Gynecomastia Surgery in Delhi

Indications

Gynecomastia surgery is indicated for:

• Persistent gynecomastia that does not respond to medical treatment or lifestyle changes.
• Pain or tenderness in the breast tissue.
• Psychological or emotional distress due to the appearance of the chest.
• Physical discomfort or embarrassment.

Types of Gynecomastia Surgery

1. Liposuction
   • Procedure: Removes excess fat from the chest area through small incisions using a thin tube (cannula).
   • Indications: Effective for fatty gynecomastia without significant glandular tissue enlargement.
   • Advantages: Minimally invasive with shorter recovery time.
2. Excision Surgery
   • Procedure: Removes glandular breast tissue and excess skin through larger incisions around the areola or within natural chest creases.
   • Indications: Suitable for patients with significant glandular tissue, sagging skin, or larger breast tissue.
   • Advantages: Allows removal of more substantial glandular tissue and skin tightening.
3. Combination of Liposuction and Excision
   • Procedure: Combines both techniques to remove excess fat and glandular tissue, and to contour the chest.
   • Indications: Used when both fatty and glandular components are present.
   • Advantages: Comprehensive approach for optimal chest contouring.

Procedure Steps for Gynecomastia Surgery

1. Preoperative Preparation
   • Medical Evaluation: Detailed medical history, physical examination, and possible lab tests or imaging studies.
   • Discussion: Thorough discussion of goals, expectations, potential risks, and surgical plan.
   • Instructions: Preoperative instructions on medications, fasting, and smoking cessation.
2. Anesthesia
   • General Anesthesia: Commonly used to ensure patient comfort.
   • Local Anesthesia with Sedation: May be used for less extensive procedures.
3. Surgical Procedure
   • Incisions: Depending on the type of surgery, incisions are made around the areola or within natural chest creases.
   • Liposuction: A cannula is inserted through small incisions to remove excess fat.
   • Excision: Glandular tissue and excess skin are removed through larger incisions. The areola may be reduced and repositioned if necessary.
   • Closure: Incisions are closed with sutures, and dressings are applied. A compression garment may be used to minimize swelling and support healing.
4. Postoperative Care
   • Pain Management: Pain relief medications as prescribed.
   • Wound Care: Keeping the surgical site clean and dry, following specific instructions for changing dressings.
   • Activity Restrictions: Avoiding strenuous activities and heavy lifting for several weeks.
   • Follow-Up: Regular follow-up visits to monitor healing, remove sutures, and assess results.

Risks and Complications

• Infection: Risk of infection at the surgical site.
• Bleeding: Postoperative bleeding or hematoma formation.
• Scarring: Visible scars, although efforts are made to minimize scarring.
• Asymmetry: Possible asymmetry between the two sides of the chest.
• Changes in Sensation: Temporary or permanent changes in nipple or breast sensation.
• Recurrence: Rare risk of gynecomastia returning if underlying causes are not addressed.

Recovery

• Immediate Recovery: Swelling, bruising, and discomfort are common in the first few days. Patients can usually return to work within a week.
• Long-Term Recovery: Full recovery and final results may take several months. The chest will continue to improve in contour as swelling subsides and tissues settle.

Conclusion

Gynecomastia surgery is an effective solution for men seeking to reduce enlarged breast tissue and achieve a more masculine chest contour. Proper preoperative evaluation, skilled surgical technique, and diligent postoperative care are essential for achieving the best outcomes. Patients should follow their surgeon’s instructions closely to ensure a smooth recovery and reduce the risk of complications. Regular follow-up is important to monitor healing and address any issues promptly.