormonal imbalances, tumors (testis, mammary, pituitary or pulmonary) and kidney and thyroid diseases.

The attending physician, an endocrinologist or the surgeon are able to carry out a clinical, biological and radiological assessment (ultrasound and mammography) which is essential before surgery.

Gynecomastia is often glandular and fatty .

The excessive development of the mammary gland in men is called gynecomastia. It can be on one side or on both sides. When the excess breast is linked to an excess of fat and not of the gland, it is called adipomastia (or false gynecomastia).

The presence of gynecomastia or adipomastia may justify surgical treatment. Gynecomastia requires the removal of the excessive gland, adipomastia requires liposuction . Note that these two anomalies can be associated.

However, before any surgery, specific causes must be sought (see next paragraph).

BEFORE SURGERY

For this type of intervention, before the intervention, two consultations are mandatory. They will make it possible to verify the indication, but also to explain the principles of the operation, the post-operative consequences as well as the complications potentially encountered.

Most gynecomastias are constitutional and appear around puberty for no specific cause. However, the appearance of a breast mass in adults can correspond to an abscess, a tumor or even a secondary gynecomastia linked to the taking of certain drugs toxic (marijuana, anabolics) caused by hormones or even tumors (testicular tumor, breast cancer).

Gynecomastia present in adolescents can sometimes regress spontaneously in a few years and do not require special exploration.

During the consultation, clinical photographs are taken.

In case of overweight, it is preferable to correct it before the intervention in order to improve the final result.

The history is checked, breast imaging exams (mammography, ultrasound) are prescribed to confirm the diagnosis and to differentiate gynecomastia from adipomastia.

A blood test is prescribed and will be reviewed. Depending on the results, the patient may be referred to an endocrinology consultation before taking charge of plastic surgery.

The diagrams on the SOFCPRE sheet will allow the surgeon to explain the operating technique.

Recommendations before surgery

Tobacco: stop 1 month before the operation, at least, and during healing

Aspirin / anti-inflammatory: all intake must be stopped 10 days before the operation.

Full shower and betadine scrub shampoo: are mandatory the night before and the morning of the operation.

THE SURGICAL INTERVENTION

Hospitalization for gynecomastia

The intervention will most often require outpatient care or overnight post-operative hospitalization.

Progress of the gynecomastia treatment intervention

A preoperative drawing is made in a standing position before the operation.

The procedure is performed under anesthesia and usually lasts 1 hour for simple gynecomastia.

Antibiotic prophylaxis is systematically performed during the operation.

In order to remove the mammary gland, a hemi-areolar incision is made. The removed gland is sent for analysis.

A glandular plasty can be performed to fill the defect created by the intervention. A careful suture is made and then a compression bandage is put in place.

When it is not a gynecomastia but an adipomastia, a breast liposuction is carried out by two small incisions under mammary and external. It can also be combined during a treatment for gynecomastia in order to obtain a more harmonious result.

When gynecomastia or adipomastia is severe, it will also be necessary to remove the excess skin. This can be removed during a second operation if there is any doubt, because this additional gesture therefore induces additional scars (around the areola and sometimes under the breast).

OPERATIVE SUITES

Exit the same day or the day after the operation.

Local antiseptic care and dressings for scars for about 15 days.

Wearing a compression garment for a month.

Need to take leave of about 7-10 days, stop sport for 1 month

Pain varies from patient to patient. They are especially present the first week. Pain relief treatments are therefore prescribed.

The results are evaluated from 6 months.

GYNECOMASTIA: PRICE AND MANAGEMENT

The surgical treatment of true gynecomastia is still partially covered by social security. In this case, excess fees will be indicated on the estimate to be sent to your Mutual.

When it is only an indication of liposuction (adipomastia or false gynecomastia), there is no possible treatment and the price depends on the importance of the intervention to be performed, detailed on a quote specific.

POTENTIAL COMPLICATIONS

As after any surgery, complications, although rare, are possible,

• In the event of post-operative bleeding, surgical revision to evacuate the hematoma and stop the bleeding.
• Possible localized infection, requiring antibiotic treatment and surgery.
• Skin painin the areas of liposuction
• Phlebitis and pulmonary embolism: rare but possible complications of any surgery, especially beyond 2 hours of intervention
• Perforation during liposuction(very rare): muscle damage, pneumothorax, hemothorax.
• Problematic scars: hypertrophic, keloids, enlarged, depigmented, hyperpigmented
• Imperfections: presence of hollows or deformation in the cup, asymmetry of shape or volume, insufficient result
• Recurrence of gynecomastia

Do you have to be hospitalized?

Yes, the surgical cure for gynecomastia requires a short hospital stay (often overnight ).

The surgical intervention is partially covered by social security; it is performed under general anesthesia. A suction drainage and a compression bandage are put at the end of the operation and removed before discharge.

How is it practiced?

After prior liposuction in order to facilitate glandular excision, the “  glandular nucleus ” is surgically removed and sent for analysis (approximately 10 days before having the histological results).

When the skin is in moderate excess the scar is located around the areola; when the skin is in significant excess the scar is horizontal and larger.

The postoperative effects are simple but can be marked by bruises (bruises) and edema which go away in a few weeks.

An elastic compression garment (bolero or bra) is worn for 3 weeks and the moderate pain is well calmed by the usual analgesics.

The surgical cure of gynecomastia is very satisfactory for our patients because it leaves few surgical sequelae and corrects a defect often considered as major by our patients.