Male Breast Reduction / Gynaecomastia

The first step to plan for gynaecomastia surgery is to make a consultation. At this consultation, we will discuss your expectations to find out what you would like to achieve. It is important to have realistic expectations.

I will examine your chest and discuss the various options and techniques available to you.  We will discuss and decide whether liposuction or tissue removal will produce the best results.

The procedure for gynaecomastia surgery varies from patient to patient. Some patients are treated using liposuction, especially since techniques have become less invasive. Liposuction is performed through small incisions made either around the nipple or in the armpit area. Excess fat and/or glandular tissue is removed to contour the chest to suit your body.

In some cases tissue and excess skin are removed during the gynaecomastia surgery. This is especially the case if there is stretched or sagging skin in the breast area. The excision technique makes it possible to remove more tissue than is possible with liposuction alone. Incisions are made around the nipple or along a natural crease so that scaring is less conspicuous.

During the consultation, we will discuss the best options to achieve your desired results.

When preparing for gynaecomastia surgery, you may be asked to stop smoking for 2 – 4 weeks prior to the procedure. Nicotine retards the healing process, and quitting for as long as possible before surgery helps improve blood flow.

You might also have to have a blood test before surgery is performed.

During the consultation be sure to disclose what medication, vitamins, and supplements you are taking. I may need to adjust this leading up to surgery. You should avoid certain medications like aspirin and some anti-inflammatory drugs. You may also need to stop taking some vitamins and supplements. Avoid any recreational drugs.

Be sure to arrange for transport to and from the clinic. You will not be able to drive yourself after the procedure.

After gynaecomastia surgery you may need drains to help to prevent haematomas and seromas (blood and tissue fluid collections). Expect to wear a compression garment for a few weeks while you recover (not needed). This will reduce swelling and discomfort and help you heal faster. Do not do any vigorous exercise or activity for about 3 weeks.

There may be some numbness or loss of sensation. This is usually temporary but, depending on the technique needed, there may be some permanent loss of nipple sensation.

You should be able to return to work within a week after gynaecomastia surgery. Normal activities can resume within a month provided you ease back into your regular routine.

The risks of gynaecomastia surgery are relatively minimal. But, as with any surgery, there is a low risk of post-operative infection, bleeding and swelling.

Other low-risk complications include blood clots, blood or fluid collecting in the breasts, cardiac and pulmonary complications and deep vein thrombosis. Excessive scarring, asymmetry, skin discoloration and poor healing of incisions are also risks. Persistent pain or numbness is another risk, which is usually temporary.

Risks and precautions will be discussed during a consultation.