Gynecomastia Surgery in
Muvattupuzha

Condition

What Is Gynaecomastia?

Gynecomastia or man boobs is male breast tissue enlargement, causing swollen or overdeveloped breasts. Though not a severe health issue, it leads to physical discomfort, emotional distress, and lower self-esteem. It can occur at any age, affecting one or both breasts. Unlike pseudo-gynecomastia (fat-based enlargement), gynecomastia involves growth in glandular tissue.

Causes of Gynaecomastia

What Causes “Man Boobs”? Man boobs or gynecomastia causes include: 1. Hormonal imbalances, particularly elevated oestrogen levels compared to testosterone 2. Puberty leading to temporary breast tissue growth 3. Medications like anabolic steroids, anti-androgens, and certain antidepressants 4. Factors like obesity, specific health conditions, and genetics

Who is at Risk?

It's important to acknowledge that, like any surgical procedure, there are certain gynecomastia surgery side effects too, including: 1. Infection: Infections at the surgical site can occur and may require antibiotic treatment. 2. Bleeding: Excessive bleeding during or after surgery might necessitate further medical attention. 3. Scarring: Although efforts are made to minimise scarring, some marks are inevitable. These may fade over time but could remain visible. 4. Asymmetry: Uneven results or nipple placement may require corrective procedures. 5. Nipple Sensation Changes: Temporary or permanent changes in nipple sensation can occur. 6. Fluid Accumulation: Fluid-filled pockets called seromas may form under the skin and might need to be drained. 7. Anaesthesia Risks: While rare, anaesthesia complications such as adverse reactions or breathing difficulties are possible. 8. Unsatisfactory Results: While most patients are content with their results, there is a possibility that the desired outcome may not be fully achieved.

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Symptoms of Gynaecomastia

The primary gynecomastia symptom is the enlargement of breast tissue. Other symptoms may include: 1. Swelling and tenderness in the breast area. 2. Discomfort or pain in the breasts. 3. Asymmetry of the breasts. 4. Nipple discharge (rare).

How Does It Affect The Body?

Gynecomastia can have various physical and psychological effects: Impact on Body and Mind The influence of gynecomastia extends far beyond mere physical changes; it often carries a significant emotional and psychological impact that can profoundly affect an individual's quality of life. Physical Changes The physical symptom of breast tissue­ enlargement primarily recognises Gynecomastia. This change­ in chest appearance can have­ social and psychological implications, as individuals may feel self-conscious and choose­ to wear loose-fitting clothing to conceal the­ condition. These physical changes can have­ a ripple effect on one’s social life, professional life, and e­ven romantic relationships, influencing inte­ractions and experiences in various settings. Emotional Toll Living with gynecomastia takes a heavy emotional toll, impacting one's self-esteem and self-confidence, influe­ncing how they perceive­ their own body image. This negative­ perception often leads to debilitating effects, such as anxie­ty, depression, or withdrawal from social interactions. Some­ individuals might even avoid intimate re­lationships or social events for fear of being judged or ridiculed. This emotional strain ofte­n reinforces the physical symptoms, creating a challenging cycle to break fre­e from.

How Common Is Gynecomastia?

Gynecomastia is relatively common. It can affect males at any stage of life. In puberty, it is estimated that up to 70% of boys experience some degree of breast tissue enlargement. In older adults, the prevalence increases due to hormonal changes and other factors.

Complications Of Gynecomastia

While gynecomastia is usually benign, it's crucial to rule out underlying medical conditions. In rare cases, it may be a symptom of more serious issues like testicular cancer. Potential complications after gynecomastia surgery encompass anaesthesia-related concerns, bleeding, infection, scarring, altered sensation, and lingering swelling.

When To See The Doctor?

If you experience an unexplained enlargement of breast tissue, breast discomfort, or nipple discharge, immediate consultation with a healthcare professional is advised. Many medical directories can help you find specialised doctors, or you can easily search online with "gynecomastia doctors near me.”

How Is Gynecomastia Diagnosed?

Diagnosis involves several steps: 1. Comprehensive physical examination 2. Review of medical history 3. Gynecomastia radiology utilises mammography and ultrasound techniques, if necessary, to rule out underlying conditions.

Preparation For Gynecomastia Surgery

To prepare for the gynaecomastia surgery, consultation with a plastic surgeon should be made to discuss goals and expectations from the surgery. Before the procedure, a general medical evaluation is done to ensure fitness for surgery.

Steps Involved In Gynecomastia Surgery

Steps Involved in gynecomastia surgery: include: 1. Anaesthesia administration. 2. Liposuction to remove excess fat. 3. Excision of glandular tissue. 4. Nipple repositioning if needed. 5. Closure of incisions.

Treatment Options

Gynaecomastia treatment options encompass various approaches, including: Gynaecomastia Treatment without Surgery Medication: These involve hormonal medications like raloxifene and tamoxifen to reduce breast tissue growth, but they're mainly suitable for mild to moderate cases. Surgical Intervention: Gynecomastia surgery removes excess tissue and fat, offering an immediate and permanent solution for a more masculine chest contour. Lifestyle Modifications: Diet and exercise can help in mild cases by reducing overall body fat, although they may not provide complete resolution. Emerging gynecomastia treatments without surgery: Options like CoolSculpting target fat cells using controlled cooling but are generally considered for mild cases or as supplementary treatments, with ongoing research into their effectiveness. Surgical Intervention Gynecomastia surgery aims to restore a more traditionally masculine appearance to the chest. There are two types of gynecomastia surgery: liposuction and excision. Liposuction for Gynecomastia: Liposuction is primarily used when the enlargement is due mostly to fatty tissue rather than glandular tissue. It is often suitable for mild to moderate cases of gynecomastia. Procedure During liposuction, a small incision is made, often in an inconspicuous location on the chest, where a thin tube is inserted, and excess fat is suctioned out. Recovery Recovery times for liposuction are generally shorter compared to excision. Typically, within a few days, patients can return to light activities and resume more vigorous physical activity within a few weeks. Advantages 1. Minimally invasive with smaller incisions 2. Shorter recovery time 3. Less scarring Limitations 1. It may not be effective for removing glandular tissue 2. Results may be less dramatic compared to excision 3. Excision for Gynecomastia: Excision is employed when there is a need to remove glandular breast tissue or excess skin, often in more severe cases of gynecomastia. It's also the go-to method when stretched or sagging skin has to be addressed. Procedure During excision surgery, larger incisions are made to remove glandular tissue, fat, and sometimes skin. These incisions are often made around the areola edge or within the natural creases of the chest to minimise visible scarring. Recovery The recovery period after excision can be more extended than liposuction, generally requiring several weeks before resumption of normal activities and additional time for the scars to fade. Advantages It is more comprehensive and can remove glandular tissue and excess skin Can yield more dramatic results Suitable for severe cases Limitations Larger incisions result in more visible scarring Longer recovery time Increased complication risk such as bleeding or infection Combination of Liposuction and Excision: Both liposuction and excision techniques may be combined in some cases for a more comprehensive treatment, effectively addressing both fatty and glandular tissues. Advantages The advantages of gynecomastia surgery include: Enhanced Appearance: Surgery reduces breast size, leading to a more masculine chest contour and addressing physical concerns. Improved Self-Confidence: The procedure boosts self-esteem and mental well-being by resolving the physical discomfort and emotional distress associated with gynecomastia. Lasting Results: Surgical results are generally permanent when combined with a healthy lifestyle, providing long-term relief from gynecomastia.

Recovery Care After Surgery

Following gynecomastia surgery, prioritise rest, wear compression garments to reduce swelling, adhere to prescribed medications, maintain hygiene, and consume a balanced diet. Avoid smoking, alcohol, and sun exposure while attending follow-up appointments for monitoring. Gradually resume approved activities and follow scar care instructions, promptly addressing any complications. This comprehensive gynecomastia self-care regimen ensures a smooth recovery and optimal surgical outcomes.