"Gynecomastia" is a Greek word meaning "women-like breasts." It is a common condition affecting 60-70 percent of males sometime during teenage years. Mostly these breasts are relatively small, regress spontaneously in a couple of years and do not become a cause of concern. Gynecomastia becomes bothersome when
• Breasts are too large and showing through clothing.
• Causing embarrassment in wearing gym wear and swimming trunks or going shirtless.
• Causing psychological trauma.
Gynaecomastia can affect slim and athletic men as well as obese men.
| Before | After |
 |  |
| » Anaesthesia | : | General |
| » Surgery | : | Gynaecomastia excision and liposuction |
| » Duration of Surgery | : | 1-2 hours |
| » Hospital Stay | : | Daycare same evening |
| » Recovery | : | Dinner same evening, moderate activity next day, joining back work in a week |
| Walking | : | Same day |
| Writing and Computer | : | Next day- Only as much as you feel comfortable |
| Shower | : | After 3 days |
| Exercise | : | Treadmill after 2 weeks, weights after 1 month or later |
| Driving/Work | : | After 1 week |
| » How is it Done | : | Modern gynaecomastia surgery is frequently combined with liposuction. Tumescent solution is injected into the breast and liposuction of breast is done. Liposuction involves sucking out fatty tissue in liquid form by hollow metal tubes through small hidden holes. Liposuction alone is usually not successful in completely treating gynaecomastia because the tough glands and fibrous tissues can not be sucked out. Therefore after liposuction removal of remaining tissues is done through a semicircular cut along the lower margin of areola (the dark skin around the nipple). The complete removal of extra tissue is thus done and skin lies flat on muscle. Stitches are self absorbable. Excess skin in grade I and II gynaecomastia usually shrinks but in very large grade III gynaecomastias removal of skin is required through extra incisions. There is a drain (soft plastic tube) and padded compressive dressing on chest. Drain is removed and dressing changed on next day. After that a compressive vest or crepe bandage is worn 24 hours a day for a month. |
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