Gynecomastia

1. What is Gynecomastia?
It is a Condition of over-developed or enlarged breasts in men, It is due to the overgrowth of breast glandular tissue

2.How it is done?
Liposuction involves the use of a small stainless steel tube, called a cannula The Liposuction cannula, typically connected to a powerful suction pump, is inserted into the fat through small incisions in the skin, and fat is removed by suction as the cannula creates tiny tunnels through the fat

3.Why it should cause so much concern?
Some men try to avoid certain physical activities like swimming They avoid intimacy with others so as not to reveal their condition. And they have emotional discomfort and finally they lose their self confidence

4.what causes gynecomastia?
hormonal changes,the levels of male and female harmones fluctuate during puberty, some men are sensitive to the female harmones hence they develop breast enlargement heredity conditions, certain diseases drug abuse or overuse

5.At what age you should be concerned about gynacomastia?
During the teen years, the hormonal changes of puberty can sometimes cause one or both breasts to become enlarged and tender. While embarrassing, this condition usually disappears after a few months If the breast enlargement is persistent over 18 years and stable for more than 2 years it must be treated

6.what does the gynacomastia contain ? is it only fat?
It could be localised deposit of fat only or only excess glandular tissue development It could be A combination of both excess fat and glandular tissue

7.Is it precancerous?
No it is not a precancerous although the breast tissue liposucked or excised is subjected to biopsy routinely

8.what is the treatment?
Usually liposuction will suffice for most of the patients

9.Is it safe to undergo liposuction for gynecomastia?
Yes it is a safe procedure and usually without any major complications

10.Is it necessary to have open surgery also in gynecomastia?
Some times it may be necessary to remove the hard glandular tissue underneath the nipple by a small incision The scar may not be visible as it is placed in an inconspicuous manner

11.what is the usual routine for gynecomastia surgery?
The surgeon will examine you and ask you to get investigated for pre operative assessment Once you are fit, the COSMETIC surgeon admits you in the hospital and your chest is examined again and markings are made to plan for surgery Usually the surgery is done under General Anaesthesia and in the post operative period you will be asked to wear a compression garment for several weeks Some sutures need to be removed at 10 to 12 days The tumescent fluid may be draining for a few days

12.At what time i can resume my work?
Light activity may be resumed in two days Sports activities may be resumed in 2 to 4 weeks but the Cosmetic Surgeon decides`on each patient

Hair Transplantation

Is it normal to have hair loss at any age?
Yes an average person loses between 40 and 120 strands of hair every day

Which Shampoo can stop hair loss?
Ensuring your scalp is dandruff and infection free is the best way to prevent hair loss, but before you start using any shampoo remember, over-shampooing can cause premature hair-loss.

I am an 18 year old male and i have hair loss Is it hereditary?
It is rare for young people under the age of 20 to lose their hair
If a young person like you is experiencing hair loss it is most likely to be from a health problem as opposed to a genetic predisposition
It may be due to superficial fungal infection of the scalp
Hereditary hair-loss conditions such as Alopecia areata and male-pattern baldness can occur in individuals as young as 14 years of age, however the occurrence is very rare

What are the common causes of hair loss?
Androgenic- Dihydrotestosterone (DHT)
Thyroid and parathyroid disorders
Excessive dieting
Lack of sleep
Stress
Use of hair dyes
Straightening of hair
Vitamin and protein deficiency
Anaemia – reduced Haemoglobin

Does stress really cause hairloss?
Yes. Stress is one of the major contributing factors to hair loss.
Prolonged stress can cause adrenal fatigue which will lead to ill health and hair loss.

What is miniaturization?
Normally we lose about 200 hairs per day but the hair is replaced by new hair after a period of hair growth cycle
The process of hair loss is by miniaturization
Hair becomes thin and loses its pigment, it grows very slowly and eventually falls off
Miniaturization is caused by effects of DHT (dihydrotestosterone) on the hair roots

Does Testosterone cause hair loss?
No. Testosterone does not cause hair loss.
5% of testosterone in males will be converted to Dihydrotestosterone (DHT), which has been shown to cause the miniaturisation of hair follicles
Under the influence of 5-DHT, hair follicles in the front and the top of the scalp begin to become more fine over the years in genetically susceptible men.

I am loosing hair significantly what can i do?
Consult your doctor and he will evaluate the cause of your hair loss and prescribe some medications to prevent further hair loss

What are the hair restoration medications?
Minoxidil is applied as a solution as 2% to 5% solution in the scalp
Finasteride is an orally active medication given in males for restoration of hair growth
Both the drugs are to be used under the supervision of a physician only

Does the hair transplantation gives permanent results?
The transplanted hair is removed from one area of of the scalp and it is transplanted into the bald area of the scalp
The transplanted hair as it is not foreign usually is not rejected and it starts growing after a period of 4 months

Is the hair transplant expensive?
Hair transplant can be less expensive in the long run when you consider maintaining the hair piece and the permanent happiness that is happening with hair transplantation
The transplanted hair as it is not foreign usually is not rejected and it starts growing after a period of 4 months

Is it true that artificial hair is banned in many of the countries?
Yes they are banned in many countries because it is usually made of nylon and is thrown off after 8 to 12 months
They frequently get infected in the hair pits Maintenance is very costly in the long run

At what age hair transplant can be done?
Hair loss should be stabilised before doing hair transplant. Usually after 20 years of age the hair loss is stabilised

What are follicular units?
Most hair comes out of the scalp in groups of two or three hairs, 15% in groups of four or five hairs and some 15% comes out as a single thread.
These follicular bundles are called follicular units

What are FUT and FUE?
They are different techniques of hair transplantation
In FUT technique the hair in the back of the scalp is removed as strips and the individual hairs are separated from it
In FUE technique that involves the removal of the intact follicular unit directly from the donor area using a 1 mm punch
All these hairs are transplanted into the recipient areas in the scalp

What are the refinements in hair transplantation at present?
The technology is advanced so that it gives a more natural appearance with good natural hairline in the front and sides
The density of the hair also can be determined by the surgeon and good result can be obtained

What is the duration of the surgery?
It usually takes about 6 to 8 hours for the surgery but as the entire procedure is done under Local Anaesthesia the patient can enjoy hearing music or talking with the surgical team

How many days i have to stay in hospital?
Usually the patients can go home on the same day of surgeryUsually the patients can go home on the same day of surgery

What happens after the surgery?
After you are discharged you may have some oedema and swelling for 3 to 5 days
You can wash your hair with mild shampoo as instructed by the doctor on the 3 rd day
Minoxidil has to be continued for 6 months
The results of surgery are evident after 6 to 9 months

Liposuction

1.Liposuction is a surgery that reshapes the body through the removal of excess fat from the selected areas
2.The procedure itself is not a substitute for weight reduction; it is the surgery that removes localized fat that is not at all responding to the diet and exercise
3.Liposuction has a very high patient satisfaction and equally very safe in the experienced hands
4.The surgery is performed through cannulas inserted in the deep fat layers so that the blood supply to the superficial fatty layer and the skin is protected
5.Women tend to have more accumulations of fat than the men do and they have accumulations of fat in the hips upper part of the thighs and buttocks
6.The procedure can be performed entirely under local anesthesia but in our center we recommend general anesthesia or epidural anesthesia for our patients
7.After assessing the fitness for surgery and detailed discussions on the expectation of the patients in the initial consultations, the patient is seen by the anesthesiologist one day prior surgery
8.Markings will be made on the day of surgery and the patient will be subjected to anesthesia
9.Tumescent fluid will be injected to the areas where liposuction is to be performed
10.By making 3to 5 mm incisions the cannulas will be introduced and the fat will be removed
11.After the procedure compression dressings will be placed in the treated areas
12.Patients will be mobilized from bed as early as possible and will be discharged in the next 2 to 3 days
13.Daily routine can be started in 7 to 10 day period
14.The patients have to wear compression garments for a period of 3 to 4 months

Abdominoplasty

1. Abdominoplasty removes excess fat from the abdomen and tightens stretched or weak abdominal MUSCLES
2.One can undergo abdominoplasty, or tummy tuck, if he or she has any problems like, loose or sagging abdominal skin, abdominal muscles that have been weakened by pregnancy, excess fatty tissue in the abdomen that does not respond well to exercise.
3.A long horizontal incision is made from hip to hip just above the pubic area, and another incision is made around the navel to free it from the surrounding skin.
4.Stretched or weakened abdominal muscles are tightened and secured with sutures.
5.Excess skin is then removed.
6.The remaining abdominal skin is stretched back down over the abdomen and the incision is stitched closed
7.A new opening is created for the naval and umbilicoplasty is done
8.The surgery is done under General anaesthesia with the Foleys catheter placed in the bladder
9.Someone who expects absolute perfection is not a good candidate for Liposuction.
10.It usually takes 2 to 3 hours for the procedure
11.Pt is stared ambulation from the next day
12.It is better to take bed rest for a period of 7 to 10 days
13.Sedentary work is started at 2 to 3 weeks
14.Sports and other activities can be started after the 6 th post operative week

Scar Revision

1.The quality and the quantity of scarring after any injury is different from person to person
2.Scar revision is done after the body has had time to heal itself and usually it takes 4 to 6 months for it to happen
3.Scar revision surgery is usually done to minimise the scar and is matched with the surrounding skins texture and colour
4.Stretched or weakened abdominal muscles are tightened and secured with sutures.
5.One must understand that the scars cannot be completely removed but can be minimised to look better than before
6.Keloid scars are as a result of the skin’s overproduction of collagen after a wound has healed.
7.These scars generally appear as growths in the scar site.
8.Hypertrophic scars, unlike keloids, do not grow out of the borders of the scar area, but because of their thick, raised appearance , can be Cosmetically unacceptable
9.Keloid or hypertrophic scars are managed with steroid injections
10.Only very prominent scars are removed as a last resort , to make them less prominent scars
11.Some of scars can be revised by Techniques like Z Plasty W Plasty and Geometric Line Closure
12.We at TEJASCOSMETICSURGERYCENTER do the scar revision surgeries as office procedures and give excellent results