Male Breast (Gynaecomastia)
Gynaecomastia is one of the commonest plastic surgery procedures performed in males.
What is gynaecomastia?
Gynaecomastia literally means "women-like breasts." This condition is far more common than many realise. Gynaecomastia affects an estimated 40 to 60 percent of the male population.
What are causes of gynaecomastia?
Certain drugs such as anabolic steroids, medications containing oestrogen, alcohol, marijuana, etc., and medical conditions including cancer, impaired liver function, to name a few, may cause or contribute to enlarged male breasts.
Large percentages of cases derive from unknown sources.
Who are good candidates for treatment?
Men of any age who are healthy and emotionally stable are considered good candidates for male breast reduction surgery.
In some instances, surgery may be discouraged for overweight men who have not first tried an exercise and diet regimen.
How is it corrected?
Enlarged male breasts can be reduced by liposuction and/or by cutting out excess glandular tissue. Surgery roughly takes an average of two hours. Skin rarely needs to be removed.
The scars are well hidden in the nipple and are not seen.
Will surgery cure the disease?
Results of surgery are permanent, although subsequent obesity rarely can create a gynaecomastia-like effect.
What are advantages of surgery?
Benefits of surgery include a firmer, flatter, more contoured chest which may give the male patient a boost in self-confidence. There is little downtime, and you may return to work within one week usually, unless you are involved in strenuous activities.
How painful is recovery period?
There will be some post-operative bruising, swelling, and burning sensation. To assist with the healing process, the patient will wear an elastic pressure garment for 3-6 weeks and must avoid exposing scarred areas to the sun for at least 6 months.
Are there any complications?
Infrequent complications may include infection, skin damage, fluid accumulation, bleeding, and scarring or pigment changes. Post-operative asymmetry, while rare, is possible; a second procedure may be needed to remove additional tissue. Other considerations include temporary numbness or lack of sensation that could last up to a year.