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Gynaecomastia (i.e. a female type breast present on a man) is the most
common form of breast problem in men. It is generally considered to be
of one of three types:
- Just made up of fatty tissue
- Just made up of breast gland tissue
- Made up of a combination of both fatty
and glandular tissue
It is important to distinguish between these
three forms at consultation, as the cause of treatment of each is
different.
The most common form of Gynaecomastia is a
simple accumulation of fatty tissue, often related to overall obesity.
In a few cases:
- There is significant glandular tissue
present
- Or there is significant skin excess over
the chest
How is Gynaecomastia performed?
- The operation is performed under general
anaesthetic
- It takes about sixty to ninety minutes
- Patients stay in hospital for one night
- If your work is not physical, expect to
return to work after one to two weeks
- Expect to be back to normal physical
exercise within six to eight weeks
As with most surgical procedures, there are
many options, depending upon the patient’s wishes, technical
considerations and surgeon preferences.

At consultation, Mr Rezai will advise upon
the best option for you. However, in the great majority of patients
there is little or no excess redundant skin over the breast, all that
is required, is liposuction.
On the other hand, with glandular Gynaecomastia, it is possible to
remove the gland through an incision placed around the lower half of
the areola. However, in certain circumstances incision as used for
breast uplift in women will have to be used, involving incisions placed
away from the areola.
Following the operation
As with all surgery, you must expect to
feel bruised and sore. Your chest is likely to be swollen. You will
have to wear a support dressing for one week. Most patients are able to
fully resume normal activity within four weeks.
Any sutures are removed after ten to
fourteen days. As with all scars, the scars will fade over a period of
time. In many women, they heal to form very faint white lines. However,
it is important to remember that no surgical scar ever totally
disappears.
Risks & Complications
Cosmetic surgery is amongst the very safest
of medical procedures. However, all patients must understand and accept
that no surgical procedure is absolutely free from risk.
At Consultation, Mr Rezai will discuss these
risks with you. In addition, they are all fully outlined in the
“Patient Guide” for Gynaecomastia.
How long will the results of your
Gynaecomastia last?
Unless the operation is performed at a young
age, it is very unlikely that your breasts will regrow. Excessive
weight gain will alter the breast shape as in any other men. Further
with age your breasts are likely to sag as normal.


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