Flaunt your Chest not Boobs

Gynecomastia Surgery Clinic in Pune

Call now & Get Discount: 8329060384

Best Gynecomastia Surgeon in Pune Get Male Breast Reduction & Gland Removal from Best Surgeon!

Gynecomastia Male Breast Reduction Clinic in Pune - Get the best treatment for Enlarged Male Breast, Puffy Nipples in India at very affordable cost. Complete guide on Gynecomastia, Causes, Symptoms, Cure and recovery. Find the best Male Breast Reduction Clinic in Pune.

Send an email. All fields with are required.

Call now & Get Discount: 8329060384

Free Consultation, Best Treatment, Lowest Cost, Easy Finance Available, 100% Result

Gynecomastia Surgery Cost in Pune Know the Cost of Male Breast Reduction Surgery, Deals & Offers in Pune

Gynecomastia Cost Depends on?

Gynecomastia Grading

The cost of Gynecomastia Male Breast Reduction Surgery depends on Surgeon’s Qualification, Operative facilities, Technique of liposuction, Gland excision needed or not, Stay Required or not, Anaesthetist Experience, Type of Compression garment & Post care facilities given to patient.

Please fill the form for exact costing of Surgery in your condition.

Please check the above image of Gynecomastia Grading and choose the best match for your condition.

Send an email. All fields with are required.

Do you have any Question?

Ask Gynecomastia Surgeons & Get all your Questions Answered

Ask Now!

Contact Us

   Arra Aesthetics

Address: 201, 2nd floor, Kamyani Towers, JM Road, Near Balgandharwa Chowk, Shivaji Nagar Pune Maharashtra 411005 IN, Jangali Maharaj Rd, Pune, Maharashtra

Please call:+91 8329060384 or use our Contact Form!

Send an email. All fields with are required.

Find detailed information about Gynecomastia Causes, Symtoms, Diagnosis, Gynecomastia Grades, Candidates, Myths, Facts, Faq’s & Male Chest Reduction & Reshaping surgery in Pune. If you are a Doctor from Pune, You can request your profile on our website & If you are Gynecomastia patient you can find doctors, Ask your doubts about Male breast reduction or read the blogs. We have tried to list best Clinics, doctors & surgeons in & near Pune. You can fill the form & submit your contact details to fix your free consultation with one of our affiliate doctors in Pune. To know the approximate cost of Gynecomastia Treatment, click on - http://www.gynecomastiasurgery.co.in/gynecomastia-surgery-cost-financing/.

Pune (District) is situated in Maharashtra state of India. Pune city is the district headquarters. Administratively the district is divided into 15 talukas and 13 Panchayat Samitis. These are Junnar tehsil, Ambegaon tehsil, Khed tehsil, Maval tehsil, Mulshi tehsil, Velhe tehsil, Bhor tehsil, Haveli tehsil, Purandar tehsil, Pimpri-Chinchwad City tensil, Pune City tehsil, Indapur tehsil, Daund tehsil, Baramati tehsil and Shirur tehsil. Pune city is the administrative headquarters of the district. There are around 1,866 villages in the district. Pune city and the twin city Pimpri-Chinchwad are the major cities in the district. Pune city is administered by the Pune Municipal Corporation while Pimpri – Chinchwad is administered by the Pimpri-Chinchwad Municipal Corporation. There are three cantonment areas in the district. Pune Cantonment, Khadki Cantonment, Dehu Road Cantonment. Some smaller towns in the district with Nagarpalikas or Municipal Councils are: Baramati, Bhigwan, Bhor, Chakan, Daund, Indapur, Jejuri, Junnar, Khed, Lonavla – Khandala, Narayangaon, Nasrapur, Pirangut, Saswad, Shirur, Talegaon Dabhade, Wadgaon, Walchandnagar, Uruli Kanchan, Mulshi.

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.

Tags: gynecomastia surgery in Pune, gynecomastia surgery cost in Pune, gynecomastia treatment in Pune, Gynecomastia Symptoms in Pune, Gynecomastia Causes in Pune, Gynecomastia Before And After Surgery in Pune, Gynecomastia Surgery Near Me in Pune, Treating Gynecomastia Without Surgery, Gynecomastia Removal in Pune, How Much Gynecomastia Surgery in Pune, Gynecomastia Grades in Pune, Gynecomastia Cure in Pune, Gynecomastia Doctors in Pune, Gynecomastia Post Surgery in Pune, Gynecomastia Liposuction in Pune, Gynecomastia Reduction in Pune, Gynecomastia In Children in Pune, Gynecomastia Free Consultation

Gynecomastia is the excessive development of the mammary glands in men. It can be congenital or due to a disease, a tumor or the taking of certain medications. Breast reduction is the most common treatment.

Gynecomastia, in brief

Performed as part of a treatment for gynecomastia, breast reduction is a cosmetic surgery procedure for men that reduces the size of the breasts in the event of excessive development of the mammary glands. The correction of gynecomastia focuses on providing a masculine appearance within the patient, while minimizing scarring as much as possible. The gland is reconcentrated to obtain a harmonious shape and the skin suture is performed with absorbable threads. Correcting gynecomastia is a very satisfactory human breast surgery, especially when the scars are inconspicuous.

WHAT IS GYNECOMASTIA?

Gynecomastia is the excessive development of the mammary glands in men. It usually has little or no pain, but sometimes it can be accompanied by tenderness in the chest.

Gynecomastia is very common but often badly experienced, especially at certain periods of life: at the time of puberty when it generally disappears in less than two years. In adult men, gynecomastia occurs in about 30% of cases.

The cause of the abnormal growth of the mammary glands remains mostly unknown, it is then called essential gynecomastia. However, before being able to affirm it, it is necessary to carry out a complete assessment, in search of a possible pathological or medicinal cause. It is necessary to perform a blood test, an ultrasound and / or a mammogram to specify the glandular component and to eliminate a tumor.

Gynecomastia is often dual-component, glandular and fatty.

Among the pathological causes, diseases that are likely to lead to gynecomastia, include:

  • Hormonal pathology.
  • Tumors of the testis, adrenal gland, pituitary gland, lung.
  • A breast tumor.
  • Diseases of the kidney, thyroid.

GYNECOMASTIA ASSESSMENT

Your attending physician, working in collaboration with your surgeon, will perform:

  • A palpation of the testicles.
  • A chest x-ray.
  • An abdominal ultrasound.
  • NFS + VS, Glycemia, Lipid balance.
  • ASAT + ALAT + Gamma-GT.
  • T3 T4 TSH.
  • FSH + Testosterone.

GYNECOMASTIA CURE

The surgical treatment of gynecomastia is particularly aimed at forms that are embarrassing by their volume or their sensitivity, as well as psychologically badly experienced gynecomastia.

In addition to liposuction, the mammary gland is surgically removed. When the skin is elastic, and the gynecomastia is moderate, which is the majority of cases, the entire operation can be performed by a short and discreet, hemicircular incision at the border of the areola. On the other hand, when there is a significant excess of skin, the incisions will be horizontal, more or less long, located at the level of the areolas.

The surgical cure of gynecomastia is an intervention partially covered by social security.

The operation is performed under general anesthesia. It lasts from 1 to 2 hours. A suction drainage as well as a compression bandage are put at the end of the operation.

Postoperative pain is usually minimal. In all cases, it is easily controlled by the usual analgesic drugs.

Edemas and bruises will be better controlled by a compression garment, to be kept for one month. The rare complications are scar disorders, infection and hematoma. The cure for gynecomastia is an effective intervention with a high satisfaction rate.

Definition, objectives and principles:

Gynecomastia is defined as an increase in the size of the mammary gland in men. It corresponds to unilateral or bilateral hyperplasia. Usually it is idiopathic, that is to say that there is no cause for its occurrence; however, in some cases it may be related to abnormal hormonal production, or to taking certain medications. A workup is necessary in order to rule out a possible cause.

Ce bilan aura pour but de doser les différentes hormones connues, de rechercher une tumeur testiculaire ou hypophysaire. Une mammographie ou une échographie peut être demandée afin d’analyser la densité de la glande, ou d’éliminer un cancer du sein chez l’homme plus âgé, notamment en cas de forme unilatérale. Si une cause est retrouvée, elle devra faire l’objet d’un traitement spécifique. En effet, lorsqu’une étiologie est retrouvée, le traitement de celle-ci peut permettre une régression plus ou moins complète de la gynécomastie.

The increase in breast volume in men, especially during adolescence, is often badly experienced and can cause many psychological problems. This physical attack in the adolescent, at the very moment when he is constructing his image as a man, can lead to a withdrawal into himself, or even a real complex. In addition, this gynecomastia can be painful.

From an anatomical and pathophysiological point of view, the mammary gland exists in normal humans, but it is of the infantile type, reduced to a simple breast bud. In a few cases, this mammary gland can develop if the hormonal environment is right. When no cause has been found and if the patient is embarrassed, surgical intervention may be proposed, provided the patient is in good physical and mental condition.

This type of intervention is called a "gynecomastia cure".

The goal of corrective surgery is to restore normal anatomy as much as possible with the following principles:

  • reduce breast volume by direct surgical excision (subcutaneous mastectomy) for glandular forms, or by liposuction for fatty forms. In the case of mixed forms, the surgeon must then combine the two techniques,
  • reduce excess skin: generally, the decrease in glandular volume will allow skin retraction.

This skin retraction is favored by the liposuction but it is all the more clear that it is a young man and that the skin is of good quality (firm, elastic skin, without stretch marks). Certain post-operative actions such as massages can help skin retraction.

In some cases, when the excess skin is too large, the surgeon may have to reduce it, but at the cost of scarring on the skin. This skin reduction plasty can be performed from the first intervention or secondarily.

Before the intervention

The assessment in search of a cause for gynecomastia has been mentioned previously.

In obese or overweight men, a diet associated with physical exercises is introduced because weight loss can regress or even eliminate gynecomastia (adipomastia). Depending on the anatomical context, the preferences and habits of the surgeon, and the wishes expressed by the patient, an operating strategy will have been decided. The operative technique used and the location of the scars will thus be predetermined.

A usual preoperative assessment is carried out in accordance with the prescriptions. The anesthetist will be seen in consultation, at the latest 48 hours before the operation. Your surgeon and the anesthetist will need to be kept informed of all the medications you are taking. Indeed, some of them can interfere with the anesthesia or promote bleeding.
Except in special cases, no medication containing aspirin or anti-inflammatory drugs should be taken in the ten days preceding the operation.

Quitting smoking

Stopping smoking is recommended at least one month before and one month after the operation (tobacco can be the cause of delayed healing).

Type of anesthesia:

it is most often a classic general anesthesia, during which you sleep completely. In some cases, “vigil” anesthesia (local anesthesia deepened by tranquilizers administered intravenously) or even simple local anesthesia may however be used (to be discussed with the surgeon and the anesthetist).

Conditions of hospitalization:

the procedure usually requires hospitalization for 24 to 48 hours. The length of hospital stay, however, depends on the surgical technique used. Indeed, a simple liposuction will require a shorter hospital stay than a subcutaneous mastectomy.

Admission is usually in the morning or sometimes the day before in the afternoon. In some cases, the operation can be performed on an "outpatient basis", that is to say with an outing the same day after a few hours of monitoring.

After the intervention

The postoperative effects can sometimes be painful for the first few days. Analgesic treatment, adapted to the intensity of the pain, will be prescribed for a few days. In the event of isolated liposuction, the patient may locally experience pain in the form of "severe stiffness". Edema (swelling), bruising (bruising) and difficulty in raising the arms are common at first.
The first dressing is removed after a few days. It is then replaced by a lighter dressing. Often, the initial dressing is compressive, then quickly a lighter dressing is combined with a compression vest to be worn day and night for a period of time. This retention helps skin retraction and promotes uniform healing.

The total length of time off work varies from five to twenty-one days. It is advisable to wait one to two months before resuming a sporting activity.

The scar is an obligatory sequel to the surgery. The surgeon's goal is to obtain the best scar quality possible. The scars evolve during one or two years after the operation: they are first white and thin the first month, then become pink or red and hard until the fourth month. Then, they gradually whiten. It is imperative to protect them from the sun during the first year.

The length and location of the scars vary depending on the surgical technique. Their quality depends on the surgical technique and factors specific to the patient (age, quality and type of skin, etc.).

The result

The improvement is often clear and immediate. However, a period of two to three months is necessary to assess the final result. This is the time needed for the postoperative edema to disappear and the excess skin to retract. Beyond this period, the tissues will gradually gain flexibility.

The reduction in breast volume brings physical comfort, especially when getting dressed. Finally, the result is often very beneficial on the psychological level because gynecomastia is often considered as a shadow to virility.

As regards the stability of the result, several cases are possible. For pure glandular forms, glandular excision generally prevents recurrence. However, significant weight gain may be accompanied by a further increase in breast volume (adipomastia) and this is all the more common for forms with a predominant fatty component.

Some imperfections can occasionally be encountered:

A residual asymmetry of volume:

it may be due to less resection on one side than on the other, especially when there was already an asymmetry in volume before the operation. In some cases, the asymmetry can be linked to a more important postoperative edema on one side: in this case, wearing a sheath and the action of massages will correct the defect. When the asymmetry persists one year after the operation and if it is troublesome, surgical correction may then be proposed.

An asymmetry in height of the areolas and nipples:

asymmetry is often present before the operation; however, you paid little attention or even didn't notice it. After the operation, even if the surgeon has tried to correct it, the asymmetry can persist and sometimes be "unmasked", ie made more visible.
In other cases, the asymmetry may be related to scarring of the tissues under the skin. Daily massages combined with good hydration will help correct the problem.

cupulation of the areola:

it can be linked to a glandular excision too centered behind the areola without peripheral harmonization. If it is bothersome, surgical retouching may be proposed.
• excess skin: after surgical correction of gynecomastia, excess skin is not uncommon and can take several months to retract. Skin retraction is related to the quality of the skin. Touch-up may be desirable.

The evolution of scars

As for the issue of the evolution of scars, it was mentioned previously.
The tenderness of the nipples is usually not affected, or transiently for a few months. Insensitivity is exceptional. On the other hand, when the surgeon has to graft the areolo-nipple plaque, the latter may become permanently insensitive and may present skin color disorders (dyschromia).

Gynecomastia explained by a surgeon experienced in breast surgery

Gynecomastia, ie breast enlargement in men, is a common pathology.

The medical treatment does not improve the appearance if the breast augmentation is old, only liposuction more or less associated with surgical removal can treat it definitively.

Indeed, the composition of gynecomastia is often mixed: mammary gland and peripheral fat.

This benign breast disease in adolescence is a disease in adulthood . The growth of the breast is most of the time without cause, but the taking of medication, doping products, hormonal pathologies, even tumors will be sought in consultation.

The different forms of Gynecomastia

In adults and adolescents, there are different forms of gynecomastia , ranging from a simple nipple that points to a large and sagging breast.

The surgical technique depends on the contents of the breast but also on the amount of fat or gland present in the breast.

The diagnosis can be made clinically in consultation or by radiological examination.

The operation is offered to adults because it is the only solution, to children only if they are teased.

Breast reduction in men

  • Duration of the operation: 30 to 90 minutes
  • Hospitalization 6 hours to a day without night (evening out)
  • Local or general anesthesia
  • Pain: not very painful
  • Work stoppage: unnecessary except in special cases
  • Discontinuation of sport 1 month
  • Reduction of excess mammary or adipose tissue in the breast in men, sometimes developed during puberty, after weight gain or due to aging.

§  PROCEDURES

  • The procedure consists of liposuction to remove the fat, and a small incision around the areola to remove excess remaining tissue.

§  DURABILITY

  • The fat deposits removed do not come back. In case of excess skin, the operation leaves an inconspicuous scar.

§  ANESTHESIA

  • General anesthesia or local anesthesia with sedation.

§  USEFUL INFORMATION

  • Outpatient or overnight intervention in a clinic.

§  AFTER THE INTERVENTION

  • Allow three to four weeks for recovery. Wear the compression night and day for the first three weeks

§  AT HOME

  • Apply cold compresses to limit edema during the first 48 hours. Try to move as soon as possible to speed up recovery. Be careful not to wet the incisions and keep them clean. If necessary, ultrasound and lymphatic drainage sessions will speed up recovery and further improve the surgical outcome.

§  RISKS AND COMPLICATIONS

  • Temporary change in sensitivity. Irregularities.

 

The gynecomastia corresponds to the excessive development of the mammary gland in men , which may give an appearance of breast  feminine, camouflaging the pectoral muscles. It can be uni or bilateral, symmetrical or asymmetrical. The association with an excess of skin  of varying importance is possible, which can sometimes give a real breast appearance .

The gynecomastia surgery in humans is a reliable procedure is very effective in giving back to the chest masculine appearance.

The benefits of performing an operation for gynecomastia are as follows:

  • Reduction of excess fat or gland in the breasts.
  • Reduction of excess skin if necessary.
  • Correction of asymmetry.
  • Improvement of the aesthetic aspect of the breast, more masculine , showing the pectoral muscles.
  • Improved self-image and psychological aspect.

Depending on the case, gynecomastia can be predominantly fatty, glandular, or mixed.

Surgical technique for gynecomastia treatment

The objectives of the surgical intervention are:

  • Correction of excess fat and / or glandular.
  • Resection of the excess skin if it is important.
  • Repositioning of the areola.
  • Restore a masculine aspect to the breast .

The intervention includes several operating stages:

  1. The operation begins systematically with liposuctionof the excess fatty and / or glandular. For moderate or only fatty gynecomastia without excess skin, it may be sufficient to treat gynecomastia.
  2. Most often, it will be necessary to resect aresidual glandular nucleus, by a lower hemi-areolar scar (lower part of the areola).
  3. If present, then the excess skin should betreated 
  • Minimal skin excess: no skin resection is performed. Liposuction alone is sufficient, and will cause excess skin to retract.
  • Moderate skin excess: technique with scar around the areola only (round-block).
  • Significant excess skin with true breast appearance: technique with horizontal scar.
  1. The operation ends with a new liposuction inorder to harmonize the result and obtain a breast as masculine as possible.

 

How is an operation for gynecomastia performed in men?

Preoperative consultation:

The preoperative examination and discussion with the surgeon will have the following objectives:

  • Elimination of a secondary cause of gynecomastia (pharmacological or pathological) by consulting an endocrinologist .
  • Evaluation of the fatty and / or glandular surplus .
  • Assessment of the importance of excess skin .
  • Information on the course of the operation and on rare complications ( hematoma, etc.).

Surgical intervention :

  • The operation is performed under general anesthesia.
  • Duration of the intervention: 1 to 2 hours

Post-operative:

  • It is necessary to remain hospitalized one night after the operation.
  • The pain is relieved by the prescription of analgesics the days following the operation.
  • It is necessary to wear a compression garment for 21 days after surgery.
  • Scar care is performed daily for ten days.

Questions answers

What are the benefits of a gynecomastia cure?

  • › Correction of excess fat and / or glandular.
  • › Resection of the excess skin if it is important.
  • › Repositioning of the areola.
  • › Correction of asymmetry of the breasts.
  • › Restore a masculine aspect to the breast.
  • › Improved self-image.

Is the treatment of gynecomastia a painful intervention? Will I be in pain?

  • The moderate postoperative pain is effectively relieved by the prescription of mild analgesics.

After a cure for gynecomastia, when can we return to work? How long is the time off work required?

  • After the procedure, rest or a work stoppage is recommended for a week.
  • A feeling of discomfort may be present for 3-4 weeks
  • Heavy load carrying should be avoided for 21 days following surgery.

Are there any exams to be performed before performing a gynecomastia cure?

  • Before any surgery, it is necessary to eliminate a cause secondary to this gynecomastia.
  • A clinical and paraclinical assessment (biology and ultrasound) is necessary and will be validated by an endocrinologist.

Gynecomastia and tobacco treatment: should you stop smoking before the procedure?

  • Stopping smoking is mandatory before the operation.
  • A minimum of 45 days before surgery is necessary.

Is the realization of a cure for gynecomastia covered by social security?

  • Part of the operating costs can be covered by social security. These are disabling gynecomastias with psychological repercussions and after completion of an endocrine assessment.
  • An additional fee will be requested by the surgeon.

YOUR QUESTIONS AND MY ANSWERS ON GYNECOMASTY

IS GYNECOMASTIA AT 56 POSSIBLE?

Question:

I am 56 years old 173cm and 68kg (note my heart beats at 35/42 / minute).

I've always had this devellopee chest problem.

It was less visible when I played sports.

But I have been storing fat at this level and in the belly too since I was a kid. I am not 68kg fat!

I returned to sport after 30 years of hiatus .. yes I know ...

I recently learned that it is possible to correct this breast problem.

I wonder if at my age, an operation is possible without risk and with a perfect aesthetic result?

Response Doctor:

hello, yes age is not a problem to operate on gynecomastia. If the aesthetic complex is present and has been for a long time, it is time to get rid of that breast. You will then have a firmer and more muscular body, especially if you return to sport cordially.

GYNECOMASTIA - TIME BETWEEN APPOINTMENT AND OPERATION

Question:

Hello, What is the delay between a first appointment and a gynecomastia operation? and how quickly can we resume water sports? thank you

Response Doctor:

If the operation is aesthetic (case of half of gynecomastia), there is only liposuction of the breast to be performed.

The legal deadline is 15 days between the consultation and the operation.

If the intervention is classified as plastic and reconstructive surgery, covered by social security (liposuction and removal of the mammary gland) then this period may be shortened depending on the availability of the plastic surgeon and yours. cordially

PUFFY NIPPLES AFTER GYNECOMASTIA TREATMENT

Question:

Hello everyone, I am 21 years old.

I finally had a gynecomastia operation 5 weeks ago.

After the intervention the result was perfect, very flat.

Only here since 2 weeks my nipples have plumped up a lot and have taken on a voluminous and pointed aspect for no apparent reason, I am pretty sure not to have gained weight.

Does this happen? Is it inflammation or a hematoma? Can all of this work out in the next few weeks?

I who thought I got rid of this unbearable thing, I do not hide from you that my morale took a hit.

Thank you in advance for your answers

Response Doctor:

hello, it is very likely that this is late postoperative edema, rest assured that it should disappear after a few sessions of lymphatic drainage. Kindly see your plastic surgeon again

GYNECOMASTIA SURGERY OR LIPOSUCTION?

Question:

I have heard that an excess mammary gland in men can be removed by liposuction. When is liposuction used to treat gynecomastia?

Response Doctor:

Gynecomastia can be glandular or fatty.

In the case of fatty gynecomastia, liposuction is enough to make the breasts disappear in men.

In cases of glandular gynecomastia, then it is often necessary to remove the mammary gland through a surgical incision.

Cordially.

GYNECOMASTIA AND BREAST TUMOR

Question:

Can the cause of gynecomastia be breast cancer? Is this type of cancer common in humans? What is the prognosis?

Response Doctor:

breast cancer does not lead to gynecomastia.

Cancers that can lead to gynecomastia are kidney cancer, lung cancer and also testicular cancer.

These cancers should be looked for during the medical assessment of gynecomastia

In addition to hormonal causes.

Nevertheless, breast cancer in men does exist and can be discovered on excisional surgery of the mammary gland during the treatment of gynecomastia. This cancer is rare in men (1% of breast cancers) and its prognosis is the same as in women. cordially

GYNECOMASTIA: WHERE TO MAKE AN APPOINTMENT FIRST?

Question:

Hello,

here I expose my problem:

being a teenager, I was overweight, 189 cms for 120 kg.

I was chubby everywhere and of course I had a breast with nipples, that is to say, the mockery and so on this breast which did not belong to me ...

I spoke about it at the time to my parents, but nothing happened, that it was going to pass, but over time, my pounds disappeared, but always this chest in sight… .what a disaster… ..

Now, at the age of 37, and with 30 kg less, I still have this problem of gynecomastia… ”

This chest, I can't take it anymore, both morally and physically, I would like to get rid of it ...

Having discussed with surgeons on forum, and supporting photos, they told me that a solution could be envisaged, that there was a surgical solution.

Liposuction of the volume and resection of the gland by direct approach + skin retension by a scar around the areola (ROUND-BLOCK).

Now my question is should I make an appointment directly with an endocrinologist without going through my attending physician?

Response Doctor:

the easiest now is to actually make yourself

examined by a plastic surgeon when making an appointment.

He will give you his specialist opinion on the right technique and give you blood tests to do as well as a mammogram assessment. then you will choose the operative date to get rid of this problem definitively with full knowledge of the causes. cordially.