Cosmetic Surgery is a substantiality of medicine and surgery that uniquely restricts itself to the enhancement of appearance through surgical and medical techniques. It is specifically concerned with maintaining normal appearance, restoring it, or enhancing it beyond the average level toward some aesthetic ideal. Cosmetic Surgery is a multi-disciplinary and comprehensive approach directed to all areas of the head, neck and body. Competency in Cosmetic Surgery implies a combination of knowledge, surgical judgment, technical expertise and ethics in order to achieve the goal of providing aesthetic improvement. India has combined world-class healthcare with prices costing a fraction of those in the US or Europe. India is now the leader in medical tourism packages and growth in the industry is growing at more than 30% per annum and looks set to become a multi billion pound industry.

What is Gynecomastia?

Gynecomastia is enlargement of breast tissue in men. There may be enlargement of one or both breasts. There are several medical problems that may cause Gynecomastia however; in most cases there is no known organic cause of breast tissue enlargement in men.

Who is a candidate for Gynecomastia Surgery?

All men with enlarged breasts are candidates but the more extreme cases of gynocomastia will require more extensive surgery and possibly skin excision. It is important for the patient to be healthy and emotionally stable. Men whose gynecomastia is exacerbated by drugs should take this into consideration prior to surgery. What causes Gynecomastia? Some of the common causes of gynecomastia include:

Physiologic gynecomastia is seen in newborn infants, pubescent adolescents, and elderly individuals. Aging Obesity Chronic liver disease Steroid or Marijuana abuse Some medications Drugs that enhance estrogen synthesis such as gonadotropins, clomiphene, phenytoin, and exogenous testosterone Drugs that inhibit production or action of testosterone such as ketoconazole, metronidazole, alkylating agents, cisplatin, spironolactone, cimetidine, flutamide, finasteride, and etomidate Drugs that act by unknown mechanisms such as isonicotinic acid hydrazide, methyldopa, busulfan, tricyclic antidepressants, diazepam, penicillamine, omeprazole, phenothiazines, calcium channel blockers, ACE inhibitors, alcohol, marijuana, and heroin Familial gynecomastia Gilbert’s Syndrome – Gilbert’s Syndrome is a relatively common and benign congenital (probably hereditary) liver disorder, found more frequently in males Klinefelter’s Syndrome – This is a genetic disorder characterized by abnormal enlargement of one or both breasts in men; hard tiny testicles that never grow, infertility, incomplete masculine body build, height, (6 ft. or more), may not be particularly athletic or co-ordinated.

Pre-operative care of Gynecomastia:

Prior to surgery, a personal consultation is the first step for every patient undergoing gynecomastia surgery. During that appointment, Doctor will ask patient to discuss patient’s concerns about his chest. He will use computer imaging to discuss any asymmetries that patient may have and to display the locations of the incisions. He will examine patient’s chest and check for causes of gynecomastia, such as liver function, use of estrogen-containing medication, or anabolic steroids. If a medical problem is the suspected cause, patient will be referred to an appropriate specialist. If patient has an extreme case of gynecomastia, he may recommend a mammogram, or breast x-ray. This will not only rule out the very small possibility of breast cancer, but will reveal the breast composition.



Procedure of Gynecomastia surgery:

If excess glandular tissue is the primary cause of the breast enlargement, it will be excised, or cut out, with a scalpel. The excision may be performed alone or in conjunction with liposuction. In a typical procedure, an incision is made in an inconspicuous location—usually on the edge of the areola. Working through the incision, the surgeon cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more conspicuous scars. If liposuction is used to remove excess fat, the cannula is usually inserted through the existing incisions. If patient’s gynecomastia consists primarily of excessive fatty tissue, surgeon will likely use liposuction to remove the excess fat. A small incision, less than a half-inch in length, is made around the edge of the areola, the dark skin that surrounds the nipple and/or underneathe the breast. A slim hollow tube called a cannula, which is attached to a vacuum pump, is then inserted into the incision. Using strong, deliberate strokes, the surgeon moves the cannula through the layers beneath the skin, breaking up the fat and suctioning it out. Patients may feel a vibration or some friction during the procedure, but generally no pain. In extreme cases where large amounts of fat or glandular tissue have been removed, skin may not adjust well to the new smaller breast contour. In these cases, excess skin may have to be removed to allow the removing skin to firmly re-adjust to the new breast contour. Sometimes, a small drain is inserted through a separate incision to draw off excess fluids. Once closed, the incisions are usually covered with a dressing. The chest may be wrapped to keep the skin firmly in place.

Recovery / Post Op Expectations from Gynecomastia surgery:

After surgery patient will be fitted with a compression garment or ace bandages to support the breasts while they heal. The recovery process is usually not a short one. Patient should take his time when thinking about returning to normal activity, and is usually told to ease back into his daily routine gradually. In many instances patient will have to wait between one and three weeks before returning to work.

Why travel to India for Gynecomastia surgery:

Medical tourism is behind the growth of plastic surgery in India. This is where residents of one country seek to reduce the costs of their medical treatment at home, by finding cheaper alternative treatments abroad (and take a free holiday with the savings) and they are looking at countries like India. India combines world-class healthcare with prices costing a fraction of those in the US or Europe. India is now the leading country promoting medical tourism in the world and growth in the industry is currently running in excess of 30% per annum. The awareness level of foreigners is very high with respect to various cosmetic procedures. India offers comparable service standards and pricing advantage.” Americans are the biggest clients, followed by tourists from Eastern Europe, Far-East and even Japan. In fact, in the United States, cosmetic surgery is a luxury many middle-class Americans can’t afford. India has a talent pool of qualified cosmetic surgeons, a lot of whom have been trained in the US and UK, in specialized areas of cosmetic surgery. With the recent development of the healthcare infrastructure in India, the best of facilities and equipment are also available with these surgeons. This coupled with the extremely low cost of the surgeries makes India the ideal destination for your cosmetic surgery needs. Cosmetic surgeries are done in complete privacy. With naturopathy therapies such as ayurveda being well-accepted abroad, cosmetic tourism only seems a natural progression.

To know more about Hospitals in India and the gynecomastia surgery packages available in Hospitals, Please visit- http://www.fly2india4health.com

Important Details:

Medical Tourism to India -http://www.fly2india4health.com

International Patient Experiences-http://www.fly2india4health.com/international.php

Email -enquiry@fly2india4health.com

By: Dr.Arjun Bojwani