Gynecomastia Surgery Mumbai

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Gynecomastia

• Common Disorder in males involving enlargement or
  swelling of mammary tissue .
• It is usually due to imbalance in endocrine
  system leading to a non-cancerous enlargement of
  glandular tissue.

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• Generally, no treatment is required for
  gynecomastia.
• Pbertal gynecomastia resolves itself in varying
  times ranginging from weeks to 3 years.
• Diagnosing and treatng the underlying cause of
  disorder is the primary line of treatment.
• If hypogonadism is the cause- testosterone
  replacement therapy is given

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• In Patients with Idiopathic gynecomastia or
  significant amount of residual condition after
  primary line of treatment has been done medical
  and surgical treament can be instituted.
• Early treatment of condition gives satisfying
  results while older gynecomastia where fibrotic
  stage has resulted does not receive much benefit
  from medical treatment.

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• Admiinistration of clomiphene, an antiestrogen
  results in nearly 50 reduction of breast size
  and 20 patients get satisfying results with
  through the treatment.
• Administration of Tamoxifen, an estrogen
  antagonist, is done in recent-onset cases. Nearly
  80 patients get partial to complete resolution.
• Danazol, synthetic derivative of testosterone is
  also used in some cases to reduce estrogen
  synthesis in testicles.

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• Breast Surgery or Reduction mammoplasty is
  considered for patients affected with macromastia
  (where condition has been long-standing)
  unresponsive to medical treatment.
• This is basically treatment given for cosmetic
  reasons for the psychosocial well-being of the
  patient.

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• In some cases, extensive plastic surgery imay be
  required where there is visible sagging of the
  breast tissue due to varied reasons (like weight
  loss).
• The reduction surgery for macromastia or
  pseudogynecomastia can be warranted with
  liposuction.
• Endoscopic subcutaneous mastectomy has also been
  found to be effective treatment, according to
  Chinese study involving 65 patients.

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• The endoscopic method of treatment has reportedly
  brought significant results with few operative
  complications including partial nipple necrosis.
• The post-surgical chest contour was reportedly
  satisfactory to most patients and no recurrences
  were observed in 3- 36 month of follow-up period .

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• Complications of reduction surgery include
  sloughing of tissue that occurs due to
  compromised blood supply, chest- contour
  irregularity, formation of hematoma or serotoma,
  necrosis and permanent numbness in the
  nipple-areolar area.

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• The term Gynecomastia had been coined by Galen in
  2nd century AD.
• The first recorded description of reduction
  mammaplasty was done by Paulas of Aegina in 7th
  century AD according to western researchers.
• Today a multi-faceted approach combined with
  surgery is used to effect an optimisation of
  correction of deformity.

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• The fatty component is removed using liposuction
  while the glandular component requires direct
  excision.
• The Skin is then redraped or resected over the
  underlying operated tissues.
• Sometimes the condition of gynecomastia may be
  highly painful in individuals, which indicates
  excessive growth of glandular tissue.

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• Besides physical pain, the emotional,
  psychological and psychosocial status of the
  individual may be in danger due to significant
  gynecomastia.
• It has been observed that most physicians tend to
  ignore the condition even after its detection.
  Fortunately, there occurs natural recession of
  condition in young boys after puberty, but in
  unresolved cases, dangerous situations can
  result due to ignoramus , cruel peer behaviour.
  This can significantly affect the psychosocial
  status of affected individual.

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Learn More

• For more information on gynecomastia and its
  surgical treatment, please visit the following
  link http//gynecomastiasurgerymumbai.in/.