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Top Facts About Gynecomastia Surgery or Male Breast Reduction in Kolkata

Welcome to an elite gynecomastia surgery or male breast reduction information site for patients in Kolkata, West Bengal, India and all throughout the world! Harvard educated top plastic surgeon Dr Srinjoy Saha offers a huge range of sophisticated, minimally invasive plastic surgery techniques for his cosmetic surgery patients. As an esteemed valuable patient, you will receive individualised and customised treatment plan for best results. It will be specifically tailored to your particular type of male breast reduction, also known as gynecomastia correction surgery.

What is Gynecomastia?

Gynecomastia is a medical condition characterised by breast enlargement in males and affects a significant number of men and adolescents. In some reliable studies, an estimated fifty percent of men suffer from this condition. Gynecomastia is derived from two Greek words, gyne (meaning female) and mastos (meaning breast) - thus implying a feminine breast contour in men. It is characterised by:
  • Excessive fat in chest area around nipple-areola.
  • Excessive development of breast gland tissues.
  • Combination of both excessive fat and breast gland in chest area.
  • Affects both chests or in some instances, just one.

Misery of Living with Gynecomastia.

Men and young adults suffering from gynecomastia struggle both physically and emotionally. In most cases, people say that they are ashamed of themselves and feel that 'they are less of a man'. They cannot wear body hugging shirts or t-shirts or tight garments. They are reluctant to remove their shirts in public, go for a swim, participate in sports or work-outs at gym. While growing up, many are butt of jokes of their colleagues, facing taunts, bullying and physical abuse. Often it is associated with continuous embarrassment and severe emotional distress. Psychological depression occur in many people. It has been seen that sensitive boys and young men suffer from isolation, poor self-esteem, reluctance to socialise in parties and social circles and a depressing self-image. There have been sudden slump in academics and social performance once the realisation of suffering from this condition 'hits' them.

What Causes Gynecomastia?

Gynecomastia can occur due to hormonal imbalance, with higher oestrogen levels compared to testosterone in men. There are plenty of diseases and drugs that may cause gynecomastia. It may occur as side effects of some drugs, birth defects, obesity, excess alcohol intake, anabolic steroids, sagging skin due to weight loss, liver diseases, radiation effects, testicular problems amongst many others. A thorough hormonal and medical check-up is recommended in all cases to unveil underlying diseases or hormonal abnormalities.

Can Gynecomastia Cause Cancer?

By itself, Gynecomastia is benign and does not cause cancer. However, men who suffer from this condition are at a high risk of developing breast cancer. Gynecomastia and male breast cancer have a strong association between them; but do not have a cause-effect relationship. For example, men with 'Klinefelter Syndrome' who have testicular failure after puberty, are at 60 times higher risk to develop male breast cancer. Breast cancer have been increasingly reported in male-to-female transgender individuals who underwent removal of testes and high dose oestrogen injections. High risk of gynecomastia and male breast cancer co-exist with high oestrogen levels in men.

Can Gynecomastia Occur Due to Fat Only?

No. In all our patients we find gynecomastia to consist of breast tissue directly under nipple-areola complex, spreading out in a roundish fashion over lower chest. While spreading out, breast tissue joins and blends with fatty tissue all around it. Interlocking of fat and breast causes these two structures to blend together without any well-defined capsule or wall-like structure. They grow together and nourish each other. Presence of breast tissue leads to more fat deposition around it in the chest. With time, these fatty tissues get converted to breast tissues and increases breast gland volume. They lead to even more fatty deposition all around, and this cycle continues leading to an ever increasing male breast volume.

Who is a Good Candidate for Gynecomastia or Male Breast Reduction Surgery?

  • Men and young adults suffering from enlarged breast tissues with discomfort and pain.
  • Embarrassed and suffer severe emotional distress, feeling 'less of a man' due to this.
  • Otherwise good physical and mental health with no major medical problems.
  • Tried to resolve problem with diet and exercise, but did not succeed.
  • Realistic and reasonable expectations of outcome after a good consultation.

What are the Different Types of Gynecomastia or Male Breast Formation?

Male breast can be 'small', presenting as a small accumulation of excess breast tissue underneath the nipple-areola complex, also found as 'puffy nipples'. Male breast can be 'large', with full-fledged development of breast tissues and surrounding large amounts of fat, presenting as large pendulous feminine breast. Male breasts can also present as just about anything in between these two extremes. There is a classification to help in surgical decision-making, dividing male breast formation or gynecomastia into three types, depending on whether the nipple-areola complex is above, at, or below the level of inferior mammary fold (it is the line where breast tissues meet chest wall).

What are the Types of Gynecomastia Surgery or Male Breast Reduction?

Different options are available for gynecomastia surgery or male breast reduction :
  • Gynecomastia excision surgery alone.
  • Liposuction of chest wall alone.
  • Combination of Liposuction and Gynecomastia excision.
  • Minimally Invasive Combination of Liposuction and Key-Hole Male Breast Reduction.
  • Large Male Breast Reduction with skin excision and bigger scars.
  • Full-fledged Male Breast Reduction in a similar method of reducing feminine breasts. 
Final treatment plan depends upon what you 'have', what is 'possible' for what you have, and what you ultimately 'want'. Each male breast reduction surgery has its own pros and cons. Final treatment plan finally depends upon what you as the patient would feel most comfortable to undergo.

Can Dr Srinjoy Saha Perform Male Breast Reduction with Minimal Scars in All Patients? 

Minimal Scars, hidden or camouflaged, are ideal for male chests. They do not leave a tell-tale sign that you had gynecomastia earlier. Dr. Srinjoy Saha is a master of minimal invasive technique for treating gynecomastia or male breast reduction. Heavy-set and obese men, or those who were overweight earlier, have worse skin quality. Their skin are stretched and often have stretch marks. If you are one of such men, it may not be possible to achieve a fully tight and retracted skin over the chest after a minimal invasive surgery. The choice now is to select either bigger scars to achieve a tight chest, or residual folds in the chest region to avoid extra scars. In our experience, most men even in these situations choose minimal scars with extra folds. They do not want to barter away their gains of solving one problem (gynecomastia) by suffering additional larger visible scars. These folds can be corrected with smaller scar surgeries later on, about 6 months to 1 year after the original male breast reduction surgery, to give a tight chest appearance.

How Do I Prepare for Gynecomastia Surgery?

Blood thinning medicines like aspirin, aspirin-like drugs, anti-inflammatory drugs, pain killers need to be stopped at least 2 weeks before surgery. Smoking should be stopped 2 weeks before and till 1 week after surgery. Alcohol consumption has to stop at least 3 days, and preferable 1 week prior to surgery. Herbal medicines, green tea, ginseng are also blood thinners and need to be stopped about 2 weeks before surgery.

What Anaesthesia for Male Breast Reduction or Gynecomastia Surgery?

Male breast reduction or gynecomastia surgery can be performed under local anaesthesia with oral sedation, intravenous 'twilight' anaesthesia, or general anaesthesia. For limited gynecomastia excision, local anaesthesia with oral sedation is usually sufficient. For large male breast reduction surgery for feminine like breasts, general anaesthesia may be preferable. For almost all other cases, Dr. Srinjoy Saha prefers intravenous 'twilight' anaesthesia. It is a sophisticated type of anaesthesia which is most commonly performed. In this type, you will be sleeping gently deeply and comfortably, with eyes closed, without pain, and without awareness of your surroundings or passage of time. You will be awake immediately after your surgery is over, without grogginess, nausea, hangover or sore throat, but refreshed and alert.

Steps of Minimal Scar Male Breast Reduction or Gynecomastia Surgery.

'Tumescent' fluid is prepared in normal saline by adding adrenaline (to reduce bleeding), lignocaine (to numb the area) and others. It is injected into the chest region to make breast and fatty tissues soft and easy to remove. Liposuction is performed through very small cuts (about 3 - 4 mm) in hidden areas of chest and armpits. Dr. Srinjoy Saha uses fine specialised instruments for performing liposuction with best results. Fat and some breast tissues are dissected and removed by this method. Residual solid breast tissue directly underneath nipple-areola complex is removed surgically. Peri-areolar incision is extended ever so slightly, to insert a fine scissors and diathermy probe to dissect and remove remaining breast tissue under vision, directly and entirely. Adequate care is taken to prevent formation of a 'crater' underneath the nipple-areola complex. Finally, wound is closed with dissolvable sutures and taped from the outside. Drains are used only in very rare circumstances. Removed breast tissue is sent for histopathological examination or biopsy to confirm presence or absence of gynecomastia, beside any other diseases.

How Does Chest Look Like After Completing Male Breast Reduction Surgery?

Immediately after completion of male breast reduction or gynecomastia surgery, chest looks trim chiselled and contoured. Swelling disappears immediately. Underlying pectoral muscle contour is revealed. Areolar diameter shrinks. Skin tightens gradually. Minimal access male breast reduction surgery achieves all these 'best result' changes through hidden small scars only! No wonder that Dr. Srinjoy Saha is sought-after surgeon by so many people desiring changes and deliverance from the misery of gynecomastia. 

How About Pain, Discomfort and Recovery?

Immediately after surgery, there may be temporary swelling, bruising and less sensation in the nipple and lower chest areas. All of these go down in the next few days. Pain and discomfort in chest region disappears usually within the next 2 - 4 days, and are adequately controlled with routine pain killers. Most of the men and young adults undergoing male breast reduction or gynecomastia surgery are able to return to normal office work or school within 3 - 4 days. Compression garments need to be worn under clothes for about a month. Light exercises start after about 2 weeks. Heavy exercises and sports are usually recommended after 6 weeks. Complete healing of the entire treated area occurs gradually, and may take anywhere between 3 - 6 months.

Are Results of Male Breast Reduction Surgery Permanent? Will Gynecomastia Recur in case of Weight Gain?

Everything that is removed during your male breast reduction surgery is permanent. Breast gland and fatty tissues removed during surgery disappear from treated chest areas for ever. If you gain some weight after surgery, fatty deposition generally happens in other parts of the body, where there are more fat cells. If you gain a lot of weight, some amount of that fat gain will be visible in the thin fat layer that remains after surgery on the chest wall, in accordance with fatty layer increase all over your body. However, it will never be as prominent or protuberant as it was with gynecomastia. Most importantly, once removed, breast tissues do not recur in the chest areas in men.

How to Maintain Good Results Obtained by Male Breast Reduction? 

Impressive improvements in your chest contours are seen immediately following the surgery. They continue to evolve over the next six months, resulting in enviable chiselled chest contours, and something you can be proud of. Male breast reduction or gynecomastia surgery is extremely effective and has best proven track record of excellent patient satisfaction. The onus of maintaining all this good work finally lies with you. Eating healthy balanced nutritious diet according to prepared chart is a must. Adequate exercises every day, both stretch and strength, are helpful. Habit forming drugs, alcohol abuse, smoking and overeating will reverse all good work and achievements. They need to be avoided like the plague at all costs.

I Had Previous Gynecomastia Surgery by Another Surgeon But Results are Not Satisfying. Can Dr. Srinjoy Saha Correct My Problems?

Yes. Revision male breast reduction or gynecomastia surgery are common, and many men come to Dr. Srinjoy Saha to achieve their dream chest contour after being disappointed by earlier surgery elsewhere. Revisions are usually required for the following problems:
  • Irregular contours over chest wall and around nipple-areola complex.
  • Crater deformity underneath the nipple-areola complex.
  • Nipple problems - scars, loss of nipples.
  • Scars - visible, large, ugly looking scars over chest and nipples.
  • Skin laxity - chest skin not being tight and contoured enough.
  • Persistent pain following surgery.
  • Persistent numbness or loss of sensation following surgery.
Each case is individualised and treatment options outlined to the patient for his specific presenting problem. Most acceptable revision procedure is performed to obtain best results in revision male breast reduction.