Gynaecomastia refers to the abnormal enlargement of breasts in the male and is estimated to affect 40-60% of men. This may be due to an increase in dense glandular tissue beneath the nipple and/or excess fat in the region. Hereditary predisposition, hormonal changes or the use of certain drugs can cause excess breast tissue to develop in males.
Men who have gynaecomastia are often embarrassed by the appearance of their chest and become self-conscious wearing T-shirts or when swimming.
The surgical corection of gynaecomastia depends on the predominant tissue causing the gynaecomastia and degree of skin excess.
If the gynaecomastia is due to dense glandular tissue, Mr Karri can remove this by performing a subcutaneous mastectomy. This procedure involves making a discreet incision in the lower half of the areola, through which the glandular tissue is removed.
If the gynaecomastia is due to a combination of glandular tissue and fat, Mr Karri can perform liposuction to address the excess fat, followed by subcutaneous mastectomy.
Gynaecomastia reduction is one of the most commonly requested procedures by men and Mr Karri can advise you on the most appropriate surgery necessary to achieve your objectives.
The final outcome of gynaecomastia surgery is permanent in the majority of cases. However, if a cause has been identified (e.g. steroids or significant weight gain) then every effort must be made to stop the cause or maintain weight prior to surgery.
After gynaecomastia reduction patients are required to wear a compression garment which helps minimise bruising and supports skin tightening. Swelling and bruising is normal and to be expected, but resolves over a number of days. The final result will not be apparent until a number of weeks have passed.
Prior to surgery, Mr Karri and his team will give you detailed aftercare instructions. This will include how to care for the surgical site and incisions, pain relief that may be used to handle discomfort and when you may resume normal activity.
Every surgical procedure involves a degree of risk and it is important you understand the risks associated with gynaecomastia reduction;
Scars / poor scarring – subcutaneous mastectomy and liposuction scars usually heal very well and are barely noticeable. In some patients, the scars can remain red and raised for a variable period of time.
Bleeding / haematoma
Seroma – refers to a pocket of fluid that forms within tissue after surgery. If a subcutaneous mastectomy has been performed, fluid may accumulate in the space that results after removal of the breast tissue. Seromas generally resolve on their own but may require drainage if they persist.
Over-correction / under-correction – there is a risk that removal of breast tissue is excessive resulting in the nipple becoming indented or appearing stuck to the underlying chest muscle.
Asymmetry – asymmetric swelling is the most common feature after gynaecomastia surgery and there are many contributing factors for this. Each side of the chest heals independently and there may be differences in breast tissue, chest muscle thickness, skin elasticity etc. This is all normal and will improve as healing progresses.