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Male Breast Surgery

Male Breast Surgery

Gynaecomastia is a condition that afflicts men of all ages, right from teens to late 60’s. It is the result of accumulation of fat in the male breast and also of the enlargement of the breast disc

What are the causes of gynaecomastia?

The most common cause of gynaecomastia is idiopathic (meaning that there is no obvious disease which causes this). It can also result from hormonal changes or from the intake of certain medicines.

Why do men seek treatment for gynaecomastia?

Men with gynaecomastia are very embarrassed by their appearance. They do not like to take their t-shirts off in company or to go swimming. This affects their social and family life as they are unable to participate in family activities with their children due to their embarrassment.

How is gynaecomastia treated?

Gynaecomastia can be dealt with by a procedure which involves a combination of liposuction of the fat accumulated in the breast and excision of the breast disc if required. This procedure is carried out under general anaesthetic and usually involves a stay of one night in hospital. In the event that liposuction alone is required it may be possible to have this procedure carried out as a day case.

Following surgery there is some discomfort which is more than adequately treated by painkillers. There is bruising and swelling in the breast. There may not be a significant change in the size of the breast following surgery in the first few weeks as the fat that is removed is replaced by fluids . In approximately six weeks this fluid will be absorbed and a reduction in size is then visible.

What is the normal postoperative care?

Following surgery a small dressing is applied to the site of the incisions for liposuction or for removal of the breast disc. Sutures are removed a week after surgery. A pressure bandage or binder is applied around the chest to decrease the swelling. This is normally worn for a week after the procedure.

How much time do I need off work?

Most people are able to return to work, which does not involve heavy manual labour in approximately two weeks. It may take up to four weeks for certain individuals to be able to resume normal activities at work and for leisure.

What are the complications of this procedure?

Treatment of gynaecomastia can have complications just like any other surgical procedure. These include bleeding, haematoma (clot under the skin), seroma (fluid collection under the skin). There is a change in the sensation over the breast and in the nipple. There can be asymmetry (difference in size) or rippling of the skin.

Very rarely is it necessary for patients to have a revision procedure following treatment of gynaecomastia.

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I have no symptoms, they've gone, and I can do everything as before.

JM

Sincere thanks go to all patients that grant their permissions for us to display their photographs.


Male breast reduction surgery, which was performed in the Chelmsford Nuffield Hospital


Male breast reduction surgery.

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