notts / london
What is gynaecomastia?
Gynaecomastia is the medical term for when a man or teenage boy has enlarged breast tissue (also known as 'man boobs').
What causes gynaecomastia?
Gynaecomastia can be cause by a variety of factors - these can be established at your consultation with Doctor Maini or with your GP. In general though, factors can include a hormonal imbalance, medications, obesity or in some rare cases it can be caused by a disorder.
What can be done to improve the look of my chest?
There are two options at Zenith Cosmetic Clinics - Male Breast Reduction surgery (performed under general anaesthetic) and BodyTite (performed under local anaesthetic).
Male breast reduction surgery
This can take about an hour to complete.
To start with, the surgeon cuts around your nipple and may make a vertical incision underneath, towards the crease under your breast. They will remove some of the skin and some of the breast tissue. In addition, liposuction can sometimes be used to help remove any extra fatty tissue. If you have larger breasts, your surgeon may also decide to make a small cut in the crease-line or fold underneath your breast. This will then give you anchor-shaped scar.
If your chest is particularly large or droopy in shape, your surgeon may choose to remove your nipple and areola completely. He will then re-stitch them back in place but at a higher position to give a more natural shape and position.
Usually during breast surgery, your surgeon places small drain tubes into the cuts. This then helps allows any excess fluid to drain away, helping the wounds to heal cleanly. Your cuts will closed with dissolvable sutures or stitches, leaving the drain tubes in place. To complete the procedure, your breast area will be bandaged to support the tissues.
This is described on this page here in detail.
It is similar to liposuction, but is a much more gentle option. It’s used to remodel the chest by removing unwanted fat cells, re-contouring the area and smoothing out the skin.
Who are the procedures suitable for?
The first step for anyone considering surgery or BodyTite is to see Doctor Maini or your GP to determine the cause of your gynaecomastia. Doctor Maini can tell you at your consultation whether surgery or BodyTite will be the best option for you.
What are the side effects or risks?
For breast reduction surgery, as well as the standard risks associated with having a general anaesthetic, (you will be informed of these at your consultation), you may also experience:
- Pain (which can be helped with over-the-counter medicines)
- Minor bleeding
- Developing a lump or swelling inside the breast, which is common, and is caused by blood or fluid collecting.
- Numbness or pain; this can be caused by small nerves injured during surgery. Any pain or numbness will normally settle after a few weeks. In rarer situations it can remain for some months.
BodyTite risks and side effects are:
- Uneven skin for approximately two to three weeks following treatment
- Minor redness and/or sensitivity in the treatment area
- Soreness and tenderness immediately post-procedure
What results can I typically expect?
Breast reduction surgery
Your final result cannot usually be seen until six months after the operation, but you will be able to see some improvement even after the first month. You will increase your chances of getting good results if you keep at a healthy weight and stop smoking.
The skin can be seen to tighten immediately during the procedure. We are confident that the vast majority of patients will get 90% of the result that they want by the end of the procedure.
It is usual for the skin to become slightly uneven at week three. The skin then takes 3-9 months to become smooth again, but will usually still look much better than before. Follow up continues for up to 12 months as it can take that long for the final results to become visible.
Before your procedure
With both options, it is important that you stop smoking at least four weeks before your surgery and for four weeks afterwards. Breast reduction surgery carries a much more in-depth treatment plan simply due to the risks associated with invasive surgery. BodyTite is not as invasive, so Doctor Maini should only need to see you once before your procedure, at your consultation.
After male breast reduction surgery, your chest will look swollen and discoloured, and will feel much firmer to the touch. You will be able to go home the same day once you have been discharged. Please remember, you will not be able to drive home after your operation.
You will need to wear a garment for six weeks after your operation (morning and night), and will have regular post-surgical appointments with the clinic to make sure you are healing correctly.
Your bandages will be removed after a few days at the clinic and you should be able to return to work after about a week or so. For the first three weeks after the operation, we advise you not to lift anything heavy, or do any heavy or manual work. The majority of men resume normal working and physical activities within two to three weeks of their operation.
Following BodyTite, you will need to wear a pressure garment and should be able to return to work within 2-3 days.
Frequently Asked Questions
I have a lump on my chest - is this gynaecomastia?
Always see your GP if your chest area is painful or there is an obvious lump. Sometimes, the lump may need to be removed. Gynaecomastia is not related to breast cancer, but if you're worried about breast swelling, see a GP.
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