Gynecomastia (Male Breast)
Plastic surgery to correct gynecomastia is technically called reduction mammaplasty, and reduces breast size, flattening and enhancing the chest contours.
In cases where gynecomastia is primarily the result of excess fatty tissue, liposuction techniques alone may be used. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced.
Excision techniques are recommended where glandular breast tissue or excess skin must be removed to correct gynecomastia. Excision is also necessary if the areola were to be reduced, or the nipple repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference. Sometimes gynecomastia is treated with both liposuction and excision.
Any surgical treatment to correct gynecomastia will require incisions. While most incision lines are concealed within natural contours, some may be visible and are a necessary result of breast reduction surgery. All scars however, fade over the passage of time.
The operation is done under local anaesthetic with sedation or conscious sedation/general anaesthetic depending on the extent of the surgery and patient preference. Overnight stay is sometimes required and usually a drain is left which will need to be removed a day or two later.
Compression dressings are required after liposuction for 4 weeks. Most patients can return to work within 10 days but strenuous physical exercise is not advised for 6 weeks after the operation.