Male Breast Reduction

Gynaecomastia is the development of excess breast tissue (glandular tissue) with or without associated excess fat in men. Gynaecomastia can cause emotional discomfort and impair the self-confidence. Some men may even avoid certain physical activities and intimacy simply to hide their condition

The underlying cause of the condition remains largely unknown in the majority of cases but puberty, obesity, certain drugs and hormone imbalance can lead to gynaecomastia.

Surgical correction is considered once the factors mentioned have been ruled out.

The aim of the surgery is to reduce the breast size in men, flattening and enhancing the chest contour.

Who is a suitable candidate?

Provided the underlying cause of gynaecomastia is not reversible through non-surgical measures; individuals who are healthy with normal weight and realistic expectations and are bothered by their breast size are suitable for surgery.

What happens before surgery?

You will be asked to stop certain medication such as aspirin, ibuprofen or herbal medicines that might increase the risk of bleeding during or after surgery.

If you are a smoker, you will be advised to stop smoking at least two weeks before and a similar length after surgery to reduce the chances of wound healing issues.

What does the surgery involve and how long it takes?

The surgery is carried out under general anaesthetic. If the gynaecomastia is made up of mainly fat then liposuction is used to reduce the breast size. If despite liposuction the breast remains large than a small cut is made under or around the nipple to directly remove the excess breast (glandular) tissue.

In severe forms of gynaecomastia, excess skin needs to be removed to flatten and improve the breast shape and this can lead to more scarring on the surface of the breast.

The procedure can take between one to two hours depending on the extent and degree of correction required.

What happens after surgery?

You can go home the same day with a compression binder around your chest, which you should wear for support and comfort for 4 to 6 weeks.

You will be seen 1 week after surgery for a general wound check.

You can return to work after 1 week but avoid strenuous activity (GYM, jogging) up to 4 to 6 weeks.

A follow up after 3 months will be organised to assess your satisfaction and overall experience.

What are the risks and complications?

Gynaecomsatia correction has a low risk of complications and a high level of satisfaction. However possible risks include:

• Wound healing problems
• Bleeding (haematoma)
• Fluid accumulation (seroma)
• Unfavourable scarring
• Infection
• Change in skin sensation
• Breast contour and shape irregularities
• Asymmetry
• Possibility of revision surgery