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Gynecomastia is one of the most common problem arises in today’s men’s population. It is the treatment options which are available to get rid of enlarged male breast. This treatment involves surgical removal of excessive breast tissues and gland.

If you are looking for breast reduction surgery in Delhi then there are very few experienced aesthetic surgeons are available to treat this situation. More than 50% of men are facing this problem. Henceforth, it does not affect adversely to human body or imposed any type of risks, but it can disturbed a person emotionally and psychologically.

Gynecomastia Procedure:

Sometime, Gynecomastia will go away automatically, as it is link with puberty. But in most of the cases the tissues are not fatty, it is glandular. Glandular tissues cannot go automatically. Thus surgical intervention is the only solution to reducing the glandular tissues. Surgical process will take only 45 minutes to 1 hour depending on the size.

Our expert surgeons have vast knowledge and experience regarding gynecomastia surgery.

This surgery can be performed under local or general anesthesia as per patient’s comfort. Incision is made on the chest crease or around the areolas depending on the tissues. Doctors remove the certain amount of breast tissues which will help to reduce the size of the breast.

After the procedure the tiny drain is placed in the incision area and wraps the garment around the chest. The drains can be removed in a few days but the garment should be wear for a couple of weeks. A patient can resumed his daily activities after two days and heavy workouts after two to three weeks.

Gynecomastia Surgery Side Effects:

Following are the temporary side effects which can be resolved after sometimes automatically:

• Swelling and tenderness of the chest
• Discomfort
• Pain and bruising
• Numbness

Gynecomastia Surgery Final Results:

Once the swelling goes away the results start seeing. The results normally starts coming probably after one month. Scars from the incision are small and start fading after sometime. The gynecomastia patient in Delhi have said that they feel more confident to be a shirtless in some places like at gym, beach and also sports round etc

Gynecomastia Surgery Cost:

Basically cost of Male breast Reduction surgery is depend upon the size and the techniques used by a surgeons to enlarged the breasts. In some case it also depends upon the anesthesia, additional body contouring procedures, etc. The well experienced and helpful staff of our surgeon will let you know about the cost after proper examination and consultation.

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Gynecomastia is an enlargement of the mammary gland in men. Its etiology is varied, mainly associated with hyperestrogenism, although in many cases it is idiopathic. This anomaly produces a deformity of an aesthetic nature that causes psychological alterations in the patient. The goal of surgical treatment is to achieve a normal appearance of the male chest, with the least possible scar. The surgical technique will depend mainly on the degree of gynecomastia, and on the distribution and proportion of the various components (fat and parenchymal) of the breast, with several alternatives: simple surgical exeresis; simple liposuction; surgical excision plus liposuction; and surgical excision plus skin resection.Liposuction has emerged as one of the most important techniques to apply in this pathology, alone or in combination with other procedures. The present work describes the indications and different modalities of surgical treatment.

Gynecomastia is an increase in the size of the mammary gland of the male. It has a varied etiology, mainly associated with hyperestrogenism, although in many cases it is idiopathic. This anomaly produces a deformity of an aesthetic character that provokes alterations of a psychological order in the patient. The aim of surgical treatment is to achieve a normal appearance of the masculine thorax, with the smallest possible scar. Surgical technique will mainly depend on the degree of the gynecomastia, and on the distribution and proportion of the different components (fat and parenchyma) of the breast. There are several alternatives: simple surgical exeresis; simple liposuction; surgical exeresis plus liposuction; and surgical exeresis plus cutaneous resection. Liposuction has emerged as one of the most important techniques applied in this pathology,either alone or in combination with other procedures. This paper describes the indications and different forms of surgical treatment.

The term gynecomastia literally means a woman's breast and with it we designate an increase in the size of the mammary gland in men. It is the most common breast anomaly in males. Clinically it is a firm or elastic mass located behind and around the areola. Histologically it is characterized by a proliferation of adipose, fibrous and ductal tissue, with a variable predominance of each of these components. In general, it is a bilateral process, with a unilateral incidence of 20% of cases. The main reason for the consultation, in most cases, is the emotional impact that this alteration in the shape and size of the male breast entails, triggering a behavior of hiding in the development of daily life.

ETIOLOGY
The processes that can cause gynecomastia are multiple. Except for gynecomastias of the neonatal, pubertal and senile period, which can be considered physiological, the increase in breast size in a male should be considered as a pathological fact. In many cases the precise etiology is unknown. However, it is necessary to carefully evaluate each patient so that the detection of serious diseases does not go unnoticed. Therefore we will divide gynecomastias into physiological and pathological ^1-3 .

PHYSIOLOGICAL GYNECOMASTIAS
Neonatal gynecomastia
It is a transitory process due to the effect of placental maternal estrogens. It can occur in up to 60% of newborns and resolves in weeks or months.

Pubertal gynecomastia
It is triggered temporarily after the age of 14 or 15. It is an increase in breast size without other accompanying abnormalities. It has an incidence of 65% by age 14, although the incidence is variable according authors ¹ . It disappears in most cases after 12 to 14 months of evolution, persisting only in 8% of cases at 3 years.

Senile
gynecomastia The prevalence of gynecomastia increases with age and Nuttall ⁴ observed this disorder in 57% of men older than 45 years. All this would be linked to hormonal changes, a decrease in testosterone and an increase in estrogens, as well as an increase in obesity. These alterations inherent in the normal aging process contribute to the development of gynecomastia in older individuals.
In all cases it is associated with the level of circulating hormones in the blood. The fundamental mechanism for the development of gynecomastia is a decrease in androgen production, an increase in estrogen production, or an increase in the transformation of androgen precursors into estrogens. Ultimately, what determines its appearance is the tissue estrogen / androgen ratio in the functional sense, and many times this cannot be demonstrated with hormonal determinations in the blood ³ .

PATHOLOGICAL GYNECOMASTIES
These include all increases in the volume of the breast in men whose etiology is pathological processes, such as systemic disorders (kidney failure, liver failure, hypo / hyperthyroidism, hypogonadism, neoaesthetic diseases, obesity, etc); testosterone deficiency (anorchia, Klinefelter syndrome, chronic testicular diseases, orchiectomy, etc); estrogen-secreting testicular tumors; or the effect of various drugs and drugs (alcohol, marijuana, estrogens, anabolic steroids, chemotherapeutic agents, cimetidine, tricyclic antidepressants, among many others described).

PREOPERATIVE STUDY
It is important to distinguish patients with physiological or idiopathic gynecomastia from those with a pathology as a cause. The anamnesis should consider age, presence of signs or symptoms and their duration, as well as ask about drug use or exposure to estrogenic agents.

The systemic review should include the detection of signs or symptoms of: kidney, liver or thyroid failure (hypo / hyper); weight gains; alcoholism; or neoaesthetic processes. A complete physical examination should be performed including testicles, assessment of kidney, liver and thyroid functions, as well as the determination of testosterone.

The breasts may resemble female mammary glands or have a small subareolar button that is soft in consistency and does not adhere to adjacent tissues. Induration, pain, and abnormal tenderness are indicative of recent breast enlargement, but in most cases it manifests itself asymptomatically. The diagnostic criteria is variable, but most authors consider that gynecomastia can be spoken of when a subareolar breast button greater than 2 cm thick can be palpated ^1,2. Palpation of the breast can tell us if the cause of gynecomastia is mostly fat (soft consistency) or glandular proliferation (firm consistency). Mammography and ultrasound are of great diagnostic importance to assess whether the main proportion is of the fat component or of parenchymal proliferation which is essential to plan the type of intervention and in turn helps us to rule out any other concomitant pathology in the breast (eg, a carcinoma).

The differential diagnosis must be established with various abnormalities that can lead to a similar appearance, such as lipomas, angiomas, neurofibromas, or hypertrophy of the pectoralis major muscle.

CLASSIFICATION
Gynecomastia can be classified into three types, depending on the degree of involvement:

- Grade I gynecomastia. Mild breast enlargement without excess skin.

- Grade II gynecomastia. Moderate breast enlargement with or without excess skin.

- Grade III gynecomastia. Exceptional breast enlargement with excess skin.

TREATMENT
Indications
Medical treatment for physiological gynecomastia is rarely indicated ⁵ . Pubertal physiological gynecomastia is a temporary condition. The action in these cases should be aimed at reassuring the patient and carrying out periodic surveillance, with psychological support, since this will spontaneously yield in 90% of cases.

The time of evolution of gynecomastia is one of the main factors to assess when deciding on treatment. If it persists for more than 18 to 24 months, it is unlikely that any medical therapy will be successful or will resolve spontaneously. If it is a non-reversible physiological gynecomastia or an adolescent patient with an evolution time of more than 18 months, the therapeutic option in these cases will be surgical treatment, since the tissues beyond this period progress towards fibrosis.

The treatment of pathological gynecomastia will be that of its underlying cause, resolving after appropriate treatment, although the breast may undergo fibrotic changes during the course of the disease and its regression then will not be complete.

Surgical
techniques The surgical technique to be applied depends mainly on the degree of gynecomastia, and on the distribution and proportion of the various components (fat and parenchymal) of the breast ⁶ . We can basically divide the techniques into four types:

- Simple surgical exeresis. Indicated in cases with breast augmentation basically due to glandular hypertrophy.

- Simple liposuction. Indicated in cases with practically a predominance of fatty tissue.

- Surgical excision plus liposuction. Indicated in cases where glandular hypertrophy is limited only to the retro or periareolar area, while the rest of the breast augmentation is due to the fat component.

- Surgical excision plus skin resection. Indicated in cases with excess skin, in which it may be necessary to transfer the areola-nipple complex.

The intervention can be performed under both general and local anesthesia, depending on the degree of gynecomastia as well as the characteristics of the patient.

The marking of the area to be intervened is performed preoperatively with the patient standing, drawing a topographic map of the deformity to be resected and of the peripheral area to be treated, in order to reshape the thoracic contour and prevent secondary deformities.

Simple surgical exeresis
Historically, multiple locations of incisions have been described for the surgical approach (submammary groove, mid-axillary line, axilla), but our preference is to access through a periareolar incision in the lower half of the areola, which gives us a better exposure of tissues for removal ⁷. Next, a dissection of the areola-nipple complex is performed, leaving a retroareolar glandular tissue thickness of about 8 mm. This preserved glandular tissue will prevent subsequent subsidence and provide a good projection of the complex. Subsequently, the periareolar skin is released, maintaining a dissection plane that provides us with a sufficient thickness of subcutaneous tissue to maintain the vascularization of the skin, and to prevent irregularities due to overcorrection, as well as postoperative skin adhesions.

After releasing the subcutaneous plane, the deep plane is dissected over the fascia of the pectoralis major muscle. Dissection of the gland can be done with scissors, scalpel, or electro-scalpel (Colorado needle), the latter being our preference. The glandular-fatty gynecomastic tissue is excised, paying special attention to excision in a beveled manner in the peripheral area of ​​the resection to obtain a homogeneous thoracic contour, without visible or palpable irregularities.

Haemostasis must be careful, the absence of irregularities will be checked and an aspiration drain will be placed. Finally we proceed to perform an intradermal Periareolar suture.

Simple liposuction
After marking, we make a small incision of 3 to 4 mm with the No. 11 scalpel in the lateral area of ​​each submammary groove, to obtain optimal access. The area is infiltrated with a solution of 1 liter of physiological serum, mixed with 1 ml of adrenaline, 30 ml of 2% lidocaine and 10 ml of 1 M sodium bicarbonate. Tumescence of the infiltrated area occurs. The infiltration must be uniform and it is important to infiltrate the entire area in multiple layers.

Through the incisions described, we carried out the aspiration of the fat, starting with liposuction cannulas of 4 mm in diameter from the deep to the superficial plane, continuing with a more superficial revision with 3 mm cannulas. In the peripheral areas a gentler aspiration is performed with the 3 mm cannulas, carrying out multiple peripheral passes to achieve a better redistribution of the skin.

In general, there is very little blood loss with this technique and expirative drainage is rarely placed.

Surgical excision plus liposuction
The marking is carried out preoperatively, delimiting the areas of glandular tissue for excision and peripherally the fatty tissue to be aspirated. The removal is carried out in the same way as described above and then we infiltrate the area to be aspirated with the described solution, proceeding to perform liposuction of the peripheral areas by introducing the cannulas through the periareolar approach, similar to the previous section ⁸ .

In this case, after performing thorough hemostasis, we introduce an aspiration drain.

Surgical excision plus skin resection
In patients with large gynecomastias or very ptotic breasts, there may be a large excess of skin or even a large inferior displacement of the areola-nipple complex. In these cases, once marked glandular excision, performed a design skin resection marking a complete periareolar incision and another concentric outer circular incision whose diametervary depending on the excess skin we deem necessaryresect ⁹ .

If the areola-nipple complex is displaced and needs to be raised, the outer concentric circle can be made in the shape of an oval to ascend the areola. The intervention begins with a de-epidermisation of the skin between the two circles, followed by a new incision in the lower area of ​​the de-epidermis area to proceed to excision of the breast. After performing a meticulous hemostasis, we sutured the surgical wound in two planes, performing a complete intradermal suture with 4/0 periareolar nylon, to avoid widening of the scar in the postoperative period. This suture can remain buried or be removed 1 year after the intervention. In extreme cases, to correct very important ptosis, it may be necessary to remove the areola-nipple complex and replace it as a graft in a suitable position.

Postoperative care
The patient is placed, once the operation is finished, a compression shirt that must be worn continuously for 1 month. We systematically perform antibiotic prophylaxis, which begins preoperatively. The suction drains will normally be removed after 2 or 3 days. The patient can perform physical exercises from 3 weeks. The inflammation of the intervened area is progressively decreasing and the final result is appreciated after 3 months.

COMPLICATIONS
The most frequent complications are hematomas and seromas. Malpositions, depressions, necrosis, hypertrophic or enlarged scars can occur in the area of ​​the areola-nipple complex. The aesthetic result may be unsatisfactory due to excessive excision or liposuction, producing contour depressions, or due to insufficient treatment, giving rise to irregularities due to excess glandular tissue or residual fat.

CONCLUSIONS
Gynecomastia is a breast disease that affects 65% of men. It can be present in newborns, adolescents and adults. Its etiology is varied, mainly associated with hyperestrogenism, although in most cases it is idiopathic. This anomaly produces an aesthetic deformity that causes psychological disturbances in the patient.

Surgical treatment should only be carried out after an endocrinological evaluation and, where appropriate, after not responding to other measures. Its objective is to achieve a normal appearance of the male chest, with the least possible scar. In this sense, liposuction has emerged as one of the most important techniques to apply in this pathology.

Gynecomastia, an intervention to reduce male breasts

We have all observed at home, a family member, a friend or a neighbor who due to fatness or age, has large breasts, similar to those of a woman. In these cases, the most recommended is the treatment of gynecomastia, that is, the reduction of the size of the male breasts.

Diminishing methods include liposuction, excessive trimming of glandular tissue, or the use of a combination of liposuction and excision. If you are treated by a certified aesthetic surgeon, gynecomastia treatment can be effective so that it is completely corrected.

How do you know if you are a good candidate for this treatment?

Gynecomastia is not usually caused by serious medical problems. In fact, its cause is rarely identified. However, because there are some minor medical problems that cause gynecomastia, the first step to take is visiting your GP to rule it out.

WHEN TO EVALUATE A GYNECOMASTIA TREATMENT?

First of all, when you are not satisfied with the size or appearance of your man boobs or if you experience physical discomfort due to your breasts.

Another important aspect is whether you have good elasticity of the skin. Successful gynecomastia surgery involves proper skin contraction after the excess skin is removed through surgical intervention. Your skin may lack the elasticity necessary for a good contraction if you are fifty years or older, if you have suffered significant damage from sun exposure, if you have breasts with many stretch marks, or if you have had gastric bypass surgery.

Likewise, if you have tried diet and exercise to reduce your breast size first and are not getting results; or also if you are skinny but had a considerable overweight, when losing the extra kilos the pectoral area did not reduce in the same way. The most advisable thing to obtain the best results if you are overweight is to keep a maximum of between thirteen and eighteen kilos above your ideal weight before surgery.

Another aspect that you should consider is that not using steroids or alcoholic beverages excessively; because these substances and their excessive consumption are one of the causes of gynecomastia. If you have good health, a positive attitude, and realistic expectations, you are a good candidate for this procedure.

The procedure. The goal of gynecomastia surgery is to restore a normal male breast contour and correct deformities of the breast, nipple, or areola. Surgical options include liposuction, excision (surgical removal of tissue), or a combination of both approaches. Glandular breast tissue is denser than fatty tissue and is not suitable for liposuction.

* The choice of surgical technique depends on the likelihood of redundancy of the skin after surgery. The contraction of the skin is greater in younger patients than in older patients.

* The most common approach is the intra-areolar incision, or Webster's incision, which runs along the circumference of the lower half of the areola in the pigmented part.

* The length of the incision will be based on your anatomy.

* In severe gynecomastia, skin resection (surgical removal of a part of an organ or structure) and moving the nipple (transposition of the nipple) may be necessary.

Minimally invasive surgical procedures for gynecomastia have grown in popularity over the years. In the "pull-through" technique, a very small incision (approximately 5 mm) is made at the areolar rim. After liposuction, the glandular tissue of the overlapping areola is removed through the incision. The main advantage of this procedure is the smaller incision. This technique is used in well selected patients.

Ultrasonic liposuction has improved the results of gynecomastia correction. In liposuction-assisted breast reduction, there is less compromise of blood supply, nipple distortion, and areola movement. Additionally, postoperative complications are less with this technique than with open surgical resection. However, liposuction-assisted breast reduction is not effective in correcting glandular gynecomastia. The fatty and glandular components of your breast should be evaluated before surgery. Few patients can be treated solely by liposuction

The choice of surgical technique depends on the likelihood of redundancy of the skin after surgery.

The scars that remain as a result of gynecomastia surgery vary depending on the amount of breast tissue you have and the elasticity of your skin. Even those who have larger breasts and tend to have larger scars are usually quite satisfied with the results.

If you have small breasts that are only fatty, your scars will also be small (the size of the liposuction cannula); however if you have large breasts, similar to those of women, the scars may extend across each side of the chest, but your surgeon will try to hide them in a crease.

With firm breast tissue, there is usually a scar under the areola and when the areolas are large and need reduction as well, then the scar goes all the way around the areola.

At the end of the operation. The patient will be bandaged and will have to wear a compression garment. It should also have a drainage area. The first three postoperative days are critical in your recovery. You must be fully resting at home, but not necessarily in bed: sitting and watching television or having meals in the kitchen or living room is permissible.

The movements of the waist and elbow are acceptable, but you should reduce the vigorous movement of the shoulder during the first days. Lateral arm movements are generally allowed, but the arms should not be raised vertically.

When the anesthesia wears off, you may have some pain. If the pain is extreme or long-lasting, contact your doctor. You will also have some redness and swelling after surgery. Contact your surgeon to find out if your pain, redness, and swelling is normal or a problem.

Normally the breasts in men have no development whatsoever and go unnoticed in the context of the male breast. Hormonal disorders, hereditary factors, consumption of anabolic drugs and others, or excess weight can cause these breasts to develop acquiring large volumes and notoriety.

Gynecomastia can be true or real (with greater excess of mammary gland) or no vera or pseudogynecomastia (with greater excess of mammary fat). This causes great complexes in affected males and they are often mocked by other males . It leads them to wear loose clothing and sometimes avoid group sports so as not to have to show their problem in the locker room.

The solution is to remove this excess gland and / or fatty tissue through an imperceptible incision around the areola. The procedure is performed under local anesthesia and on an outpatient basis or under sedation given by an anesthesiologist.

SURGICAL TECHNIQUE

It is an outpatient procedure that can be performed under Local Anesthesia with Sedation, Regional Anesthesia or General Anesthesia according to the patient's conditions. The surgical procedure consists of performing a liposuction of the breasts and in some cases resecting part of the mammary gland through a small incision in the areola, in most cases this small scar becomes almost imperceptible after a couple of months .

The procedure lasts approximately between one and two hours, afterwards, the patient will be placed in a bandage or a girdle in the shape of a vest that is specially made for surgery and must be worn for a couple of weeks.

POSTOPERATIVE CARE

It is a painless surgery, the main discomfort will be controlled with analgesics and anti-inflammatory drugs. The stitches are removed between the 12th and 15th postoperative days, but the patient will be able to resume their daily activities from the third day, avoiding strenuous exercises and strenuous activities during the first month.

There may be a transient decrease in the sensitivity of the areola or hypersensitivity, this generally normalizes from the second week, fluid secretion is normal in the first days and the inflammation begins to decrease from the third or fourth day and thereafter gradually during the first month.

Home therapy

- Place cold compresses during the first three days.

- Avoid activities that require physical effort during the first postoperative week.

- Place warm compresses after the third postoperative day.

- Maintain normal body hygiene.

Also remember that it is essential to attend your post-surgical check-ups with the surgeon on time, take your medications according to the medical prescription and have between ten and twelve postoperative care sessions in our beauty center.

Gynecomastia is the enlargement of the mammary glands in men. Medical professionals often link it with hyperprolactinemia (excess prolactin in the blood) or hyperestrogenism, which can occur in the body as a result of liver disease such as cirrhosis.

Prior personalized study.

To solve this pathology, doctor performs an individual study of the patient and assesses the suitability of performing an aesthetic operation. An intervention with which the male torso looks healthy and symmetrical. The opinion of the aesthetic surgeon is essential to end gynecomastia, as we can find cases in which fat has accumulated in this area of ​​the body without developing glandular tissue and, therefore, require another type of treatment.

Before the gynecomastia operation, an in-depth medical examination of the patient's state of health is carried out, verifying that their health allows the intervention in complete safety.

Choice of treatment

Once gynecomastia has been diagnosed, Doctor Gustavo Sordo proposes the best aesthetic surgery treatment depending on the age of the person, the time that has elapsed since the ailment appeared and whether the gynecomastia is accompanied by glandular tissue or not. .

Gynecomastia operations are performed with two different techniques depending on whether or not glandular tissue has to be removed. So we can talk about:

Gynecomastia operation without glandular tissue

When the patient only has fat accumulated in the breast, we follow the following steps to eliminate gynecomastia:

• An incision of about 4 millimeters is made where the scar will barely be perceived.
• Through this opening, liposuction of the area will be done, reducing the volume of the fatty tissue that is there.
• Firmness will be returned to the skin, defining the pectoral muscles.

Gynecomastia operation with glandular tissue

If the gynecomastia is also composed of glandular tissue, liposuction will not be enough, and at the end it will have to be treated separately, as it is a harder fibrous tissue and more difficult to remove. Therefore, in this case:

• A liposuction of the pectoral area is done and the accumulated fat in the area is removed.
• An incision is made in the lower half of the edge of the patient's areola.
• The breast tissue is removed and its appearance is rebuilt, paying special attention to the symmetry of the nipples.

Smokers must give up the habit several weeks before the intervention and prolong it to promote healing.

You should not smoke before, during, or after gynecomastia, as tobacco hinders oxygenation and the arrival of nutrients to the skin in the operated area, slowing down tissue regeneration and, therefore, healing.

The intervention is usually carried out using TIVA type general anesthesia . The fact that this type of anesthesia is used does not mean that it is a major surgery, nor that the patient's health is at special risk, it is simply preferred for greater safety.

GET INFORMED

Medical team and hospital. 

The doctor wants maximum safety and quality for his patients. For this reason, it has a professional medical team and the guarantee of operating in one of the most prestigious hospitals in Delhi. A hospital that has the most advanced technology, comprehensive health care and exquisite patient care.

VIP service. 

For those patients who want  maximum discretion,  our clinic offers the possibility of  contracting an  exclusive service  with the following characteristics:

• Suites equipped with the most avant-garde technology and the most complete conditioning for demanding clients.
• A person from our team will accompany the patient from their arrival at the hospital and will take care of all the documentation so that they do not have to go through the hospital admission desk and can directly access their private room.  The access to the suites can be made directly  from the garage.
• The patient will have their own, individualized and multilingual nursing control  .
• Two  extra rooms enabled for  companions .
• Service meals adaptedfor patients and guests.
• Service florist .

For more information about the  conditions of our VIP service, contact us.

For more information about the technique used by doctor in gynecomastia operations, do not hesitate to contact our clinic. We will study your case offering you the best options.

Make an appointment without obligation!

Postoperative of a gynecomastia operation.

After the surgery, which usually lasts one hour, Doctor Gustavo Sordo places, while still in the operating room, a garment adaptable to the area, which the patient must wear for a month. This garment facilitates the adaptation of the skin to its new contour, thus facilitating the recovery of the patient.

When the patient leaves the clinic, once Doctor considers it appropriate, he is given a prescription with the medication that he must take to control the possible discomfort that may arise. These discomforts are perfectly tolerable and usually disappear in 5-6 days following the aesthetic surgery operation.

The prescription also includes an antibiotic treatment that the patient must take for 7 days. At this time, in addition, you will be given an appointment for a consultation review and the contact telephone number including coverage of possible emergencies 24 hours a day.

Care and check-ups after the operation:

Once the patient is at home, he should have an active life, although without over-exertion, fundamentally not doing exercises or activities with the pectoral muscle. Having undergone an operation, you should not be alarmed if bruises (bruises) or swelling appear in the operated area. Both will gradually disappear in the weeks following the intervention.

You will wear a compression garment to reduce inflammation and shape the area that will be placed at the end of the intervention and that you can only remove to shower.

The first check-up is done 6 to 7 days after surgery. In it, Doctor Gustavo Sordo checks the evolution of the patient and a first cure is carried out by removing the sutures.

Subsequently, the patient will go to the consultation a week, a month, 3 months, 6 months and a year after the gynecomastia operation. Annual or biannual reviews are also usually performed.

Although the result is evident from the first day, in a period of 1-2 months the inflammation will have disappeared, and in the following 5-6 months there will be a phenomenon of adaptation and skin retraction.

MAKE AN APPOINTMENT WITHOUT COMMITMENT! Doctor WILL PERSONALLY EXAMINE YOUR CASE AND CHOOSE THE MOST SUITABLE TECHNIQUE TO ACHIEVE AN OPTIMAL RESULT.

Recommendations for the postoperative period:

The postoperative period of the gynecomastia operation should be carried out following the following guidelines:

• Strenuous physical exercise should be avoided during the first month.
• It is recommended that you go for a walk from day one. Even doing some soft sport like stationary bike, elliptical, sit-ups, or even weights with little load on the legs. You should not exercise the pectoral muscle.
• You can shower with lukewarm water from the 2nd postoperative day, avoiding long showers or with excessively hot water.
• Depending on the job we do, the return to work will be more or less fast. The usual thing is to do it after 3 or 4 days.
• It can be driven from the day after the operation.
• It is necessary to avoid solar radiation on the scars for at least 1 year. In addition, it is convenient that we use total protection creams 20 minutes before sun exposure and repeating the application every 2 hours.

Male Breast Reduction - Gynecomastia

The development of the mammary gland in the male is called gynecomastia. When growth occurs before and after puberty, pediatrician and endocrine evaluation may be necessary. Although certain drugs or medications and some medical problems may be linked to overdevelopment of the male breast, in the vast majority of cases there is no known cause.

Those men who present a permanent increase in breast volume are susceptible to surgical treatment after ruling out any cause that may have caused it. The best result is obtained when the skin is firm and elastic and adapts to the new body contour.

The gynecomastia may be glandular , in which the tissue augmentation is due to hypertrophy of the mammary gland, or fat, which is one pseudoginecomastia in which the tissue proliferation is fat accumulation and directly related to obesity ; in mixed gynecomastia there is a central glandular component surrounded by fatty tissue.

The procedure removes fat and glandular tissue from the breasts, and in extreme cases it also removes excess skin, resulting in a flat, firm, and well-contoured chest. The intervention is performed under local anesthesia and sedation. Incisions of about 3 mm are made to perform liposuction and, in some cases, another small incision in the lower part of the areola to remove the mammary gland . In all cases, liposuction of the fatty tissue serves to reshape and smooth the pectoral skin coverage.

Male Breast Reduction Surgery (Gynecomastia)

Gynecomastia surgery is the surgical correction of overly developed or enlarged breasts in men.

What is gynecomastia surgery?

Gynecomastia surgery reduces the size of the breasts in men, flattening and improving the contours of the chest.

In severe cases of gynecomastia, the weight of excess breast tissue can cause the breasts to sag and stretch the areola (the dark skin around the nipple). In these cases, the position and size of the areola can be surgically improved and the excess skin can be reduced.

Aesthetic surgery to correct gynecomastia is technically called reduction mammoplasty.

What is gynecomastia?

Gynecomastia is a condition of overly developed or enlarged breasts in men that can occur at any age. The condition can be the result of hormonal changes, heredity, obesity, or the use of certain medications.

Gynecomastia can cause emotional distress and damage your self-confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition.

Gynecomastia is characterized by:

• Localized excess fat.
• Glandular tissue overdevelopment.
• Sometimes excess breast skin.
• Presence unilateral (one breast) or bilaterally (both breasts)

Who is a good candidate for gynecomastia surgery?

Candidates for gynecomastia surgery include:

• Men whose condition cannot be corrected through alternative medical treatments.
• Healthy individuals who do not have a life-threatening illness or medical conditions that can affect healing.
• Non-smokers and non-drug users.
• Men with a positive outlook and specific goals in mind to improve the physical symptoms of gynecomastia
• Physically healthy men of relatively normal weight.
• Men who have realistic expectations.
• Men whose breast development has stabilized.
• Men who are bothered by the feeling that their breasts are too large.

Teens can benefit from surgery, although secondary procedures may be needed in the future if breast development continues.

What is the cost of gynecomastia surgery?

The average cost for gynecomastia surgery is $ 3,641, according to 2017 statistics from the American Society of Aesthetic Surgeons.

Gynecomastia surgery costs can vary widely. The average cost referenced above does not include anesthesia, operating room facilities, or other related expenses.

The cost of a surgeon may be based on their experience, the type of procedure used, and the geographic location of the office.

Many aesthetic surgeons offer patient financing plans for male breast reduction, so be sure to ask.

Gynecomastia surgery costs can include:

• Anesthesia rates.
• Hospital or surgical costs.
• Medical tests.
• Postoperative garments.
• Prescriptions for medications.
• Surgeon's fees.

Your satisfaction involves more than a fee. When choosing a board certified aesthetic surgeon in your area for gynecomastia surgery, remember that the surgeon's experience and your comfort with him or her are just as important as the final cost of the surgery.

Gynecomastia surgery and health insurance

In most cases, gynecomastia correction is not eligible for insurance coverage. However, each insurance policy varies greatly. Review your policy carefully to determine coverage.

The American Society of Aesthetic Surgeons has published a position paper for physicians and insurers that defines recommended criteria for cases of reconstructive gynecomastia. Ask your doctor for a copy of this document to send to your insurer.

What should I expect during a consultation for gynecomastia surgery?

During your gynecomastia surgery consultation, be prepared to discuss:

• Your surgical goals.
• Medical conditions, drug allergies and medical treatments.
• Current medications, vitamins, herbal supplements, alcohol, tobacco, and recreational drugs (including steroids).
• Previous surgeries.

Your gynecomastia surgeon may also:

• Assess your general health and any pre-existing health conditions or risk factors.
• Perform diagnostic tests to determine the underlying cause of gynecomastia; This can include tests of your endocrine function.
• Examine your breasts and you can take detailed measurements of your size and shape, the quality of your skin, and the placement of your nipples and areolas.
• Take pictures for your medical records.
• Discuss your options.
• Recommend a course of treatment.
• Discuss the possible results of gynecomastia correction and any risks or possible complications.
• Discuss the use of anesthesia during your procedure.

The consultation is the time to ask your aesthetic surgeon questions. To help you, we have prepared a list of questions to ask your gynecomastia surgeon that you can take with you to your consultation.

It is very important to understand all aspects of your surgical procedure. It's natural to feel some anxiety, whether it's excitement about your anticipated new look or a little pre-operative stress. Don't be shy about discussing these feelings with your aesthetic surgeon.

What questions should I ask my aesthetic surgeon about gynecomastia surgery?

Use this checklist as a guide during your gynecomastia surgery consultation:

• Are you certified by the American Board of Aesthetic Surgery?
• Were you specifically trained in the field of aesthetic surgery?
• How many years of aesthetic surgery training have you had?
• Do you have hospital privileges to perform this procedure? If so, in which hospitals?
• Is the office-based surgical center accredited by a state or nationally recognized accrediting agency, or is it state licensed or certified by Medicare?
• Am I a good candidate for this procedure?
• What is expected of me to obtain the best results?
• Where and how will you perform my procedure?
• What surgical technique is recommended for me?
• How long can I expect for a recovery period and what kind of help will I need during my recovery?
• What are the risks and complications associated with my procedure?
• How are complications managed?
• What are my options if I am not satisfied with the result of my surgery?
• Do you have before and after photos that I can see for this procedure and what results are reasonable for me?

What are the risks of gynecomastia surgery?

The decision to have aesthetic surgery is extremely personal, and you will have to decide whether the benefits will achieve your goals and whether the risks and potential complications of gynecomastia surgery are acceptable.

You will be asked to sign the consent forms to ensure that you fully understand the procedure and the risks and possible complications.

The risks of gynecomastia surgery include:

• Reactions to tape, suture materials, glues, topical preparations, or injected agents.
• Risks of anesthesia.
• Bleeding (hematoma)
• Blood clots.
• Breast asymmetry.
• Irregularities in the contour and shape of the breasts.
• Changes in the sensation of the nipple or breasts can be temporary or permanent.
• Damage to deeper structures, such as nerves, blood vessels, muscles, and lungs, can be temporary or permanent.
• Deep vein thrombosis, cardiac and pulmonary complications.
• Fatty tissue found in the breast could die (fat necrosis).
• Accumulation of fluid (seroma).
• Infection.
• Persistent pain
• Poor wound healing.
• Possibility of revision surgery.
• Unfavorable scarring.
• These risks and others will be fully discussed prior to your consent. It is important that you answer all your questions directly with your aesthetic surgeon.

How should I prepare for gynecomastia surgery?

When preparing for gynecomastia surgery, you may be asked to:

• Get lab tests or a medical evaluation.
• Take certain medications or adjust your current medications.
• Stop smoking.
• Avoid taking aspirin, anti-inflammatory medications, and herbal supplements, as they can increase bleeding.

The success and safety of your gynecomastia procedure depends largely on your complete openness during your consultation. You will be asked several questions about your health, wishes, and lifestyle.

Male breast reduction surgery can be performed in an accredited surgical center, office, licensed outpatient surgical center, or hospital. Be sure to arrange for someone to drive you to and from surgery and to stay with you for at least the first night after surgery.

What are the steps of a gynecomastia procedure?

A gynecomastia procedure includes the following steps:

Anesthesia

Medications are given for your comfort during surgical procedures. Options include IV sedation and general anesthesia. Your doctor will recommend the best option for you.

Liposuction technique

In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone can be used. This requires insertion of a cannula, a thin hollow tube, through several small incisions.

The cannula is moved back and forth in a controlled motion to loosen excess fat, which is then removed from the body using vacuum suction.

There are several liposuction techniques that can be used; The most appropriate technique for you will be defined prior to your procedure.

Excision technique

Excision techniques where glandular breast tissue or excess skin must be removed are recommended to correct gynecomastia. Excision is also necessary if the areola is reduced or the nipple is repositioned to a more natural male contour. Incision patterns vary based on specific conditions and surgical preference.

Combination of liposuction and excision techniques.

Sometimes gynecomastia is treated with liposuction and excision.

What should I expect while recovering from my gynecomastia surgery?

During the recovery period from gynecomastia surgery, bandages or bandages will be applied to the incisions and an elastic bandage or support garment may be used to minimize swelling and support the new contour of the breast as it heals after surgery. .

A small, thin tube may be temporarily placed under the skin to drain any excess blood or fluid that may collect.

You will be given specific instructions which may include how to care for the surgical site and drains, medications to apply or take by mouth to help heal and reduce the chance of infection, specific concerns to look for in the surgical site or in your general health and When to follow up with your aesthetic surgeon.

Be sure to ask your aesthetic surgeon specific questions about what to expect during your individual recovery period.

• Where will you take me after my surgery is complete?
• What medications will I be given or prescribed after surgery?
• Will I have bandages / bandages after surgery? When will they be removed?
• Are the stitches removed? When?
• When can I resume normal activity and exercise?
• When do I return for follow-up care?

It is very important to follow your aesthetic surgeon's instructions and attend follow-up visits as scheduled.

The final results of gynecomastia surgery are permanent in many cases. However, if the gynecomastia was due to the use of certain prescription drugs, medications (including steroids), or weight gain, you must be completely free of these substances and maintain a stable weight to maintain your results.

Discuss this with your doctor before making changes to your prescription medications.

Recovery from gynecomastia surgery at home.

If you experience shortness of breath, chest pains, or an unusual heart rhythm, seek medical attention immediately. Should any of these complications occur, you may need hospitalization and further treatment.

Following your doctor's instructions is essential to the success of your surgery.

It is important that the surgical incisions are not subjected to excessive force, swelling, abrasion, or movement during the healing time. Your doctor will give you specific instructions on how to take care of yourself.

What results should I expect after gynecomastia surgery?

The results of gynecomastia surgery are immediately visible. Over time, the postsurgical inflammation will resolve and the incision lines will fade. Satisfaction with your new image should continue to grow as you recover from surgery.

Final results of gynecomastia surgery can take 3 to 6 months to achieve. The incision lines are permanent, but will continue to fade over time.

Gynecomastia surgery and scars

Any surgical treatment to correct gynecomastia will require incisions. While most incision lines are hidden within natural contours, some may be visible and are a necessary result of male breast reduction surgery.

All scars from gynecomastia surgery are permanent, although some scars may be hidden in the natural contours of the breast. Your improved upper body will likely improve your self-esteem and confidence, whether it's in a shirt and tie, a T-shirt, or stripping your chest on the beach.

The practices of surgery are not an exact science. Although good results are expected from your procedure, there is no guarantee. In some situations, it may not be possible to achieve optimal results with a single surgical procedure to treat gynecomastia.

Other surgery may be necessary:

• For additional adjustment or placement of the breasts.
• To treat any complications that may occur.

What Words Should I Know About Gynecomastia Surgery?

Areola
The pigmented skin that surrounds the nipple.

Bilateral Gynecomastia
A condition of overly developed or enlarged breasts in men that affects both breasts.

Endocrine system
A group of glands that make hormones that help control your body's activities, such as reproduction, metabolism, growth, and development. Your endocrine system can be tested for signs of diabetes, thyroid disorders, deficiency, osteoporosis, hypertension, and obesity.

Excision
To remove the skin.

General anesthesia
Drugs and / or gases used during an operation to relieve pain and alter consciousness.

Hematoma
Blood pools under the skin.

IV sedation
Sedatives given by injection into a vein to help you relax.

Liposuction
Also called lipoplasty or suction lipectomy, this procedure sucks fat from below the surface of the skin to reduce fullness.

Local anesthesia
A medicine injected directly into the site of an incision during an operation to relieve pain.

Sutures
Stitches used by surgeons to hold skin and tissue together.

Unilateral Gynecomastia
A condition of overly developed or enlarged breasts in men affecting only one breast.

Choose a reliable surgeon

Aesthetic surgery involves making many decisions. The first, and most important, is to choose a reliable surgeon. A good indicator of a physician's training is that he or she is certified by an association. Request to be certified by the United States Board of Aesthetic Surgeons ^®  (ABPS), the only one of the 24 associations recognized by the American Association of Medical Specializations (ABMS, for its acronym in English) that grants certifications in aesthetic surgery of the face and all areas of the body. To be certified by ABPS a physician must meet these rigorous requirements:

• have graduated as a doctor from a recognized institution.
• have completed at least five years of surgical training after medical school, with a minimum of  two  years residency in aesthetic surgery.

A male gynecomastia surgery also known as male breast reduction, aims to rearrange the size of the breast for men and alleviate the side effects caused by an overly developed male breast. This article will cover the pros and cons of this procedure, ideal candidates, prices, frequently asked questions, the best male breast reduction surgeons in the area, and much more about gynecomastia surgery in Delhi.

What is Gynecomastia surgery?

The gynecomastia surgery in Delhi , also known as male breast reduction surgery is the medical term used to correct abnormal growth of the mammary gland in men. This procedure can surgically restore enlarged or overdeveloped breasts in men.

Male breast overgrowth can affect one or both breasts and is distinguished by the presence of a mass of glandular tissue that is approximately 0.5 cm in diameter and grows to different sizes below the nipple-areola complex. This condition can occur in men of any age and in adolescents during puberty.

Although there are other treatment options available that are not as invasive, aesthetic surgery has proven to be the fastest and most effective method, as evidenced by the mammary gland reduction procedure.

Male gynecomastia is most often the result of disease, hormonal changes, the use of certain medications, or hereditary conditions. All of these particularities are related to the overdevelopment of male breasts, which often cause emotional distress and affect men's self-esteem. Unfortunately, some men avoid intimacy with their partners and physical activities simply to hide their situation.

Causes and types of Gynecomastia

The main cause of the growth of male breasts, most often is the disproportionate ratio of the levels of the hormone testosterone compared to the amount of estrogen level within the male body. Due to this accumulation of estrogen, the characteristics that normally develop in women are noticed when the breasts begin to overdevelop. The cause of decreased testosterone levels can be caused by an underlying medical condition or a malfunction of the hormonal gland, such as the Pituitary or Thyroid.

Below is a summary of the causes of male breast development:

• Low or poor levels of testosterone.
• Drug and alcohol abuse.
• Use of steroids.
• Chronic liver disease
• Chemotherapy.
• Kidney failure and dialysis.
• Radiation of testicular cancer.
• Prescriptive medications.

Types of Gynecomastia

Babies: Because babies are in contact with their mother's hormone levels, the fetus takes in higher levels of estrogen than normal during pregnancy. Generally, the swollen breast tissue disappears within two to three weeks after birth.

Puberty: Sometimes at puberty hormonal imbalance can begin in adolescents leading to an increase in breast tissue. Unless the adolescent experiences extreme weight gain, most of the time, the swollen mammary gland will return to its original shape within a few years.

Adult men: The chances of developing breast enlargement increase between 50 to 70 years of age, where testosterone levels decrease significantly within the male population. Usually one in four men is affected with an increase in breast tissue.

Candidates for gynecomastia surgery

The ideal candidate for the male mastopexy procedure is someone who is realistic about the expectations of the surgery, in good health, and who can undergo this procedure for their own benefit. This procedure is ideal for anyone who has sagging breast tissue and excess breast fat caused by weight loss or gain and / or related hormonal factors. When the patient decides that he is ready for breast reduction surgery, he schedules a consultation with a board-certified aesthetic surgeon who evaluates which method of gynecomastia surgery in men is ideal for him.

Characteristics of the ideal candidates for this procedure:

• They have realistic expectations and a positive outlook.
• They have overdeveloped breast tissue.
• They are unhappy with their breast size.
• They have not been able to correct the problem through other non-invasive techniques.
• They are in good physical health and have no life-threatening conditions or diseases.
• No smokers, no drug users.

Gynecomastia treatment surgical options at Jolie Aesthetic Surgery

Male breast reduction with liposuction

There are two different techniques to choose from when undergoing the male breast reduction procedure. Liposuction is the first technique that functions similarly to traditional liposuction. This technique will be chosen depending on the breast size, quality of skin, and condition of the breasts. The patient will receive local anesthesia for this procedure and may return home the same day after surgery.

The ASPS explains that:

"In cases where gynecomastia is primarily the result of excess fatty tissue, the only technique that can be used is liposuction. This requires the insertion of a cannula, a thin hollow tube, through several small incisions. The cannula it moves in a controlled way back and forth to loosen excess fat, which is then removed from the body by vacuum suction. "

Tissue removal in male mastectomy

Mastectomy is the alternative technique used when male breasts are too large and have sagging skin. The surgeon will remove all skin and excess tissue under the areola. The patient will receive local anesthesia and will return home the same day after surgery.

According to the ASPS,

"Excision techniques are recommended when glandular breast tissue or excess skin must be removed to correct gynecomastia. Excision is also necessary if the areola is reduced or the nipple is repositioned to a more natural male contour. Incision patterns vary. depending on specific conditions and surgical preference. "

Overview of Gynecomastia Surgery in Delhi

Your consultation with a male gynecomastia surgeon

In the first consultation, the patient who aspires to have a male breast reduction, will undergo a complete breast examination to find all the possible causes of his glandular enlargement. Also, some patients may need a mammogram and a breast composition exam to rule out the possibility of breast cancer. In order to decide the best surgical technique for the patient, the surgeon will examine the amount of glandular tissue and fat. Each patient must complete standard laboratory tests to ensure that they are in optimal health and ready for surgery.

Patients with a history of chronic disease, high blood pressure, and smoking may have potential complications from breast reduction surgery. Therefore, in the initial consultation, it is important to define with the surgeon, all health problems. Before he decides which technique is the most appropriate, based on the assessment of the patient's personal medical history.

The day of your surgical procedure

Instructions on what medications to take on the day of your gynecomastia surgery will be explained to you. You will be guided to the surgery center at a specific time, in order to prepare for your procedure and ask any final questions you may have. Soon after, you will be taken to a private room to change clothes and change into your surgical gown. You will be immediately admitted to the operating room and sedated for your procedure. Once the procedure is complete, you will stay in the recovery room with a private nurse to help relieve the effects of the anesthesia. Finally, you will be on your way home to your caregiver!

Steps of Gynecomastia Surgery

Anesthesia

A reduction surgery is considered an important aesthetic procedure due to the incisions and removal of the specific tissue that must be removed from the breast. Therefore, gynecomastia surgery in Delhi must be performed under general anesthesia to ensure comfort and pain-free procedure. While receiving general anesthesia, the patient is intubated by a certified anesthesiologist who inserts a breathing tube down their throat. Throughout the procedure, the anesthesiologist will administer intravenous medications to ensure that you remain sedated throughout the procedure.

At first the patient will feel comfortable and will calm down with the intravenous medication. After relaxing, general anesthesia will be administered. At that moment the pain sensation is blocked and the patient goes into a deep sleep. Your blood pressure and pulse are kept low, which are monitored throughout the male breast reduction surgery.

Incision

Jolie Aesthetic Surgery, has the most expert group of anesthesiologists in South Florida. During the intervention, our team of surgeons always controls the vital functions of the patient, such as heart rate, blood pressure and respiration rate.

The male breast reduction surgeon creates multiple liposuction incisions around the breast, or a linear incision around the breast and nipple, in order to remove and decrease the size of the areola. Once the incision is made, it is pulled up so that the doctor can work on reducing the breast tissue. During this process, the nipple remains intact with its nerve and blood supply to prevent loss of nipple sensation.

The incision is sutured to meet the reduced size of the breast. By making the sutures, the breast surgeons make a new support for the newly operated breasts. Although the scarring is permanent, by using specific gels, the patient can diminish its appearance.

Post-surgical care

Post-Procedure: Due to the nature of the incision and extraction, bruising and swelling may appear after bilateral gynecomastia in men. Sometimes patients may experience a hematoma (collection of fresh blood) at the incision site. In approximately three days, the patient should be at home resting, recovering, and avoiding strenuous activity after breast reduction surgery. According to the surgeon's instructions, wear appropriate compression garments. For the first six weeks, patients should refrain from sun exposure and tanning. Exposure to sunlight can slow down the healing process and cause permanent discoloration and more visible scars.

Recovery from Breast Reduction surgery in men

After the male breast reduction procedure, the patient will need about a week or two to recover and return to normal daily activities. During this time, the patient must limit his movement and physical activity. For best results, patients should undergo several sessions of post-surgical massage and ultrasound.

Likewise, after the first two weeks, bruising and swelling should be significantly reduced. After about a month, patients will be able to resume normal physical activities. If the patient experiences pain or complications, he should promptly inform the doctor and take all necessary medications. Before surgery, the patient will receive a list of supplements and medications to avoid for proper recovery.

To reduce swelling and bruising for the first two days, patients can apply cold compresses. After this time, warm compresses will be more effective. Compression garments are necessary for the first week or until advised by your doctor.

Risks associated with the gynecomastia procedure

Male breast reduction surgery has the same risks as most other aesthetic procedures. Some of the risks and complications may include:

• Visible scars (depending on the amount of breast tissue and skin type).
• Temporary or permanent loss of sensation in the nipple.
• Risks of anesthesia.
• Hematoma (bleeding).
• Bleeding
• Breast asymmetry.
• Infection.
• Possibility of revision surgery.

Gynecomastia surgery cost

According to the ASPS,

According to 2016 statistics from the American Society of Aesthetic Surgeons, the average cost for gynecomastia surgery is $ 3,525 and can vary widely. The average value mentioned does not include anesthesia, operating room or other related expenses. A surgeon's fees are based on his or her experience, the type of procedure used, and the geographic location of the office.

Aesthetic surgeons offer their patients financing plans for male breast reduction, so feel free to ask.

The cost of aesthetic procedures at aesthetic surgery include:

• Surgical facility costs.
• Anesthesia expenses.
• Laboratory medical tests.
• Prescriptions for medications.
• Subsequent garments.
• Surgeon fee.
• Financing.

The average cost of male breast reduction surgery in Jolie ranges from $ 2,000 to $ 6,500. The value depends on how advanced the patient's condition is and the technique used. For more information and to schedule your first consultation regarding the cost of this procedure, please contact Jolie Aesthetic Surgery.

Affordable financing for your Gynecomastia surgery

At Jolie Aesthetic Surgery, we understand that paying for a male breast reduction procedure may not be a possible option for many of our patients. This is the reason why we offer a variety of financing plans through systems such as CareCredit, in which the patient would have to be pre-approved. Patients can also take advantage of our "Lay Away Plan", which requires a minimum deposit of $ 500 with an interest rate of 0%! This plan includes the benefit of "holding" the price for up to two years, through low monthly payments.

Choose your aesthetic surgeon for Gynecomastia

We always suggest that patients do some thorough research when deciding which aesthetic surgeon will perform any procedure on their body. Remember that the results of aesthetic procedures must be long-lasting; Therefore, they must be very comfortable with their doctor. We recommend looking at the doctor's educational history, training, and professional work.

The best male glandular reduction doctors take the time to listen to your wishes, based on your initial consultation. They will properly evaluate you to determine if you are an ideal candidate for breast reduction surgery. After the evaluation, it will be discussed which breast incision and technique will be best to suit your body composition. Likewise, with the patient, they will decide on the objective of said surgery.

Surgeons dedicated to breast reduction will also provide you with individualized instructions for postoperative care. They will be willing to show their work, so that patients have a better idea of ​​the surgeons' technique. The doctor will also be available to the patient, in case of any questions or concerns that he may have.

If you, a family member or a friend is interested in gynecomastia surgery in Delhi, you can call Aesthetic Surgery at so that you can feel comfortable with your appearance and comfortable in your own skin once again. !

Frequently Asked Questions and Answers about Gynecomastia Surgery in Delhi

What type of anesthesia is used for breast reduction in men?

In order to remain comfortable throughout the procedure, general anesthesia is used in most cases. In other words, the patient sleeps throughout the entire operation. Sometimes, if the amount of tissue to be removed is not much, local anesthesia may also be an option.

Am I Too Young For Bilateral Gynecomastia In Men?

Generally, patients must wait until they are 18 years of age to undergo this type of procedure, because they have not finished developing. However, with the consent of the parents, this intervention can be performed to improve the appearance of the male breast.

What results should I expect from the breast reduction procedure?

We always suggest that patients expect realistic results after their intervention. During your pre-operative consultations, we answer any questions or concerns you may have with your aesthetic surgeon at all times.

What does a male breast reduction scar look like?

The scar from this procedure depends on the technique used. However, the scar is generally periareolar and visually undetectable.

Will I need pain relievers after surgery?

Pain and swelling should be expected after gynecomastia surgery. However, the doctors at Jolie Aesthetic Surgey will help control your pain through specialized pain relievers.

Will I have a drain under my chest?

Drainage will most likely not be used in this surgery. It is only used in patients with excessive fluid accumulation.

What is the cost of male breast reduction?

The average cost for this surgery in Jolie ranges from $ 2,000 to $ 6,500. The value depends on how advanced the breast growth is and the technique used.

Are there financing options available?

At Jolie Aesthetic Surgery, we understand that paying for a male breast reduction procedure may not be a possible option for many of our patients. This is the reason why we offer a variety of financing plans through systems such as Care Credit in which the patient would have to be pre-approved. Patients can also take advantage of our "Lay Away Plan", which requires a minimum deposit of $ 500 at a 0% interest rate. This plan includes the benefit of "holding" the price for up to two years through low monthly payments.

When will I be able to see the results?

The swelling usually lasts about a week after surgery. After that time you will see the changes in your new breast.

What is gynecomastia?

The term, according to the SECPRE indications , indicates an overdevelopment in the breasts of men caused by an excessive development of the mammary glands (called true gynecomastia) or by an excess of adipose tissue (also called pseudo gynecomastia, false gynecomastia or lipomastia ).

This excessive development of the breasts can be classified into 3 degrees , defined according to the volume of the mammary gland and the excess of skin and can occur in one or both breast. To make a correct diagnosis, it is necessary to undergo an ultrasound or mammogram examination to check the development of the gland. Most of the treated cases present a mixed gynecomastia, that is, with the presence of fat and the mammary gland.

This breast overdevelopment may be normal during puberty, but only 7% of men continue to experience this problem for life . The causes of this overactive male breast development can be due to several factors, including: hormonal problems, being overweight or losing weight. Among the agents that can cause hormonal imbalances at the base of this imperfection are negative habits such as the abuse of antidepressant drugs or doping substances and food supplements. According to the Contour Clinic specialists , it can be caused or can be increased by exogenous hormonal contributions such as testosterone or anabolics, but also by an increase in body fat caused by weight gain.

How do I know if I am a candidate for surgery?

As in any other surgical procedure, this operation can be performed on patients in good health (physical and psychological) who underwent the evaluation of a specialist who could indicate the degree of gynecomastia and the best surgical or non-surgical procedure to treat the problem. . According to the SECRE , a better result will be obtained if the patient's skin is elastic and firm since in this way, it will adapt better to the new body contour.

Usually during the puberty phase, normal breast enlargement can occur even in boys, so for very young patients it is necessary to assess with an endocrinologist whether, once growth is complete, the breasts will revert to growth. their normal size or they will keep their accent shape.

For this reason, it is always advisable to consult a specialist doctor who can accurately assess the patient's hormone levels and formulate the correct diagnosis.

The Doctor identifies as one of the most important issues to consider is precisely the psychological , "the breast of man loses the male aspect and this causes great discomfort to men when teaching his chest at the gym , the pool, etc. In addition, it can even condition their intimate life or the way they dress ”.

How to choose the surgeon?

To carry out any type of treatment or medical intervention, it is essential to choose a qualified aesthetic surgeon and member of one of the official societies in the sector , such as the Spanish Society of Aesthetic, Reconstructive and Aesthetic Surgery (SECPRE).

In addition, it is advisable to collect as much information as possible about the work of the chosen surgeon , to know the results obtained through the interventions carried out by him, to verify his studies, training and professional career.

In general, it is preferable to see more than one specialist , until you are sure which one to choose for surgery. Also, the sense of confidence that you can feel when analyzing the different techniques and the possible results can guide you in this choice. The most important thing is to feel determined and make sure you get a satisfactory result with a qualified professional.

What will the first visit with the aesthetic surgeon be like?

The first step is for the doctor to listen to the doubts and wishes of the patient and try to understand them. The patient, for his part, must explain his own medical history in detail in order to evaluate any symptoms that may be associated with gynecomastia and investigate possible risk factors.

Therefore, it is important to know in detail the general state of health of the patient, his family history and, above all, his lifestyle. It must be remembered, in fact, that the abuse of alcohol, drugs, anabolics and some medications can be associated with excessive breast development.

After establishing a complete and detailed picture of the situation, a physical examination will be carried out , where the doctor will evaluate the presence of glandular or adipose tissue, the size, the consistency or any excess skin and fat. Also, physical examination is essential to understand possible causes such as thyroid changes, testicular enlargement, etc.

After this evaluation, complementary tests will be carried out that can confirm or rule out the suspicions raised during the first visit. At this stage, blood tests and an ultrasound of the breast are usually ordered. Other tests may also be ordered based on the clinical findings and the surgeon's suspicions.

Only after the identifiable causes of gynecomastia have been excluded, will the planning of the intervention proceed with all the explanations about the surgical procedure. In this phase, all the details related to the incisions, the scars, the eventual liposuction (in case of excess fat), the postoperative recovery and, of course, all the possible complications related to the procedure will be explained.

Can diet help eliminate overdevelopment of breasts?

As we have seen, gynecomastia is associated with abnormal development of the mammary gland and various agents that can contribute to its development, such as drugs, steroids, tumors, liver cirrhosis, kidney failure, and many other factors. Despite the numerous causes known and recognizable by specialists, the vast majority of cases are considered idiopathic, that is, without an identifiable cause.

When a treatable factor is found, the patient is referred to a specialist for joint control and treatment. However, if these identifiable causes are excluded, treatment will be done with surgery and then resection of the mammary gland.

Diet alone has no direct influence on this specific area of ​​the body. Being overweight can generate fat accumulation in this region and, consequently, cause the so-called false gynecomastia or pseudo gynecomastia , but in case of hypertrophy of the gland (true gynecomastia), a diet cannot eliminate the defect.

The gynecomastia correction procedure

The operation consists of an incision of a few centimeters made at the level of the mammary areola. Often specialists prefer to combine the procedure with liposuction, both to remove excess fat and to soften the subcutaneous tissue around the extraction area and recreate the natural curve of the chest.

Gynecomastia correction, in fact, is often done in conjunction with liposuction to remove the fat part and isolate the gland. In the same surgery, after liposuction, a cut is made around the lower edge of the areolas through which the gland is removed. The operation is performed in the operating room and lasts between 1 and 2 hours, it can be performed under local anesthesia and sedation in a day hospital with the patient being discharged the same day.

In the most severe cases with a large volume of gynecomastia, the surgeon uses techniques that involve the removal of the gland associated with the resection of excess skin, with a procedure very similar to that used in a female breast reduction surgery.

Does gynecomastia surgery hurt?

Because it is a treatment that requires aesthetic surgery, the patient may feel uncomfortable for the first few days after the procedure. The surgeon may suggest the use of appropriate medications to alleviate postoperative discomfort. Generally, the pain is not excessive and can be easily controlled with pain relievers.

In any case, it is not common to experience very sharp pains and also the discomfort will gradually change over time. If the symptoms persist, do not hesitate to contact your doctor to verify the situation and help you with whatever you need.

How is the postoperative period of gynecomastia?

The postoperative period is not particularly complicated, but care must be taken in following the care and instructions of the surgeon to achieve the expected result and facilitate healing.

After the operation, a compression band should be worn for about 1 month and no physical effort should be made. This band will help drain and maintain circulation in the operated area. Contour Clinic doctors emphasize that  physical exertion and sports should be avoided during the first days, and local antiseptic cures should be performed on surgical wounds until the stitches are removed.

Also, your doctor may recommend the use of certain medications to relieve pain and promote a faster recovery of the body . In some cases, it may also be necessary to use the drain, but the recovery process is different for each person and for each need, the doctor is the only one who can evaluate and decide on a case-by-case basis.

As a general rule , you can return to your normal activities after 4 days , while you must wait at least 1 month and a half before you can make efforts and do physical activity, such as lifting weights or playing sports, always following the instructions of your doctor .

Results

Patients can expect a more harmonious and masculine breast as a result . The results are immediate and permanent, but as bruising and swelling may still appear, the final effect will be noticeable 6 months after the intervention.

Surgical removal of the mammary gland usually solves the problem permanently without the need for additional adjustments, but it is always recommended that the patient exercise and control eating to avoid weight gain affecting the result obtained. "If the breast tissue is removed it does not regenerate again", they affirm from Contour Clinic .

Recurrence of gynecomastia is extremely rare , as long as risk factors are kept under control and the surgery is performed correctly. Therefore, it is important for the patient to ensure that they have chosen a qualified aesthetic surgeon and a member of SECPRE or other recognized associations.

Side effects and risks

The ISAPS speaks of the following side effects, risks and complications of gynecomastia:

Side effects can include:

• Swelling
• Bruising
• Numbness
• Pain
• Burning sensation

The risks and complications of the surgery that may arise are the following:

• Infection
• Fluid retention
• Skin lesions
• Ripples or laxity of the skin (in some cases a second surgery may be needed to remove any excess skin)
• Excessive scars
• Irregularities in the contour
• Loss of sensation in the nipples

Frequent questions

• Can Social Security Cover Gynecomastia? In general no, because it is an aesthetic intervention.
• Does it leave scars? In the case of true gynecomastia (excess gland), a small scar will remain along the edge of the areola and sometimes a small ripple due to scar traction. In case of excess fat, micro scars remain due to the passage of the cannulas.
• How can I tell if mine is true or false gynecomastia? The doctor has to make the diagnosis and it is defined only during the visit, but above all with the help of ultrasound, which establishes the size of the glandular and adipose component.
• Can gynecomastia come back after the operation? As such it does not, but with considerable weight gain you can gain weight by creating a similar frame.
• In case of lipomastia, can it be intervened without surgery? The best treatment is surgical, but for those who do not want to do it, an alternative could be, for example, cryolipolysis, even if obviously the results obtained are not the same as surgery.
• What is it?
• Gynecomastia is the pathological enlargement of one or both breastsin men, which may be due to an overdevelopment of the mammary gland and / or an increase in fatty tissue in the area.
• The first consultation
• In the initial consultation, the surgeon will do an evaluation of the breasts and the state of health in general. The doctor will give you the necessary instructions so that you can prepare before the intervention, and will answer all the questions you have about the procedure.
• The intervention
• During the intervention, the excess gland is removed through a discreet incision in an inconspicuous area. Through this incision, excess glandular tissue, fat, and excess skin are removed. This procedure can be done alone or with liposuction.
• In cases where the main cause of breast augmentation is fatty tissue, liposuction is used to remove it.
• Subsequently, the chest is bandaged to promote recovery.
• After surgery
• In the days after the surgery it is normal to feel some discomfort that will subside with the analgesics prescribed by the surgeon.
• It is usual for the operated area to be inflamed during the first weeks, but little by little the results will be noticed. Once the first 3 months have passed, you will be able to see the final shape of the pectoral.In the meantime, it is important that you get back to daily activity as soon as possible, as this will help speed up recovery. However, you should avoid heavy exercise for the first three weeks.