Gynecomastia

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Gynecomastia (sometimes referred to as “man boobs”) is a common condition that causes boys’ and men’s breasts to swell and become larger than normal. Gynecomastia surgery is the most effective treatment for gynecomastia.

What Is Gynecomastia?

Gynecomastia is the enlargement of male breast tissue. This enlargement can be caused by an excess amount of fat tissue, glandular tissue, or a combination of both. Gynecomastia affects men of all ages, whether they are newborns, boys going through puberty, or older men. 

Males who are going through puberty often experience gynecomastia because of their changing hormones. Fortunately, this type of gynecomastia is usually resolved within six months to two years without any treatment. 

Gynecomastia in adults is much more common than is generally recognized, affecting an estimated 65% percent of adult men. But for many men, it does not go away. The symptoms can range from a little bit of protrusion of the nipples to severe protrusion, where the male chest almost looks like female breasts. Breasts are considered to be inappropriate on a boy’s chest. Psychologically it is a very disturbing condition as boys are supposed to have flat, muscular chests. Gynecomastia is a very embarrassing condition for men, reducing their willingness to take their shirts off at the beach or take part in sports. Luckily, gynecomastia is almost entirely correctable with surgery.

How Do I Know If I Have Gynecomastia?

Gynecomastia is often physically visible. The most common symptom is an enlargement of the breast area, wherein you have breast tissue that’s greater than 0.5 centimeters (cm) in diameter. If you happen to have any sort of breast swelling, it’s a good idea to have a doctor physically check if it’s gynecomastia or another health condition. The doctor will carefully evaluate your breast tissue, abdomen, and genitals, and have you undergo blood tests and, possibly, mammograms.

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Are There Medicines Or Non-Surgical Treatments For Gynecomastia?

Some patients want to get rid of their gynecomastia through treatments such as drugs or herbal supplements, but these cannot cure the condition. In fact, they may cause even worse side effects. The best and most effective treatment for gynecomastia is gynecomastia surgery or male breast reduction surgery.

What To Expect At The Consultation?

If you’ve been experiencing any signs or symptoms of gynecomastia, it is highly recommended that you schedule a consultation with a board-certified plastic surgeon in your area. At Arra Aesthetics, during your initial visit, Dr. Vasant Gholave will conduct a physical examination and ask detailed questions about your medical history. It is important to be open and honest with the physician. He may perform a few simple tests to determine how much excess breast tissue there is.

For most men with gynecomastia, there is no underlying abnormal condition. After your examination with Dr. Vasant Gholave, you may be required to get blood testing to measure levels of the hormones related to the testes, pituitary as well as the thyroid or ultrasound gonads or MRI of the head if any abnormality is found.

Who Is A Good Candidate For Gynecomastia Surgery?

Many of our patients at Arra Aesthetics ask us this question, and so Dr. Vasant Gholave has made a list of criteria that gives the answer. You are a good candidate for gynecomastia surgery if:

Whether to undergo male breast reduction surgery or not is an individual choice. You need to consult with Dr. Vasant Gholave, the founder of Arra Aesthetics. He will determine whether gynecomastia surgery or male breast reduction surgery is right for you!

Get rid of chest fat and get a toned, masculine chest now with gynecomastia surgery

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What Is the Treatment for Gynecomastia?

The treatment for an enlarged male breast tissue will depend on its cause. If the underlying cause is obesity, your plastic surgeon will recommend a change in diet and lifestyle, since returning to a normal body weight might reduce the size of the breasts. If it’s due to drugs or medications, then the use of those needs to be stopped.

If the enlargement of the breasts cannot be reversed by diet and exercise alone, then a male breast reduction surgery is the only treatment option. Male breast reduction surgery, also known as man boob surgery, enables the removal of excess tissue from the male breasts; this can be glandular tissue, fat, and skin.

The preferred technique of gynecomastia surgery is decided by the cosmetic surgeon and is subject to the amount of tissue that needs to be removed. Overall liposuction is the gold standard mode of treatment. When a larger amount of tissue needs to be removed during man boob surgery, the surgeon may choose a tissue excision procedure just like breast reduction surgery for females. The decision regarding the correct type of technique is carefully taken by your plastic surgeon so as to minimize the chance of a “re-do” surgery in the future.

The effects of man boob surgery are usually permanent as long as the patient is willing to maintain a healthy lifestyle. If there are serious fluctuations in body weight, the problem may return over time.

How Is Gynecomastia Surgery Performed?

The type of gynecomastia surgery depends on patient preference and the nature of their problem.

Gynecomastia Surgery By Liposuction:

A patient can be put to sleep, given IV sedation, or be given just local tumescence anesthesia or general anesthesia. One or two ¼ inch incisions are made on each side of the chest. A long-acting anesthetic along with fluid is placed inside the breast tissue. After the surgeon injects a long-acting anesthetic and fluid into the breast tissue, he waits for it to distribute before placing small tubes through incisions in order to remove fat from those areas. Those incisions are closed with just several small sutures that may be dissolvable or are removed after about 10 days.

Gynecomastia Surgery By Excision:

Excision means cutting out tissue. This can be done with IV sedation, general anesthesia, or local anesthesia. An incision is made from about 5-8 o’clock on the areola and then the excess tissue is removed. Self-dissolving stitches are placed. Many times excision is combined with liposuction.

Dr. Vasant Gholave will use drains only when he has to take out very large amounts of breast tissue. He will tell the patient ahead of time if this will be necessary.

Most male breast reduction surgery is completed in as little as an hour in case of liposuction and up to 2-3 hours in case of excision.

Before-after results

Arra-Aesthetics-Gynecomastia-Before-After-Posts-2Arra-Aesthetics-Gynecomastia-Before-After-Posts-1Arra-Aesthetics-Gynecomastia-Before-After-Posts-3

What Happens During Recovery After Gynecomastia Surgery?

A dressing is put over the wound to assist with healing. A pressure garment (compression vest) needs to be worn for 6 weeks. Gynecomastia is a daycare surgery. It will take about a week to be able to resume your work. If you require more time, Dr. Vasant Gholave can provide a certificate for work if required. You can ease back into exercise after 4 to 6 weeks.

Generally, gynecomastia surgery is relatively pain-free. Most patients report discomfort after male breast reduction surgery, but no significant pain.

Dr. Vasant Gholave will give you a prescription for pain relief medication following surgery.

What Are The Risks Of Gynecomastia Surgery?

Surgical correction of gynecomastia is a popular procedure that provides consistent results. It should only be performed by a specialist plastic surgeon to minimize complications.

Some unavoidable complications such as infection, bruising, delayed healing, pain, and loss of sensation may occur, but these are usually self-limited and if need be, easily treated. In general, for male breast reduction, other risks may include visible scars, change in nipple sensation, irregular chest contour, and excess skin.

Dr. Vasant Gholave will ensure that scarring from your breast reduction is minimal. Incisions are positioned to be least noticeable along the lower border of the areola and inframammary fold. Most scars have usually faded within 6-12 months after surgery. To hasten the scar remodeling Dr. Vasant Gholave uses the latest RecoSMA Laser treatment for Scar Rejuvenation.

With any breast surgery, there is a chance of a change in nipple sensation. It is variable from patient to patient. Some patients feel changes in sensation, while others do not experience any change at all.

Are The Results Of Gynecomastia Surgery Permanent?

Gynecomastia patients are informed about the possibility of their gynecomastia coming back. The effects of gynecomastia surgery or male breast reduction surgery are long-lasting, however, if you gain weight following the procedure, or if you start medications again which caused the gynecomastia in the first place, fat cells can return to the chest area. Few cases in which liposuction was done and the skin does not retract properly might require skin excision later. At Arra Aesthetics our plastic surgeons do a careful preoperative assessment and have a frank discussion with the patient to ensure that the patient has realistic expectations.

Dr. Gholave

Dr. Vasant Gholave

(MBBS, MS, MCH)

Dr. Vasant Gholave is an immensely skilled Plastic Surgeon, Hair Transplant Surgeon, and Cosmetic surgeon in Pune. After a strong experience of 21 years, he came up with a cosmetic surgery and cosmetology treatment solution, “Arra Aesthetics”, which not only has the latest technology and treatments but also state-of-the-art infrastructure under one roof. Dr. Vasant always strives for the best results and has the zeal to continuously improve and innovate in his practice of cosmetic and laser surgery.

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I visited Arra Aesthetics for moles on face. Dr vasant gholave suggested me Laser ablation or mole removal surgery. I had undergone mole removal surgery in January 2021.I am happy with the results I got. I can hardly ever see any scars at surgery site.I had undergone Recosma laser treatment for scar improvement. I recommend Arra Aesthetics and Dr Vasant gholave.Thank you very much.

- MR. DESHMUKH DILIP
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We were based in UK when I had severe burn on my right hand. I was undergoing burn dressing daily almost for 3 months there. But some portion of the wound didn't heal.In between treatment, we relocated to India and the wound was still not fully healed.While searching options on web for my wound healing, I came across the Arra Aesthetics and I came to know about the best laser treatment for wound healing. I consulted Dr. Vasant Gholave Plastic Surgeon in Pune for my non healing wound and post burn keloid of right hand at Arra Aesthetics. He explained the latest revolutionary Recosma LASER technology for wound and keloid. Although I was tense and worried about my wound, I decided to give it a try for this new laser therapy. To my surprise the wound healed completely by the end of 3rd session which was fron 10 days from my consulting session. The keloid scars have become soft and thin, also reducing in thickness after recosma laser.I am very happy and satisfied with my treatment.Dr. Vasant Gholave is highly experienced plastic surgeon. He is gentle and friendly. The clinic has advanced laser machines and the facility provided is very standard and cleanliness is maintained very much.I had wonderful experiences in Arra clinic . I highly recommend the clinic to people.

- Mrs Swami
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Dr. Vasant gholave is a gentle and friendly avidencing doctor. I had treatment for pimples and hair loss , and I tell u experience was very nice. The facilities provided their are standard operating and cleanness is mainted very much. Really I had a great experience.

- PREETI VADKAVE
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I received very good treatment, looking initially at wound I thought my face will not recover or it may take long time but within a 20 days it is almost recovered and as par doctor said scar marks will take at least 5-6 months to vanished out that marks too....Thanks alot sir☺

- Akshay Ratnakar Jain
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Dr. Vasant gholave is well experienced and was able to answer all the queries inspite of the language problem I had . He was really patient and a skilled surgeon. I would recommend him for patients who need to have cosmetic and plastic with reconstructive surgeries

- Rayadu naga
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I was suffering from excess fat on belly. I consulted Dr. Vasant Gholave, Cosmetic & Plastic Surgeon at Arra Aesthetic, Pune for fat reduction surgery. Initially, I was not sure about what exactly is required, Tummy Tuck or Liposuction. And if at all Liposuction, which technology shall I choose.He explained me everything in details, about options of non-surgical fat reduction VS Liposuction Surgery. He further explained me about different Liposuction Technologies, like Conventional Suction Assisted Liposuction, Vaser Liposuction, Laser Liposuction, Water Jet Liposuction, Power Assisted Liposuction.I chose Laser Lipolysis and underwent the procedure 2 months back. I got flatter tummy and good shape. I am happy with best liposuction result.Thank you sir and I recommend him as he is best Cosmetic Surgeon in Pune.

- Subhangi potdar
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Very Good

- YOGESH BANGAR
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I had hair transplant surgery (FUE) done at the clinic. Its been around 15 days now and the transplanted area looks excellent with good density of hair. Dr. Gholve explained all aspects of the surgery, post treatment care and after treatment medication requirements prior to the surgery. I strongly recommend Arra Asthetic for hair transplant surgery.

- PARAG CHITALKAR
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Initially i was anxious about the lasers as I had read many cons and misconceptions on internet but I hardly felt any pain/ burning and skin got back to normal on 4th day it self.Only strict precaution i had to take was sun protection for first few week and that was taken care by sunscreen given by doctor.I would recommend this clinic as a excellent centre which will tackle all aesthetic aspects.

-PRADEEP DARVESHWAR
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Dr. Is very careful about their patients. I am fully satisfied about his treatment. I got a very good treatment from them, thank u.

- VASUDEO GOSAVI
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I did plastic surgery for my leg ankle and, really it was good feeling after surgery, Sir give good treatment on surgery table, I asked to give me full anesthesia, but Sir with their experience suggest local anesthesia will work, which will help me post surgery, and with their experience. Thanks Sir

-VIJAY ZADE
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Visited Arra Aesthetics for plastic surgery for my upper lip cut, Dr explained all the pros and cons about the surgery and the results, I recommend

- RP MADHUSUDHANAN
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Dr. was really very nice to us. Really Happy with the treatment. I have been to Arra Aesthetic for surgery. After surgery it was feeling good. Also he is very friendly to all

- IMRAN INAMDAR
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Must recommended as Doctor is very helpful and explains each and everything in detail. And even follow up of your health is also done.

- RUSHABH SHINGI
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Highly recommend Arra Aesthetics, It’s is just amazing! There is no other person i would go to! He is very professional and reassuring throughout every treatment. The results exceed my expectations every time thery are very friendly and feel more comfortable thank you

- RASHEED MOHAMMED
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Dr Gholave is so a gentle and nice person I had consulted him for scar revision and pigmentation he has explained every thing in detail before procedure he has done good job and so far I am satisfied with fragment results his staff is thoroughly professional I love the personal care and attention I receive when I come here

- MONIKA KAJABE
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I consulted cosmetic plastic surgeon dr Vasant Gholave for wart on chin area.He had explained in detail about the different wart removal treatments.I had undergone Ablative Recosma laser treatment for wart removal.the entire process was painless ,bloodless and no stitches.I am happy with results and recommend arra aesthetics for treatment. Thank you for wonderful experiences.

- MARTAND GANGANE
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