GYNAECOMASTIA: OPEN SURGERY vs LIPOSUCTION

Gynaecomastia: Surgery Or Liposuction???

Treatment for Gynaecomastia is Surgical. The type of surgery can be Open Surgery (Sub-Cutaneous Mastectomy) or Closed Surgery (Liposuction). The type of surgery depends on the individuals assessment and the type of breast tissue that he has.

The following discussion is open ended with inputs on a regular basis meant to help you understand the differences between the two approaches to Gynaecomastia Surgery. The ultimate decision lies with the Plastic Surgeon Operating on you.

SURGERY (Sub-cutaneous Mastectomy)              LIPOSUCTION

ADVANTAGES

No risk of recurrence                                                              --------

Single stage even with very large breasts                              --------

Under vision removal of entire breast tissue                         --------

                       -------                                                   Short duration of surgery

                        ------                                                    Desired body contour immediately after

                        -------                                                   <1cm font="" incisions="">

Scar is hidden in the areola                                                    --------

SURGICAL INCISION IN OPEN SURGERY

INCISION FOR LIPOSUCTION

DISADVANTAGES

Risk Of Scar Discoloration                                       Risk of Keloid formation (Bad Scar)

            ---------                                                             Incision to remove gland required

Hematoma (Bleeding) formation                              Seroma Formation

Poor contour initially                                                              -------

Nipple Inversion                                                          Nipple Injury

Pressure Garments required                                      Pressure Garments required

DR ASHISH GUPTA

CONSULTANT & HEAD

DEPT OF PLASTIC & MICROVASCULAR SURGERY

SPS HOSPITALS LUDHIANA

9779771111

docashish2001@yahoo.com

5 THINGS TO KNOW ABOUT GYNAECOMASTIA

GYNAECOMASTIA: FAQ’s

Q1: What is Gynaecomastia?

Ans: Gynaecomastia (often referred to as ‘man boobs’) is the enlargement of male breast tissue.

Q2: Can it lead to Breast Cancer?

Ans: No. But The risk of gynaecomastia and breast cancer coexists in high oestrogen states (Klinefelter’s syndrome). A family history of breast cancer increases the risk of breast cancer in males.

Q3: Can it be treated by medicines?

Ans: Age related (Physiological gynaecomastia) requires no treatment. Withdrawing an offending drug or treating an underlying disorder may be sufficient, especially if gynaecomastia is relatively recent. Testosterone replacement for hypogonadal men can be beneficial, but longstanding fibrotic gynaecomastia is unlikely to respond.

Q4: What is the Treatment of Gynaecomastia?

Ans: LIPOSUCTION is effective if breast enlargement is mostly caused by fatty tissue and the overlying skin is fairly taut. OPEN SURGERY (SUBCUTANEOUS MASTECTOMY) is required for removal of glandular tissue and redundant skin (visible inframammary skin folds). Diseases associated with gynaecomastia. Neither of the surgeries leaves any visible scar.

Q5: Can it relapse/ recur?

Ans: NO

MYTHS ABOUT GYNAECOMASTIA

Gynecomastia is purely genetic

Man boobs are just fat

You can get rid of man boobs with exercise

Gynecomastia is a symptom of male breast cancer

Pills and creams can be used to treat gynecomastia

DR ASHISH GUPTA
CONSULTANT & HEAD
DEPT OF PLASTIC & MICROVASCULAR SURGERY
SPS HOSPITALS LUDHIANA
9779771111

BREAST AUGMENTATION: FAQ'S

5 MOST COMMON QUESTIONS PATIENTS FREQUENTLY ASK BEFORE UNDERGOING BREAST AUGMENTATION SURGERY?

Q1: Will it leave a Scar?

Ans: Well yes. Every surgery leaves a scar. But in Breast Augmentation surgery the scar is placed under the breast (infra- mammary crease) where it remains well hidden and frequently merges with the indentations that the brasserie leaves behind. 

Q2: Will I need to get the Silicon Implants removed after some time?

Ans: No. Implant removal is only needed if the patient wants to change the previous ones with bigger ones, or there is a complication like rupture of implant due to some accident or otherwise. Its commonly a personal choice rather than a dictum that needs to be followed.

Q3: Will I be able to breast feed after the surgery?

Ans: Yes. Breast augmentation surgery has not shown to reduce the chances of breast feeding in many studies. The implants are placed under the breast tissue or under the muscle beneath the breast, without disturbing the normal breast anatomy.

Q4: Will my breasts look and feel natural?

Ans: Yes. When an appropriate size implant is inserted the natural look of the breast is enhanced. The consistency of the silicon filled implants is similar to the breast tissue rendering the breast a natural contour and feel.

Q5: How big will be my breasts after the surgery?

Ans: It depends on the size of the implant. The minimum increase in the projection of breast is 3- 5 cms apart from the overall increase in the size of the breast.