Steps of Gynecomastia Surgery Discussed Gynecomastia is a condition characterized by female-like breasts in males. It is caused by the development of male breast tissues due to hormonal changes, genetic predisposition, weight gains, or certain medications. It is not all a life-threatening or harmful skin condition but it is associated with emotional issues and physical discomfort. Men suffering from gynecomastia always avoid situations involving disrobing like going to beaches or having intimacy with their sex partner. Their overall quality of life gets affected too. Read on the following information shared by the Best Plastic Surgeon in Mumbai, Thane, Dr. Medha Bhave, MCh - Plastic & Reconstructive Surgery, DNB - Plastic & Cosmetic Surgery, MS - General Surgery, MBBS about gynecomastia surgery that helps one to achieve a chiselled chest. She is also the director of Laser Cosmesis, which is one of the best and top plastic surgery clinics in India. What Is Gynecomastia Surgery? Gynaecomastia surgery, commonly called male breast reduction, is an operation on a male chest to make it firmer, flatter, and contoured as a masculine chest. It is done by the removal of surplus fat, excess breast skin, and enlarged portions of breast glandular tissues. In some patients, it may even involve resizing of areolas and repositioning of the nipples, if they are stretched or sagging. Two techniques are employed by the gynecomastia surgeon to perform the surgery: liposuction or/and excision. Probably, the patient having puffy nipples with glandular gynecomastia treated undergoes a combination of both techniques. What Steps Are Involved In Gynecomastia Surgery? Gynecomastia surgery is an outpatient procedure carried out on a numbed chest of the gynecomastia patient. The steps involved in the procedure vary among the patients depending upon the severity of their condition and the technique preferred by both the patient and the surgeon. In addition, the making of incisions may also differ in every patient. The aesthetic plastic surgeon selects for the technique based on the patient’s areola size and position, breast shape and size, the elasticity of breast skin, and their desired specific goals and needs. During the initial consultation, every technique is discussed in detail with the risks and benefits of the surgery by the surgeon to the patients. Laser Cosmesis provides an effective and safe Gynecomastia Surgery in Thane using the best surgical technique to correct enlarged breasts in males. This helps to restore a firmer, flatter, and masculine male chest contours. Following is an overview of the steps that the surgeon would perform in a typical gynecomastia surgery:
1. Anesthesia: For keeping the patient comfortable throughout their surgery, the anaesthesiologist will provide the patient with appropriate anesthesia. The options of numbing medications used include local anesthesia with intravenous sedation which numbs the surgical site and alleviates the patient's anxieties and general anesthesia which puts the patient to sleep. 2. Liposuction technique: In the case of pseudo-gynecomastia patients, the enlarged male breasts are solely due to an excess of stubborn adipose tissues. With liposuction, these patients as well as patients suffering from true gynecomastia can get rid of excess fat in their breasts. However, patients who want correction of glandular gynecomastia are not benefited from this technique. The procedure involves making incisions on hard-to-notice areas on and around the chest. Next, a cannula (thin hollow tube) is inserted through the incisions into the inside of the chest and moved back and forth mechanically or with power assistance to loosen the extra fat tissues. Then, the extra or unwanted fat cells are sucked out of the body by vacuum suction fitted at another end of the cannula. 3. Excision technique: This method is only performed for patients having excess glandular breast tissues and skin or if there is a need to reduce areola and reposition the nipple on breasts. The incision made during this surgery is usually under the areola and its length depends upon the anatomy of the patient’s breast. The most common approach performed by the surgeon is Webster incision or intra-areolar incision, which extends along the bottom half or circumference of the areola in the pigmented area. After cutting, the surgeon trims excess skin, cuts away the excess glandular tissues, and potentially repositions nipples or reduces areola according to the natural male contours. 4. Closing of incisions: After either or both techniques are over, the surgeon closes all the incisions with sutures. If one is experiencing gynecomastia issue, they can get it treated with the male breast reduction surgery in Mumbai, performed by Dr. Medha Bhave at Lasercosmesis.