Posted by : Hinduja, 11 Jun 2012 04:26 AM
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Gynecomastia is the development of abnormal breast tissues in men, and it can be of any size on one or both the breasts.  
Gynecomastia can cause feelings of public embarrassment and awkwardness in general. Gynecomastia affects an estimated 40 to 60 percent of men and this includes one or both  breasts. 
While certain drugs and medical conditions can contribute to the breast overdevelopment, most cases do not have a known cause. For most men, surgically reducing and reshaping the breast is the best solution. 
The procedure involves the removal of fat and/or glandular tissue from the breasts, and if necessary, excess skin. The result is a flatter, firmer chest consistent with masculine body contour. As with all cosmetic surgery procedures, healing and final results vary  from individual to individual.
At Hinduja, Dr. Arunesh Gupta performs gynecomastia surgery as an outpatient procedure, so that there is minimum inconvenience to the patients. If there are medical conditions of concern, an overnight hospital stay may be recommended. 
Dr. Gupta performs the procedure under General Anaesthesia and typically takes an hour and a half to complete, although individual factors may increase the length of the surgery.  Surgery involves liposuction techniques through tiny incisions to remove the excess fat. If there is excess breast glandular tissue present, in addition to liposuction, a small incision is placed immediately beneath the areola (the dark skin of the nipple) to directly reduce the excess breast gland. 
Imported liposuction canulas  are used for the procedure so that the scarring is minimized. In cases where there is considerable  amount of excess skin , or an enlarged areolar size, an incision that progresses around the areola may be advised to reduce excess skin as well, and to further firm the chest. A custom made elastic pressure garment will be worn continuously for two weeks, and for several weeks longer at night. 
Patients  may return to work after three to five days. Light aerobic activity may begin approximately 7 days following surgery, and more strenuous exercise is begun at three weeks.  
For men who are considering additional plastic surgery, Dr. Gupta often combines male breast reduction with other cosmetic procedures, particularly liposuction of the abdomen and flanks.

Dr Arunesh Gupta
Consultant Aesthetic and Plastic Surgery

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