Gynecomastia or Male Breast Reduction : The Skin lift procedure is an innovative procedure performed by Dr Amit Gupta, to accommodate the extra skin in Grades 4a and above. The amount of skin lift depends on the amount of laxity and it may be asymmetrical on both the sides. In some patients it is required on only one side. It may be as less as 1.5 cm to as much as 6 cms.
Indications
- The skin lift is performed in patients with Grade 2b, 3, 4a
- May be asymmetrical
- May be unilateral
- Useful in patients with skin sagging, loose spongy skin, severe stretch marks
Gynecomastia Procedure
- The marking is done to bring the level of the nipple to a desired level to take away the operated look.
- Infiltration is done in the breast as well as superficially in the dermis at the same time with the infiltration canula.
- Epidermis depth skin is removed, preserving the dermis.
- Liposuction is done to reduce the fat.
- Flaps are raised to by preserving at least 1 cm tissue thickness below the “lift flap” .
- At least 1 cm is maintained deep to the areola to allow good projection.
- Continuous 2.0 nylon sutures are made from areola to upper dermis to create lift.
- Ignore dog ears if any at the ends.
- Put 1 suture each at the 2 ends to take care of the dog ears if any.
- Closure with 3.0 monocryl continuous sutures.
Precautions
- 1 cm thick “lift flap”
- I cm thick tissue below the areola
Post Procedure Precautions
- No heavy workout, exercise, gym, sports for 3 weeks
- Scar will take 6 months to settle down
Note – there might be some mismatch between the two sides with skin lift procedures specially if done unilaterally
Advantages
- Tackles sagging
- Good to get symmetry in unilateral and asymmetric gynecomastia
- Useful in patients with very large glands where the nipple just sags after removal of the gland
Disadvantages
- Longer time to heal
- Scar on upper end of areola
- Sometimes skin gaping can happen.
- Longer down time
Cost Of Gynecomastia
The cost of gynecomastia in India depend on the grade of gynecomastia, the technique that we use and the anesthesia being used
- Grade 1 Surgery 25000 to 45000 RS
- Grade 2 Surgery 45000 – 75000 RS
- Grade 3 Surgery 60000 – 95000 RS
The cost of gynecomastia in Delhi typically ranges from ₹60,000 to ₹1,25,000. VASER surgery can be added to any technique, costs 35000 Rs extra. The costs of investigation and pressure garment is extra.
Though high-grade cases require a more complicated procedure which is not sought-off easily, still, prices offered by our capital are way lower than offers made in international conditions, hence patients get to experience high-grade cases with equally low-priced international standards.
Taking these factors into account, one can make smart choices on gynecomastia surgical treatment in India and pick their camp that gives a wholesome balance of science and economics.
Techniques of Gynecomastia Surgery
Gynecomastia surgery is tailored to each patient’s chest anatomy, grade of enlargement, and desired results. At Divine Cosmetic Surgery, we use advanced techniques to ensure a natural, masculine chest contour with minimal scarring and optimal recovery.
1. Liposuction-Only Technique
In cases of Grade 1 gynecomastia, mild cases, simply liposuction only is needed. Small incisions are made to remove the fat, resulting in a flatter chest and more defined shape. It is a minimally invasive procedure with quicker recovery time and carried out by small cuts.
2. Surgical Excision
Glandular tissue may require surgical removal for moderate to severe (Grade 2 and greater) gynecomastia. Liposuction has often been performed in conjunction with this technique to achieve a smooth contour. An incision is typically made around the areola so that it is not as noticeable.
3. 360° VASER Liposuction
360° VASER liposuction is a high-definition, precision sculpting method ideal for patients seeking enhanced chest definition and a muscular appearance. It removes fat evenly around the chest, flanks, and upper abdomen to highlight natural muscle lines. The technique is also helpful for high-grade gynecomastia, where fat distribution is irregular.
4. Skin Lift Technique
In these severe cases (Grade 3 and Grade 4 gynecomastia) there can be excess skin left after the fat and gland have been removed. Chest skin tightness treats sagging skin and provides a youthful-looking breast. This technique consists of trimming away excess skin and relocating the nipple-areola complex to create a more natural-seeming male chest.
5. Combination Techniques
Many patients benefit from a combined approach: VASER liposuction to remove fat, surgical excision to remove glandular tissue, and skin lift for excess skin. This multi-step approach is highly effective for severe gynecomastia and ensures a long-lasting, natural-looking outcome.
