Specialised Treatment in Gynaecomastia (Male Breast)
Gynaecomastia or Male Breast enlargement is a common problem in Men. Gynaecomastia causes much social embarrassment, and psychological stress as these young men are not able to wear tight fitting dresses, visit public Gyms, Swimming pools, religious ceremonies which need disrobing of the upper clothes etc. Young men in hostels are often at the receiving end of jokes and ridicule. These people try to hide Gynaecomastia by wearing lose clothes, but severe grades are difficult to hide.
We have now procured a New Machine for Liposuction from Microair for smoother and faster extraction of fat. And Also now procured Fotona laser for laser lipolysis. It helps in speedy removal of fat and also tightening of Skin.
Gynaecomastia can occur due to several causes such as hormonal abnormality, drugs, obesity etc. However a majority of men with Gynaecomastia are otherwise normal. Drugs such as Tamoxifen have been advocated for management, but surgery remains the mainstay of treatment for many patients. Selected cases may need to be checked for any hormonal abnormality and by ultrasound scanning to rule out any breast pathology. Hitherto, an extensive procedure subtotal mastectomy was the treatment of choice. However, with introduction of tumescent liposuction, the treatment has become simpler and effective. It is cosmetically more acceptable as the scar is minimal. In liposuction for Gynaecomastia, 1-2 small holes (adits) of size 3 mm are made on either side.
A fluid called Klein’s fluid is introduced. The whole breast becomes swollen and firm. The fluid produces Anaesthesia and also constriction of vessels thereby minimizing blood loss. The fat is then aspirated through Small cannulae; up to 2-4 litres can be taken out comfortably. The toughest part is usually the part beneath the nipple and areola, as the tissue here consists of breast glands and fibrous tissue, which cannot be sucked out easily.
Gynaecomastia (Before & After)
A modification where in an additional hole is made beneath the nipple, the glandular tissue and the fibrous tissue is manually extracted yields good results. Liposuction yields excellent results in Gynaecomastia. We have performed liposuction for over 150 Gynaecomastia cases. The accompanying PowerPoint shows the results of our experience.
Available Doctors – Specialised in Gynaecomastia
Dr Jayashree Venkataram MRCOG & Dr Venkataram Mysore MD FRCP (Glasgow)
Venkat Charmalaya, Centre for Advanced Dermatology and postgraduate training centre, 104 Cunningham classic, Cunningham road crescent next to The Hindu Office, Bangalore. Tel: 23180818, 41148848.