What causes Gynecomastia?

80 percent times – No cause . Seventy percent of boys get it during puberty. It’s caused by natural changes in estrogen

Other causes 20 percent- multiple causes

• • abnormal hormone changes- decline in testosterone production.
  • liver disease,
  • kidney failure,
  • thyroid disease
  • certain medicines

What is the best way to treat gynecomastia?

• The chest fat is very resistant to exercise and diet modifications, so not of much use.
• Initially we used to give medicines for gynecomastia, but these medicines act by altering body hormones. and we noticed these medicines had some complications, hence these days we are not treating it with medicines.
• Male breast reduction surgery or Gynecomastia surgery is the best treatment

Gynecomastia surgery in Kerala

Surgery for gynecomastia is keyhole liposuction surgery and gland removal.

It can be done under local anaesthesia in case of small ones. but requires general anaesthesia in case of large ones.

Keyhole scarless vaser liposuction surgery for gynecomastia

• minimal access surgery in most cases using special instruments and modified technique of Liposuction (VASER LIPOSUCTION)
• Excess fat on chest is removed by liposuction. Remaining tough gland tissue is then removed through tiny incision
• The scars are tiny and not easily visible in most cases. This method is better for Indian skin which is prone to have prominent scars
• Drains are not required when keyhole method is used. A custom made compression vest is put on immediately after surgery to reduce swelling and fluid collection..

Hospital Stay

• for small gynecomastia, which is done under local anaesthesia, patient can be discharged same day.
• but for Bigger gynecomastia, we prefer to do the surgery under general anaesthesia, we admit the patient one day before surgery (previous day evening) and discharge next day after surgery. Will be kept in ICU monitoring for 4 hours after surgery. This helps the patient to get absolute control over pain and perfect monitoring for any expected complications. After 4 hours of surgery patient will be shifted to room

Side effects of gynecomastia surgery

• Cosmetic surgery for gynecomastia is usually a safer surgery, when done from a good centre.
• Minor discomfort and soreness can be expected in the initial few days. 
• Swelling in the operated area will be greatest in 48-72 hours and then will keep on reducing till 3-4 weeks after the surgery.
• Numbness/ altered sensation on the chest can occur during the healing phase. 

Recovery after gynecomastia surgery

• A custom made corset will be put on immediately after surgery and should be continued for  6-12 weeks.
• Minor discomfort and soreness can be expected in the initial 3-4 days.
• Swelling in the operated area will be greatest in 48-72 hours and then will keep on reducing till 3-4 weeks after the surgery.
• Patient will be able to walk from next day of surgery
• Next day onwards u can do your routine day to day works your own without help
• Office work can be started after 3 days
• Driving after 10 days
• Jogging after 2 weeks
• Gym exercise and heavy weight lifting after 2 months

Does gynecomastia re occur?

• The glandular tissue of male breasts does not form again and thus the surgery provides permanent removal of the breast tissue. However, if you put on a lot of weight, fat cells on the chest can enlarge and can cause fullness of the chest again (pseudo Gynecomastia)

Why it is important to wear compression garment after Surgery for gynecomastia?

• In Gynecomastia surgery, we take out fat and gland. It is important for skin to stick to Chest. Adequate pressure from outside ensures that there in dead space between the two layers and skin re drapes well. It also ensures faster recovery as swelling and bruising is also less.