Gynaecomastia (sometimes referred to as “man boobs”) is a common condition that causes men’s breasts to swell and become larger than normal. Signs vary from a small amount of extra tissue around the nipples to more prominent breasts.

The condition can affect one or both breasts and is predominantly caused by hormone imbalance or obesity.


How is the surgery performed

In preparation for the surgery, you may be asked to make a few lifestyle changes. These may include giving up smoking, eating healthier and exercising.

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 (infra-mammary 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.


What to expect after a Gynaecomastia

After the operation your breasts will look discoloured and feel firm and swollen. You should be able to go home within a 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.

You can expect to see noticeable results after 6 months, however signs of improvement are visible after the first month.

Some possible complications may include bleeding after surgery, minor infection in the surgical wound, scarring of the skin, lumps or swelling inside the breast, numbness or persistent pain on the outer part of your breast. Any pain or numbness usually settles after a few weeks. You will be given thorough advice before and after the surgery to minimise any possible complications.


Bringing back confidence


Still have any questions about this procedure? Ask Dr. Joffily directly.