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Gynaecomastia excision (Male breast reduction)

This operation aims to remove excessive breast development in men and leaving the chest flat. Breast development is common in adolescent but frequently does not improve throughout life and becomes a source of major anxiety. Occasionally Gynaecomastia is caused by abnormal hormones or drugs which may need investigating and treating. As in woman the breast comprises a mixture of fat and breast glandular tissue.

Procedure in brief Treatment nearly always involves liposuction of the breast area. In approximately two thirds of patients breast tissue is also excised. This is usually done via a discrete cut within or around part or all of the nipple edge. The breast tissue is then excised and the incision closed. Occasionally the scar will extend beyond the nipple if the breast is very large or the skin very lax.

Gynaecomastia excision facts

Scars The position will depend on technique used. Most are around part or the whole edge of the nipple. Scars tend to be quite pink in the first 1-2 months and then fade to white after 6 months. Those with chest hair hide it well during healing.

Length of surgery and hospital stayThe operation takes 60-90 minutes depending upon technique and size of breast. Hospital stay is usually one night or a day case. Any dressings or drains are removed before leaving hospital and a support garment fitted which is used for 2-4 weeks.

Time off work and recoveryAllow 1-2 weeks. People vary in recovery. Most patients are very mobile after 1-2 days. You will be walking a distance at 3-4 days, swimming by 2-3 weeks and strenuous exercise (aerobics etc) by 6-8 weeks. Driving is usually possible in the second week.

Potential complications This routine operation is a great success for the vast majority of patients, most patients having no problems. However, it is very important you understand that occasionally operations can have complications such as bleeding, infection, wound problems, altered skin sensation or variable scar quality. With Gynaecomastia excision additional potential problems include fatty lumps, loss of nipple sensation, skin/nipple irregularity and fluid collection (seroma).

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