Gynecomastia or Male Breast enlargement is a common problem in Men. Gynecomastia causes much social embarrassment, and psychological stress as these young men are not able to wear tight fitting dresses, visit public Gyms, Swimming pools, religious ceremonies which need disrobing of the upper clothes etc. Young men in hostels are often at the receiving end of jokes and ridicule. These people try to hide Gynecomastia by wearing lose clothes, but severe grades are difficult to hide.
Gynecomastia can occur due to several causes such as hormonal abnormality, drugs, obesity etc. However a majority of men with Gynecomastia are otherwise normal. Drugs such as Tamoxifen have been advocated for management, but surgery remains the mainstay of treatment for many patients. Selected cases may need to be checked for any hormonal abnormality and by ultrasound scanning to rule out any breast pathology.
Who is a good candidate for gynecomastia?
Young men with excessive breast tissue, in good physical condition.
Hitherto, an extensive procedure subtotal mastectomy was the treatment of choice. However, with introduction of tumescent liposuction, the treatment has become simpler and effective. It is cosmetically more acceptable as the scar is minimal.
- In liposuction for Gynecomastia, 1-2 small holes (adits) of size 3 mm are made on either side.
- A fluid called Klein’s fluid is introduced. The whole breast becomes swollen and firm.
- The fluid produces anesthesia and also constriction of vessels thereby minimizing blood loss.
- The fat is then aspirated through small cannulae; up to 2-4 liters can be taken out comfortably.
- The toughest part is usually the part beneath the nipple and areola, as the tissue here consists of breast glands and fibrous tissue, which cannot be sucked out easily. This glandular tissue is removed surgically through the same incisions
- After this laser is used to enhance lipolysis as well as cause skin retraction
Post procedure recovery
- Patient is sent home the same day
- Dressing is done the next day, some amount of drainage is normal
- Strenuous activity is to be avoided for 2-3 weeks
- Patient can get back to exercise at 2 weeks time
- Full result is seen at 3 months