Introduction to Male Breast Reduction
Gynaecomastia surgery is the removal or reduction of what are commonly known as ‘man boobs’. Here at Sthetix, we offer several treatment options for men suffering from gynaecomastia to try to help you achieve your desired look and regain your confidence.
Am I suitable?
Our patients come to us as they are unhappy about the presence of fatty or breast tissue in their chest. Many of our patients have developed male breast tissue (gynaecomastia) as a result of hormonal imbalances, taking certain medications or as they’ve found it difficult to shift fat from that area. We examine each patient carefully to identify the best course of action for your individual case.
If breast tissue is present in the chest, we recommend surgical removal. However, in some cases our patients just have fatty deposits and if this were the issue we would recommend liposuction as a treatment. Occasionally, a combination of liposuction and surgical removal is needed but this is something we would assess and discuss with you at the consultation stage.
Before male breast reduction surgery
Before surgery, there are several things we require so that your procedure goes as smoothly as possible.
One of the most important things is to stop smoking as smoke introduces toxins into the blood that can increase the risk of healing problems, skin loss and complications. We also ask that smokers stop at least 6 weeks before their surgery date and don’t start again until wounds have completely healed.
We also ask patients who are undergoing this procedure to stop taking oral contraceptive pills (alternative methods are fine), aspirin or anti-inflammatory drugs. This is because some of those pills can increase the risk of bleeding. And finally, we ask that patients do not take off-the-shelf herbal medicines or nutritional supplements.
To ensure that you are fully prepared for the surgery, we will ask you to attend a medical examination at a pre-operative assessment clinic where certain tests may be carried out to ensure your safety during anaesthesia and surgery.
The procedure and risks
Liposuction surgery is carried out either under general anaesthesia or local anaesthesia (you are awake) with sedation. It can either be done as a same day case or in certain cases, it may require an overnight stay in hospital.
With liposuction for male breast reduction, tiny incisions are made around the chest and as a result you may have very small scars in that area.
At our Liverpool and Chester hospitals, we used advanced power assisted liposuction or microliposuction. Once you are under aesthetic, your surgeon will inject a fluid mixture containing a salt solution, local anaesthetic and adrenaline into the fatty area. This helps to reduce bleeding, bruising and swelling and makes it easier to remove fat cells. In most cases, our method of liposuction results in minimal swelling and bruising.
Next, a small puncture will be made in the skin and a thin metal tube called a cannula will be inserted. This is then attached to a vacuum pump or a syringe and will be moved about to suck out the fat and the fluid. In some cases, if there is a larger area to cover then more than one puncture may be needed to reach all fatty deposits. After liposuction you will be fitted with an elasticated support garment as this help to reduce swelling and helps your skin to mould your new shape.
This involves the surgeon removing the excess fat, skin and tissue from the breast. The incision lines are usually very discreet and the scar can range from a single incision under the nipple to an anchor shaped scar running down to and along the crease line under the breast. The hospital stay is usually 1 night after this surgery.
As with any surgery, potential risks include haematoma, infection, wide or lumpy scars, persistent pain, asymmetry, loss of sensation, bruising and bleeding.
As your wellbeing is our number one priority, we offer a comprehensive and personalised aftercare package, all included in your treatment.
After you are discharged, will we give you post-operative care instructions and you will have 24-hour access to trained staff who will be on hand to advise you should you have any questions or concerns.
After the surgery, we will arrange appointments for follow-up examinations with your surgeon to monitor your progress and check that you are recovering well (it usually takes 2-6 weeks to recover and heal from this procedure and patients are advised to wear a compression garment for 6 weeks afterwards).
2 weeks after surgery, one of our trained staff will see you and check your wounds. Your surgeon will see you after 6 weeks for a follow-up and again after that until you are fully recovered. These follow-ups are standard and will be provided at no extra cost.
In the unlikely event of a problem, we will make arrangements for you to be seen by trained staff and (if needed), by the surgeon who performed the procedure. As all our surgeons live and work in the local area, it is possible to see your surgeon at relatively short notice. Our surgeons don’t leave the country or the local area after performing the surgery. If, on a rare occasion, a surgeon leaves the local area for other commitments, we will ensure that there will always be another trained plastic surgeon from our team available to provide you with comprehensive care.
In the unlikely event of a complication directly related to your surgery, we will provide or arrange further surgery and/or treatment at no extra cost for up to 1 year.
Will I have scars?
This depends on your course of treatment, with liposuction the scars will be very small and with excision they can range from just under the nipple to an anchor shape scar. Your surgeon will be able to advise you on scarring once you have agreed a treatment plan.
What is the recovery period?
The recovery period varies but for most men it takes around 2-6 weeks.
When can I drive a car?
This depends on your surgery, but we ask that you don’t drive for at least two weeks after. Your surgeon will be able to provide you with a more accurate estimation.
When can I return to work?
This depends on the procedure but it is usually around 2 weeks.
When can I exercise?
Upper body exercises can be gradually started after 4 weeks, while gentle lower body exercise (e.g. a relaxed walk) is recommended as soon as you are comfortable.