Male Chest Contouring

PROCEDURE OVERVIEW:

Preparation:
The medical fitness tests are done in order to address any other associated medical conditions. The surgical goal and plan are discussed with the patients and marking are done on the surgical sites.
Anesthesia:
Gynecomastia surgery is performed under either local or general anesthesia as it depends on the gradation of gynecomastia surgery, the patient’s physiological status as well as the expertise of the surgeon. Nowadays, with the development of technology and technique, at Dr. Karishma Aesthetics, we perform the male boob’s reduction with the VASER technology under local anesthesia, in many cases.
Liposuction Technique:
Usually, a small tiny hole is made at the periareolar border or inside the armpit for the liposuction technique. The liposuction technique is chosen when gynecomastia occurs due to excessive fat deposition. This requires the insertion of a cannula, a thin hollow tube, through several small incisions. There are various liposuction techniques used to perform the procedure, which is decided by your surgeon at the time of primary assessment. The technique that suits your problem state will be chosen and the aesthetic outcomes can be expected.
Excision Technique:
The excision technique is chosen when glandular breast tissues and excess skin must be removed to correct gynecomastia. This technique is needed to correct and reduce areola size or repositioning the nipple in order to achieve a more natural male contour.
Combination of Liposuction & Excision Technique:
In the combination technique, both the liposuction and the excision methods are used to treat male boob’s reduction. This technique leaves no chance of reoccurrence of the male breasts.
Excision of skin:
The step of skin removal is only used in treating grade 4 or severe gynecomastia. It is recommended to wait at least 6-8 months before going for skin excision. One must note that the combination of LASER & VASER gives better skin tightening.
Discharging:
It’s a daycare surgery so you can go home on the same day of the surgery once you feel comfortable to get discharged. After the procedure dressings or bandages are applied to your incisions. A support garment will be advisable that ease the healing process and also mold the chest shape as required. You will be given specific instructions that include how to care, surgical site and drain, medications to apply or take orally, including the general follow-up guidelines.
Results:
Gynecomastia surgery results are immediately visible. You do not need to worry about post-procedure swelling or scar as it resolves over time once you complete the healing phase.
Resuming Work:
It is a must to follow all the instructions given by your surgeon in order to achieve a faster healing process. You can start office work within 2-3 days after the surgery. Driving can be started after 3-4 days and cardio activities after a week, whereas the gym should be started after 2 weeks. There are no dietary restrictions after the surgery.

THE RISKS INVOLVED: ARE YOU WORRIED?

Risks or complications are rare with Gynecomastia surgery but can occur if the performing surgeon is not an expert. There is no more worry about complications such as bleeding, swelling, pain, scar, or infection as it is common likewise any surgical procedures and can be controlled effectively with the proper care, instructions, and post-op measures.
Some side effects or risks that are common, but can be controlled effectively as follows:
1.    Bleeding
2.    Swelling / Bruising
3.    Infection
4.    Persistent pain
5.    Breast shape irregularities
6.    Scarring
7.    Poor wound healing
8.    The Possibility of revision surgery.
These all risks or complications will be discussed properly prior to your surgical procedure and it’s important to follow all the instruction measures given by the performing surgeon.

WHAT ARE THE RESULTS?

Gynecomastia surgery gives an immediate result means the reduced breast size will be prominent just after the surgery. The final results will take up to 3-6 months in order to achieve the end of the healing process and attaining the goal of gynecomastia surgery. The incision lines will fade over time and chest becomes flattened and muscles are highlighted. 4D VASER-assisted high-definition liposculpting combine fat injection helps in achieving the chest pectoral more muscular.

Some key points to consider while expecting the Gynecomastia results is jotted down below:
1.    The incision lines fade over time, while most of the scars concealed within the natural contour.
2.    The results will improve your self-confidence and self-image.
3.    In some situations, it might be possible to perform revision surgery to achieve optimal results.
4.   The revision surgery is only required when a person wants the additional tightening or repositioning of the breasts.

GYNECOMASTIA SURGERY RECOVERY:

Immediate after the Procedure:
Dressing or bandages will be applied to the incision areas. A small, thin tube may be temporarily placed under the skin to drain any excess fluid or blood.
Discharging:
Discharging will be the same day of the procedure once you feel comfortable to leaving the hospital. One can resume office work in a day or two. Driving can be started after 3-4 days. The gym can be started after 3-4 weeks’ time, but cardio like activities after a week is okay. There is no restriction in the dietary chart.
Wear support Garment:
Support garment or elastic bandage will be given to wear, as it helps in minimizing swelling and support new chest contour after surgery. You will be given special instructions that may include how to care for surgical site and drains, when to follow-up with your plastic surgeon, and medications to apply or take orally to aid the healing process and reduce the chances of infections or minor complications.
It is important to note that the surgical incisions are not subjected to excessive force, swelling, or abrasions during the time of healing. Thus, it is advisable to follow all the instructions given by your plastic surgeon after male boob reduction surgery.

APPLIED ADVANCED TECHNIQUE TO PERFORM THE PROCEDURE:

To perform gynecomastia/male chest reduction surgery, we at DR. Karishma Aesthetics excel in employing the latest advancement and are committed to delivering the best possible outcomes. Our plastic surgeon, DR. Karishma Kagodu has years of experience and excellence, and her interest to adopt modern technology and innovation in the cosmetic practice sets her apart from others. Dr. Karishma Kagodu has outstanding aesthetic skills in employing the combined technique of advanced LASER & VASER liposuction to perform male chest reduction surgery and she does it on a regular basis at her clinic in Bangalore.

What are the Benefits of Combined techniques of LASER & VASER Liposuction in Gynecomastia Surgery?

1.    It is a highly effective technique to treat gynecomastia, which uses advanced methods to break up and draw off excess fat through a fine cannula.
2.    It gives painless; and almost scarless recovery.
3.    It gives a practically permanent solution when combined with gland excision.
4.    It is a safer medium to perform surgery, as it uses an ultrasound technique where an inaudible sound wave removes fat.
5.    VASER technology allows the surgeon to sculpt the area and helps in creating the desired chest contour.
6.    It provides smooth results with very minimal downtime and recovery is faster too.
7.    It enhances the outcome by sculpting the chest and helping achieve the right chest shape matched to the desired masculinity.
8.    It is less invasive than the traditional liposuction method, so you will have minimal swelling or bruising.

TOP THINGS TO CONSIDER WHILE CHOOSING GYNECOMASTIA SURGERY:

1.    It is paramount that you choose the right surgeon for having the best results of the gynecomastia surgery. You want a surgeon who is board-certified, has a lot of experience specially treating gynecomastia surgery and has a lot of understanding about gynecomastia surgery concerning the underlying causes of the surgery, a feasible technique to perform the surgery, as well as the attainable realistic outcomes.
2.    It is needed to be considered where the surgery is going to be performed?
3.    The chosen clinic/centre must have a licensed board-certificate.
4.    You are advised to crosscheck the after-and-before photographs of the patients who have undergone surgery with the surgeon.
5.    Are you ready for postoperative follow-ups?
6.    Do you have realistic expectations with the Gynecomastia surgery?
7.    Ask a friend or family member to come along with you to assist you and who can take you home after the surgery.
8.    You should ask questions during the primary consultation with the performing surgeon.
9.    You must do research and analysis as much as you can because it helps in planning the procedure accordingly.

WHAT TO ASK A SURGEON?

Does the surgeon decide the right technique of Gynecomastia surgery, according to your present state of the problem?
How much experience your surgeon has with Gynecomastia surgery?
Does your surgeon briefly describe the technique of male breast reduction surgery you need?
Does your clinic/centre inform you about following the standard measure of safety & hygiene?
Have your photos taken and evaluated by the surgeon?
Does your surgeon inform you about the possible risks & complications associated with the male breast/chest reduction surgery?
Did you get confirmation about the cost of Gynecomastia and the availability date to receive the procedure?

WHAT SHOULD YOU CONSIDER TO DETERMINE THE SURGEON’S EXPERTISE/AESTHETIC SKILLS?

1.    The precision of seeing the case: Your gynecomastia surgeon must excel in analyzing your problem state and make sure he/she has explained the thing thoroughly. The precision of evaluating the case can be identified by the asked questions and showing the results given by the surgeon. During the primary assessment, the surgeon will measure the extent of your glandular tissue, which is located around the nipple. A physical examination is absolutely required to rule out the issue of fat presence or true gynecomastia. The ASPS, APSI, ISAPS, and IAAPS membership of the performing surgeon has a key role in determining her/his skills and expertise.
2.    The credit of the Surgeon by achieving the International membership: The outstanding skills and mastery in performing the male chest reduction surgery can be proven through the membership that a surgeon holds and the world congress meeting visits concerning the topic plays a significant role to identify the credentials.
3.    Awards & Accolades: The achievement of a surgeon giving the best results of the surgeries can be proven by the awards and accolades earned in their career. The artistic skills and precisions of a surgeon can be best known by cross-checking their performance and visiting the website.

Some FAQs of Gynecomastia Surgery:

1.    How safe is Gynecomastia surgery?
Gynecomastia surgery is an incredibly safe procedure and patients achieve a smooth recovery if the surgery is performed by the expert board-certified plastic surgeon.
2.    How is Gynecomastia treated?
The only permanent solution to treat male chest enhancement is gynecomastia surgery. With the combination of liposuction and excision technique, the surgeon removes the fat and glandular tissue. After removing the excess skin the remaining is tightened over the chest. The relocation of the nipple-areola complex is done if required.
3.    Is gynecomastia reversible without surgery?
Most cases of gynecomastia resolve over time without treatment. So, it is required to evaluate the case during the initial consultation with respect to identify the cause of the problem. Gynecomastia is caused by an underlying condition, such as hypogonadism, malnutrition, or cirrhosis; it is required to have medical treatment.
4.    How do I know if I have gynecomastia or fat?
There are some prominent sign to diagnose gynecomastia, such as physical swelling, pain, and tenderness of breast tissue, hard lumps under your nipples, can clearly see nipples under your shirt, or you have hormonal issues. Apart from all these conditions, certain medications, i.e., anti-androgens to treat the prostate, anabolic steroids, anti-anxiety pills, antibiotics, and hard medications can also cause gynecomastia.
5.    Is there noticeable scarring after male chest reduction surgery?
The expert surgeon makes incisions carefully and in the natural folds of the skin, thereby it is all easy to camouflage the incision scar if any. The incision lines should fade considerably after surgery and At Dr. Karishma Aesthetics; we have a higher priority for giving a result-oriented, painless, and scarless gynecomastia surgery outcome.
6.    Does Gynecomastia surgery work?
Only surgery is a permanent option to treat male breast enhancement issues.
7.    How to shape the chest after Gynecomastia surgery?
Dr. Karishma Kagodu has expertise in performing 4-D high-definition sculpting during the gynecomastia surgery to offer the desired chest contour.
8.    Can gynecomastia decrease libido?
Low testosterone and gynecomastia are common conditions among aging men. The decrease in testosterone results in decreased libido, low sperm count, erectile dysfunction, and enlarged male breast tissues.