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Gynaecomastia

Discussion in 'All Categories' started by Suraj - Jun 20th, 2024 12:22 pm.
Suraj	I am having gynaecomastia. When is surgery recommended, and what does it involve?
re: Gynaecomastia by Dr. B. S. Bhalla - Jun 20th, 2024 12:44 pm #1
Dr. B. S. Bhalla	Gynecomastia is the enlargement of breast tissue in males. Surgery is typically recommended when: Severe or Persistent Cases: If gynecomastia persists for more than 12 months, causes significant pain, or emotional distress, surgery may be considered. Non-Responsive to Medication: If hormonal therapy or other medications do not reduce the breast tissue. Cosmetic Concerns: If the individual is particularly concerned about the appearance and it impacts their quality of life. Types of Surgery for Gynecomastia Liposuction: Procedure: Small incisions are made, and a cannula (a thin tube) is inserted to suction out the fatty tissue. Recovery: Typically involves a few days to a week for initial recovery, with full recovery taking a few weeks. Compression garments may be recommended. Mastectomy: Procedure: This involves the removal of glandular breast tissue. It's usually performed using endoscopic techniques with small incisions, leading to minimal scarring. Recovery: Initial recovery might take a few days to a week, with complete recovery in a few weeks. Post-operative care includes wearing compression garments and avoiding strenuous activities. Pre-Surgical Considerations Consultation: A thorough consultation with a plastic surgeon or endocrinologist to evaluate the severity and discuss the best surgical option. Medical Evaluation: Blood tests, imaging studies (like ultrasound or mammography), and possibly a biopsy to rule out breast cancer or other conditions. Lifestyle Changes: Maintaining a stable weight, avoiding drugs or substances that may contribute to gynecomastia, and following any pre-surgery guidelines from your doctor. Post-Surgical Care Wound Care: Keeping the surgical site clean and dry. Medication: Pain relievers and antibiotics to manage pain and prevent infection. Activity: Limiting physical activity, especially activities that involve the chest muscles, to allow proper healing. Risks and Complications Infection: As with any surgery, there's a risk of infection. Scarring: Although minimal, there can be some scarring. Asymmetry: Potential for uneven appearance post-surgery. Changes in Sensation: Temporary or permanent changes in nipple or breast sensation.