Who is a Suitable Candidate?
Gynaecomastia surgery may be suitable for men who have been medically diagnosed with gynaecomastia and are seeking to address concerns related to their condition. During the consultation, Dr Bish will review your medical history and assess your specific circumstances to determine the possible causes of the condition and create a personalized treatment plan.
The procedure may not be suitable for everyone. If excess breast tissue is linked to being overweight, achieving a weight closer to your goal may be recommended before surgery, as weight fluctuations after the procedure can affect the results. Additionally, quitting smoking at least six weeks before surgery is advised, as smoking can interfere with the healing process.
Common Reasons for Gynaecomastia Surgery
Gynaecomastia, or the overdevelopment of breast tissue in men, can occur for a variety of reasons. It may result from hormonal imbalances, genetic conditions, obesity, or systemic health issues such as liver or kidney disorders. Certain medications, including some steroids, antidepressants, and heart medications, can also interfere with hormone balance and contribute to the condition.
While gynaecomastia is often a natural occurrence, it may not always respond to non-surgical interventions. Surgery can be considered to reduce the overgrowth of glandular tissue. The surgical approach is personalized to the individual, taking into account the size and shape of the chest and the patient’s goals for the procedure.
It is important to note that surgical results vary based on individual factors and the specifics of the surgical plan. A consultation with your surgeon will allow for a detailed discussion of your expected outcomes and the most appropriate approach for your needs
The Procedure: Gynaecomastia Surgery
Gynaecomastia surgery, or male breast reduction, is performed under general anesthesia by an accredited anesthetist in a licensed and accredited surgical facility. The procedure typically takes around two hours to complete, with the specific surgical approach tailored to the patient’s individual condition.
Techniques Used in Gynaecomastia Surgery
The procedure may involve one or a combination of the following techniques:
- Surgical Excision: This method involves making a small incision under the nipple to remove excess glandular tissue. Surgical excision is often recommended for patients with significant glandular tissue or excess skin.
Liposuction: For procedures requiring fat removal, small incisions (approximately three to five millimeters) are made to insert a cannula. The fat is then suctioned from the targeted areas.
After the procedure, your incisions will be closed, and the area will be wrapped to hold the skin in place during the initial healing phase. In some cases, temporary drains may be placed to remove excess fluid, which are typically removed the following day.
You will be fitted with a post-operative compression garment to support the chest and reduce swelling. Most patients stay in the hospital overnight for monitoring before being discharged with personalized aftercare instructions.
Complications and Risks of Gynaecomastia Surgery
As with any surgical procedure, gynaecomastia surgery carries potential risks and complications. These may include:
- Bleeding or hematoma formation
- Infection at the surgical site
- Changes in skin sensation, such as numbness or tingling, which may be temporary or permanent
- Poor scarring or uneven contouring of the chest
- Fluid accumulation (seroma) that may require drainage
- Reactions to anesthesia
- The need for revision surgery to address aesthetic or functional concerns
Dr Bish Soliman will discuss these risks with you during your consultation. Following pre- and post-operative instructions, such as avoiding smoking and attending follow-up appointments, is important to support a smooth recovery.