Introduction 

The common male problem in an Aesthetic clinic, Gyanecomastia, is truly Pseudogynaecomastia with only fatty tissue and minimal glandular tissue. The condition is a part of the co existing Obesity disorder and is rarely, a standalone entity. The treatment options shall include an approach to answer the issue of obesity as a whole, not rest contented with surgical removal of the enlarged breasts alone. What is seen and what is treated is just a tip of the iceberg. 

Gynaecomastia, an innocuous condition, that affects 35-70% of male population immediately after birth, during adolescence and old age is rarely brought to notice as the sufferer makes all attempts to hide it as the condition brings with it a sense of shame and pain in public places and mental suffering. Herein starts the search for the treatment. Medical and multifaceted surgical options evolved over centuries with the current opinion being fat removal by anyone form of liposuction and the gland removal by direct excision. Gynaecomastia, is increased breast tissue in males composed of glandular and fatty tissue. 

Physiological gynaecomastia of puberty that normally regresses with age tend to stay back being sustained by the modern lifestyle changes. Processed foods and environmental pollution of air and water, the cosmetics used on the body like deo odorants, perfumes and toiletries, synthetics and chemicals have contributed to explosions of generalised obesity. With this generalised obesity, the tendency to hold back excess fat in the breast developed. This clearly shows the reason for higher incidence of (pseudo) Gynaecomastia of late. Hormonal imbalance due to reasons stated above, aggravate the situation. Gynaecomastia is part of the generalised obesity and it is more fat and little gland. 
However, this condition does not have any harmful effect on the body, but it can cause distress emotionally. Men may lose their self-confidence and they can be psychologically affected by this.

What Causes Gynaecomastia?

It is a type of hormonal imbalance that results in the growth of the male breast tissues. The ratio of oestrogen v/s androgens gets altered and causes the enlargement of the breasts. For this condition to occur, the amount of oestrogen increase in the body, or the amount of testosterone drops. Sometimes it can be the combination of both.

There are certain diseases that may contribute to gynaecomastia and they are as follows:

Kidney diseases

Liver disease

Drop in testosterone levels

Certain medications such as methadone, medications for HIV or treating prostate cancer

Certain tumours caused in male sex organs such as cancer of the Leydig cells or the Sertoli cells resulting in deprivation of androgen levels

Conclusion: 
True Gynaecomastia that requires surgical treatment is not so uncommon. What is commonly believed to be gynaecomastia is truly Pseudo gynaecomastia with a co exiting clinical picture of obesity, high BMI, sedentary life and wrong lifestyle. Surgical treatment by laser liposuction under Tumescent Anaesthesia gives very good results with high patient satisfaction and negligible post operative complications. Gland fragmented with laser can be extricated thro  same entry point without sub areolar incision.

Gynaecomastia (Enlarged Breasts In Men): Causes and Treatments

When it comes to a man's physique, enlarged breasts can be quite embarrassing. This is a condition known as male gynecomastia and affects more men than you would imagine. Though it does not pose a significant health risk, it can affect a man's psychological health and lower his self confidence. The good news is that men suffering from this condition do not need to live with it.

Male breast reduction surgery or gynecomastia surgery, aims at reconfiguring the contours of a man's chest by removing breast fat. The only permanent solution to this condition is surgery. This is because fat tissues are not solely responsible for enlarged breasts. Often glandular tissue is present in excessive amounts as well.

Gynecomastia surgery is usually performed under local anesthesia with liposuction being the most preferred procedure. This procedure begins when the surgeon makes a small incision on each side of the chest. These incisions are usually placed along the natural contours of the body, around the edge of the areola or near the armpit so as to reduce the visibility of scars. Excess fat and glandular tissue is then sucked out of this incision. Simultaneously, the surgeon sculpts the other tissues in the chest to redefine chest contours. Patients are usually advised to wear a compression garment after the surgery to support the healing tissues and minimize swelling.

Results of this procedure are visible almost immediately. Recovery from gynecomastia surgery is usually quick and many men find themselves back to their normal routine within a few days. However, vigorous exercising and heavy lifting should be avoided for a few weeks after the surgery. The patient may also experience slight soreness and minimal pain that can be relieved with over the counter pain killers. Some men may also experience a temporary loss of sensation in the area. Though the results of this procedure are permanent, there is no guarantee that it will not recur.

Gynecomastia may recur as a result of significant weight gain, use of steroids or as a side effect to certain types of medication. Hence, it is important to maintain a healthy lifestyle and avoid drugs that influence your testosterone levels. Regular exercise can also help tone the chest muscles and keep this condition from recurring.

Embarrassed Because of Enlarged Breast? Male Breast Reduction Can Help

If you are in the process of considering a breast augmentation procedure, here is an insight into what you can expect. In general, or in the majority of the cases, the surgery encompasses three phases consultation, operation, and then the most important part, recovery. In most cases, the breast augmentation is completed under general anesthesia where the patient remains asleep through the procedure.

How is the surgery performed?
The surgeon makes an incision in the crease under the breast or under an arm or around the nipple to separate the breast tissues from the connective tissues and the muscles of the chest. This enables the creation of a pocket-like structure behind or before the pectoral muscle. Then the implants are inserted in this pocket and centered behind the nipple.

What may happen after the breast augmentation procedure?

Soreness and scars: After the surgery, some patients may suffer from soreness accompanied by swelling and bruising for around three weeks after the surgery. The scars tend to fade gradually with the passage of time even though a faint scar remains all through one s life.
Discomfort: Some may experience a slight or tolerable pain in the nipple after the surgery. In rare instances, patients undergo sharper, and burning pain with touch. A light massage can help ease the discomfort.
Swelling: Some people report that their breasts feel firm after the surgery though this is a passing phenomenon. As the swelling subsides, the patients feel natural tenderness in the breasts within a short span of time.
Things to take care during recovery: Sometimes, surgeons recommend wearing a compression bandage or sports bra for proffering extra support to the breasts and the implants. If there is a pain, then the patient is prescribed pain-relieving medications, as well. Though healing takes a long span of time, however, one can easily resume back to their daily activities within a week. It is advised not follow a strenuous job or continue with any strenuous workout for a few months or till complete recovery.
Avoid strenuous activities: It is advised to sleep in a recliner for the first 2 days after the surgery, as this reduces the pain and swelling. Also, one should refrain or minimize the number of times one raises the hands above the head. It is advised to refrain from exercising or strenuous workouts for at least 3 to 4 weeks after the surgery.
The week following the surgery will be most difficult, and therefore, it is advised to complete all the important jobs before the surgery so that the body gets the required rest and recovers quickly.

As you can see, it is important to know and learn about the whole process before undergoing the surgery or deciding to undergo surgery so that you can make an informed decision and go about it systematically.

Breast Augmentation - What to expect from the procedure?

Losing weight for an obese person is a big achievement, but mere weight loss may not give them the desire look. Dramatic weight loss often causes excess skin to hang in folds. This can be both embarrassing and unappealing. While exercising and dieting can reduce fat, there is no way to deal with this excess skin other than surgery. Body contouring refers to plastic surgery procedures that address this. 

There are many type of body contouring surgeries. Face lifts, tummy tucks and breast lift procedures are common examples of such surgeries. Body contouring surgeries that follow weight loss usually address more than one area.  The lower body lift, which focuses on the tummy, midsection and thighs is one of the most common procedures. Though such a surgery is usually performed by a team of surgeons who simultaneously focus on different parts of the body, a body contouring surgery can take up to 8 hours. People who have undergone drastic weight loss may still need multiple surgeries to achieve the desired look. 

The risks of such a surgery are similar to other procedures that are performed under anesthesia. The most common complications experienced after this surgery are infections of the wound, seroma formation, slow healing of the wound, excessive bleeding and reopening of the wound. Patients may also notice a difference in the quality of their skin. This can lead to slow wound healing, skin laxity and issues related to scarring. For the overall cosmetic results to be appreciated, the patient must wait for at least 3 months. The scars can take up to a year to heal and blend with the rest of the skin. Body contouring is also a surgery that is not covered by most insurance policies and can be quite expensive. 

If you are considering this surgery, ensure that your weight remains stable for 3 to 6 months before the surgery. This will ensure that the surgery has long lasting results. Weight fluctuations, both gain and loss can lead to the need for additional procedures. If your weight loss is a result of bariatric surgery, you may need to wait a year before undergoing a contouring procedure. Instead of opting for an overall contouring procedure, prioritize your problem areas and address these first. You may realize that you do not need additional surgeries. You should also be aware that though this surgery removes excess skin, it will not leave you with flawless skin. the scars caused by this surgery may lighten over time but are permanent.

Facts About Body Contouring Surgery

There are mainly three kinds of burns. The degree of burns is determined by the extent of damage that the burn causes. First degree burns are minor while third degree ones are extremely severe. Variety of factors could lead to a burn. They may be chemical, electrical, fire and even sun induced. Boiling or scalding liquids might result in burns as well. The burn type isn t necessarily determined by what causes it. Scalding hot water might cause all the three types of burns; based on the duration of the skin being in contact with the water and how hot the water is. 

Electrical and chemical burns need immediate tending to by a doctor as it might affect the internal body without it being apparent as the damage to the skin is not much. There are also fourth-degree burns. This type of burn includes all of the symptoms of a third-degree burn and also extends beyond the skin into tendons and bones.

First-degree burns: These result in the least skin damage and are also known as  superficial burns  as they only affect the skin s outermost layer. Redness, pain, minor swelling and inflammation are all the symptoms of a first degree burn. As a first degree burn heals, dry skin and peeling takes place. As the skin peels, the symptoms and signs disappear as the burn only manifests on the top most skin layer. It usually takes a week or little more for a first degree burn to heal without any scarring. If the burnt area affects over three inches of skin, or is on the face, then a doctor should be consulted. Home care generally suffices for a first degree burn. Healing time accelerates with rapid treatment of the burn.
Second-degree burns: They are serious as the extent of damage is deeper than the topmost layer of the skin. The skin becomes extremely sore with the formation of red blisters. The blisters might pop open and as time passes, the wound may develop a scab. Proper bandaging is required to reduce chances of an infection. Home remedies should be avoided. The burns usually heal within three weeks.
Third-degree burns: They are the most severe. They extend through each layer of the skin. They might not cause any pain due to the severity of burn as the nerves might get damaged. There might be extreme scarring if corrective surgery isn t done.

Burns - Understanding Its Degrees!

What is the real reason behind the surgery?

The decision to have breast augmented surgery should be a woman s alone. Friend s advice or pressure from your partner should not play a role in this. Since this is a complicated procedure, getting the surgery done with external pressure can lead to disappointment.

How expensive are these surgeries?

Breast augmentation surgeries are slightly expensive compared to other plastic surgeries. However, the price of the surgery varies depending on the procedure chosen and the doctor who is performing it. It makes sense to consider a clinic which fits the budget and has a very good reputation of its own. Planning your finance well in advance should be one of the top priorities of a woman.

The Risks-

While most breast augmentation surgeries are harmless, there are potential complications that go with it. Bruising and swelling are common risks that are involved with this procedure. This might even last for a week. If surgeries go wrong there is a potential risk in getting a second surgery to set things right. The candidate might have to take antibiotics and pain medication for quite a few weeks till things become normal.

Think about a realistic size-

There is this general notion that breast augmentation surgeries do not give a natural look to a woman. To ensure that one gets a natural look, it is very important to choose the right size of the implant. While it remains a personal choice, the appropriate breast size makes a woman more attractive.

Set the expectation right-

Most breast augmentation surgeries give people a positive outlook towards life. They feel more confident and happier than before. Having said this, there are chances of potential changes in the physiological and physical front. Before the surgery, a detailed discussion with the doctor is recommended.

Where should you have the surgery from?

While there are many places that offer cheap implant options, money should not be the only consideration. A surgery as important as this should have various parameters weighed such as the experience of a doctor, the success rate of the doctor, talking to people who have undergone the same procedure from the same facility etc.

Is a night stay at the clinic mandatory?

A night stay at the clinic is not mandatory. While some clinics emphasize for a night stay so that the patient can be kept under observation, some prefer that their candidates go home and heal at the privacy of their homes.

Pregnancy-

If a person is planning to get pregnant after the surgery, there is a potential risk of breastfeeding. While most women do not face this, there are considerable ones who come across this problem. A prior consultation with the doctor will help to take an informed decision.

Things To Consider Before Having Breast Augmentation Surgery

Don't wait any longer, manage your Facelift online with a Lybrate doctor today

Consult for Facelift - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES