Gynecomastia Male Breast Reduction Clinic in Ahmedabad- Get the best treatment for Enlarged Male Breast, Puffy Nipples in India at very affordable cost. Complete guide on Gynecomastia, Causes, Symptoms, Cure and recovery. Find the best Male Breast Reduction Clinic in Ahmedabad.
Doctor performed a great surgery, plus all the nurses and staff were very kind, patient and understanding. They made my experience very comfortable and I will definitely be coming back to them in the future. No pain, nor discomfort whatsoever.
I was highly satisfied with the service I received, Doctor was very attentive and made me feel comfortable with the procedure. Every time we called with questions, they made sure I had everything I needed. It has definitely made me more confident. Before the surgery, I was hesitant to wear certain shirts or go shirtless in front of people. Now I am so much more comfortable in my own skin and I am more confident in how I look and feel.
The results are amazing!! I feel like a new person being able to live freely not feeling self conscious in everything I wear. I feel like it's given me so much more confidence. Doctor and all his staff were beyond friendly, helpful and supportive the entire journey.
Everyone at Doctors office was amazing! I never felt uncomfortable & they were all very helpful. I am so thankful for the whole team helping me with getting my procedure done & look forward to the next few I have planned. I felt great during the whole process. I never had one second of pain during or after the surgery. I never hurt. The team at Plastic Surgery Center is top notch, in my opinion!
I was completely satisfied from first visit through surgery. The staff patiently answered all my questions (and there were many). Doctor himself called me the night before surgery to go over everything with me and to make sure I didn't have any other questions... I was more than satisfied with the results of the surgery and already planning on my next.
Gynecomastia Cost Depends on?
The cost of Gynecomastia Male Breast Reduction Surgery depends on Surgeon’s Qualification, Operative facilities, Technique of liposuction, Gland excision needed or not, Stay Required or not, Anaesthetist Experience, Type of Compression garment & Post care facilities given to patient.
Please fill the form for exact costing of Surgery in your condition.
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Gynecomastia is breast enlargement in men or enlargement of the breasts.
Usually, the breasts in men exist but are reduced to an almost impalpable mass behind the areola.
This mass can gradually develop until it reaches a sometimes very large volume (gigantomastia).
Usually symmetrical, gynecomastia is sometimes asymmetrical and must systematically seek breast cancer requiring rapid treatment knowing the difficulty of radiological diagnosis of breast cancer in men.
Gynecomastia can be made up of gland only, fat only (adipomastia) or, more frequently, a mixture of the two.
Depending on age, there are four forms of gynecomastia:
- in adulthood: between 30 and 40 years old, usually no cause found, it is the idiopathic form;
–In adolescence: between 12 and 13 years old;
- in the absence of obesity: it is most often a small turgid mass behind the areola. This form can also be found in athletes doped with anabolics;
- in the presence of obesity: it is then an increase in breast volume due to fat sometimes associated with a small retroareolar nodule;
- it should be noted that this gynecomastia in adolescents will regress spontaneously in 2 or 3 years but is at the origin of a complex and sometimes very important psychological disorders which may require a rapid intervention;
- in infants: occurs frequently (50% of cases) and affects both little girls and little boys. The clinical form is represented either by a small mass remaining localized behind the areola, or extending a little around it. A flow can be associated.
This pathology always regresses quite quickly without treatment;
–At middle age:
–The morphology of gynecomastia is very variable as is its volume. We can find either purely glandular forms, or purely fatty forms or, more frequently, the combination of the two.
–The causes are variable:
–Hormonal deficiency with a decrease in the testosterone level compared to the estrogen level. This is the most common cause;
- you must systematically eliminate the drug causes of gynecomastia:
Finally, it is important to know that alcohol, the usual drugs, and doping products such as androgens, can also be the cause of gynecomastia.
With the exception of the particular form of the infant, in the presence of gynecomastia, clinical, biological and radiological assessments are essential.
The clinical examination:
–Determines the age, personal and family history, the date of onset of gynecomastia and its speed of development, the extent of the physical and psychological discomfort;
- the clinical examination makes it possible to differentiate the small retroareolar turgid gynecomastia from the larger gynecomastias often mixed made up of gland and fat. The experienced surgeon can clearly tell the difference between fat and gland on palpation.
The symmetry will of course be noted because a rapidly evolving unilateral gynecomastia must raise suspicion of breast cancer and perform immediate resection.
The axillary region should also be palpated for lymph nodes.
–The global clinical examination is finally a more targeted examination in search of certain pathologies that may induce gynecomastia.
In all cases, a hormonal assessment will be requested :
- FSH – LH, prolactinemia in search of a pituitary tumor;
- estrogen androgen balance;
- beta HCG;
- hepatic check;
- ACTH and cortisolemia;
- thyroid hormones (T3, T4, TSH);
- urea creatinemia;
In infants, no treatment is necessary.
- in the event of obesity: weight loss can be attempted, which leads to regression of gynecomastia, provided that it is neither too old nor too large. But often, weight loss in adolescents is difficult to achieve and the complex generated by this gynecomastia is often extremely disabling. It is for this reason that I regularly operate on adolescents with this pathology.
In adulthood : it is necessary to eliminate the drug taken, the doping drugs but also always to keep in mind the cancers of the pituitary gland, the breast and the testis.
Treatment by applying a local cream containing is often not very effective.
In the elderly : even if a cause is rarely found, it will always be necessary to eliminate a drug intake and in particular drugs treat certain cancers (prostate, etc.) or HIV, which must then be attempted to modulate.
In general, the treatment is surgical, especially when the gynecomastia is large and bothersome.
What are the different types of surgical treatment for gynecomastia:
- in the form of the small retroareolar nucleus: lower hemi-areolar incision and resection of the lesion under assisted local anesthesia and ambulatory;
- in the larger forms, it is necessary to differentiate the pure fatty forms which can benefit from a simple liposuction, and the most frequent forms, that is to say associating fat and gland, which benefit the best from liposuction associated with excision of the gland by lower hemi-areolar incision.
In conclusion, there are two types of surgical treatment:
–Surgical excision of the lesion by skin incision associated with liposuction.
In fact, liposuction is only intended and effective for pure fatty gynecomastia which is, in my experience, very rarely found.
As soon as there is a gland, it cannot be removed by a simple liposuction under penalty of leaving the gland in place, a source of postoperative surface irregularities and especially of recurrence.
Surgical excision is therefore the classic treatment.
The skin incision is located in an arc of a circle with superior concavity on the line circumscribing the areola. This is the inferior hemi-areolar approach.
The gynecomastia lesion is removed by passing in surface in the fat localized just under the skin and in depth, by shaving the deep muscles in particular the Pectoralis major muscle. One-piece ablation of the lesion, in the form of a wafer, is preferable, to the excision of multiple fragments, in order to avoid incomplete resection.
The result must be harmonious, regular and homogeneous, without leaving areas of depression, unsightly skin "waves" and glandular remains, especially under the nipple, a source of recurrence. The contours of the thorax must remain natural and harmonious.
I recommend the technique that will be best suited to each of my patients and which can be summarized as follows according to my experience:
- general anesthesia, most often;
- infiltration of at 1% diluted by half under the skin and deep between the gland and the deep muscle;
- superficial and deep liposuction with a fine cannula, even in the case of glandular gynecomastia, in this case tissue detachment than real fatty aspiration;
- lower hemi-areolar skin incision with a scalpel and subcutaneous superficial detachment with scissors of the entire surface of the gland, leaving only a thin layer of subcutaneous fat, of regular thickness;
- deep detachment in front of the muscle, on the deep face of the gland, allowing to remove a kind of tissue plate which will be identified by 2 threads and entrusted to the histologist for anatomo-pathological examination, - liposuction in particular on the peripheral zones of the thorax located outside the glandular cake removed in order to harmonize the shapes and the external contours of the thorax;
- drainage through a suction Redon drain on each side coming out through the armpits and leave in place for a few hours;
- cutaneous suture by joining flaps according to an innovative and personal technique;
- compression bandage, outside the areolar zone, to be worn for 24 hours, date of the first postoperative bandage;
- postoperative compression by bandage is systematic for 10 to 15 days
Small, extremely commonplace gynecomastia often does not require surgical treatment (medical treatment with an androgen-based gel applied topically can be prescribed by the endocrinologist), but the surgical indication arises, after advice from the endocrinologist, when the deformation is significant and / or there is a significant psychological impact.
Surgical treatment varies depending on the type of gynecomastia. The fatty forms (adipomastia) respond well to liposuction (liposuction). The glandular forms require the excision of the glandular nucleus behind the areola through a small incision made on the periphery of the areola, or inframammary. The mixed forms are accessible by liposuction, then by surgical excision of the glandular residue which could not be aspirated by liposuction; a layer of 8 - 12 mm of gland is left, for the vascularization of the areola and the aesthetic appearance. If the skin is in excess and does not retract, or the breast is too ptosis (drooping, with formation of an inframammary fold), a skin lift is necessary, at the cost of a longer scar on the breast .
Preparation: Antiseptic shower the day before.
Hospitalization time: 24 to 48 hours.
Duration of surgery: 1 hour 30 minutes to 2 hours
Moderate (1 to 3/7) calmed by moderate analgesics in short duration.
Drain 24 to 48 hours, postoperative compression bandage, then compression garment type bolero for 3 weeks, elbow position to the body for 8 days then gradual lifting of the arms.
Complications: Hematoma, infection, delayed healing, “hollow” by excess excision, necrosis of the areola, altered sensitivity, rare thromboembolic events.
Contraindications: Tobacco, hypertension, poorly balanced diabetes, treatment causing bleeding.
Follow-up: Visit at 8-10 days - check at 2 months, 6 months and 1 year.
Social exclusion: 8 days - Gradual return to sport after 1 month.
This is a procedure for removing excess gland, fat and skin from the male breast. If there is a difference between the two sides, the surgeon always strive for the most symmetrical result possible. Gynecomastia can be partially covered by social security when there is a glandular nucleus objectified by an imaging test.
A minimum of two consultations is necessary. The surgeon looks for the reasons that push the patient to have the operation and collects all the medical elements essential for the smooth running of the operation. A clinical examination makes it possible to determine with the patient the objectives of the surgery. A hormonal and radiological assessment as well as an endocrinology opinion may be necessary.
The patient must be clearly informed of the objectives of the surgery and the scars in order to be operated in the best conditions.
The weight must be stable in the six months preceding the surgical procedure and the body mass index within acceptable limits (less than or equal to 30 kg / m2). If the patient wishes to lose weight, it is necessary to do so before the intervention so as not to compromise the result.
Tobacco is a contraindication to this type of surgery. It is necessary to stop taking nicotine at least four weeks before and four weeks after the intervention (the only authorized substitute is the electronic cigarette without nicotine).
Before the block, the surgeon goes into the room to make the markings that will guide him during the operation.
The procedure is performed under general anesthesia. It lasts between one and two hours and varies according to the procedure carried out which can combine liposuction, resection of the gland and in certain cases lifting to treat the excess skin. The surgeon performs the procedure on both sides. The removed gland is sent to the laboratory for analysis.
The sutures used are absorbable and no drainage is put in place except in exceptional cases.
A dry bandage is applied to the scars and a non-reinforced compression bolero in place.
If certain conditions are met (proximity to home, possibility of being accompanied, absence of comorbidities), the operation is carried out on an outpatient basis. The patient is summoned on the day of the block a few hours before on an empty stomach and leaves the same day after checking by the surgeon and / or the anesthetist.
In some cases, overnight hospitalization may be necessary. The patient then leaves the day after the operation after the doctor's visit.
The intervention is not very painful and paracetamol is sufficient to relieve the discomfort in the vast majority of cases. Analgesics are systematically prescribed.
The size of the scars depends on the volume of the gland and the presence or absence of skin to be removed:
Scars should be washed daily in the shower with soap and water running off before being dried with a clean towel. The dressing can be unwrapped before or during showering.
At the end of the toilet, care is carried out daily at home by the patient himself or by a nurse according to a protocol established by the surgeon. Finally, the support bolero is placed over the dressings. The latter must be washed regularly (there is no consequence in not wearing it for two hours during the day).
The first follow-up appointment takes place after one to two weeks.
The compression bolero is worn for a month in total, day and night.
Sun protection for scars is essential in the year following the operation.
After one month postoperatively to reduce the risk of visible scars, massages can be performed (two per day for five minutes and for a period of at least three months) with a moisturizer. The alternative of silicone dressings can be interesting and should be discussed with the surgeon.
Checks are carried out one month, three months and one year postoperatively.
The results of the analyzes carried out during the operation are given to the patient during the follow-up consultations.
The final result of the intervention can be appreciated three to six months later due to the postoperative edema.
Resumption of physical activity is only possible one month postoperatively in the absence of healing problems.
Sauna, hammam, baths including swimming pools or sea water are only possible after complete healing one month after the procedure.
As with any surgical procedure, a complication can occur (hematoma, infection, disunity, unsightly scars or even keloids).
In some cases, the intervention may be partially covered by Social Security when there is a glandular nucleus on ultrasound. No prior agreement is necessary and the indication is asked by the surgeon.
For other cases, it is cosmetic surgery not reimbursed. The estimate will depend on several parameters (choice of the care structure, the complexity of the surgery, any associated procedures) and will be provided to the patient in consultation.
An approximate price list is available on the site.
When the intervention is covered by health insurance, a work stoppage may be justified. The duration of this depends on the arduous nature of the job and generally lasts two to four weeks.
Sensitivity disorders after a cure for gynecomastia are frequent. In the vast majority of cases, these disorders will disappear or greatly diminish after surgery.
It is rare but gynecomastia can recur. A new intervention is then necessary.
Gynecomastia is an excessive development of the breasts in men, on one side or on both sides, symmetrically or not.
It usually has little or no pain, but sometimes it can be accompanied by tenderness in the chest.
Theoretically, true gynecomastia is related only to the mammary gland, and false gynecomastia contains only fat .
In practice, the two components, glandular and fatty, are very often associated.
Gynecomastia is very common, especially at certain periods of life: in newborns (60% of cases), then at the time of puberty (60% of cases) where it generally disappears in less than two years. In adult men, gynecomastia occurs in about 30% of cases (up to 60% of cases after 70 years).
In the vast majority of cases, gynecomastia is normal , or "physiological" or "idiopathic", ie no cause is found. However, before being able to affirm it, it is necessary to carry out a complete assessment, in search of a possible pathological or medicinal cause. This assessment must be carried out by an endocrinologist. It includes an interrogation, a clinical examination, and a blood test. Ultrasound and / or mammography are often helpful in specifying the glandular component and removing a tumor.
Among the pathological causes, that is to say among the diseases which are likely to lead to gynecomastia, it is necessary to quote:
Among the drug causes, that is to say among the drugs which are likely to cause gynecomastia, it is necessary to quote: estrogens, cimetidine.
When a cause is found, it is of course that which must be treated as a priority.
The surgical treatment of gynecomastia in Ahmedabad is particularly aimed at forms that are bothersome by their size or sensitivity, as well as psychologically poorly tolerated gynecomastia. In adolescents, it is necessary to wait about 2 years of evolution before considering surgery.
Liposuction is a method that can only be considered on its own if the content of the breasts consists solely of fat (false gynecomastia).
In true gynecomastia, the mammary gland, which is hard, cannot be aspirated. It can only be removed surgically. It all depends on the size of the breast and the elasticity of the skin.
Excessive development of the mammary gland in men is often accompanied by complexes. People are reluctant to wear tight-fitting clothing like T-shirts, shirts, and let alone swimwear. The intimate life can be disrupted because a voluminous chest is often associated with the idea of femininity. A gynecomastia treatment in Ahmedabad makes it possible to permanently remedy this type of problem. Man gynecomastia can be caused by multiple factors. This increase in the mammary gland may affect both breasts or only one. This symptom appears frequently in boys during adolescence but goes away in most cases. This is why this intervention is rather reserved for adults, when the body has completed its full development. Male gynecomastia is also a phenomenon linked to aging, which is why this problem is common in older men and is thought to be due to a drop in testosterone levels.
The gynecomastia treatment in Ahmedabadmay consist of simple liposuction or may require an operation. Before considering a surgical operation in Boulogne, it is important to look for the causes at the origin of this problem, so as to rule out the existence of underlying pathologies. It is possible to benefit from a reimbursement by social security and complementary health insurance in certain cases, in particular when the gynecomastia causes a strong psychological suffering, that it is accompanied by physical pain or that it produces a strong asymmetry. Your surgery will provide you with a non-binding quote. You can send it to your complementary health insurance, who will tell you the amount of possible coverage. Even if the results are not immediately visible,the operation quickly provides a better comfort of life in most cases. The torso regains a more masculine aspect. The psychological benefit is often significant. If the gynecomastia is of fatty origin, it is important to adopt a good hygiene of life because any increase in weight can cause a return of the mammary hypertrophy.
A surgical operation in Ahmedabad offers all the guarantees of safety and reliability. A reduction in male gynecomastia should always be performed in a surgical office specializing in cosmetic and plastic surgery. An operation of the mammary glandis always delicate and must be carried out under conditions of maximum hygiene and safety. A gynecomastia treatment in Ahmedabad must always be accompanied by an adapted follow-up, whether it is to establish a precise diagnosis, to propose an adapted solution or to answer all the questions of the patient. If you wish to carry out this surgical operation in Boulogne, Dr Staub's surgery is able to provide you with all the information you need to make an informed decision. You will be informed in all objectivity about what this operation can bring you and you will be able to assess the advantages and disadvantages. Do not hesitate to ask Dr Staub for advice, he will answer your questions frankly.
Gynecomastia is defined by the appearance of a real breast in men. It can be unified or bilateral. An intervention makes it possible to definitively get rid of this real disgrace, which is often very difficult to assume.
The breast is indeed the symbol of femininity. If the mammary gland does exist in normal men, it is reduced to a simple breast bud and does not form any real relief.
Also when a man notices that he has "breasts" where you should see his pecs, it almost becomes a questioning of his virility, especially if this gynecomastia appears during adolescence, an age at which it is particularly bad. lived.
We must distinguish true gynecomastia from adipomastia which is made up of fat. But very often these are mixed forms called adipo-gynecomastia.
Usually there is no cause for this gynecomastia; she is said to be idiopathic. However, in some cases, it is due to a hormonal imbalance, or related to a testicular or pituitary tumor. Finally, certain drugs can be responsible for this gynecomastia. A review will therefore be necessary before any intervention. In the absence of a found cause, the patient can then be offered a surgical treatment, called a cure for gynecomastia.
The goal of this surgery is to restore normal anatomy as well as possible with the following principles:
Surgical treatment is for all men who present with gynecomastia.
The intervention can be practiced even on the adolescent, with the authorization of the parents; it is even strongly recommended, because of the psychological disturbances it can cause.
The clinical examination assesses the development of the mammary gland centered on the areola, most often bilateral and symmetrical, of firm consistency and sensitive to palpation. Gynecomastia should be distinguished from adipomastia which is much more frequent and corresponds to a local accumulation of fat. These adipomasties have a softer bilateral, symmetrical consistency, but the two can be associated (adipogynecomastia).
In adolescents, transient gynecomastia can appear, linked to a hormonal imbalance in favor of estrogen, which disappears within a few months.
Breast ultrasound and mammography will be prescribed to determine the composition of this gynecomia: fat, gland or mixed structure and also to remove a breast tumor.
Indeed, it is the nature of this gynecomastia that will depend on the treatment method:
All the information you need to understand your treatment will be provided to you during this consultation. Documents will be given to you so that you can read at home the elements essential to your decision and be able to ask additional questions during the next consultation, which will be free.
Post-operative advice and prescriptions are summarized in a personalized sheet.
Partial support by social organizations for the treatment of gynecomastia is possible under certain conditions: "intervention carried out after endocrine assessment, after puberty, for marked gynecomastia, which may pose a problem of a sexual or psychological nature (in particular asymmetric gynecomastia). , painful, with areolar distension) ”.
The additional fees will be submitted to you in a quote; they are refundable, in whole or in part, by your complementary mutual, depending on the contract you have taken out.
A blood test is carried out as well as a radiological assessment of the breasts (ultrasound, mammography). A preoperative anesthetic consultation is scheduled at least 48 hours before your entry; the anesthetist will explain all the modalities of his gesture to you.
Quitting smoking is strongly recommended; any medicine containing aspirin is prohibited. You will arrive at the clinic on an empty stomach for more than 6 hours.
The tracings of the incisions and the identification of the breast areas are made in the operating room. Photographs are also taken.
A "vigil" anesthesia (local anesthesia deepened by tranquilizers administered intravenously is possible for an isolated liposuction. Otherwise it is a classic general anesthesia.
The final choice will be the result of a discussion between you, the surgeon and the surgeon. anesthetist.
Doctor, cosmetic surgeon in Ahmedabad, adopts a technique which is specific to her and which she adapts to each case to obtain the best results. However, we can retain basic principles common to any treatment of gynecomastia.
In the case of predominantly fatty gynecomastia, the treatment is isolated liposuction. The scars are then minimal.
In the event of predominantly glandular gynecomastia, a mastectomy is required (resection of the mammary gland). An incision is made at the lower edge of the areola to remove the mammary gland (subcutaneous mastectomy). A drain can be put in place.
In the case of mixed gynecomastia, the 2 methods are combined, starting with liposuction.
Finally, if the excess skin is too large with a skin that is not very elastic, it will have to be resected. The residual scars will have a location and a variable size depending on the case (periareolar, horizontal in the inframammary fold or in T). We can also practice an areola reduction.
A suction drainage and a compression bandage are put on at the end of the operation. In case of liposuction, no drainage is placed.
Finally, a "modeling" dressing is made, often with an elastic bandage or a compression vest.
The duration of the operation is highly variable, depending on the technique used, ranging from 30 minutes in the case of isolated liposuction to over two hours for complex forms requiring major skin reduction.
The stay in the clinic depends on the surgical technique used. For liposuction, the operation can be performed on an "outpatient basis", that is to say with an exit the same day after a few hours of monitoring. Otherwise the hospitalization is 24 hours.
In case of fatty gynecomastia, abdominal liposuction is sometimes performed at the same time.
In the immediate aftermath, postoperative pain will be relieved by analgesic treatment. Edema (swelling), bruising (bruising), and discomfort with raising the arms are common in week 1.
The bandage is changed regularly and the compression vest worn day and night for 3 to 4 weeks. This retention helps skin retraction and promotes uniform healing.
A work stoppage of a few days is necessary.
The threads are absorbable.
Certain post-operative care such as massages may promote skin retraction.
It is advisable to wait 3 to 4 weeks before resuming any intense physical activity or sport.
The patient's compliance with the instructions given by the surgeon is essential,
Doctor guarantees you a conscientious and considerate personalized follow-up. You can reach her at any time, 24 hours a day, for any post-operative question.
Post-operative consultations are included in the quote.
Surgical progress and current techniques for treating gynecomastia now allow natural and aesthetic results to be obtained, while avoiding postoperative risks as well as complications as much as possible.
The improvement is immediately visible from the first days but a period of two to three months is necessary to assess the final result. This is the time required for good skin retraction and the disappearance of postoperative edema. Beyond this period, the tissues will gradually gain flexibility.
The thorax becomes flat again.
The tenderness of the nipples gradually reappears.
The scars evolve during one year after the intervention It is imperative to protect them from the sun during the first year.
The result is definitive, but in the event of adipomastia, it is necessary to avoid gaining weight.
The reduction in breast volume brings physical comfort, especially when getting dressed. Finally, the result is often very beneficial on the psychological level because gynecomastia is often considered as a shadow to virility.
Doctor performs the procedure herself and provides post-operative follow-up; she will be able to support you throughout your project, before, during and after the operation.
In conclusion, the treatment of gynecomastia is a reliable intervention which in the vast majority of cases gives very good or excellent results in terms of functional, aesthetic and psychological benefits.