Gynecomastia Surgery - bliniq

Gynecomastia Surgery

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Introduction

Gynecomastia terminology came from word “Gyneco” – woman + “ mazos” meaning breast. In simple terms gynecomastia means development of breasts in a man. It’s prevalence has been found to be 60-70 percent in normal adult males.It has become a leading cause of anxiety, social stigma, teasing in school, ridicule and in some cases even leading to depression.

Grade 1
Minor enlargement

Grade 2
A.Moderate enlargement without skin excess
B.Moderate enlargement with skin excess

Grade 3
Marked enlargement with skin excess

Causes
It can occur due to various causes :
Physiological

A.Infant: It presents at the time of birth and can persist upto 1 year. It occurs due to presence of maternal hormones in the blood supply of the infant, leading to formation of firm tissue under nipple-areola complex. Some milky discharge may also be seen on pressing the swelling. It resolves on its own without any intervention.

B.Adolescence:
At the time of puberty there is a surge of hormones in the male body. In some males the female sex hormones tend to from in a higher amount than male sex hormone and the body under the imbalance of these hormones starts forming breasts in a male body. This imbalance resolves on its own and no treatment is needed.

C.Old Age:
At the time of old age the hormonal imbalance due to slowdown of metabolism in the body may give rise to breast tissue formation in the body.

Medications or Substance Abuse

A.Estrogens
B.Anti-androgens

  1. Spironolactone
  2. Cimetidine
  3. Ketoconazole
  4. Ranitidine
  5. Glutamine
  6. Finasteride
  7. Flutamide

C.Cardiovascular Drugs

  1. Amiodarone 
  2. Digoxin
  3. Nifedipine
  4. Reserpine
  5. Verapamil

D.Abused Drugs

  1. Alcohol
  2. Heroin
  3. Marijuana

Endocrine Abnormalities

  1. Androgen resistance syndrome
  2. Hyperprolactinemia
  3. Hyperthyroidism 
  4. Hypogonadism
  5. Klinefelter’s Syndrome

Systemic Disorders

  1. Chronic kidney disease
  2. Obesity
  3. Chronic Liver Disease

Neoplasms 

  1. Adrenal
  2. Testicular
  3. Lung 
  4. Liver

Treatment

Surgical
Liposuction with glandular excision is the gold standard of treatment for gynecomastia. The procedure is performed through a small incision inside your nipple-areola complex. The advantage of this incision is that it leaves no discernible scar in the post-op period. The surgery is performed in 4 stages

  1. Tumescent Anaesthesia Infiltration
  2. VASER emulsifying the fatty tissues
  3. Liposuction of emulsified fatty tissues
  4. Gland excision

Medical

Selective Estrogen Receptor Modulators (SERM) :
They have undergone trials for curing gynecomastia but have not been found to be effective enough to reduce the disease completely.

Testosterone:
It has been found to be effective in resolving gynecomastia which presents at older age but not found to be beneficial in other cases.

Process At Bliniq
Consultation :
Your consultation can be organised at the clinic or on a video call depending on your needs. At the time of consultation your grade is determined and causes of gynecomastia are ruled out. You will be required to undergo a few blood investigations.

Surgery:
You are called nil per oral on the day of surgery in the morning. The procedure lasts for 45-60 minutes.
You are kept under observation for 4 hours after the procedure after which you can go home.You will be given a compression garment to wear and will be discharged with medications for 1 week.

Follow up:

Day-1
Your dressing will be changed

Day- 15
Your sutures will be removed

Day-30
To review the results and discuss any issues you are facing after surgery

FAQ
Q1 How long does Genioplasty surgery take?
A1 The surgery is performed entirely inside the mouth so there is no visible scar on the face.A genioplasty takes about one hour to perform and can be performed by itself or in
combination with other surgery on the face.

Q2 Is Genioplasty painful?
A2 Many patients are pleasantly surprised to find out that genioplasty is not a
particularly painful procedure. Your surgeon will prescribe the appropriate pain medication,
as you will still experience discomfort in the days following surgery. Pain and swelling should
completely dissipate over the course of a few weeks.

Q3 Is Genioplasty safe?
A3 Advancement genioplasty is a safe and effective means of improving chin projection for
both cosmetic and functional purposes. Facial plastic surgeons prefer alloplastic implants to
improve chin projection because it is easier to perform, but it incurs the risk of infection, bone
erosion, and extrusion.

Q4 Does Genioplasty improve jawline?
A4 The major advantage of genioplasty is that as the chin comes forward it drags the soft
tissues of the neck with it and dramatically improves the jaw line.

Q5 Is Genioplasty a major surgery?
A5 This surgery is generally performed as an outpatient procedure so you can leave for your
home on the same day. The procedures for Sliding Genioplasty and chin surgery using
implants are different. This surgery is used for correcting longer and big chins.