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Gynecomastia

Male Breast Procedure (Gynecomastia)

Gynecomastia is a common condition in men, usually caused by metabolic disorders or decreased testosterone production. Some or more hormonal factors are also responsible for this condition. It may also occur due to reasons like kidney or liver disorder, use of steroids, etc.

Affected men suffer a disadvantage of limited clothing of their choice (especially tight tees). The excess or uneven fat deposition in the breast gland causes men breasts to become more prominent and abnormal.

Gynecomastia surgery can be treated by coupling the procedures of body contouring and gland removal. It’s a daycare procedure that does not include any recovery period and the patient can return to work the very next day.

Male Chest Reduction Treatment

The fat accumulation in men’s breasts cannot be treated by exercise or weight loss procedure. In some men, there are visible nipples too that need to be corrected to avoid any public embarrassment. Gynecomastia can also affect patients physiologically. These people need to modify their wardrobes and avoid the activities where they need to take off their shirts publically. These activities may include outdoor sports, swimming, etc.

Physiology of gynecomastia: The increased amount of breast tissue (glandular type) or fat tissue (adipose type) or both can lead to this condition in men. Depending upon the extent of its growth, the condition can be categorized as mild, moderate or severe.

Gynecomastia treatment in Delhi: Luckily, there are various methods that can be employed to treat gynecomastia. These include surgical excision, body contouring, or coupling of both the treatments. Surgical excision is required if gynecomastia is caused by the deposition of breast tissues, otherwise, a coupling of both the methods is a fast remedial measure.

Divine clinical classification of gynecomastia
  1. We use approximately 1:1 fluid infiltration
  2. There needs to be a separation of grade 1 into 2 stages
  3. There needs to be a class for puffy nipple only
  4. Classification to cater to U lift and 2 stage procedure
  5. Treatment recommendations added to each stage
Grade  Procedure Description Infiltration Treatment plan
1a  puffy nipple No obvious problem is visible except stretched areola. Button type feel below 50 ml each side along  with the gland Excision in LA from the infraareolar incision
1b

 

 

Minor chest enlargement (< 100 ml fat, gland +)

 

The chest is a visibly bigger, but limited fat, usually higher amount of fibro-glandular tissue

 

200 ml each side

 

Suction and gland excision in LA from infraareolar incision and stab incision in the inframammary area
1c Minor chest enlargement

(100-250 gm fat)

The chest is visibly larger. Assessed fat component is between 100 to 250 gm 300 ml each side Suction and gland excision In GA from infraareolar incision and stab incision in the axillary area
2a

 

Moderate chest enlargement The chest is moderately enlarged. The fat component is between 250-500 gm. No skin looseness expected 500 ml each side Suction –  stab incision in axillary area, and gland excision In GA from the infraareolar incision
2b Moderate chest enlargement with skin looseness The chest is moderately enlarged. The fat component is between 250-500 gm.. large gland component in the form of a conical chest. Excision is likely to leave loose skin. U lift needed 500 ml each side Suction from  stab incision in axillary area, and gland excision + U skin lift from supra areolar approach In GA
3a

 

Big chest with side rolls without skin looseness

 

The chest is severely enlarged. The fat component is between 500+ gm. Fat in breast rolls+.  No skin looseness expected 750 ml each side and axilla

 

Suction –  stab incision in axillary area, axilla from infra areolar,  and gland excision In GA from the infraareolar incision
3b Big chest with side rolls with skin looseness expected The chest is severely enlarged, fat component +, axilla rolls +, skin looseness expected

 

750 ml each side and axilla Suction from  stab incision in axillary area, and gland excision + U skin lift from supra areolar approach In GA
4a

 

Big chest with very large skin laxity The chest is severely enlarged, fat component +, axilla rolls + large skin looseness expected 750 ml + each side

 

 Stage procedure. 1st stage sams as 3b. 2nd stage, o- lift procedure
4b Severe weight loss condition

 

The chest is hanging, not much fat excess expected, gland +, skin excess ++ 200-250 each side Mastopexy, chest lift type of procedure

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