All too often, our patients have tried to hide themselves behind oversized shirts until finally seeking help through male breast reduction surgery.
Oversized breasts, a condition known as gynaecomastia, is thought to affect 40 – 60% of men. The problem is caused by a combination of excess breast glandular and fatty tissue and one or both breasts may be affected. Male breast reduction surgery is a relatively straight-forward procedure which leaves the chest flatter and firmer and better contoured, enabling you to live your life with greater confidence. Many people make use of our 3D body imaging service which considering breast reduction, as it gives you a realistic view of the difference surgery will make.
Male breast surgery may involve liposuction, gland excision, reduction mammoplasty, or a combination of these surgical techniques. On occasion, it may be necessary to remove excess skin. All male breast reduction surgery is performed under general anaesthesia and you will require an overnight admission to hospital.
If your breast enlargement is largely due to fat accumulation (also referred to as pseudo-gynaecomastia), it’s likely that liposuction alone will give a good result. If appropriate, we will perform liposuction using our BodyJet liposuction system as it has greatly reduced the need for open surgery to remove the glandular tissue, resulting is a quicker recovery time and less scarring.
In addition, we may use the tumescent liposuction technique in which we would inject large amounts of fluid into fatty areas before performing liposuction. The volume of fluid causes the sections of fat to become tumescent or swollen or firm. These expanded sections of fat allow the liposuction cannula to travel smoothly beneath the skin as the fat is suctioned out, producing a smoother result and giving greater control over the amount of tissue removed. The fluid contains a local anaesthetic to alleviate post-operative pain as well as adrenaline, which constricts the blood vessels to minimise bruising.
If your breasts are large because of the proliferation of the glandular component of the breast, it may be appropriate to remove excess breast tissue alongside liposuction.
There are newer liposuction cannulas that are designed to break up the denser breast tissues into smaller pieces so that they can be suctioned out. For major breast reductions, or in cases where excess skin must also be removed, the procedure may require larger incisions that result in larger scars.
All surgery carries some risk although this is minimised when carried out by an experienced surgeon. We always take time to explain and discuss the risks of surgery with all patients – and only you can decide if the benefits are worth it.
As with any surgery, there is always a possibility of complications, including bleeding, infection, or reaction to the anaesthesia. You can reduce your risks by closely following our advice both before and after surgery.
You should expect to have some scarring though the extent will depend on the technique used. We will discuss scarring with you during your initial consultation. Poor healing and wider scars are more common in smokers.
Before you attend for surgery, we will give you specific instructions on how to prepare for surgery, including guidelines on eating and drinking, smoking and medication.
We always advise patients to arrange for someone to drive you home after your surgery and to help you out with daily living for a few days so that you can get plenty of rest.
Most of your discomfort can be controlled by medication which we will prescribe for you to take home.
You will be able to bathe the next day and your tapes will be removed one week after surgery. Your stitches will absorb and won’t need to be removed, but the swelling in your breasts may take about two months to disappear.
You should be able to return to work within two weeks depending on the level of activity required for your job.
You will be given advice on when to begin exercises and normal activities. Your scars will be firm and pink for about three months. After several months, your scars will begin to fade, although they will never disappear completely.
Everybody is different. At your initial consultation, we will be able to make a realistic assessment of what’s possible. You may like to make use of our 3D body imaging service to help you visualise your results, helping you to make the right decisions about changing your body shape.
There are usually two small (5mm) scars on each side of your chest. These are pink at first but fade well. Occasionally, you may need a scar within the nipple itself to remove the harder tissue.
Usually between 60 and 90 minutes, depending on the technique that is required.
Expect to have to take it easy in the days and weeks after surgery. Everyone’s recovery time is different though you should be able to begin light exercise within a month of surgery. You should be fully fit again after 2-3 months.
*Disclaimer: Results may vary from person to person