Gynaecomastia

Male breast reduction, man boobs, gyno, bitch tits

What is gynaecomastia?

This is the enlargement of the male breast due to abnormal increase in the glandular tissue.

Gynaecomastia is a very common condition which affects up to two-thirds of men. One side of the chest can be affected but more commonly both. In the vast majority of cases there is no known cause. However, certain drugs (anabolic steroids, marijuana, some anti-hypertensives, oestrogens) and medical conditions have been associated with gynaecomastia.



Did you know!

The word gynaecomastia comes from Greek words 'gyne' and 'mastos' meaning woman and breast respectively.



Why do men request correction?

Embarrassment is the main cause but also because it affects their daily lives – swimming, sunbathing, having to wear baggy clothes etc. For others they feel their virility is being called into question.

What anaesthetic is used?

The operation is usually carried out under general anaesthetic.

How is it corrected?

The procedure usually involves a combination of the removal of excess breast tissue (using a small incision in the brown or pink area around the nipple called the areola which hides the scar very well) and liposuction to remove excess fat and make the edges of excision smoother. Excision of excess skin may be necessary sometimes.


How long does the surgery last?

It lasts usually one to two hours

How long is the hospital stay?

There is usually an overnight stay. It can also be done as a day case.

What after care do I expect after the operation?

On discharge, a pressure garment vest is supplied which helps to reduce post operative swelling and improve comfort. The pressure garment is to be worn for six weeks. It can be worn concealed underneath the normal clothing.

Pain killers are also administered. You may also be given antibiotics.

How long will I be off work?

This is usually about a week.

What are the things that can go wrong with the operation?

Patients are very pleased with the results but there can be problems as with any surgery including haematoma (blood clot collection), fluid collection (seroma) requiring drainage, and infection. Other problems include changes in sensation of the nipples, contour irregularities (‘saucer’ or ‘dinner’ plate deformity) and sometimes obvious scars.

Any concerns you may have will be discussed in detail during your consultation.