Gynecomastia Surgery Clinic in Udaipur

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Udaipur District is one of the 33 districts of Rajasthan state in western India. The historic city of Udaipur is the administrative headquarters of the district. Udaipur is one of the 7 divisions in Rajasthan. Udaipur District bounded on the northwest by the Aravalli Range, across which lie the districts of Sirohi and Pali. It is bounded on the north by Rajsamand District, on the east by Chittaurgarh District, on the southeast by Banswara District, on the south by Dungarpur District, and on the southwest by the state of Gujarat. It is part of the Mewar region of Rajasthan. Udaipur district comprisese eight sub-divisions: Girwa, Kherwada, Mavli, Vallabhnagar, Kotda, Jhadol, Rishabhdev and Salumber. These sub-divisions are further divided into 11 tehsils. Girwa sub-division consists two tehsils: Girwa and Gogunda. Kherwada sub-division also comprises two tehsils: Kherwada and Rishabhdev. Each of the sub-divisions, Mavli, Vallabhnagar, Kotda and Jhadol comprises only one tehsil of same name. Salumber sub-division comprises three tehsils: Lasadia, Salumber and Sarada. Udaipur is well connected to the major cities of India by land, rail and air. Dabok Airport, also known as Maharana Pratap Airport, is a very small domestic airport situated in a satellite town about 20 kilometres from Udaipur. Daily flights connect Udaipur with Jaipur, Mumbai and Delhi. Air India, Jet Airways, IndiGo and Spice Jet are operational at present. Udaipur City railway station and Rana Pratap Nagar railway station are two railway stations in Udaipur. Through them, Udaipur has direct train connectivity on the broad gauge network to most of the major cities in Rajasthan and the rest of India such as Khajuraho, Alwar, Jaipur, Kota, Chittorgarh, Ajmer, Delhi, Mumbai, Kolkata, Ratlam, Indore, Ujjain, Mumbai, Surat, Vadodara, Gwalior and Agra and a metre gauge network under gauge conversion to Ahmedabad.

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.

In adolescent boys and adult men a common swelling of breast tissue can cause self-consciousness and becomes potentially impossible to treat without surgical intervention. Gynecomastia treatment can help to restore flatter, more masculine contours to the chest to improve your overall appearance.

What is Gynecomastia?

In common gybecomastia treatment is nothing but the restoration of flatter, more masculine aesthetic to the chest, The Male breast reduction itself referred that the reduction of male breast which is enlarged. The reasons for enlargement may vary person to person like it will be due to swelling, medical concern, hormonal imbalance, steroids etc.

The Procedure

There many techniques through those surgeries can be performed. But commonly excision or liposuction techniques can be used frequently to remove excess breast tissues and/or fatty tissues. Our surgeon is always tried to perform the surgery with minimal incision so that less scarring as possible which can be less visible.

Recovery

The gynecomastia surgery wills not required maximum downtime as the patient can resume his daily activities after one to two days as suggested by doctors and strenuous activities at least after the couple of weeks. There will be some swelling bruising and discomfort after the surgery which can be fading away after a time by proper medication and wearing compression garment. Proper follow up is needed in order to avoid future consequences and to ensure that this condition does not recur in the future.

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GENERAL INFORMATION ON GYNECOMASTIA

Gynecomastia, characterized by excessive development of the breasts in men, is a common unilateral or bilateral affection that can cause severe psychological repercussions and also social exclusion.

Gynecomastia is usually asymmetric with abnormal and excessive proliferation of the mammary gland and breast fat.

In case of isolated fatty proliferation, we speak of false gynecomastia or adipomastia.

However, a complete right endocrine assessment should be performed before any surgery with hormone assays, testicular ultrasound and bilateral mammography.

This systematic assessment allows, in some cases, to find a medical cause or drug toxicity.

When a medical cause is found, it is of course treated as a priority.

In some cases, a hormonal treatment of two to three months may be prescribed by the endocrinologist to reduce gynecomastia. This preoperative hormonal treatment is, in general, not effective. Only surgery, a reliable and definitive method, can effectively treat gynecomastia.

This surgical intervention can be covered by social security in the event of severe gynecomastia which may cause a sexual imbalance and in certain conditions (asymmetric, painful gynecomastia with areolar distension).

SURGERY FOR GYNECOMASTIA

The surgery is performed under general anesthesia.

In the case of purely fatty gynecomastia or adipomastia, liposuction can be performed in a unique and exclusive way. In this case, a short incision of a few millimeters is made in the inframammary fold to suck the fat from the breast.

The postoperative result will be all the more satisfactory when the skin is elastic and of good quality.

In true gynecomastia, the dense, fibrous mammary gland cannot be aspirated and must be surgically removed.

The scar is ideally positioned around the areola (hemi-areola) or complete peri-areolar scar (all around the areola) when the decision is made to remove excess skin around the areola.

In the event of significant skin excess, and especially if the skin is of average quality, the complete periareolar scar must be associated with a horizontal scar whose length is variable depending on the excess skin to be removed.

The procedure usually lasts less than two hours.

A drain is systematically placed during the operation to prevent the formation of a hematoma.

SURGICAL CONSEQUENCES OF GYNECOMASTIA

Hospitalization generally lasts 24 to 48 hours.

The drain is removed the day after surgery before leaving the clinic, during the first dressing.

Bruising and edema are sometimes found with the first dressing and resolve spontaneously within two to three weeks.

A hematoma, despite intraoperative drainage, is possible the day after surgery or at a distance.

This is the reason why a compression vest is ideally prescribed for a month, which reduces the risk of hematoma by promoting skin reattachment.

The mastery of the surgical technique, must avoid insufficient correction of the gynecomastia with a residual excess of subcutaneous fat or skin, and in some cases, excessive correction with a hollow appearance of the areola region giving permanent and unsightly depression.

A work stoppage is proposed for a period of 15 days.

It is possible to resume sporting activity after one month.

The surgical indications for gynecomastia are currently well codified.

The regular management of breast surgery in women, both restorative and aesthetic, makes it possible to choose the best surgical technique to treat gynecomastia.

The indications for gynecomastia

The cause of this breast enlargement in men is often idiopathic (without a cause) and manifests itself during adolescence.

In some cases the presence of gynecomastia can be linked to hormonal problems, or to hormonal cancer (testicular or pituitary).

In all cases, the aim of the surgery is to reduce the volume of the breast and in the most important cases to reduce the excess skin.

1. The liposuctionis sufficient in most cases. Often the patient has excess fat associated with the growth. If the mammary gland has large dimensions, a scar should be made for the removal of the gland.
2. Sometimes, the excess skin is important, and therefore, the surgeon must make a scar more or less important to redraw the skin.

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When to do the procedure?

The intervention is not painful.

Often patients ask to treat several areas at the same time, so liposuction is extensive. In these cases, the patient may feel tired for 1 week.

He will also wear a sleeve for 1 month. During a period of high heat, this can be annoying.

It is better to choose a quiet period and have a week without work, as well as a month without travel.

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Gynecomastia consultation

It is essential to establish the cause of gynecomastia. The surgeon therefore requests a blood test, in order to assess hormonal levels, as well as an ultrasound, to assess the presence of mammary gland as well as the amount of existing fat.

If the size of the gland is small and the breast volume is more related to the presence of fat, liposuction will be sufficient to treat false gynecomastia. If on the contrary the quantity of mammary gland is important, it will be necessary to make an incision around the areola in order to remove the gland.
Consultation with the anesthesiologist is mandatory. The suspension of aspirin at least ten days before is recommended.
In order to obtain a good result and to satisfy the patient, it is essential that the surgeon and the patient agree on the limits of the intervention, on the possible results and on the induced change.

If the patient and the surgeon are in tune, patient satisfaction will be assured.

Gynecomastia: course of liposuction

In the majority of cases, liposuction is sufficient to permanently eliminate the volume of the breast. If the glandular component is important, the surgeon should remove the excess through an incision along the areola.

If the patient has a large chest with excess skin (patient with severe weight loss), the surgeon will perform vertical or T-shaped scars as needed.

The intervention is not painful and can last between 1h30 and 2h.

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Gynecomastia: postoperative

The intervention can be performed on an outpatient basis, sometimes one or two nights of hospitalization may be necessary.

Analgesic therapy will be sufficient to control the pain.
For most procedures, the scar is negligible because liposuction is sufficient. If the surgeon has to do a skin lift, the scars will be more visible.

Liposuction is associated in all cases, so the patient will have edema and bruising for a week or ten days. It is advisable to wear an adherent vest for 1 month.

If the surgeon has performed a simple liposuction, the resumption of activities will be quick. On the contrary, if the surgeon had to carry out scars for glandular ablation and skin lifting, it is advisable not to put tension on the chest, to avoid sport for two months and to keep the scarring under control.

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The risks of gynecomastia treatment

With regard to the surgical procedure , by choosing a qualified and competent Plastic Surgeon , trained in this type of intervention, you limit these risks as much as possible, without however completely eliminating them.

In practice, the vast majority of gynecomastia cures performed correctly go without any problems. The postoperative follow-up is straightforward and patients are fully satisfied with their results. However, sometimes complications can still arise:

• Postoperative bleeding and hematoma: bleeding may occur in the hours following the operation. If it is important, it will result in swelling and painful tension (hematoma) and will require evacuation.
• Phlebitis and pulmonary embolism: resuming walking very early can minimize this risk.
• Serous effusion: An accumulation of lymphatic fluid in the area of ​​mastectomy is sometimes observed. We also talk about lymphocele or seroma. It may require one or more punctures in order to evacuate it.
• Postoperative infection: it can appear in the days following the operation and results in a fever, sometimes above 39 ° C. The operated area is then swollen and red, painful. Antibiotic treatment may be sufficient, but often surgical drainage is necessary.
• Skin necrosis: the skin needs a good vascular supply (oxygen supply) to live. If the vascularization is insufficient or of poor quality (significant traction, hematoma, infection, smoking, etc.), skin necrosis may occur. It will be treated with appropriate care and dressings. Healing will be obtained but with a certain delay.
• Pneumothorax: very rare, it will benefit from specific treatment.
• Abnormal scars: the surgeon does his best to make good sutures; however, scarring is a random phenomenon and sometimes the scars are not as subtle as desired. In the same person, depending on the region of the body, healing may be different. Thus, the evolution of scars can be unfavorable with the occurrence of hypertrophic scars, even keloids, of unpredictable appearance and development, which can compromise the aesthetic appearance of the result and require specific local treatments which are often long.
• Skin sensitivity disorders: an alteration in skin sensitivity is common in the first few months and then subsides before a return to normal. Rarely, can appear bad sensory information with exaggeration of the sensitivity; these particular cases require specific treatment. As we have seen previously, when the surgeon has to graft the areolo-nipple plate, it can remain permanently insensitive.

All in all, we should not overestimate the risks, but simply be aware that a surgical intervention, even seemingly simple, always involves a small share of risks.

Recourse to a qualified Plastic Surgeon assures you that this one has the training and the competence required to know how to avoid these complications or to treat them effectively if necessary.

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Additional information on gynecomastia

Possible coverage by health insurance

In the presence of true gynecomastia with hormonal imbalance, health insurance coverage will be possible.

Possible work stoppage

1 to 2 weeks are possible depending on the activity requested.

Other frequently asked questions

The suture threads fall out on their own.

The visibility of scars will improve over time (up to two years).

Before and after gynecomastia pictures

Doctor Loreto presents some before and after photos of the procedures performed in gynecomastia to visualize the incidence of the surgery.