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GYNAECOMASTIA

What is gynecomastia?

Gynecomastia is enlargement of the breast tissue in males. It can involve just one breast or both breasts. Gynecomastia is a common condition, especially during puberty. It causes lot of embarrassment. It is a treatable condition with minimal or no visible scars.

Normally this is a harmless condition but due to great embarrassment most man come for the treatment.

What are the indicators of gynecomastia?

  1. Increased size of breasts, one or both sides
  2. Painful sometimes
  3. Dark skin surrounding the nipple.

What causes gynecomastia?

  1. Hormonal imbalance.
  2. Drugs (anabolic steroids, antibiotics, chemotherapy medicines)
  3. Marijuana
  4. Alcohol
  5. Klinefelter syndrome
  6. Normal/ physiological

How is gynecomastia diagnosed?

Consult a plastic surgeon if you are having enlarged breast or your breast is showing up from your shirt. They will ask about you medical and drug history andorder a few blood tests or a mammogram.Other tests may include an ultrasound.

To whom should I consult?

This procedure is done by plastic surgeons. The surgeon will take a detailed history, perform examination, counsel you about the procedure and associated risks.You can discuss your expectation with the surgeon before getting the procedure done.

How is gynecomastia treated?

Gynecomastia often goes away by itself and most teenagers will notice that it disappears in a few years’ time. If it is being caused by medicines, stopping the medicine will improve the gynecomastia. If it is caused by an underlying medical condition, treating that condition may lead to an improvement.

It is normally treated by liposuction and by gland removal (if gland is present) and also excess skin can be removed at the same time.

For very large gynecomastia, breast reduction surgery is done removing all excess tissue, gland and skin but nipple is usually preserved, in this case a scar may be visible across the chest.

What about the post operative care?

Chest binder, which is a supportive garment need to be worn around chest for around 4 weeks. This prevents fluid accumulation and provides support during healing process. For the initial six weeks, you’ll need to be cautious when moving around. You’ll also need to avoid activities that strain your incision line — such as bending, straining, coughing, sneezing etc.

Results:

Results are normally very rewarding and very pleasing.

Important points to understand:

  • You must discuss all your medical condition that you have like blood pressure, Diabetes, Asthma etc. and all previous operations.
  • All your medications (tablets) that you are taking.
  • Any allergy to any medication.
  • Family history of any illness.
  • Any bleeding disorder.
  • Always ask all questions that are in your mind, that you may have read or heard from someone.

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