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Gynecomastia Kerala

About Department (elite hospital details)

Sushrutha Institute Of Plastic Reconstructive And Aesthetic Surgery was started in October 2007. There is a group of 7 Consultants offering their dedicated service in this department. It is included as a part of Diplomate National Board (DNB) training, which is a program equivalent to that of the post-graduate and post-doctoral program in the field of medicine. This Department operates 24x7, to provide treatment and Surgery for growing number of patients..

Gynecomastia (often referred to as ‘man boobs’ or ‘moobs’) is the enlargement of male breast tissue. Gynecomastiac appears as a rubbery or firm mass that starts from underneath the nipple and then spreads outwards over the breast area. It is not cancerous. The tissue is enlargement of glandular tissue, not fat tissue. Enlargement is found in both breasts in about half of cases, while in the other cases it only affects one breast.

Gynecomastia can happen in males of any age or weight. Obese men can look like they have man boobs as they have fat tissue all over the body including the breasts; however, this is not true gynecomastia. The growth of breast tissue can be painful or tender. This should always be checked by a doctor. gynecomastia can appear as a small lump that becomes tender as the mass becomes larger.
It is common in adolescent boys as breast development is affected by hormonal changes at puberty. This can cause psychological stress.

gynecomastia is commonly seen during infancy, puberty and older age. All males have the male sex hormone testosterone as well as low levels of the female hormone oestrogen, which controls breast tissue growth. When the ratio of testosterone to oestrogen changes (that is, there is an imbalance in the levels of these two hormones with relatively higher amounts of oestrogen), breast tissue can grow. Some men with gynecomastia have higher than normal oestrogen levels.

Many newborn male babies have enlarged breast tissue because of the transfer of oestrogen from the mother during pregnancy. The oestrogen goes down after birth so this type of gynecomastia is temporary. During mid to late puberty more oestrogen than testosterone is made by the maturing testis until the time when the testes start to make testosterone at adult levels. gynecomastia starting during puberty often goes away, but in less than one in 20 adolescent boys it continues into adulthood. As men get older there is often a gradual decrease in testosterone levels (and therefore the ratio of oestrogen relative to testosterone goes up) and this can lead to gynecomastia.
gynecomastiac can also be caused by genetic problems, chronic diseases (especially kidney and liver disease) or some medicines. Men who take anabolic steroids for sporting performance or body building often develop gynecomastia.

Gynecomastia is very common in boys going through puberty, happening in more than half of all normal adolescent males, and usually goes away over time. In older men, enlargement of the breast tissue happens in about one-third of men, who often have excess surrounding fatty tissue as well.

Medicines that can cause breast growth in men include certain antidepressants, medicines used for high blood pressure and tuberculosis, and some chemotherapy agents. Antibiotics and cardiovascular medicines and a specific anti-ulcer medicine (cimetidine) can sometimes change the balance of hormones in the body.
Drug abuse, especially the use of anabolic steroids, but also marijuana, opioids and excessive alcohol intake (that has caused chronic liver disease) can cause gynaecomastia.
Medicines used in the treatment of prostate cancer that block the effects of testosterone (androgen deprivation therapy) can lead to Gynecomastia.

Team of Doctors

These are our team of doctor to fullfill the Gynecomastia department services

Dr. V.G. Aniljith

MBBS, MS, M.Ch

Dr. Anto Francis

MBBS, MS, M.Ch

Dr. K. Pradeep Kumar

MBBS, MS, M.Ch

Dr. Prince H.P

MS, DNB (Gen. Surg), M. Ch(plastic)

Dr. Jyoshid . R.B

MBBS, MS, M.Ch, DNB

Dr. VINU ROY

MBBS, MS, M.Ch

Dr. AJAI. K.S

MBBS, MS, M.Ch

Overview

These are the overview of gynecomastiac department in Elite Hospital

2007
Since
7
Doctors

What are the treatment options for gynecomastia?

 

There is no effective medical management for gynecomastiac.
The surgical treatment options are aimed at the removal of excess fat and glandular tissue from the male chest giving it an appearance like the female breasts.
Many techniques have been used in the surgical removal of male breast tissue including the open excision (removal with knife) of the male breast tissue and fat , liposuction for fat removal and removal of glandular tissue through an incision (surgically created wound ) around the areola. As it being a cosmetically embarrassing condition for mostly of the affected males, surgery is best done through access sites that leave minimal or inconspicuous scars of the surgery. And the newer surgical access sites are from the axilla (arm pit) for liposuction and through a very small stab wound on the nipple which do not leave any noticeable scar of the surgery alleviating the fear that the surgical scars can be cosmetically more embarrassing than the original condition with tell tale signs of the surgery.

The approach we use

  • Liposuction, after tumescent infiltration, through axillary incision
  • Anterior axillary line - superior aspect, along the axillary crease lines
  • < 1cm incision
  • Liposuction using appropriate cannula
  • For breast parenchyma excision
  • Trans-nipple incision
  • Initially cruciate incision was used
  • Then switched to inverted V shaped incision
  • Better scar and nipple projection
  • Skin deep-
  • Traction via haemostat clip and sharp dissection using fine tenotomy scissors