Gynaecomastia / Male Breast


The male breast reduction procedure

The operation is performed under a general anaesthetic and usually takes about an hour.

Your gynaecomastia surgeon will make a cut around the nipple and sometimes a vertical cut underneath. They will remove some of the breast tissue and skin. Sometimes liposuction is performed to remove excess fat.

If your breasts are big, your surgeon may also need to make a cut in the crease under the breast (inframammary fold). This will leave an anchor-shaped scar.

If your breasts are large or droopy, your surgeon may need to completely detach your nipple and areola before replacing them at a higher position.

Your surgeon will usually place small tubes (drains) in the cuts to help the wounds to heal. They will usually close the cuts with dissolvable stitches, leaving the drains in place.

Finally, your breasts will be wrapped in supporting bandages.

For more information, and if you have any queries about the procedure, speak to your consultant. Continue your normal medication unless you are told otherwise.

These lifestyle changes can help make the operation a success:

Giving up smoking

Eating healthily. If overweight, you have a greater chance of developing complications

Exercising regularly. Your GP can recommend exercises

Possible complications

Bleeding after surgery

Some pain is common with most operation, but you will be prescribed painkillers for a few days following your operation

Minor infection in a surgical wound, although very rare, might happen, so, antibiotics will be given to minimize the risks. Any serious infection usually needs treating with antibiotics or further surgery.

Unsightly scarring of the skin, but this will fade over time

Developing a lump or swelling inside a breast, which is common, and is caused by blood or fluid collecting. You may need further surgery to remove the blood or fluid

Numbness or persistent pain on the outer part of your breast. This is caused by injury to the small nerves that supply the skin. Any pain or numbness usually settles after a few weeks. However, this can sometimes continue for many months.

This is not a definitive list and symptoms will vary with each patient. Please ask your consultant for more information.

Recovery

After the male breast reduction operation your breasts will look discoloured and feel firm and swollen. You should be able to go home the same or following day. However, your doctor may recommend that you stay longer. Remember, you will not be able to drive home after your operation.

The bandages can be removed after a few days and you should be able to return to work after the first week. For the first three weeks after the operation, don't lift anything heavy or do heavy manual work. Most men resume normal activities within two to three weeks. Speak to your surgeon if you have any queries.

Final result usually needs 6 months to be noticed, but you will be able to see some improvement after the first month.