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Nagpur is the winter capital, a sprawling metropolis and the third largest city of the Indian state of Maharashtra after Mumbai and Pune. Nagpur is 13th largest city in terms of population in India. It is the largest city of central India and has one of the highest literacy rates, at 91.92%, among all the urban agglomerations in India. It has been proposed as one of the Smart Cities in Maharashtra. Nagpur is a major junction for roadways as India's two major national highways, Kanyakumari-Varanasi (National Highway 7) and Hajira-Kolkata (National Highway 6) pass through the city. Nagpur district is a district in the Vidarbha region of Maharashtra state in central India. The city of Nagpur is the district headquarters. The district is part of Nagpur Division. Nagpur district is bounded by Bhandara district on the east, Chandrapur district on the southeast, Wardha district on the southwest, Amravati district on the northwest and Chhindwara district of Madhya Pradesh state on the north. Nagpur district is divided into 14 talukas: Ramtek, Umred, Kalameshwar, Katol, Kamthi, Kuhi, Narkhed, Nagpur, Nagpur (Rural), Parseoni, Bhiwapur, Mouda, Savner and Hingna. Due to its central location in India, the Nagpur Railway Station is an important railway junction and a transit terminal for trains that connect the country lengthwise and breadthwise, especially trains connecting India's major metropolises, Mumbai to Howrah-Kolkata, Delhi and Jammu to Chennai, Hyderabad, Bangalore and Kanyakumari in the South, as well as western cities such as Pune and Ahmedabad.

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

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GENERAL INFORMATION ON GYNECOMASTIA IN MEN

Gynecomastia is defined by the abnormal development of mammary gland in men. This adipomastia phenomenon occurs when a man produces too much estrogen relative to the amount of testosterone produced. The consequences of this hormonal imbalance are the development of mammary glands.

It is of variable severity ranging from a simple breast bud to true breast enlargement in men.

Gynecomastia affects one in two men. In most cases, gynecomastia occurs at puberty in boys (around 12 years old). Symptoms usually go away at the end of puberty (around 17 years of age), however, gynecomastia can persist afterward. It is therefore a major problem for young people, suffering from overweight or not, who have to live with this physiological detail which can lead to a lack of self-confidence.

The causes of this male gynecomastia can be multiple:

  • - Obesity in childhood
  • - Taking certain medications
  • - Certain cancers such as testicular cancer
  • - Idiopathic (i.e. no cause is found)

This is why, in the event of gynecomastia in men, it is necessary before any treatment to carry out a complete assessment by an endocrinologist to eliminate any secondary cause.

A complete hormonal assessment will be prescribed, as well as a mammogram and breast ultrasound.

It is important to contact a surgeon specializing in gynecomastia to obtain optimal care.

This imaging workup will also help characterize this male gynecomastia. Indeed, gynecomastia can have two components:

  • - An excess of fat (adipomastia or fatty gynecomastia)
  • - An excess of mammary gland in men (glandular gynecomastia)

TREATMENTS FOR GYNECOMASTIA IN MEN

The operation to correct gynecomastia (gynecoplasty) will vary depending on the type of gynecomastia.

In the event of adipomastia (essentially fatty gynecomastia), simple liposuction (liposuction) in the thorax is necessary.

In case of mixed gynecomastia (adipomastia and excess mammary gland in men), thoracic liposuction will be associated with an incision around the areola to remove the gland.

In rare cases, gynecomastia is only due to an enlarged mammary gland in men (glandular gynecomastia), in which case a simple incision around the areola will allow the mammary gland to be removed in the patient. man.

In case of significant skin excess, larger incisions will be necessary to tighten the skin.

THE COURSE OF GYNECOMASTIA IN MEN

During a first appointment with Doctor Benjamin Sarfati, your practitioner determines the feasibility of the treatment and ensures that it is indeed a fatty deposit.

For gynecomastia, surgical treatment is done in the operating room under general anesthesia. The patient enters the clinic the morning of the operation and leaves in the evening (outpatient surgery) or the next day if drains have been put in place. Gynecomastia surgery lasts between 1 hour and 1 hour 30 minutes.

RECOVERY FROM GYNECOMASTIA IN MEN

It is necessary to wear a compression garment for 1 month after the operation of a gynecomastia. The pain is moderate and well calmed by taking classic analgesics.

After surgery to correct gynecomastia, slight edema and bruising may appear on the chest. We recommend a rest for a few days after the operation. You will be prescribed a work stoppage between 1 to 2 weeks. It is not recommended to practice sports and take baths (shower allowed) for 1 month after gynecomastia surgery. It is quite possible to mobilize the arms and walk the day after the operation, but efforts and heavy load bearing are not recommended. Light massage of slightly sore areas can facilitate rapid recovery.

THE RESULTS OF GYNECOMASTIA IN MEN

The result of a gynecomastia operation (gynecoplasty) is visible the day after the operation. The mammary gland has resumed its normal appearance, and is again a simple bud. The final result does not appear until after several weeks. Indeed, it is necessary to wait about 1 month for the edema to completely disappear, in particular in the case of adipomastia (fatty gynecomastia) and an intensive liposuction has been carried out. It is also necessary to count the same time for the excess skin to retract following the intervention of gynecomastia. After this time, you finally find a man's torso, and can finally get bare-chested without complex.

GYNECOMASTIA IN MEN: WHAT PRICE?

For the operation to correct gynecomastia (or adipomastia) in men, the price varies depending on the technique used. The cost of the procedure will be higher if it is necessary to remove excess skin.

In the event of proven gynecomastia (presence of mammary gland), this intervention is covered by health insurance, the additional fee may be partially or fully reimbursed by your mutual. Social security covers the costs of the clinic, the operating room and part of the surgeon's fees.

However, in the event of liposuction alone (for adipomastia), the intervention cannot be reimbursed by social security, because it is only treated by liposuction and therefore considered as cosmetic surgery.

For gynecomastia surgery the price can vary between 1000 and 3500 euros.

FAQ

I have had gynecomastia for several years, how do I know the exact price of the procedure?

During the consultation with a cosmetic surgeon specializing in gynecomastia, the clinical examination combined with a mammogram will make it possible to define whether the gynecomastia is mainly due to an enlargement of the mammary gland in men (glandular gynecomastia) or to an excess of fat (adipomastia or fatty gynecomastia), the price of the intervention will then depend on the technique used and whether it is covered by health insurance.

How do I know if I have gynecomastia?

Gynecomastia is an excessive development of the mammary gland in men. The signs are simple, the volume of the chest is too large in humans, we can also palpate an abnormally large gland. There are 3 types of gynecomastia: glandular gynecomastia (abnormal development of the mammary gland in men), fatty gynecomastia (also called adipomastia, the excess is only fatty) and mixed gynecomastia (combining the two components: glandular and greasy.)

What are the causes of gynecomastia?

The causes of gynecomastia are multiple, in most cases, no cause is found. This is called idiopathic gynecomastia. In other cases, there are significant variations in weight, certain drugs, hormonal imbalance, certain types of cancer ... In all cases, a consultation with an endocrinologist is necessary to carry out a complete assessment before a gynecomastia operation. If a cause is found, treatment of the cause is necessary before considering any surgery.

Is gynecomastia only caused by a build-up of fat?

In some cases, yes, we speak of fatty gynecomastia or adipomastia. This diagnosis is confirmed when performing a mammogram or ultrasound which confirms the absence of a mammary gland. In this case, the treatment for adipomastia is a simple liposuction of the areas of fat. In other cases, there is in addition to the fat of the mammary gland, we speak of mixed gynecomastia, in addition to liposuction, it will be necessary to remove the excess gland in a small incision around the areola.

Is the treatment of gynecomastia necessarily surgical?

In the vast majority of cases, the treatment of gynecomastia is surgical. In very rare cases, when a cause for gynecomastia is found (drugs, hormonal disorders, etc.), the cause must first be treated and then see if the gynecomastia disappears. If gynecomastia persists after treatment of the cause, surgery will be necessary. Some drugs can be offered but their effectiveness is very limited.

Is surgical correction of gynecomastia permanent?

Yes, after gynecomastia surgery, the result is definitive. The important thing is to keep a stable weight after the procedure. There may be a slight edema after the surgery which disappears within a few days. There is very rarely a recurrence of gynecomastia in men in the event of significant weight gain.

Is the price of the operation covered by social security?

For gynecomastia, the intervention is covered by social security only if the gland is removed. Indeed, a simple adipomastia (fatty gynecomastia), which will be treated by liposuction alone, will not be covered by health insurance. This is after a clinical examination associated with additional examinations (breast ultrasound or MRI) which will define the presence or not of a mammary gland.

How to treat gynecomastia without surgery?

Treatment of gynecomastia with medication does not usually give satisfactory results. However, if the gynecomastia is linked to a certain pathology (hormonal imbalance, drugs, etc.), the treatment of this cause can partially or totally treat the gynecomastia. Surgery remains the only day-to-day solution for the definitive treatment of gynecomastia.

After surgery, what to do in case of recurrence of gynecomastia?

It is extremely rare to see a recurrence of gynecomastia, rare cases can be observed in case of significant weight gain. On the other hand, we can sometimes observe an incomplete treatment of gynecomastia, with a persistent growth on the level of the breast (in the event of incomplete mammary gland removal or insufficient liposuction.) In this case, the only solution is to perform a new gynecomastia operation to complete the treatment.

After a correction of gynecomastia, can I do weight training?

Yes, there is no contraindication to weight training after gynecomastia surgery, it is even recommended. Working the pectoral muscles will further improve the outcome of the operation. However, it will be necessary to wait a month after a gynecomastia operation to resume sports activity. Returning to sport too quickly after surgery could slow the disappearance of the edema.

How is adipomastia treated?

An adipomastia (fatty gynecomastia) is an excess of fat located in the chest in men. The treatment is only surgical with localized liposuction in the thorax. The operation is performed under general anesthesia and it is necessary to wear a compression garment for a month after the operation. Drug treatments generally do not give satisfactory results.

Is gynecomastia hereditary?

No, gynecomastia is not hereditary. We can find various causes for gynecomastia (hormonal imbalance, drugs ...) or significant weight variations. But in the vast majority of cases, no cause is found.