Male breast enlargement is caused by a medical condition called gynaecomastia, as a result of an abnormal increase in glandular tissue. The condition is quite common in adolescents, and if it does not naturally resolve by late adolescence then breast reduction surgery maybe chosen. The operation is not recommended for those wanting to lose weight, as it may be a problem that can be corrected with an alteration in diet or exercise.

What does the operation involve?

Male breast reduction surgery is carried out under general and can take between 1 to 3 hours. Typically, an incision is made under the areola and unwanted tissue is cut away. Sometimes, a small incision is made near the armpit and specially designed liposuction equipment is used to suck out excess fat through a fine tube. Once the operation is complete the incisions are closed with stitches.

What to expect post surgery?

Specialist post–op care:
> The pressure garment is to be worn day and night for 2 weeks.
> TED stockings to be worn for 2 weeks.
> Micropore tape to the scars - once well healed – for at least 3 months.
> Moisturise the scar after first 3 months.

Please click here for more general post-operation care.

What are the risks?

Common side effects:
> Breasts will be sore and swollen for a few weeks or months.
> Scars will be red and raised at first but should fade with time.

Uncommon but potential complications:
As with any operation problems may arise with an unexpected reaction to the anaesthetic, excessive bleeding, blood clots or infection. Complications can occur during or after the procedure.

Risks specifically related to breast reduction include:
1. Haematoma : if bleeding occurs inside the breast this will cause swelling and pain and may require further surgery.
2. Rarely part or the entire nipple is lost resulting from a change in blood supply.
3. Breasts differ in shape, size or nipple position.

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