Mr Omar Tillo
Consultant Plastic Surgeon
Gynecomastia, the medical term for “enlarged male breasts” 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 treatment with 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.
Who is a good Candidate for a 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 as in a younger patient.
A good candidate for male chest reduction should be as close to his ideal weight as possible. Being overweight can contribute to gynecomastia, 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.
The traditional treatment for male breast reduction employs incisions around the areola followed by removal of the glandular tissue of the breast. The procedure focuses on removal of glandular tissue rather than fat.
The more common technique involves firstly using liposuction 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.
The ClearLipo™ of liposuction coupled with minimally invasive gland excision technique greatly improves on older techniques by offering:
The liposuction procedure involves incisions in the axilla (armpit). 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 gynecomastia surgery. Most glands, however, will require surgical excision.
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 gynecomastia surgery for the three main components of fat, gland and skin.
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.
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.
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 given 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 three days or until the fluid drainage stops.
The worst of the swelling will subside in the first few weeks, however, it may be as much as two months before the full effect of the male breast reduction surgery is 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.
If you have large breasts and you are in good health then you may be a good candidate for male breast reduction.
Your weight should be stable.
Smoking should be stopped
Medications which cause bleeding should be stopped prior to the male breast reduction procedure
Male breast reduction takes about one and a half hours.
Tiny incisions will be made in the axilla for the liposuction. Specially designed cannulas will be used to remove the fat. Small incisions will be made around the areola to remove the gland. Dressings and compression garments will be applied afterwards.
There will be swelling and bruising after the procedure. Patients can return to work after two days. Mild exercise can be started after two weeks and full activities after six weeks.
There is a small risk of bleeding, infection and blood clots after the procedure. These are very rare and are minimised by following a meticulous surgical technique.