This is reduction of the prominence of the male chest. The media refer to this as 'manboobs' or 'male breast reduction'. Gynaecomastia is common and is thought to be present in more than 30% of men, with much higher rates in men over the age of 70 years (e.g. up to 55% at autopsy). In comparison, breast cancer is only detected in 1% of cases of male breast enlargement. 65-90% of male neonates have gynaecomastia due to the transfer of maternal oestrogen and progesterone.
Gynaecomastia can be either physiological (a normal part of aging or adolescence) or pathological (caused by certain types of medications or hormonal conditions)
When we meet, I will begin by taking a detailed medical history including previous surgery, medical problems, medications you take and any allergies you may suffer from.
I will then go on to assess the amount of excess tissue you have both in terms of skin and other tissue. Gynaecomastia can be thicker firmer tissue (breast tissue) or can otherwise be an abnormal distribution of fat (pseudogynaecomastia). If it is the case that you have the latter, then this can be treated using liposuction alone, however if you have any firmer tissue this cannot be removed in that way and needs to be cut out. If removed in this manner it will leave a scar around the areola and the material can be sent for pathological assessment (histology). The hospital will make an extra charge for this, but I will discuss with you the pros and cons of this test.
The procedure is performed under General Anaesthetic and usually takes 1½ hours. The wounds are closed with dissolving sutures and wound glue; Usually performed as a daycase but overnight stay occasionally for some. The wearing of compression garments post-operatively is highly recommended, this can be a Lycra sports vest or a bespoke garment.
Possible complications from this operation include wound breakdown requiring dressings, infection, asymmetry, haematoma (blood collection under the skin) or seroma (blister fluid collection under the skin). Under or overcorrection of your problem can result in persistent slight prominence or a mild dip or hollowing behind the nipple. Smoking increases the risks of most complications and should be avoided. More general complications include blood clots in the legs and this risk is reduced by the use of compression stockings, calf-compression devices and an injection of blood thinner.