GYNECOMASTIA SURGERY OVERVIEW

When men develop breasts, the condition is called as Gynaecomastia. Many males during adolescence develop breasts due to hormonal changes occurring that time. This is called physiological gynaecomastia. A majority of these subside on their own, but in a small minority, they persist. Gynaecomastia in males is more common than you think. Presence of gynaecomastia could be very embarrassing to the person and may affect his self-esteem and morale.

There are many other causes for the development of gynaecomastia such as liver failure, testicular failure, chronic medication with steroids, cimetidine, digitalis etc. It is important that you should get a proper consultation with either an endocrinologist or Aesthetic plastic surgeon who can rule out any case of the condition. You no longer need to suffer this condition as scientific advances in Aesthetic Plastic Surgery allow us to get rid of the man boobs without leaving a mark. Unfortunately, there is no non-surgical way to get rid of man boobs yet.

Male chest reconstruction or male breast gynaecomastia surgery is a surgical procedure to masculinise the chest by removing the chest tissue or altering the nipples and aereole. Any physically fit male who has significantly large breasts, enough to embarrass him is a candidate for surgical correction. We want you to feel comfortable and confident about every aspect of male breast surgery, it’s a big decision, we’ll give you all the information and time you need to think about it. And, we’ll be here, caring for you every step of the way.

Latest Gynaecomastia Trends

Emirates Plastic Surgery Congress 2020

Dr Ashish Davalbhakta at the Emirates Plastic Surgery Congress 2020 put forth a modern and innovative gynecomastia surgery procedure. Gynecomastia, often referred to as ‘man boobs’ is an issue that many men face due to the enlargement of the breast gland.

The modern scarless technique used to cure this issue counters the traditional gynecomastia surgery which involves scarring along with various other risks. The modern technique, as elaborated by Dr Davalbhakta, uses liposuction to extract the excess fat and glandular tissue through a keyhole incision from under the nipple thus leaving no scar.

GYNECOMASTIA SURGERY BEFORE-AFTER PICTURES

Case 1: Grade 1 Gynaecomastia Treated by Liposuction Only

Gynaecomastia Correction Case 1: Side View

Case 2: Grade 2 Gynaecomastia Treated by Liposuction and Gland Excision

Gynaecomastia Correction Case 2: Side View

Case 3: Unilateral Left Gynaecomastia Treated by Gland Excision

Gynaecomastia Surgery Case 3: Side View

Side View

Case 4: Grade 2 Gynaecomastia Treated by Gland Excision

Gynaecomastia Correction Case 4: Side View

Case 5: Grade 2 Gynaecomastia Treated by Liposuction and Gland Excision

Gynaecomastia Surgery Case 5: Side View

Side View

Case 6: Grade 2 Gynaecomastia Treated by Vaser High Definition Liposuction and Gland Excision

Gynaecomastia Correction Case 6: Side View

Case 7: Grade 1 Gynaecomastia Treated by Liposuction

Gynaecomastia Surgery Case 7: Side View

Case 8: Grade 1 Gynaecomastia Treated by Vaser High Definition Liposuction

Gynaecomastia Treatment Case 8: Side View

Case 9: Grade 2 Gynaecomastia Treated by Liposuction and Gland Excision

Gynaecomastia surgery Case 9: Side View

Absolute India News (2015) talks about new technology that leaves no scar after male breast surgery developed by Dr. Ashish Davalbhakta at Aesthetics Medispa

Not all guys can lose their man boobs through natural methods alone. Below are some of the best treatments for gynaecomastia.

The incidence of men developing breasts during or after puberty is increasing. This increase is being hypothesized to lifestyle changes and hormone stimulants in food. This condition called Gynaecomastia has been on a gradual rise in the past 2-3 years and a lot of men experience this problem. Dr. Ashish Davalbhakta of Aesthetics Medispa in Pune has developed a new technique that leaves no scar after gynecomastia surgery and helps men in regaining their lost confidence. This technical advance is like a boon to the innumerable men who were living in embarrassment. They are able to completely forget they have ever suffered from male boobs or gynaecomastia.

Lifestyle changes are causing an increase in the incidence of obesity, causing an increase in the incidence of fatty breasts. Another reason for more men coming forward for gynecomastia surgery is the awareness that something is amiss. The standards of fitness are changing and the tolerance of fatty chest decreasing. Only men afflicted with this condition know fully well of the embarrassment they have to go through life.

After puberty, medicines do not work. Only surgical correction is effective in correcting the condition.

Many men waste years and money on pursuing a medical treatment for this condition, which in turn does more harm than good to the body.

Traditional methods of correcting this condition were with a large incision under the breast. This used to leave ugly scar on the chest. This technique evolved to a smaller scar around pigmented part of the aerola. Even this technique had its problems, such as nipple inversion, incomplete removal etc. Although the surgeons evolved a technique of using liposuction, to reduce the fatty component of the breast, surgical excision of the glandular fibrous part was still necessary and hence left some scars under the nipple.

At Aesthetics Medispa, there is an evolved new technique that leaves no scar. Essentially removes almost 100% of the fat and fibrous gland through keyhole i.e. a 3 mm opening through which the liposuction is done. The two main innovations are use of ultrasonic liposuction called VASER, and a technique of removing the gland through the keyhole. The VASER liposuction helps in effectively and uniformly remove the fatty tissue and breaking up the fibrous gland. This helps to remove what is left of the gland through the thin 3 mm incision. As most of the gland and fat are out, it is possible to give a 95-99% clearance. What is reassuring is that this correction is permanent and will never recur if you maintain your weight.

WHO ARE THE IDEAL CANDIDATES?

Any physically fit male who has significant breasts large enough to embarrass him is a candidate for surgical correction. Male breasts could be mild, moderate or severe. Mild breasts usually have a glandular structure under the skin, made up of fat and fibrous tissue. There is usually no excess of skin. In moderate breasts, along with the gland, there is some excess of skin, which can contract after the gland is removed. In severe gynaecomastia, the excess skin may have to be removed as well.

The traditional technique of removing Gynaecomastia was through a cut under the breast or nipple. This technique has a higher risk of complications such as scarring, inversion of nipple, tethering and saucerisation. Hence we use the more modern scarless technique using liposuction. Through a tiny keyhole we suck the fat and majority of the glandular part of the breast from under the nipple.

CAN YOU BENEFIT FROM GYNECOMASTIA SURGERY?

It is possible to remove the gland and excess skin leaving an almost normal looking chest. The scars are not visible if only liposuction is used. In other techniques, the scar is barely visible. This procedure is likely to give a boost of confidence to your personality.

WHAT ARE THE RESULTS AND THE OUTLOOK?

Your final result will be visible almost instantly; however, the swelling and bruising will still make the skin look puffy. Most of the swelling resolves by three months.

WHERE DO I BEGIN?

A consultation with your Aesthetic Plastic surgeon at Aesthetics Medispa is the first step to learn how gynaecomastia surgery can improve the appearance of your chest. This consultation will fully educate you in a non-pressured environment and will include a discussion of your goals, options available for Gynecomastia surgery, likely outcomes, potential risks and complications.

FOR MORE MALE BREAST SURGERY RELATED QUERIES

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COMPLETED 5000+ COSMETIC SURGICAL PROCEDURES

DR. ASHISH DAVALBHAKTA | MBBS, MS, MCH (PLASTIC SURGERY), FRCS (GLASGOW)

Board certified and internationally trained plastic surgeon with 20+ Years of Experience.

Majority of his Cosmetic Surgery training is from UK and USA.

Treated 5000+ Patients from all over India and from USA, Canada, UK, Australia, Middle East, Africa and other countries.

Fellowships in Hand and Microsurgery, Breast aesthetic at world renowned plastic surgery unit at Addenbrooke’s Hospital Cambridge, St. Andrews Centre for Plastic Surgery, Chelmsford, The royal Preston, Mt Vernon among others.

THE PROCEDURE

If the breasts are fatty, it is possible to get rid of the breast gland by liposuction alone. Power assisted Liposuction or Ultrasonic liposuction is preferred as male breasts are more fibrous. This way, apart from a few access ports of less than half a centimeter in size, no other marks are left. It is possible to remove all the fat and leave an even chest. The excess skin contracts in the next six weeks. If the breasts are more fibrous and nodular or if a small nodule is left behind after liposuction, then through a small infra-areolar incision the residual nodule is removed. The kind of anesthesia required usually for the procedure would be local anesthesia with conscious sedation for improved comfort, yet it is possible to do it under General anesthetic as well.

WHAT IS THE PROGRESS AND HEALING PERIOD?

Incisions usually heal in 7 to 10 days. Stitches are removed around this time. You will be able to return to work and light normal activity in a week’s time. You will need to massage your chest with a moisturizer. Healing will continue for several weeks. The compression garment would have to be worn for six weeks. You can start light aerobic lower body exercises by two weeks. Proper weight training can be started in six weeks.

WHAT TO EXPECT AFTER SURGERY?

There might be bruising and swelling after surgery that should subside in 3-6 weeks. You will have a soft and comfortable dressing around chest for firm support. You will also have a tube draining accumulated fluids from each side, if excision is done. The dressing and tubes will be removed simultaneously once the drainage stops. Wounds normally heal in less than two weeks. Your plastic surgeon at Aesthetics and the assisting staff will fully attend to your comfort and safety. You will be advised to wear a compression garment for six weeks after surgery. This will allow all the empty spaces to collapse, allow the skin to contact and retract. The skin will also stick to the chest wall muscles.

RISKS AND COMPLICATIONS

Although there are very few risks associated with this procedure, a possible general risk includes bleeding and collection of blood under the skin (hematoma). Bleeding is rare but may have to be stopped. Any surgery carries risks associated with anesthesia. There are very few risks if the procedure is done under local anesthesia. These risks will be fully discussed with you prior to your consent for surgery. General risks like delayed wound healing and infections are common to many other operations and can be treated satisfactorily. Specific risks, which are likely to happen after open or excision technique are saucer deformity, inversion or retraction of nipple. Your consultant at “Aesthetics Medispa” will discuss the possibilities of this and ways to avoid them.

“I was always chubby ever since I was little. However, as I grew up around my brothers I wanted to have fit and healthy bodies just like them and I started to work out at the gym in high school. Although I lost a great amount of weight I still could not get a firm chest as my chest seemed to be male breasts. I started to search for solutions and learnt about Gynecomastia from Aesthetics Medispa online. I underwent male breast correction surgery around a couple of months ago and can see the excellent results. Now I am proud to show off my chiseled body any chance I get. Thanks to Aesthetics Medispa for helping me out when I really needed it.”