Gynaecomastia

Male breast reduction surgery is usually performed to reduce the size of the male breast area and give a more flattened and masculine chest shape

About

Enlargement of male breasts is known as gynaecomastia. Large breasts in men can be due to a variety of reasons. However the most common cause for enlarged male breasts is obesity and yo-yo dieting that can compromise skin’s elasticity. Other causes of abnormal growth of male breast tissue include:

  • Excessive alcohol intake
  • Certain drugs, e.g. spironolactone, digoxin, anti-androgens, finasteride
  • Anabolic steroids
  • Metabolic disorders
  • Certain diseases, such as liver failure and cancer or testicular tumours
  • Hormonal imbalances affecting testosterone production such as Klinefelter syndrome or pituitary insufficiency
  • Dramatic weight loss
  • Ageing
  • Genetic predisposition.

Indications

This surgery can help men of virtually any age who are self-conscious about the size of their breasts and wish a firmer and more masculine chest.

The procedure removes fat and/or glandular tissue from the breasts producing a more contoured chest appearance. In extreme cases where there is too much loose and sagging skin associated with abnormally enlarged glandular tissue, male breast reduction surgery can also be combined with removal of excess skin for a flatter and firmer chest.

Risks

Surgery can leave red and lumpy scars. These may last for several months but should eventually fade to your natural skin colour. Other risks include uneven results and loss of sensation in the nipples.

Surgery explained

Consultation with your surgeon

It is imperative that you have a thorough and sincere discussion with your surgeon with regards to the reasons why you opt for a breast reduction surgery along with your concerns, needs and expectations. We believe in patient education. That is why our highly experienced surgeons will give you all the facts regarding your surgery and what you should expect post-operatively (e.g. scarring, healing process, limitations, potential complications).

Your surgeon will also need to ask you several health related questions including any history of family or personal breast disease, hormone problems, use of any medication including anabolic steroids and OTC remedies, and alcohol intake.

Dimensions of the breasts need to be accurately measured and any differences or asymmetry between the two breasts needs to be taken into consideration and discussed thoroughly. Preoperative photographs can also help in the identification of any potential dissimilarity. In most cases gynaecomastia treatment requires a combined approach of a male breast reduction procedure and liposuction. In addition, if there is excess loose and sagging skin then we can remove it at the same time.

It is important to stop smoking well in advance of the surgery, as well as to avoid taking aspirin and other anti-inflammatory drugs prior to surgery, as these factors can increase bleeding and cause the incisions to take longer to heal.

Surgery

Male breast reduction surgery usually takes an average of 1 hour. The surgeon will make an incision around the areola and liposuction may be used to suck out excess fatty tissue. If there is a lot of tissue to remove, cuts may extend down the chest from the areola and the nipples may need to be repositioned.

Aftercare

You will be required to stay in hospital overnight if general anaesthesia is used.

You should take a few days off work to rest and avoid lifting or strenuous physical exercise for one month after the operation.

An elastic garment is also recommended to be worn for four weeks after the operation to encourage smooth results.

Specific post-op instructions will be given to you on the day of your surgery.

Results are permanent but weight gain, hormonal imbalances and the use of certain drugs can cause the breast area to enlarge again.

Contact us today to arrange a consultation with one of our specialist doctors who will be happy to discuss whether you would be a good candidate for a male breast reduction surgery as well as answer any questions you may have.

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