• Hair restoration
• Liposuction
• Abdominoplasty / Tummy tuck
• Rhinoplasty
• Gynaecomastia
• Breast reduction
• Breast augmentation
• Fat grafting
• Face lift / Brow lift
• Eyelid surgery
• Ear Correction
• Lip Correction
• Scar Revision
• Non surgical anti-aging procedure

Gynaecomastia

Gynaecomastia is enlarged male breast. Although this happens commonly during adolescent growth spurt it usually involutes back to normal size. However in some individuals it remains enlarged and therefore a  cause for embarrassment and  psychological disturbance to the individual. Surgical correction of gynaecomastia is therefore performed to “improve self image“    

Surgical Procedure :
This usually involves suctioning out the fat content and excision of glandular component. In selected cases gynaecomastia could be corrected by liposuction alone when the enlargement is predominantly due to fat. It is usually done as a daycare procedure under general anaestheisa and patient is sent home on the same day.
Two suction ports of 5mm size are made adjacent to the enlarged breast. Power assisted liposuction of the enlarged breast tissue is performed using tumescent technique. The residual tissue is removed through a periareolar incision made at the margin of the lower areola (the dark skin that surrounds the nipple). The skin and the areola are lifted up and the breast tissue with surrounding fat is removed. A suction drain is placed before suturing the wounds.
The reduction in size is usually permanent.

Preoperative Instructions :
Patient is evaluated by an Endocrinologist to rule out any hormonal imbalance.
Patient is advised to see the anesthetist with investigation requested.
Blood pressure has to be within normal limits. If high, medications will be started preoperatively.
The chest has to be shaved and then washed with half a cap of Betadine scrub solution (Instead of soap) the night before and on the day of surgery.
Oral Antibiotic has to be taken previous day afternoon and night after food.
No Jewels, body sprays or perfumes to be worn on the day of surgery.
Patient is advised to stop oral intake from the previous night except for any specific medications.
He  has to report to our centre forty-five minutes before the scheduled procedure

Postoperative Instructions :
Light diet on the day of surgery and normal diet from the next day onwards.
Oral Antibiotic and pain relief medications to be taken three times a day after food.
Plasters and drains are removed during the outpatient visit on second post operative day.
Sponge bath is advised until 7th postoperative day when plasters are removed and patient is advised to take bath.
Sutures are removed on the 7th postoperative day and compression garments are advised to be worn as many hours as possible.
Outdoor activity could be resumed after suture removal.
Driving is to be avoided on the day of surgery and resumed based on patients comfort level.
Swimming and gym activity could be resumed after three weeks from surgery.

After effects of surgery :
The mild asymmetry between the two sites which  is usually present before can persist even after surgery.
Hyper pigmentation of the scars which usually fades with time.
Bleeding which is common in the first 48 hours after the surgery, may warrant a re-exploration.

Gynaecomastia
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