Gynaecomastia is more than just a medical term—it’s a reality for many, characterised by the unexpected growth of breast tissue in males, resulting in breasts that appear larger. This condition can strike at any age, from the teenage years to later stages in life, bringing with it a mix of physical discomfort and emotional turmoil.
At its core, gynaecomastia is a physical manifestation of an imbalance between the hormones oestrogen and testosterone in the male body. While it’s natural for men to produce both, an excess of oestrogen can stimulate the growth of breast tissue, leading to gynaecomastia. This hormonal imbalance can be triggered by a variety of factors, including puberty, when hormones are in flux; ageing, as testosterone levels naturally decline; the use of certain medications that affect hormone levels; and underlying health conditions that disturb the body’s hormonal equilibrium, such as obesity or liver disorders.
The experience of living with gynaecomastia varies widely among those affected. For some, it’s a temporary phase that resolves on its own, especially when linked to puberty. For others, the condition persists, creating a lasting impact on their physical appearance and emotional well-being. The breasts may feel tender or painful, adding a physical layer of discomfort to the psychological strain.
Treatment options for gynaecomastia vary depending on its cause and severity. In some cases, addressing the underlying issue, such as changing medications or managing obesity, can help reduce the breast enlargement. For many, however, the condition remains despite these measures, leading to consideration of surgical options to remove the excess breast tissue and restore a more typical male chest contour.
1 to 2 hours
General
Day case typically
4 to 6 weeks
Your chest may feel swollen and bruised at first but after 6 months your final results will be visible.
Male Breast Reduction also known as Gynecomastia surgery, is a procedure aimed at reducing excess breast tissue in men. Gynecomastia can occur due to hormonal imbalances, genetics, obesity, or certain medications, leading to the development of enlarged or swollen breasts in males. Understanding who stands to benefit from this surgery is crucial in making an informed, confident decision about whether to pursue this path.
Who Needs Gynaecomastia Surgery?
Ideal candidates for Gynaecomastia surgery are those who experience significant physical discomfort or emotional distress due to their enlarged breasts. This distress can manifest in various ways, from physical pain and tenderness to a profound sense of self-consciousness. Men who find themselves avoiding social situations, changing their behaviour, or experiencing a negative impact on their relationships due to the condition may find surgery a viable option to regain control over their lives and self-image.
However, being a good candidate for surgery goes beyond the psychological and physical effects of gynaecomastia. It includes having realistic expectations about the outcomes of the procedure. Surgery can offer improvements in the appearance of the chest and alleviate the discomfort associated with excess breast tissue, but it’s not a magic cure-all. Being aware of the potential benefits and limitations of surgery can help achieve satisfactory results.
Health is another significant consideration. Candidates should be in good overall health, with no medical conditions that could complicate surgery or recovery. This includes having a stable weight, as significant weight fluctuations post-surgery can affect the results. Additionally, the breast development should have stabilised, making this option more suitable for those who have lived with the condition for some time, rather than individuals who are currently experiencing rapid changes due to puberty.
Benefits of the Gynaecomastia Procedure
Undergoing Gynaecomastia surgery can be an important step for those affected by enlarged breast tissue, offering benefits that extend far beyond the physical changes. Here are some of the benefits of the Gynaecomastia procedure:
- Improved Physical Appearance and Comfort: The most immediate and obvious benefit of Gynaecomastia surgery is the more masculine chest contour it creates. For many men, this change can improve how they feel in their own skin, making a wide array of clothing options feel more comfortable and flattering. Additionally, the physical discomfort or tenderness associated with excess breast tissue is resolved, allowing for a more comfortable daily experience.
- Increased Participation in Activities: Gynaecomastia can be a barrier to physical activities, not just because of discomfort but due to self-consciousness about one’s appearance. Post-surgery, many individuals find themselves more willing and eager to engage in activities they previously avoided, such as swimming, going to the gym, or participating in sports.
- Enhanced Emotional and Mental Health: The psychological impact of Gynaecomastia should not be underestimated. The surgical correction of Gynaecomastia can therefore have a profound positive impact on mental health, reducing anxiety and depression and improving self-esteem.
- Long-Lasting Results: Gynaecomastia surgery offers permanent removal of excess breast tissue. While maintaining a stable weight and healthy lifestyle is important to preserve the results, the changes made during the procedure are designed to last. This permanence provides a continual source of comfort and confidence for many who undergo the surgery.
- A Step towards Alignment with Gender Identity: For transgender men and non-binary individuals assigned female at birth, Gynaecomastia surgery (in this context, often referred to as top surgery) can be a critical component of gender affirmation. It allows them to align their physical appearance more closely with their gender identity, which is an invaluable step in their transition journey.
Types of Gynaecomastia Procedures
Liposuction
This technique is often used when gynaecomastia is primarily the result of excess fatty tissue. Liposuction involves making small incisions in or around the breast area through which a thin tube, called a cannula, is inserted. Anthony uses this cannula to loosen and then vacuum out excess fat from the chest, leading to a more contoured appearance. The benefits of liposuction include smaller incisions, minimal scarring, and typically a shorter recovery time. However, it’s less effective for removing glandular tissue, which is denser than fatty tissue.
Excision
If gynaecomastia is due to a significant amount of glandular tissue, excision might be necessary. This procedure requires larger incisions for Anthony to directly remove the glandular breast tissue, excess skin, and possibly to reposition the nipple and areola for a more natural male chest contour. Excision is more invasive than liposuction and may result in more noticeable scarring, but it’s effective for achieving significant reductions in breast size and is necessary when addressing glandular gynaecomastia.
Combination of Liposuction and Excision:
Many cases of gynaecomastia involve both excess fatty and glandular tissues. In such instances, Anthony may combine liposuction and excision techniques to achieve the best results. This approach allows for comprehensive removal of both types of tissue, offering a more contoured and masculine chest appearance. The combination procedure can address the complexity of gynaecomastia more effectively than either technique alone, making it a popular choice for many patients.
How is the Gynaecomastia Procedure Performed?
The process of getting gynaecomastia surgery begins with understanding how the procedure is performed. While the specifics can vary depending on the individual’s needs and the type of surgery chosen, here’s a general overview of what to expect during the gynaecomastia procedure:
Preparation
The first step involves a consultation with Anthony. This is when you’ll discuss your medical history, objectives for the surgery, and any concerns you might have. Anthony will evaluate your condition to determine the most effective surgical approach, whether that be liposuction, excision, or a combination of both. Pre-operative instructions may include guidelines on eating, drinking, and medication adjustments. In some cases, you might also undergo medical evaluations or lab tests to ensure you’re fit for surgery.
Anaesthesia
Gynaecomastia surgery is performed under general anaesthesia, meaning you’ll be asleep and pain-free throughout the procedure. In some less extensive cases, local anaesthesia with sedation may be used instead. The type of anaesthesia will be determined based on the extent of the surgery and your personal health profile.
The Procedure
The specifics of the surgery will depend on whether liposuction, excision, or a combination thereof is being performed:
- Liposuction: For those undergoing liposuction, Anthony makes small incisions in strategic areas of the chest. A cannula is then inserted through these incisions to loosen and suction out excess fatty tissue. The goal is to reduce the volume of the breast and enhance the chest contour.
- Excision: In cases where glandular tissue needs to be removed, or there is a significant amount of excess skin, excision techniques are employed. This involves larger incisions, through which Anthony can remove glandular tissue, excess skin, and if necessary, reposition or resize the nipples to achieve a natural-looking male chest contour.
- Combination: Many patients will require a combination of both liposuction and excision to achieve optimal results. This approach allows Anthony to address both fatty and glandular tissue, sculpting the chest more comprehensively.
Closing the Incisions
Once the desired amount of tissue has been removed or repositioned, Anthony will close the incisions with sutures. In some cases, drains may be placed to collect excess fluid and reduce swelling during the initial recovery phase. The placement and length of incisions will vary but are generally positioned to minimise visible scarring.
Recovery
After the surgery, you’ll be taken to a recovery area to be closely monitored as you wake up from anaesthesia. You’ll likely notice immediate changes in the shape of your chest, though swelling and bruising are to be expected. Recovery protocols, including wearing compression garments and taking prescribed medications, will be provided to facilitate healing and comfort.
When considering surgery for gynaecomastia, it’s important to understand that not all procedures are the same. The type of surgery recommended will depend on the extent of the breast enlargement and the composition of the breast tissue.
Recovery after Gynaecomastia Procedure
Recovery from gynaecomastia surgery is a phase where the body heals and adapts to the changes. While the recovery process can vary from person to person, it helps to know what to expect to help you prepare and navigate this period more comfortably. Here’s a look at the recovery journey post-gynaecomastia surgery:
- Immediate Post-Operative Period: Right after the surgery, you’ll likely feel groggy and sore as the anaesthesia wears off. It’s normal to experience some pain, swelling, and bruising around the chest area. You’ll be monitored in a recovery room until you’re awake and, depending on your procedure and health, you may be allowed to go home the same day with a caregiver or spend a night in the hospital for observation.
- Wearing a Compression Garment: You’ll be required to wear a compression garment for several weeks following the surgery. This garment helps reduce swelling, supports the new chest contour, and minimises the risk of fluid accumulation. It’s essential to wear it as directed by Anthony to ensure optimal healing.
- Managing Pain and Swelling: Pain and discomfort can be managed with medications prescribed by Anthony. It’s important to follow their instructions on medication use to manage pain effectively and avoid complications. Applying ice packs and keeping your upper body elevated can also help reduce swelling during the first few days.
- Activity Restrictions: During the initial recovery phase, you’ll need to avoid strenuous activities, heavy lifting, and exercise to prevent strain on the healing tissues. You can return to work and light activities within a week or two, but it’s crucial to listen to your body and not rush the recovery process. Anthony will provide specific guidelines on when you can resume various activities, including exercise.
How Much Is Male Breast Reduction Surgery in the UK?
The cost of Male Breast Reduction Surgery in the UK varies widely depending on the specific procedure, the complexity of the surgery, the surgeon’s experience and reputation, and the facility where the surgery is performed.
On average, the cost for Male Breast Reduction in the UK can range from £3,500 to £15,000, depending on the extent of the surgery required and whether Liposuction is involved. Keep in mind that prices can fluctuate based on individual circumstances and additional factors like anaesthesia fees, hospital stays, and post-operative care:
It’s important for patients to have a thorough consultation with Anthony to receive a detailed estimate that includes all aspects of the surgical and recovery process. Financing options and payment plans may also be available to help manage surgery costs.
FAQs
Find out more about your surgical journey
How do I know if I have gynaecomastia or just excess fat in my chest area?
Gynaecomastia is characterised by the development of glandular tissue, not just excess fat. A key indicator is the presence of firm, rubbery tissue concentrated around the nipples. Excess fat, on the other hand, is usually softer and more evenly distributed across the chest. A healthcare professional can provide a definitive diagnosis, often through physical examination and possibly imaging tests like ultrasounds or mammograms.
Can gynaecomastia go away on its own without surgery?
In some cases, particularly those related to puberty, gynaecomastia can resolve on its own without treatment as hormone levels stabilise. For adults, gynaecomastia linked to weight gain, medication side effects, or other reversible factors may improve with lifestyle changes, medication adjustments, or treatment of the underlying condition. Longstanding or severe gynaecomastia often requires surgical intervention for significant improvement.
What lifestyle changes can I make to improve gynaecomastia?
While lifestyle changes may not fully resolve gynaecomastia, especially if glandular tissue is involved, maintaining a healthy weight, eating a balanced diet, avoiding alcohol and recreational drugs, and regular exercise can help manage the condition. These changes can also improve overall health and may reduce the amount of fatty tissue in the chest area, potentially enhancing the effectiveness of any future treatments.
How long does it take to see the final results of gynaecomastia surgery?
Although initial improvements are noticeable immediately after surgery, the final results can take several months to emerge fully. Swelling and bruising gradually subside over the first few weeks, but it can take up to a year for the chest to settle into its new contour and for scars to mature and fade as much as possible.
Is gynaecomastia surgery covered by health insurance?
Coverage for gynaecomastia surgery varies by insurance policy and provider. In cases where gynaecomastia is proven to cause significant physical discomfort or health issues, some insurance companies may cover the procedure, or a portion of it, as a medically necessary surgery. If the surgery is considered cosmetic, it may not be covered. It’s essential to check with your insurance provider for specific policy details and to obtain a pre-authorisation if required.
What are the risks of gynaecomastia procedure?
Like any surgical procedure, gynaecomastia surgery comes with its share of risks and potential complications. Being informed about these risks is crucial for anyone considering the procedure, as it allows for a balanced understanding of the benefits and potential challenges. Here’s an overview of the common risks associated with gynaecomastia surgery:
- Infection: As with any surgery, there’s a risk of infection at the incision sites. Infections can usually be managed with antibiotics, but in some cases, they may require further medical intervention. Following Anthony’s post-operative care instructions closely can help minimise this risk.
- Bleeding: Some bleeding is expected during and after surgery, but excessive bleeding can lead to complications. Anthony take precautions to minimise bleeding during the procedure, and you’ll be given guidelines to reduce the risk of bleeding post-operatively, such as avoiding certain medications and activities.
- Anaesthetic Complications: General anaesthesia is safe for you, but it does carry risks, especially for individuals with underlying health conditions. Complications can include allergic reactions, blood pressure fluctuations, and, in rare cases, more serious heart or lung problems.
- Scarring: Incisions are necessary for both liposuction and excision procedures, which means scarring is inevitable. However, scars fade over time and are placed in less noticeable areas whenever possible. The extent and visibility of scarring vary from person to person and can also depend on the individual’s healing process.
- Changes in Skin Sensation: It’s common to experience changes in skin sensation around the treated areas, including numbness or increased sensitivity. These sensory changes are usually temporary, but in some cases, they can be long-lasting or permanent.
- Dissatisfaction with Results: Although most patients are satisfied with the outcome of their gynaecomastia surgery, there’s a possibility of dissatisfaction with the aesthetic results. Discussing expectations with Anthony beforehand can help align your goals with the likely outcomes of the procedure.
- Need for Revision Surgery: In some cases, additional surgery may be required to correct or improve the results of the initial procedure. This could be due to complications, unsatisfactory outcomes, or changes in the breast tissue over time.
Medical References about Gynaecomastia
- Gynecomastia: Etiology, Diagnosis, and Treatment – Endotext – NCBI
- Gynecomastia: Practice Essentials, Background, Etiology – Medscape
- Enlarged breasts in men (gynecomastia) – Mayo Clinic
- Approach to the Patient with Gynecomastia – Oxford Academic
- Gynecomastia: Surgery, treatment, causes, and symptoms – Medical News Today
Reviews
Patient satisfaction is the top priority for Anthony. You can find how patients feel about his work below.
Just had surgery a few days ago by Anthony MacQuillan for gynecomastia, what an amazing person unbelievable never been treated so well from day one, can’t speak highly enough of him and his staff at the spire, would recommend him to anyone wanting surgery. 👍
Why Choose Anthony MacQuillan for Your Male Surgery?
Choosing Anthony for male surgery offers numerous advantages, grounded in his expertise, patient-centred approach, and commitment to excellence:
-
- Specialised Expertise: Anthony possesses extensive experience and specialised training in male cosmetic and reconstructive surgery, ensuring that he is well-versed in the unique anatomical and aesthetic considerations specific to male patients.
-
- Tailored Approach: Understanding that each man has unique goals and concerns, Anthony provides personalised consultations and bespoke surgical plans designed to meet individual needs, ensuring results that are both natural and aligned with each patient’s aesthetic vision.
-
- High Standards of Care: Anthony is committed to the highest standards of patient care and safety. He uses state-of-the-art techniques and technology to achieve optimal outcomes while minimising risks and ensuring a comfortable recovery process.
-
- Empathetic and Confidential Service: Recognising the sensitive nature of cosmetic surgery for many men, Anthony and his team offer a supportive, confidential environment where patients can feel comfortable discussing their concerns and aspirations.
-
- Comprehensive Support: From the initial consultation through recovery and beyond, Anthony provides comprehensive care and support. Patients receive detailed pre-operative and post-operative instructions, and Anthony remains accessible to address any questions or concerns that may arise.
Choosing Anthony for male surgery means entrusting your care to a surgeon who not only has the technical skill and artistic vision to achieve exceptional results but also values the importance of a supportive, patient-focused approach.
Further Reading about Male Surgery with Consultant Plastic Surgeon Anthony MacQuillan
- Read more about Male Blepharoplasty
- Read more about Male Surgical Procedures
- Read more about Male Excess Skin Removal
- Read more about Male Facelift
