Male Breast Reduction
All men have some breast tissue. A few have an excessive amount and in some cases, male breast sizes are the equivalent of a woman’s C-cup. Occasionally this can be due to a hormone imbalance, however in most instances, there are no detectable abnormalities on blood tests or clinical examination.
Whether it’s due to an abnormality or not, this condition causes men a great deal of embarrassment. Many adults and younger boys forego swimming and sunbathing to avoid taking their shirts off. In a lot of cases no amount of exercise or diet will solve this problem. However, Gynaecomastia surgery removes excess tissue and can permanently restore a male chest to a more masculine appearance.
Dr Briggs will ask you about your general medical history and any previous surgeries. He will enquire about any long-term medication you might be taking, including vitamins and supplements. For example, some body builders take anabolic steroids, which can lead to male breasts. Before planning your procedure, we need to determine your current level of fitness and discuss your goals.
The Gynaecomastia surgical technique will be explained to you once Dr Briggs has examined your individual anatomy. He will describe what to expect post surgery including pain, swelling, scars and so on.
Male breast reductions are carried out under general anaesthesia and can be done as a day operation, or you can choose to have one night in a Perth hospital.
The procedure may be done in one of two ways:
- The surgeon may make a half moon incision around or below the areola, and cut away the unwanted breast tissue, this technique is usually used for patients with poor skin laxity, e.g. older men, larger breasts or patients following excess weight loss.
- Alternatively, he may choose to eliminate the excess tissue using specially designed Liposuction equipment. This technique allows him to break up and draw off excess breast tissue through a fine cannula under a high vacuum. Because this strategy requires only a small wound toward the armpit or under the nipple, there is virtually no scarring.
Sometimes the two techniques are combined. In all cases, surgery continues until the area is flat and normal in appearance.
Bleeding after male breast reductions is rare, however, as a precaution a drainage tube may be used, which is then removed the morning after your surgery.
As you recover, there are some things you should expect:
- Bruising and swelling are normal after Gynaecomastia surgery, and may last a week or more. Due to swelling, hardness or lumpiness within the tissues, this can persist for a month or longer.
- You will experience some discomfort; however, you will be given prescription pain medication to make you more comfortable. If you do not find your pain medication effective enough, please call the surgeon’s office. Do not take aspirin as it can promote bleeding.
- You can be confident that your breast tissue will never grow back, however, the swelling may take as much as six months to fully settle.
- Depending on your occupation and the method used by your surgeon you may return to work after one or two weeks. Lifting must be avoided for about 14 days.
- You will need to avoid swimming and sports, particularly contact sports, for at least a month. Less strenuous exercise, such as walking, is recommended.
- Infection after male breast surgery is uncommon. Should it occur, your surgeon will prescribe a course of antibiotics.
If you feel that you need to address your Gynaecomastia, please contact Dr Patrick Briggs. Our consultations are discrete.