Gynaecomastia

Purpose

Gynaecomastia comes from the Greek words meaning women like breast. Breast enlargement can be gland or fat or combination of both. Gynaecomastia is a procedure that fat or glandular tissue from the breasts, and excess skin is removed, resulting in a chest that is flatter, firmer and more contoured.

Best Candidates are Men who are:

• Physically healthy
• Psychologically stable and realistic in their expectations
• Firm elastic skin
• Within a healthy weight

Benefits of Gynaecomastia

• Enhance appearance
• Improved self esteem

Risks

• Infrequent and minor
• Infection
• Skin injury

Preparing for Surgery

• Dr. Yalamanchi will give specific instructions on eating, drinking, smoking, and taking or avoiding certain vitamins and medications.
• Discuss with Dr. Yalamanchi will check your medical history for the cause of gynecomastia such as impaired liver function, use of estrogen containing medicine or anabolic steroids.
• Smokers - important to stop smoking a week or two before and after the surgery. Smoking inhibits blood flow to the skin and can interfere with the healing of your incision areas.
• Arrange for someone to drive you home.

The Surgery

• Timing for the surgery is usually two hours depending on the extent of the surgery.
• Most cases performed under general anesthesia combined with a sedative to make you drowsy.
• Dr. Yalamanchi will make an inconspicuous incision on the edge of the areola or in the armpit area. He will then cut away the excess granular tissue, fat, and skin from around the areola and from the sides and bottom of the breast. If enlargement is from fat liposuction will correct this problem.
• Outpatient facility and hospitals are available.

Recovery

• You will feel some discomfort for a few days after surgery.
• Swelling and bruising.
• Wear an elastic pressure garment continuously for a week or two.
• Dr. Yalamanchi encourages you to walk around on the day of surgery.
• You may return to work in a day or two.
• Suture to be removed seven to ten days after surgery.

Long-term Effects

• Permanent

Many men have gynaecomastia - enlarged, female-like breasts - caused by excess glandular tissue or fat (or both).

Glandular tissue must be cut out, usually through a small incision near the edge of the areola.

Fatty tissue can be removed by liposuction. A small, hollow tube is inserted through a tiny incision, leaving a nearly imperceptible scar.

Following surgery for gynaecomastia, the patient has a more masculine chest contour.

Gynaecomastia man (full body view) in open shirt / pants