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Dr Sreekar Harinatha
MBBS, MS – General Surgery, MCh – Plastic & Reconstructive Surgery, DNB – Plastic Surgery
17 years experience overall, over 2000 Gynecomastia Surgeries
Plastic & Cosmetic Surgeon , Hair Transplant Surgeon, Contura Clinic, Bengaluru
1. What is Gynecomastia?
Gynecomastia or man boobs or male breast is a very common problem among adult men. It is most commonly seen by plastic surgeons when a man presents with enlarged breasts due to cosmetic and social concerns. Dr.Sreekar is the Best Male breast reduction surgery surgeon in Bangalore
2. What causes Gynecomastia?
The cause is usually idiopathic which in lay terms means -without a reason. Such cases after clinical evaluation do not necessitate thorough investigations. Rarely, the enlargement of breasts can be due to other causes like hormonal disturbances, drug intake, and tumors. In any male patient with breast enlargement, male breast cancer must be considered because 1% of all breast cancers occur in men. There is no increased risk of breast cancer in patients with gynecomastia when compared to the unaffected male. The exception is patients with Klinefelter syndrome. These patients have approximately 60 times an increased risk of breast cancer.
3. How do I know the severity of my gynecomastia?
Clinically gynaecomastia is graded as follows:
Grade 1: Small enlargement, but without excess skin over the chest
Grade 2a: Moderate enlargement, without excess skin over the chest
Grade 2b: Moderate enlargement with extra skin over the chest
Grade 3: Marked enlargement with extra skin over the chest.
4. What is the treatment of Gynecomastia?
Treatment depends on the grading of enlargement.
Grade 1 men can be treated with liposuction alone with very good results. Such surgeries are simple daycare procedures with fast recovery.
Grade 2a men require a procedure called lipo-excision wherein, liposuction of the chest is combined with removal of the breast tissue. Here the chest is contoured to match a normal chest using liposuction and then the breast tissue is removed using a 2-3cms incision near the areola. Around 90% of the breast tissue is removed to give the chest its normal male contour. Removing 100% of the breast or doing aggressive liposuction can lead to a sunken chest appearance (also called crater deformity).
Grade 2b men also can be treated with lipo-excision alone in >90% cases. Some may require another surgery after about 3-6months for skin tightening to tackle the excess skin.
Grade 3 generally always requires skin tightening.
5. What happens after the surgery?
Following any gynecomastia surgery, pressure garments (Compression garments) are advised to prevent the collection and for better reshaping of skin to the chest. All gynecomastia surgeries are done on daycare basis with admission for 6-8 hours only.
6. What is the cost of Gynecomastia surgery in Bangalore?
Normally the cost of such procedures starts from Rs.55,000.
7. Why is Dr. Sreekar Harinatha considered an expert in Gynecomastia Surgery?
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