Gynaecomastia (Male breast reduction)

Overview

Gynaecomastia is the medical term for male breast enlargement. It is a common condition and can affect one or both breasts. There are a number of causes for this condition including hormonal imbalance during adolescence, certain diseases and the side effects of some medicines and drugs. Important causes can be excluded by a thorough clinical assessment and blood screening tests. In the vast majority of cases no identifiable cause is found. This condition can lead to discomfort in the breast area as well as anxiety, significant psychosocial issues relating to embarrassment, low self esteem, reluctance to participate in sport and lack of confidence in relationships.

There are a number of surgical procedures for gynaecomastia. All are performed under general anaesthesia. Depending on the complexity of the procedure required, the operation can take between 1-2 hours and require a 1-2 day hospital stay. In cases where the excess breast tissue is soft and fatty in nature, and particularly when there is not a large amount of excess skin, then liposuction can be very effective. During this procedure, the excess fatty breast tissue is aspirated (sucked) away by a hollow tube placed under the skin through very small access cuts in the skin located at the periphery of the breast tissue. If the amount of excess breast tissue is too firm to be removed by liposuction, then a cut is made around the lower half of the nipple/areolar complex and the excess breast tissue excised, and the wound stitched with dissolving sutures. If, in addition to breast tissue that is too firm for liposuction, there is a lot of excess skin, then a donut shaped area of skin around the nipple is excised to reduced the excess skin as well as excising the excess breast tissue. The wounds are closed with dissolving stitches.

Frequently asked questions

Am I suitable for a gynaecomastia correction?

What are the benefits of a gynaecomastia correction?

Where are the scars?

Is the procedure painful?

How long does it take to recover from the surgery?

When will I notice the results and how long will they last?

Will I be told the risks and complications?

What follow-up appointments will there be?

Am I suitable for a gynaecomastia correction?

Not everyone is suitable for a gynaecomastia correction. Suitability is a matter for you and Mr Johnson to discuss in clinic, following a thorough analysis of your medical history and a thorough clinical consultation.

What are the benefits of a gynaecomastia correction?

The surgery flattens the breast area and so provides a more natural male contour and shape to the chest wall. The operation is very successful at increasing patient confidence and improving self esteem. Patients who have had their gynaecomastia corrected often state they can enjoy participating in sport and able to wear clothes that they would have previously been too embarrassed to wear.

Where are the scars?

This depends on the surgical technique performed. During your consultation Mr Johnson will discuss with you which technique you are suitable for. If liposuction alone is used, there will only tiny scars situated in the lower part of the breast fold area. If the breast tissue requires surgical excision, then the scar will either be around the lower edge or the whole edge of the nipple/areolar complex.

Is the procedure painful?

During the operation strong painkillers are administered so that when patients wake up from the surgery they will be comfortable. It is normal for patients to experience some discomfort from the scar line and the area of surgery for the first day or two postoperatively, and strong painkillers can be administered intravenously if required. On discharge from hospital, any discomfort from the wounds can usually be managed with simple tablet type painkillers such as paracetamol etc.

How long does it take to recover from surgery?

Following surgery, you should wear a firm compression dressing for 2 weeks. It is normal to feel lethargic and tired for the first 2 weeks following surgery and you should not lift anything heavier than a kettle. Depending on your job you can usually return to work for light duties after 1-2 weeks. A gradual increase in light exercise is encouraged after your first wound check following discharge from hospital, but no sport, strenuous exercises or weight lifting should be undertaken until six weeks following surgery or until you are seen by Mr Johnson for review.

When will I notice the results and how long will they last?

The visual improvement in chest contour will be immediately apparent following a gynaecomastia correction. However, there is often some bruising and swelling which may last several weeks. The scars will undergo a natural maturation process involving a series of colour and texture changes over a period usually varying from 6 months to 2 years. The final result can usually be judged at around 6 months to 1 year following surgery. The results of a gynaecomastia correction are long lasting.

Will I be told the risks and complications?

Complications are uncommon following gynaecomastia correction. During your initial consultation Mr Johnson will have a full discussion with you about the risks and complications of surgery. If you decide to go ahead with surgery, these risks will again be discussed as part of the consenting process. Fortunately, with correct patient selection and appropriate procedure selection, the risks are kept to an absolute minimum. It is important that you should be reassured that Mr Johnson will not agree to perform any cosmetic procedure on you unless he feels the benefits significantly outweigh the risks.

What follow-up appointments will there be?

Mr Johnson will come and see you on the ward after your surgery and will review you everyday throughout your hospital stay. After you have been discharged Mr Johnson will arrange to see you in clinic after 7-10 days to review the wound. He will then make arrangements to see you in clinic for longer term follow-up appointments. You will be given contact details for the hospital and Mr Johnson's secretary should you wish at any time to discuss further aspects of your care or make additional arrangements for review.


Home| About Mr Johnson| Surgical procedures| Cosmetic surgery| Non-surgical procedures| Consultations and fees| Contact| Useful Links| Site map|

Text © David Johnson :: site design by oxogen

plastic, reconstructive, craniofacial & cosmetic surgery in oxford

you are here: Cosmetic surgery » Breast surgery » Gynaecomastia  

\n"); // this trick allows a return to the top level from two levels down } else { $endul = ($level < $levelwas ? "\n\n" : ""); // if current < previous, we've moved up a level so finish this sub list before writing the next list item $spawn = ($has_child == 1 ? "\n