Gynecomastia Surgery Clinic in Visakhapatnam (Vizag)

Visakhapatnam district is a district in the Indian state of Andhra Pradesh. It is one of the nine coastal districts in the state, with the administrative headquarters located at Visakhapatnam. The district has four revenue divisions, namely Anakapalli, Paderu, Narsipatnam and Visakhapatnam, each headed by a sub collector. These revenue divisions are divided into 43 mandals in the district. These district consists of 3265 villages and 15 towns including, 1 municipal corporation, 2 municipalities and 12 census towns. Visakhapatnam city is the only municipal corporation and the 3 municipalities in the district are Anakapalle, Bheemunipatnam and Narsipatnam. The 12 census towns are Bowluvada, Chodavaram, Chintapalle, Gudivada, Kantabamsuguda, Mulakuddu, Nakkapalle, Narsipatnam, Peda Boddepalle, Payakaraopeta, Upper Sileru Project Site Camp, Yelamanchili. The total of core road network of the district is 945.443 km (587.471 mi). It includes, 298.783 km (185.655 mi) of existing and a proposed length of 646.660 km (401.816 mi).

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Gynecomastia can be termed as: “The enlargement of excess breast tissue in men”. It can be significant amount of embarrassment, especially when changing in public or swimming.

This is very common situation which occurs between 32% to 40% of men population and 65% during puberty. Sometimes Gynecomastia will go away on its own, as most cases are associated with puberty, whereas in a small minority of men it becomes permanent.

Who Is A Good Candidate For Male Breast Reduction (Gynecomastia) Surgery?

Men with any of the following may be candidates for male breast reduction surgery in Visakhapatnam:

• Have firm, elastic skin
• Are over 18 years of age
• Are not obese
• Are not taking steroids or recreational drugs
• Have excess fat tissue that does not respond to diet, exercise, or medical treatments
• Are self-conscious about their appearance due to gynecomastia
• Do not smoke or use alcohol excessively

How is a male breast reduction performed in Visakhapatnam?

Various techniques can be adopted by the different surgeons for obtaining the perfect contour depends on the amount of surplus gland, fat, and skin present.

“Liposuction of Male breast” is only one of the main surgical treatment is available for the Gynecomastia problem. The majority of men can be treated with liposuction alone.

A small incision around the areola is needed to remove the excess glandular tissues. Sometimes a combination of gland excision and liposuction is needed to obtain optimal results. Where the larger amount of excess gland, fat and skin is there in these cases, larger incisions may be needed to obtain a flat chest contour. Chest hair and the areola help to hide these incision scars.

Surgeon will recommend you what technique will be the best for your body contour.

Recovery after Male Breast Reduction Surgery:

Generally after surgery there will be some swelling and brushing for couple of weeks which is very normal. Doctor will refer you to wear the compression garment which will help you a lot to reduce the swelling and the brushing as early as possible. You need to wear those garments at least 1-2 months depending upon the amount of tissues removed.

Most men feel well enough to go back to work within 7 to 10 days. Doctor will see you regularly after your male breast reduction surgery to ensure that you’re healing well and progressing well.

Notable Facts about Gynecomastia

Frequently a brief condition: In by far most of instances of growth of the male breast (Gynecomastia) the condition is transitory and it as a rule happens amid the adolescence (ages: 13 to 18). Assuming, in any case, the condition perseveres after the high school years then the possibility of this condition being changeless turns out to be to a greater extent a worry. For evident delicate reasons this condition is once in a while discussed. Gynecomastia is entirely normal and influences 40 to 60 per cent of men. Most guys that look for treatment are between the ages of 18 to 50. They for the most part show that they were ignorant of some other relatives having the condition and they relate a background marked by dodging conditions that require an uncovered chest. I.e. swimming with a "T" shirt on or keeping away from the young men's shower after a football game. They are generally solid and are on no drug that may have caused this condition. On examination these males fall into two principle classes:

One who is a 24 year old active male who notices enlargement of his breasts during the stage of puberty and the condition is worsened into his young adult years and who usually makes a statement that there is a firm mass of fat that he feels beneath his nipples.

Second who belongs to the age of 35 to 50 years and currently notices enlargement of his breasts since the age of 40 years. He acknowledges that over the past few years he has put up some weight and complains of his chest expansion and to conceal this situation he prefers to wear large sized shirts so that he doesn’t have to embarrass himself in front of others.

2. Breast tumours which generally involve one breast, the side effects those medications can have leading to enlargement of male breasts; the medications can be of various types such as etc. these are some of the most common causes of Male Breast Enlargement. Apart from those, drugs such as marijuana, heroin and alcohol or natural aging, obesity, changes in hormones during puberty can also lead to gynecomastia.
3. The candidates that are most suited for gynecomastia correction are recently not practicing any of the above mentioned medication and hence a breast tumour can be ruled out of the scenario. Once the excess breast tissue is taken out these males have a firm and elastic skin that reshapes to the new contour of the body.

Male Breast Reduction- Procedure:

Usually the incisions are hidden within the dark part of the nipple. So as to ensure confidentiality of the procedure most of it can be done in an office setting itself.

The soporific of decision is a mellow I.V. sedation in addition to a neighbourhood soporific of the chest.

The method takes around 1 ½ hours to perform and there are weight lifting confinements for around 2 weeks a short time later.

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 hormone production, or to taking certain medications. A workup is necessary in order to rule out a possible cause. The purpose of this assessment will be to measure the different known hormones, to look for a testicular or pituitary tumor. A mammogram or ultrasound may be requested in order to analyze the density of the gland, or eliminate breast cancer in older men, especially in the unilateral form. If a cause is found, it should be the subject of specific treatment. Indeed, when an etiology is found, the treatment of this one can allow a more or less complete regression of the gynecomastia.

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".

What does gynecomastia look like?

It is a development of the mammary gland centered on the areola, most often bilateral and symmetrical, of firm consistency and sensitive to palpation. Gynecomastia should be distinguished from adipomastia which is much more frequent and corresponds to a local accumulation of fat. These adipomasties are not centered in relation to the areola, their consistency is soft, insensitive, bilateral, symmetrical, but the two can be associated (adipogynecomastia).

In adolescents, transient gynecomastia may appear, linked to a hormonal imbalance in favor of estrogen, which disappears within a few months.

Breast cancers have a different presentation; it is a rare form, usually affecting men after 40 years. These are unilateral, hard, insensitive lesions associated with deformities or retractions of the nipple or even a bloody discharge.

What are the objectives of this intervention?

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.

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What does the intervention consist of?

In the typical procedure, an incision is made at the lower edge of the areola. From this incision, the surgeon can remove the mammary gland (subcutaneous mastectomy) and excess fat. Often in addition to this gesture, the surgeon can practice a liposuction at the periphery of the glandular excess in order to harmonize the whole.

In the case of predominantly fatty gynecomastia, the excision can sometimes be done by liposuction alone. The scars are then very short and can be located at a distance from the gynecomastia, such as in the sub-mammary or axillary regions.

When the gynecomastia and the excess skin are very important, the surgeon may have to make the scars longer and therefore more visible. These scars can then be peri-nipple (around the areola), horizontal and extend on either side of the areola. In extreme cases, the surgeon may have to transplant the areola and the nipple. Other types of scars are possible (vertical, racquet tail…), they depend on each particular case.

During the operation, a drain can be put in place depending on the technique used and the surgeon's habits. This drain is used to evacuate blood and lymphatic residues that could accumulate at the operating site.

At the end of the operation, a "modeling" dressing is made, often with an elastic bandage.

What type of anesthesia will I need?

This is a classic general anesthesia, during which you sleep completely.

How long will the intervention last?

the procedure usually lasts between 1 and 3 hours

How long will I be hospitalized?

Hospitalization for 24 hours is usually necessary. 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.
In some cases, the operation can be performed on an "outpatient basis", that is to say with an exit the same day after a few hours of monitoring.

What should I do before the procedure?

he assessment to find a cause for gynecomastia has been mentioned previously.

In obese or overweight men, a diet associated with physical exercises is initiated 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.

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

How does it work after the intervention?

The postoperative effects can sometimes be painful during 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 type of "severe stiffness". Edema (swelling), bruising (bruising) and difficulty 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

What will be the result of the intervention?

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.

Can there be imperfections?

Some imperfections can occasionally be encountered:

• a residual asymmetry of volume: it can be due to a less important resection on one side than on the other, in particular when there was already an asymmetry of 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.
• asymmetry in the height of the areolas and nipples: the 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 the 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.
• hollow areas or small nodules under the skin: these are linked to liposuction which in some cases can increase the appearance of "cellulite". This phenomenon is normal: daily massages combined with good hydration will allow these fibrous nodules to be broken up and prevent deep adhesions (appearance of "cellulite").
• 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).

What are the possible risks and complications?

Although a gynecomastia cure is carried out for essentially aesthetic reasons, it is nonetheless a real surgical intervention, which involves the risks associated with any medical act, however minimal.

The operative consequences are generally simple after a cure for gynecomastia. However, complications can arise, some of a general nature, inherent in any surgical procedure, others more specific loco-regional of the treatment of gynecomastia.

It is necessary to distinguish the complications related to anesthesia from those related to the surgical procedure.

Regarding anesthesia, during the compulsory pre-operative consultation, the anesthetist himself will inform the patient of the anesthetic risks. You should know that anesthesia induces reactions in the body that are sometimes unpredictable and more or less easy to control: the fact of having recourse to a perfectly competent anesthesiologist, working in a truly surgical context, that the risks incurred have become statistically extremely weak.

It should be kept in mind that techniques, anesthetics and monitoring methods have made immense progress over the last thirty years, offering optimal safety, especially when the intervention is performed outside of the emergency. in a healthy person.

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

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

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

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

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

Will this intervention be covered by Social Security?

Depending on the case, this intervention may be partially covered by the Health Insurance.