Male Breast Reduction London & Gynecomastia
Male breast reduction or Gynecomastia surgery in London, also known as a male chest reduction with our expert cosmetic surgeons. Gynecomastia or ‘man boobs’ is a condition where the men’s or boy’s breast tissue is swollen which is often caused by an imbalance of hormones and can be experienced at any age throughout a man’s life. Newborns and boys going through puberty often experience gynecomastia, however, some men can experience this in adulthood. While the condition does not cause any other health issues and is not physically painful, it can be detrimental to a man’s self-esteem and mental health.
View our male breast reduction patient education video
Male breast reduction surgery is the surgical solution for those who have gynecomastia. Male breast reduction surgery involves a combination of procedures which include liposuction, gland removal, or skin reduction.
Our London clinic at 106 Crawford Street was recently inspected and rated as good across all 5 domains.
All our male breast reduction surgeons are on the GMC specialist register. An accredited surgeon on the specialist register means you can therefore be assured your surgeon has the qualifications, experience, and skills to perform your procedure and manage your aftercare to the very highest standards.
What is included in my treatment package?
- As many preoperative consultations with your surgeon as you like to make sure the male breast reduction procedure is right for you
- Treatment at a specialist day surgery facility recently rated ‘Good’ by the CQC
- Enhanced same-day discharge with the added benefits of recovering in your own home
- 24/7 clinical support from your surgeon for the first 48 hours and our expert postoperative support team
- Your very own dedicated patient coordinator
- In-depth preoperative medical assessment to make sure you are fully fit for the male breast reduction procedure
- Exceptionally high standards of postoperative care described as ‘outstanding’ by the CQC with regular telephone and face to face checks by our expert postoperative support team
|Male Breast Reduction||Fast Facts|
|Procedure time ⏳||1-3 hours|
|Anaesthetic type 💉||GA or LA|
|Length of stay 🛏||Day case|
|Up and mobile 🚶🏻♂️||Same day|
|Washing 🛁||3 days|
|Travel ✈️||2 weeks|
|Sexual activity ❤️||2 weeks|
|Driving 🚗||2 weeks|
|Postoperative garment 👕||6 weeks|
|Sleeping 😴||on back 1 week|
|Exercise 🏃🏽♀️||4 weeks|
|Full recovery 🕺🏻||6 weeks|
|Final results 😃||3 months|
Male breast reduction (gynaecomastia correction) before and after
Gynaecomastia surgery can lead to a significant improvement in the appearance of your chest and an increase in self-confidence but it may not necessarily lead to exactly what you wanted. For any patient considering having surgery, it is important to have realistic expectations of what gynaecomastia correction can achieve and discuss them openly with your London gynaecomastia treatment specialist.
The results of gynaecomastia correction are both significant and permanent in nature. For those with realistic expectations, you will be more likely to be very pleased with the results of the male breast reduction procedure.
To get an in-depth understanding of the results that can be achieved with other patients, please see the before and after gallery below. When you have a consultation with one of our specialist plastic surgeons, you will be able to view a larger collection of gynaecomastia before and after photos.
Bilateral gynaecomastia treated with PAL lipo and glandular excision under general anaesthetic. Home the same day and back to light activities 2 days later.
Unilateral right sided glandular enlargement treated with minimally invasive gland excision technique under local anaesthetic.
Pseudo-gynaecomastia (fat enlargement) treated with liposuction.
PAL lipo combined with BodyTite
Primarily glandular enlargement treated with small amount of liposuction and gland excision.
Fatty gynecomastia treated with liposuction (PAL lipo)
Male breast reduction after massive weight loss
Breast amputation with free nipple grafting for severe gynecomastia
Breast amputation with free nipple grafting for severe gynaecomastia
Why choose Centre for Surgery for your male breast reduction procedure?
- Over 15 years experience in all types of male breast reduction surgery – liposuction, gland excision and skin reduction
- We own and manage our own surgical facilities. Properly performed male breast reduction surgery takes time and should not be rushed. Our surgeons perform a maximum of two male breast reduction procedures in a day. We do not cram 5-6 procedures into one day like other providers. You want your surgeon to be well-rested and mentally and physically sharp to perform male chest reduction to get the very best results.
- Our male breast reduction surgeons live and work in the UK. This is very important because whilst your surgeon takes all precautions to minimise complications from ‘man boob’ surgery, complications can and do occur and our surgeons are readily available to manage any issues if and when they arise. All our surgeons are fully qualified and experienced plastic surgeons with the skill to perform all types of aesthetic breast surgery.
- Our surgeons are full members of:
How to choose your plastic surgeon
Our plastic surgeons have many years of experience in treating all forms of gynaecomastia. Whether it’s excess fat, gland or skin – we’ve got you covered. We are one of the few centres in the UK to offer the full range of treatments including complex male breast reduction surgery after major weight loss as well as revision gynaecomastia surgery from procedures performed elsewhere, often abroad.
The Centre for Surgery approach to aftercare
Our aftercare programme was recently described as ‘outstanding’ by our regulator, the Care Quality Commission.
Our postoperative support team phones all our patients the day after their male breast reduction procedure and then every other day thereafter for the first two weeks. The proactive nature of our postoperative support gives every patient the best opportunity for a smooth postoperative recovery free of complications. In many cases, if complications were to occur, their impact is markedly lessened by early detection, prompt clinical assessment and correct treatment. When a patient expresses concern to our team over the phone, then we often call patients on the same day for assessment with one of our expert nursing team. Even if there is no significant issue, the careful explanation and calm reassurance provided by our team can help to alleviate any worries you may have experienced.
Read our latest testimonials from our amazing patients
Our surgeons love what they do and having a happy patient at the end of the journey is what we aim for with every patient.
I just had Gynecomastia surgery 2 weeks ago. The surgeon was amazing so friendly helpful and I still can’t believe the incredible transformation and I’m not even fully healed yet. The constant after care service / calls / check ups has made me realise this organisation is very professional but also very caring. Yasmin was my patient coordinator and would take my calls any time of the day and has been there for me every step of the way. I would recommend these guys to the world. Every single person I’ve dealt with here has been so kind and helpful. Not that you should cut corners with a surgery like this but I got two other quotes and these guys were best value! Great company all round!
What is gynaecomastia?
Gynaecomastia, the medical term for “enlarged male breasts” or “man boobs” is a common condition among men. It can develop at various times in life and for a variety of reasons. In infant boys, it’s usually the result of being exposed to excess hormones from the mother during pregnancy or breastfeeding. However, this usually disappears as the infant grows. Teenage boys can develop enlargement of one or both breasts as a result of hormonal changes during puberty. However, this also often disappears after puberty.
Gynecomastia becomes a problem in men when enlarged breasts develop and never go away. Most of the time, this is the result of weight gain and the accumulation of fat in the chest region. However, the enlarged breasts can consist of glandular tissue at times. Sometimes man boobs are the result of changes in hormones with age, but it is rare. Enlarged breasts in men can also be caused by medical conditions, such as tumours, kidney disease, or liver disease. However, the most common reason for the development of man boobs is excessive weight gain. And for this, male breast reduction liposuction is an option.
If you have overdeveloped breasts and feel self-conscious about the appearance of your chest, liposuction with or without surgical excision can correct the problem. Liposuction with surgical excision is a highly effective treatment for the removal of the localised excess fatty and glandular tissues in the breast region. This creates a leaner, flatter appearance.
Things to consider before having male breast reduction
We believe that the best outcomes after male breast reduction happen when patients make the right choice of clinic and surgeon.
1. In deciding on the right clinic for you, always carry out extensive research and choose a well established and reputable clinic. Centre for Surgery are specialists in cosmetic surgery and have been established for many years. Our patient coordinators and surgeons are here to answer any questions you may have to empower you with the right information.
2. Your choice of surgeon should be based on their qualifications, experience and having a record of good patient feedbacks. You should know who you will be seeing before your consultation. At Centre for Surgery, our surgeons are specially selected after a rigorous appointments process to ensure they have the right skill set to perform male breast reduction.
3. When choosing to have a male breast reduction procedure, you should not base your decision on price alone. It is important to make sure you are having treatment in a safe and regulated environment by staff who are both full trained and caring to look after your needs – before, during and after your procedure.
4. Avoid clinics who offer a ‘hard-sell’. If something sounds too good to be true, it probably is. Centre for Surgery use only gold standard medical techniques for including PAL lipo for safe and consistently good outcomes.
We believe patient safety and happy satisfied patients are the bedrock of our reputation as an ethical provider of cosmetic surgery. Our doctors are known for giving straightforward honest advice and you can be assured that your journey with Centre for Surgery will be a positive experience on the path to renewed self-confidence.
Causes of Gynaecomastia
- Advanced age – men develop hormonal changes after the age of 55
- Certain medications can cause gynaecomastia such as antidepressants, antibiotics, drugs used to treat blood pressure and herbal medicines
- Puberty – excessive enlargement of the male breast can occur during puberty but usually tends to resolve after one or two years
- Obesity – With a gain in weight – excess fat may stimulate oestrogen levels to rise which in turn stimulates male breast growth
- Excessive alcohol intake – the liver can be affected which can subsequently affect oestrogen and testosterone levels with increase in breast tissue growth
- Anabolic steroid usage can cause breast tissue growth
- Genetic predisposition
The difference between gynaecomastia and pseudogynaecomastia
Pseudogynaecomastia most commonly occurs in overweight and obese men, where the chest enlargement is mostly due to excess fatty tissue around of underneath the nipple-areolar complex. In true gynaecomastia, there is both excess fat and excess glandular tissue in the breast.
The distinction is important as pseudogynaecomastia often responds well to liposuction alone compared with true gynaecomastia which often requires a combination of both liposuction and surgical excision of the breast glandular tissue.
Ideal candidates for male breast reduction
A good candidate for male chest reduction will have a positive outlook and realistic expectations of the outcome of the procedure. He will be undergoing male breast reduction for personal reasons, and not to satisfy anyone else.
There is no optimum age for a male breast reduction patient, but he should have skin with enough elasticity so that it will contour well to the chest’s new shape. Older patients have sometimes lost elasticity in their skin, so their results won’t be as satisfactory when compared with younger patients.
A good candidate for male breast reduction should be as close to his ideal weight as possible. Being overweight can contribute to gynaecomastia, so try to lose the weight with diet and exercise before you pursue surgery. Also, non-smokers are better candidates than smokers because smoking interferes with the healing process. If you smoke, you will need to quit at least six weeks before surgery.
If you are considering having male breast reduction surgery, you may wish to explore the finance options we offer.
Questions to ask during your gynecomastia consultation
Having a consultation with a specialist surgeon skilled in gynaecomastia surgery is the ideal opportunity to ask all the important questions to enable you to build up a full understanding of what the procedure involves before making an informed decision on proceeding with surgery. At Centre for Surgery, we always emphasise the consultation as the foundation of treatment planning to ensure you get the very best outcomes following male chest reduction.
The following questions serve as a useful guide which you could ask at your consultation:
- Am I a suitable patient for male breast reduction?
- Do I have realistic expectations given the size and shape of my chest?
- Is one procedure enough to achieve the results I’m looking for or will I need a staged treatment approach?
- Do you have male breast reduction before and after photos of men who have undergone a similar gynaecomastia removal procedure?
- What is the recovery like after gynaecomastia correction?
- How often will the clinical support team contact me to check up on how I am doing?
- What are the side effects of gynaecomastia surgery in terms of swelling bruising and scarring?
- What happens if I am unhappy with the outcome of the male gyno procedure?
Male breast reduction procedure
We use TIVA general anaesthesia for gynaecomastia surgery. This enables the surgeon to work in optimal conditions to give you the best possible result. We would not recommend local anaesthesia for this procedure other than in exceptional cases.
Male breast reduction surgery at Centre for Surgery can address the 3 main components of fat, gland and skin. The three techniques for treating gynaecomastia are:
- Gland excision
- Skin reduction
Our board-certified plastic surgeons have between them many years of performing expert liposuction. They have used all the liposuction techniques over the years including LASER lipo, VASER lipo, BodyJet lipo and Tickle Lipo.
All our surgeons agree that PAL lipo is the GOLD standard method of liposuction for gynaecomastia with the best long-term overall results.
The most common technique of treating gynaecomastia and pseudogynaecomastia involves using power-assisted liposuction or PAL with minimal access techniques. Once the liposuction is performed, the surgeon will make a small incision around the lower half of the areola to remove the glandular tissue. Liposuction is ineffective at removing the hard glandular tissue although PAL is still far more effective and much safer than VASER or LASER liposuction. At Centre for Surgery, the liposuction method used for male breast reduction is known as SAFElipo™ using power-assisted liposuction or PAL.
The SAFElipo technique of liposuction coupled with a minimally invasive gland excision technique greatly improves on older techniques by offering:
- Smaller incisions
- Quicker recovery
- Less bleeding
- More pleasing aesthetic appearance
The liposuction procedure involves tiny incisions on the side of the chest. Most men have breast enlargement due to fat and this is, therefore, the ideal technique for removal of fat. The liposuction technique can also be used to remove softer glandular tissue of the breast, using specially designed flattened cannulas specially developed for gynaecomastia surgery. Most glands, however, will require surgical gland excision.
Gynaecomastia gland excision
The second step of treatment for male breast reduction involves a half moon incision around the lower border of the areola followed by removal of the glandular tissue of the breast using meticulous surgical techniques. The procedure focuses on removal of glandular tissue rather than fat. Liposuction is not suitable as a standalone treatment for those with dense and fibrous glandular component to their gynaecomastia. This is particularly the case in young athletic men with minimal body fat.
Skin reduction for gynaecomastia
For men with significant degrees of skin laxity, skin reduction may be required to tighten the chest. The procedure involves making a circumferential incision around the areola and reducing the surrounding skin. In some cases, the surgeon may decide to do liposuction and gland excision first and if skin laxity persists, the skin reduction could be done as a second stage procedure under a local anaesthetic. This part of the procedure is very similar to an areola reduction procedure.
When the procedure is completed, absorbent pads and the compression garment will be applied and you will be discharged after a short stay in our recovery unit.
Surgeons at Centre for Surgery are fully trained in all techniques for gynaecomastia surgery for the three main components of fat, gland and skin.
Risks of skin laxity after gynaecomastia
Male breast reduction is an extremely safe procedure and most patients are extremely satisfied. However, as with all surgical procedures complications sometimes occur. There will be small (2-3mm) scars which will initially be red. Over a number of weeks, however, these should fade to fine white lines. Following liposuction, the skin retracts, however in some people – particularly those who are older – it may not retract fully. If this happens, the excess skin may need to be removed at a later date. There is the possibility of skin irregularities, however, this is minimised by the use of specially designed cannulas. Prior to undergoing your procedure, it is good to understand the risks involved if you travel abroad for cosmetic surgery.
Recovery after male breast reduction surgery
The male breast reduction procedure is performed as an outpatient surgery, so you can go home once the effects of your anaesthetic have worn off. Most patients leave after about one hour to spend the rest of their recovery at home.
Patients should collect their medication prescription prior to the procedure and to make the painkillers are taken at the prescribed times after surgery. A responsible adult carer should on hand for the first 24-48 hours after your procedure. Downtime is minimal and you can get back to light activities within a few days. There will be a degree of bruising and swelling after male breast reduction so you should plan to pause rigorous exercise until 6 weeks after the procedure. You can start light exercise after about 2 weeks.
In rare cases during gland excision and as a precaution, the surgeon may elect to place a drain at the site of the surgery. This will be removed 48-72 hours later. You will be given written post-operative instructions and a follow-up appointment will be arranged for you in six weeks.
You will also be prescribed painkillers and antibiotics after your male breast reduction. You will need to arrange transport as you will not be able to drive for 24 hours. A responsible adult must be with you for at least 24 hours after the procedure.You can expect your recovery to be rapid but there will be some swelling and bruising of the treated area. You can help reduce this by wearing a firm support garment for at least 6 weeks to minimise swelling.
The bulk of the swelling will subside in the first few weeks, however, it may be as much as two months before the full effects of the male breast reduction surgery become apparent. It is common to experience some numbness or tingling of the skin soon after your procedure but this should settle rapidly. It is important not to engage in vigorous activities for the first five days after surgery.
You may return to work and resume most of your normal activities after three weeks and begin to exercise after six weeks. You will see your surgeon the day after your surgery and at specified intervals during the weeks following your surgery. This is done so that the surgeon can personally monitor your recovery process, and to ensure that you have the best results possible.
Potential Risks and complications of gynaecomastia removal
Gynaecomastia removal using liposuction or gland excision has been successfully performed for many years at Centre for Surgery with an excellent safety profile. Men should only choose a reputable provider with years of experience in gynaecomastia surgery. With a fully certified plastic surgeon at Centre for Surgery, you can be confident in having made the very best choice for male gyno surgery coupled with an outstanding package of aftercare to reduce the risk of complications.
Potential Risks of Surgery
As with any surgical procedure, male breast reduction has potential risks. These include:
- Anaesthetic risks
- Haematoma formation
- Venous thromboembolism
- Surgical site infection
- Delayed wound healing
- Nipples distortion with gland excision
- Potential requirement for revision surgery
Puffy nipples before and after
In slimmer men, puffy nipples can be a cosmetic nuisance and the best treatment is often a glandular excision to remove tissue from immediately beneath the areola as shown below:
There are a number of factors which will determine the overall cost of the gynaecomastia correction procedure and the final quotation will be given after a face to face consultation with one of our expert plastic surgeons.
- Liposuction technique only or combined with surgical excision or skin reduction
- Gynaecomastia correction after massive weight loss which often requires a breast amputation with free nipple grafting procedure
- Previous gynaecomastia surgery
Why not call 0207 993 4849 and speak to one of our expert patient coordinators who may be able to give you a rough costing prior to your procedure.
Always remember that price should never be the determining factor when it comes to choosing the right provider for gynaecomastia correction. We feel that safety and quality of service should be your number one priority and instilling in you the confidence that our team will look after you before, during and after your procedure to the best of their ability.
Spread the cost of your gynecomastia procedure
Centre for Surgery are fully approved to offer finance for male breast reduction via our specialist finance partner, Chrysalis Finance. You no longer need to use your savings to pay for your treatment – you can apply to spread the cost of your procedure with Chrysalis Finance using their simple 1,2,3 application to pay for your procedure. Don’t wait until you have enough money for your treatment, apply today and (subject to status) pay for your procedure easily in monthly instalments, using one of their payment options. Chrysalis Finance is the only ethical provider who focus solely in the provision of specialist financing for medical procedures.
Specialist Gynaecomastia surgeons in London
If you are interested in gynaecomastia correction, we would recommend the next step to book a face to face consultation with one of our expert gynaecomastia surgeons at Centre for Surgery. At your consultation, your surgeon will take a thorough medical history including your current medications (which can often be a cause of gynaecomastia) and will perform a thorough physical examination. A discussion of your aesthetic goals will be taken into account when formulating your customised treatment plan. The full range of gynaecomastia surgical techniques will be explained from a liposuction technique to liposuction combined with gland excision. It may be recommended to combine liposuction and/or gland excision with skin reduction if significant skin laxity is a prominent feature of your chest. 3D computer imaging may also be performed to give you an accurate idea of how you could look after your procedure.
Once you have made your decision to proceed with gynaecomastia correction, your designated patient coordinator will work closely with you to make sure you are fully prepared for your consultation for gynaecomastia removal.
Further reading on gynaecomastia
What is gynaecomastia ?Gynecomastia refers to the enlargement of breast tissue in men often caused by an underlying hormonal imbalance involving the hormones oestrogen and testosterone. Gynecomastia can affect one breast or both breasts and if affecting both sides, the level of enlargement can be equal or uneven across both breasts. gynecomastia developing as a neonate is not uncommon and is related to high circulating levels of oestrogen from the mother but this is completely harmless and will resolve in a matter of weeks.
Teenagers are also prone to developing breast enlargement and up to 25% can be affected. During this key stage of growth and development, it can be a source of significant social embarrassment. The good news is that it settles down after 2-3 years without any active treatment. For a small proportion of teenagers, a surgical procedure to remove the excess glandular tissue may be warranted via a small incision made around the darkened area of the nipple called the areola.
Adult men may develop gynecomastia from a number of important causes and full investigation is important prior to undertaking treatment. Men who take anabolic steroids, those with chronic liver disease, or disease of the testicles are at risk of developing male breast enlargement. The greatest risk is in those men who take anabolic steroids as part of their gym routine. As men age, the proportion of body fat increases in the breast tissue and this is known as pseudogynecomastia and can resemble the appearance of a female breast. This type of gynecomastia responds very well to liposuction of the affected area. In many cases, the breast tissue beneath the areola resembles a disc of tissue due to glandular tissue enlargement and this needs to be surgically removed via a Webster’s incision. It does not respond well to liposuction.
What is male breast reduction surgery?Male breast reduction surgery addresses excess fat, gland and skin to flatten but also contour the male chest to achieve a masculine look.
The surgical method chosen depends on the nature of the presenting condition - whether it is mainly fat excess, large gland or loose skin. Most techniques however involve a combination of liposuction and gland excision. Male breast reduction is carried out as a day case procedure at our state of the art clinic on Baker Street. Although general anaesthetic is the most common type of anaesthesia, some men may be able to have the procedure under local anaesthetic for milder degrees of gynaecomastia. The procedure takes on average between 1 to 2 hours to carry out followed by a period of recovery in our fully equipped recovery suite.
The surgical techniques are:
- Gland excision
- Skin reduction
Bruising and swelling are expected side-effects after male breast reduction and will take between 4 to 6 weeks to settle down fully. The final results of surgery can be seen at three-month mark. For men who may be concerned about the appearance of the scars, our expert post-operative nursing team will be able to advise on the full range of scar management techniques.
What the symptoms of gynaecomastia?The main clinical feature that characterises gynaecomastia is an enlargement of the male breasts. The condition of gynaecomastia refers to enlarged glandular tissue as opposed to excessive fat deposits. Gynaecomastia is usually equal and symmetrical on both sides of the chest however in some cases, the enlargement may only affect one side of the chest or be greater on one side. These cases require further investigation to rule out serious causes for the enlargement.
It is not uncommon for gynaecomastia to be tender to touch with associated hypersensitivity of the nipple area. It is not typically associated with excessive pain. The areola may have a rubbery consistency and appear as "puffy nipples".
Am I suitable for male breast reduction?You may be suitable for a Male Breast Reduction if you have:
- Extra fat deposits in the chest region
- Enlarged glandular breast tissue under the nipples
- Chest asymmetry caused by excess fat
- 'Puffy' nipples
- An excessively large chest size relative to the rest of your body frame
Who will carry out the male breast reduction surgery?Your male breast reduction procedure will be performed by one of our expert plastic surgeons and all surgeons are fully trained in the three main techniques for gynecomastia removal including liposuction, gland excision and skin reduction.
All our surgeons are specially chosen based on their skills, experience and commitment to providing outstanding levels of care.
How should I prepare for gynaecomastia correction surgery?Male breast reduction is a straightforward procedure to carry out however there are a number of important steps all patients should follow before having surgery:
- patients are advised to stop smoking in advance of the procedure. Smoking acts to reduce the vascular blood supply to the skin and this is directly linked to delayed wound healing. Your surgeon will recommend you to cease smoking both before surgery and during the recovery period.
- patients who take aspirin or anti-inflammatory drugs will be advised to stop these to reduce the risk of post-operative leading. Some herbal supplements are also known to increase bleeding and should also be stopped.
- it is important for patients to have a responsible adult escort to both collect them from the centre once the procedure is complete and also to look after you for the first 24 hours after the surgery to help you with common tasks.
How long does male breast reduction take?Male breast reduction takes about 2-3 hours to perform This will vary depending on the type of procedure you are having and your overall body mass index.
What does the male chest reduction procedure involve?Liposuction - for fat removal
Gland excision - for removal of dense fibrous glands
Skin reduction - for removal of skin laxity
What anaesthetic is used for gynaecomastia correction?Gynaecomastia surgery will be performed under TIVA general anaesthetic. This means you will be asleep and comfortable throughout the whole procedure.
In some cases you can have gynaecomastia removal under a local anaesthetic for those with primarily glandular enlargement.
How long is the recovery after male breast reduction?There will be swelling and bruising after the procedure for up to 3 weeks. You may wish to take pain medication to help with any symptoms, particularly in the first few days.
Swelling may continue and impact you seeing the final results. You may notice the final results after 3 months.
How long should the gynaecomastia compression garment be worn for?The compression garment should be worn for a minimum of 3 weeks continously day and night. Your surgeon may then determine that you can wear the garment at night only for the next 3 weeks but this varies by patient and type of procedure undertaken.
When can I expect to see results after male breast reduction?Results after the gynaecomastia correction procedure will be noticeable immediately with continued improvement over the next six weeks with final results being apparent after 3 to 6 months.
Are the results of male breast reduction permanent?As long as you continue to maintain a healthy weight through eating a sensible diet and maintaining regular exercise then the results of male chest reduction will last for many years.
In very rare cases, recurrence of glandular enlargement may occur but this most commonly occurs when there is a persisting underlying hormonal abnormality which remains uncorrected often in adolescence. Having said that, the degree of recurrence should be minimal as the bulk of the gland will have been surgically removed at the first procedure.
Is male breast reduction painful?Gynaecomastia surgery is a very well tolerated procedure as the surgeon will inject local anaesthetic into and around the gland to numb the area fully.
Any discomfort after surgery is most commonly very mild in nature and well controlled with over-the-counter painkillers. In most cases patients do not use prescription painkillers beyond the first three days after gyno surgery.
Is male breast reduction safe?Male breast reduction when carried out by a highly skilled and experienced plastic surgeon is a very safe procedure to carry out. As with all surgical procedures there are a number of potential risks which you should be aware of in advance of the procedure. At your consultation with your surgeon, the risks and complications of gynaecomastia surgery will be explained in full.
Risks of gynaecomastia removal include:
- bleeding - leading most commonly occurs following glandular excision and is often much less when combined with prior liposuction before having the gland surgically removed. Some patients may develop a haematoma in the post-operative period and this will require surgical evacuation often under a local anaesthetic. There are a number of medications which can increase the risk of bleeding including aspirin and medicines containing aspirin and patients with high blood pressure are advised to make sure this is well-controlled prior to having surgery as uncontrolled high blood pressure is known to increase the risk of post-operative bleeding.
- seroma - seroma can occasionally occur following treatment with Bodytite which is a radio-frequency assisted form of liposuction designed to tighten the skin. Seromas are very easily managed with needle aspiration in the clinic which sometimes recur but are effectively treated with repeated aspiration until they fully settle.
- bruising and swelling - although not a complication as such, bruising and swelling occur to varying extents and are related to the amount of liposuction which is performed. Generally bruising and swelling settle down after a couple of weeks.
- changes in sensitivity - many patients notice a change in sensitivity to the chest and around the nipples following surgery although in the vast majority of cases this is temporary in nature.
- scars - all surgery results in a degree of scar formation.
Liposuction scars after gynaecomastia surgery are tiny and often well concealed in the natural skin folds. The incision used for surgical removal of the gland is a hemispherical incision around the border of the areola. In virtually all cases this scar is very well concealed as it is blended into the border of the areola. Some patients are more prone to developing unsightly scars than others. Fortunately at Centre for Surgery we have an extensive range of treatments to treat prominent scarring including Morpheus8 fractional RF micro needling.
- recurrence - there is a slightly higher chance of recurrence particularly in young men who may have a persisting hormonal abnormality. If there is any residual breast tissue left behind this may then increase in size following surgery. Although it will not enlarged to the same extent had surgery not been performed.
- chest asymmetry - glandular tissue which comprises gynaecomastia varies in hardness between men and sometimes between the left and right sides. Many surgeons will find it is easier to remove glandular tissue from one side compared to the other. In some cases this may result in a mild degree of asymmetry. Fortunately our surgeons are expert in the treatment of gynaecomastia and this risk is therefore very minimal.
- patient dissatisfaction - although in the vast majority of cases patients are very pleased with the results following male breast reduction, some patients may not be fully happy with the result. In most cases a small touchup procedure often under a local anaesthetic is enough to correct any areas that were under treated at the first procedure.
Does male chest reduction result in scars?Modern gynaecomastia surgery carried out by expert surgeons at Centre for Surgery results in minimal scarring which is barely noticeable 3 to 6 months after the procedure.
The incisions for liposuction are no more than 2 to 3 mm in length and your surgeon where possible will attempt to conceal them in natural skin folds. The incision for gland removal is located around 1 half of the areola and heels very well over time. It is not uncommon for the scarf to initially look red and raised above surrounding skin for the first 4 to 6 weeks after surgery before flattening with time and changing in colour to a whitish pale streak.
Scar cosmesis can be further optimised by following all post-operative care instructions including regular moisturising of the area and massaging the area to break down any localised scar tissue. Our surgeons have full access to state of the art scar revision techniques to improve the appearance of the scar for those with darker skin types who tend to be more prone to develop raised and thickened scars.
What is the recovery period like after male breast reduction?The recovery period after male breast reduction depends on the type of procedure that was undertaken but in virtually all cases is very quick due to gentle surgical technique.
Our surgeons generally advise taking about one week off work after gynaecomastia surgery as the bruising and swelling is often most prominent during the first few days. You should also avoid any strenuous exercise for at least four weeks following surgery.
It is normal to feel a little sore following surgery but there are no special rules on restricting any movements and you should remain as mobile as possible. You'll be reviewed in the clinic one week after surgery where the post-operative nurse will remove your dressings and review the wounds. Any permanent stitches that were placed will be removed at the one week mark.
The success of our post-operative program is rooted in regular post-operative checkups supplemented with highly effective scar management treatments to make sure you get the very best result possible.
Whilst you may experience ongoing mild discomfort during the recovery period it is normal to expect such side-effects following any type of gynaecomastia surgery. Simple over-the-counter painkillers prescribed by your surgeon will be able to address any discomfort. If you develop any severe pain out of character with your normal symptoms of mild discomfort you should let your surgeon know as soon as possible.
You will receive detailed preoperative and post-operative care instructions in advance of the procedure to make sure your recovery period progresses as smoothly as possible.
When can I start exercising after male breast reduction?You can start mild exercise after two weeks. You can resume your usual physical activities after six weeks.
Rigorous exercise and heavy lifting should be avoided for the first 6 weeks. The risk of haematoma is increased if you start heavy activity too soon.
What To Expect
When you have a consultation with your surgeon for male breast reduction, a number of measurements are taken of your chest and an assessment will be made of the glandular component of the chest swelling and also the soft tissue quality.
Your surgeon has experience in performing all the techniques of gynaecomastia removal including liposuction, gland excision, and skin reduction. The most appropriate choice will be made based on your chest wall anatomy. The surgeon will also give information on the location of the incision for liposuction and gland excision and also whether skin tightening can be performed with the BodyTite RF system.
High-resolution photos will be taken and your surgeon may also use computer digital imaging. Your surgeon will take time to discuss the important risks and potential complications of gynaecomastia surgery and what you can expect in the postoperative period.
It is useful to keep a list of questions handy to ask the surgeon during the consultation. Examples include whether you are a good candidate for the procedure, what sort of result are you looking to achieve, what you can do to optimise results in the post-op period, and how much downtime is involved. You also want to know how soon you can return to work after having male breast reduction surgery.
The surgeon will also take a full medical history which includes previous operations, the current list of medicines taken, and any potential allergies. This information will be used to decide on your fitness for the male breast reduction procedure. If you are deemed to be a suitable candidate for male breast reduction surgery then we would recommend spending a period of time reflecting on all the information given. We always recommend a minimum of a 2-week cool-off period to weigh up your options.
All our prospective patients are more than welcome to have as many follow-up consultations after their initial consultation to make sure you are fully empowered with all the information to make an informed decision for proceeding with gynaecomastia surgery at Centre for Surgery.
Before your procedure
Once you have decided that male breast reduction is right for you, our preoperative assessment team will be in contact to prepare you for surgery.
The following are recommended actions to take:
- For 6 weeks beforehand, it is highly recommended to stop smoking as active smoking is associated with a number of risks including delayed wound healing which could result in wound infection.
- You should also avoid aspirin and all medicines containing aspirin for at least one week prior to the liposuction procedure.
- For 6 hours before the gynaecomastia procedure, you should refrain from eating any food or any type of drink apart from sips of clear fluid (water and tea/coffee without added milk) which is allowed for up to 2 hours before the procedure.
On the day of your procedure
Please aim to arrive for your male breast reduction procedure at the confirmed time. One of our nursing team will admit you for the procedure and will carry out a number of tasks including checking your blood pressure and other vital signs including pulse and temperature and then getting you changed into single-use clinic wear. The anaesthetist will then come in to assess you to make sure you are fit for TIVA anaesthetic and will also prescribe a number of pre-medications which are given by your nurse to help your recovery after the male breast reduction procedure. You will then be seen by your surgeon who will confirm the procedure to be undertaken and you will sign the informed consent form. Skin marking and photos may be taken at this point.
Male breast reduction is a very commonly performed procedure at Centre for Surgery and is carried out under TIVA general anaesthesia as a day case. Smaller cases of gynaecomastia removal can be carried out under local anaesthetic. The procedure takes approximately 1-3 hours to carry out. During the procedure, your surgeon will make small incisions in the marked body areas for liposuction The fat tissue is surgically removed using specialised cannulas to contour the marked body areas before closing the skin with dissolvable sutures. If glandular removal is being performed, after liposuction, the surgeon will make an incision around half of the areola and then surgically remove the enlarged gland in its entirety.
Once you have woken up from the TIVA anaesthetic, our nurses will closely monitor you for 1-3 hours afterwards to make sure you make a full recovery. You will be given a fruit juice drink or a hot drink as you prefer to build up your energy levels. Once you are assessed as fit for discharge, you will require a responsible adult escort to take you home in a car or taxi and to look after you for at least the first 24 hours after surgery.
After your procedure
After your male breast reduction procedure, our dedicated postoperative support team is available round the clock to answer any questions or concerns you may have. Our team will call you regularly for the first 2 weeks after your procedure to make sure your pain levels are well controlled and your healing is progressing as normal.
The recovery after male breast reduction is usually very straightforward with minimal discomfort that can be effectively controlled with tablet painkillers and the majority of our patients are very comfortable by the end of week 1. Your doctor may recommend a period of approximately one week off work. You should minimise any excessive physical activity for the first 2 weeks after surgery to help with the healing of the incisions and reduce swelling.
You will be required to wear a supportive compression garment on the chest for a full 6 weeks to make sure healing is optimal, and also so that scars heal with the best results.
You will attend a postoperative check-up with one of our nursing team within 7-10 days to review your surgical wound sites and ensure proper healing is taking place. Recommendations on treatments for scar healing may be given for optimal cosmesis. After 6 weeks you should begin to see your final results and you will see your surgeon for a comprehensive review and make sure your results are in line with your expectations.