- superficial subcutaneous fat and
- deep subcutaneous fat.
- the anterior axillary fold
- and the areola.
- For the purpose of advanced 3D Liposuction, the Pectoralis Major muscle is divided into upper and the lower poles.
- Aesthetically the upper pole should have a greater volume than the lower pole.
- So, liposuction is done only in a deeper plane in the upper pole to preserve superficial fat and to preserve fullness at upper pole.
- But in lower pole , liposuction is done more aggressively in both superficial and deep planes, to create a lean muscular look at lower pole.
- There is a triangular area on the sides of Pectoralis Major muscle, defined as a negative space, the liposuction should be aggressively done here to create a concavity at the sides of chest.
Similarly, there should be a midline groove in the centre of the chest created by 3D liposuction.
Gynaecomastia Case 1
Gynaecomastia Case 4
Gynaecomastia Case 3
Gynaecomastia Case 7
Gynaecomastia Case 10
Gynaecomastia Case 11
Gynaecomastia Case 13
Gynaecomastia Case 16
Gynaecomastia Case 17
Gynaecomastia Case 5
Gynaecomastia Case 6
Gynaecomastia Case 8
Gynaecomastia Case 12
THE USE OF DRAINS
The use of drains is NOT NECESSARY in gynaecomastia surgery. The incisions are kept open for drainage of any fluid.
- You will be sent home in the same evening.
- You can do all the normal activities at home.
- You will be prescribed oral antibiotics and analgesics.
- Pressure garment is worn after the procedure.
- There should be one attendant to drive you back.
- First follow up visit is on 2nd or 3rd day to check for any swelling, bruising, garment fitting etc. The result can be appreciated at this visit and gives a new confidence to our clients.
- 2nd follow up visit is on 7th day for skin sutures to be removed ( if any ) and to check for symmetry of chest AND APPRECIATE RESULT.
- Pressure Garment is to be worn for 3-4 weeks.
A keyhole incision is given in the areola and using fine instruments the glandular tissue is excised
GLAND EXCISION OR GLAND REMOVAL
The glandular tissue is a tough tissue present around the Nipple/areola area. As it is a hard or tough tissue, it is not aspirated out by Liposuction and requires surgical excision in most of the cases.
A keyhole incision is given in the areola and using fine instruments the glandular tissue is excised.
Dr. Gawri advocates the gland removal, in most of his cases, through a small circum-areolar incision.
- Excising the Gland tissue in adequate amount is important.
- If we leave behind the more gland tissue, the result will not be adequate.
- On the other hand, if the gland tissue is excised in excess, it will create a SAUCER DEFORMITY i.e, a concavity/ depression in the chest wall, which looks even worse.
- Dr Vikas Gawri is experienced to remove the adequate amount of gland tissue in his cases, which is necessary to achieve a best aesthetic result.
- The small areolar incision is sutured back with a very fine suture material so that the scar is minimal and fades away over time.
BOOK AN APPOINTMENT
Call us or Whatsapp us at
+91 80548 02500 or +91 81466 66880