Our Practice
Our practice is located in Bangalore, providing the full range of cosmetic plastic surgical and medical treatments, and also comprehensive aesthetic skin care services. Dr Sreekar Harinatha, MBBS, MS, MCh (Plastic and Reconstructive Surgery), DNB (Plastic and Reconstructive Surgery) is one of the new generation’s Certified Cosmetic Surgeons in Bangalore, India, always at the forefront of and up to date with new technologies in Cosmetic Surgery. A medalist in both post-graduation in general surgery and super-specialization in plastic and reconstructive surgery, he has undergone training in Cosmetic Surgery from various reputed institutes. He finished training in Plastic and Reconstructive surgery (Called MCh- Magister Chirurgiae in India) from the reputed Christian Medical College, Vellore (Consistently rated among the best medical colleges in India) with honors. The world of cosmetic medicine is an ever changing place and we scrutinize new therapies for efficacy and safety prior to implementation.
Our Mission
Our mission goal is consistency and perfection in all aspects of your care. This starts with your consultation, surgery, and post surgical care. Cosmetic surgery and therapies can be complex undertakings and best results are obtained through listening carefully to you, helping you to understand all alternatives, and to work our very best in achieving your results.
Your Consultation
A consultation with Dr Sreekar Harinatha is necessary prior to cosmetic surgery and therapies. A consultation is a time to explain your concerns and wishes, be examined, and to have an honest discussion of your various alternatives, including advantages and disadvantages of the various options along with expected results, risks, and post-operative care required. A consultation should never be brief. Bring lots of questions. If you have any significant health issues, you should try to bring any documentation or records that you may have. Also, if you have had previous cosmetic surgery in the area of concern, you should attempt to retrieve any records of your original treatment. In particular, operative notes of previous pertinent surgeries should be obtained- these records can usually be obtained either from your previous surgeon or from the medical records office of the original hospital. We conduct all aspects of your care with discretion, professionalism and privacy.
For appointments call Dr Sreekar Harinatha at 09902223733 or email at drsreekarh@yahoo.com
Gynecomastia Treatment
Also spelt Gynecomastia or male breast, it is a common problem among adult men. It is most commonly seen by plastic surgeons when a man presents with enlarged breasts due to cosmetic and social concern. Often mistaken for cancer it is just an excess enlargement of a male breast (and yes men have breasts too). Some studies show the presence of gynecomastia in around 30% men.
The cause is usually idiopathic which in lay terms means ‘without a reason’. Such cases after clinical evaluation do not necessitate thorough investigations. Rarely, the enlargement of breasts can be due to other causes like hormonal disturbances, drug intake and tumors. In any male patient with breast enlargement, male breast cancer must be considered because 1% of all breast cancers occur in men. There is no increased risk of breast cancer in patients with gynecomastia when compared to the unaffected male. The exception is patients with Klinefelter syndrome. These patients have an approximately 60 times increased risk of breast cancer.
Clinically gynaecomastia is graded as follows:
Grade 1 : Small enlargement, but without excess skin over the chest
Grade 2a: Moderate enlargement, without excess skin over the chest
Grade 2b: Moderate enlargement with extra skin over the chest
Grade 3 : Marked enlargement with extra skin over the chest.
Treatment depends on the grading of enlargement.
Grade 1 men can be treated with liposuction alone with very good results. Such surgeries are simple day care procedures with fast recovery.
Grade 2a men require a procedure called lipo-excision wherein, liposuction of the chest is combined with removal of the breast tissue. Here the chest is contoured to match a normal chest using liposuction and then the breast tissue is removed using a 2-3cms incision near the areola. Around 90% of the breast tissue is removed to give the chest its normal male contour. Removing 100% of the breast or doing aggressive liposuction can lead to a sunken chest appearance (also called crater deformity). Such complications should be avoided when dealing with gynecomastia. Other rare complications include asymmetry, scar complications, collection of blood in the operated areas and bruising. Sometimes a drain (a plastic tube) may be placed at the operated site to drain out any collected fluid or blood. It is usually removed by the 2nd day after surgery.
Grade 2b men also can be treated with lipo-excision alone in >90% cases. Some may require another surgery after about 3-6months for skin tightening to tackle the excess skin.
Grade 3 generally always requires skin tightening.
Following any gynecomastia surgery,pressure garments (Compression garments) are advised to prevent collection in the operated cavity and for better adherence of skin to the chest. All gynecomastia surgeries can be done on day care basis with admission for 6-8 hours only.
Various Grades of Gynecomastia
Cost of surgery: Rs.45,000.
Gynecomastia Surgery in Bangalore, India 