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Gynaecomastia FAQ’s

Gynaecomastia FAQ’s

Am I a good candidate for gynaecomastia surgery?

If you feel self-conscious about the appearance of the gynaecomastia
If you experience discomfort, some gynaecomastia can be tender and painful
If you are physically and mentally fit and have realistic expectations
Not overly overweight
Ceased marijuana or anabolic steroid use

What are the risks of male breast reduction surgery?

All plastic surgery carries some risk and should only be performed by a specialist plastic surgeon, preferably with lengthy experience, to minimise complications. In general for male breast reduction, risks may include visible scars, irregular chest contour, persistent tissue, contour asymmetry, infection and bleeding.

Could gynaecomastia (male breasts) be breast cancer?

Male breast cancer is rare, but it does occur, usually in men in their 60s and 70s. It is often present on one side only, starting as a firm and painless lump. If you find a lump in your breast, you should seek medical attention immediately.

What scarring will there be after male breast reduction?

Dr Turner will ensure that scarring from your breast reduction is minimal. Incisions are positioned to be least noticeable, if not hidden, along the lower border of the areola, where the pink and white skin comes together. Within six to 12 months after surgery, most scars have usually faded to be indistinguishable from the surrounding skin.

Is there much pain in having a breast reduction?

Most patients report discomfort after male breast reduction surgery, but not significant pain. As a precaution, long-acting local anaesthetic is injected during the procedure to minimise sensation during the first 24 hours after surgery. Pain relief medication is supplied for the early recovery period if required.

What happens during recovery after male breast reduction surgery?

All stitches are dissolving. Dressing is put over wound to assist with healing. Compression vest worn for 6 weeks. You will usually need 1 week off work and can ease back into exercise after 4 to 6 weeks.

Do I need any special tests?

For most men with gynaecomastia there is no underlying abnormal condition that causes it to occur. After your examination with Dr Turner you may be required to get a blood test or ultrasound.

Will the entire gland be removed during the Surgery?

Male breast reduction surgery for gynecomastia is a cosmetic procedure, and in most cases only enough gland is removed to create a flat, contoured chest.

Is there any non-surgical treatment for Gynecomastia?

Although you can read about easy, non-surgical cures in the news and advertisements, and there is considerable ongoing research aimed at finding a way to reverse it without surgery, no effective medical treatment exists at this time.

Can Liposuction be used alone for Male Breast Reduction?

Male breast reduction surgery may be performed with liposuction, but in most cases it is not an adequate technique when used alone. Removing the fat around the gland only can create an unnatural bulb, causing a “re-do” surgery in the future.

Will the nipple sensation be lost after Breast Reduction Surgery?

With any breast surgery, it is always possible to have a change in nipple sensation, and some patients report changes in sensation, while others do not experience any change at all.

How long is the recovery time?

Everyone’s recovery time is different, but most people resume daily activities 2-3 days after the procedure, and typically return to work around 1 to 2 weeks later. You can expect to be exercising again in 3-4 weeks. To optimize the healing process, you will be required to wear a surgical vest for up to two weeks following the procedure. Any stitches applied to incisions will dissolve naturally.

How long does the surgery take?

Most male breast reduction surgery is completed in as little as an hour depending on the nature of your procedure.

How long do the effects of male breast reduction last?

The effects are long lasting however if you gain weight following the procedure, fat cells can return to the chest area.

How do I know if I have gynaecomastia or just excess fat (pseudo-gynaecomastia)?

Examination of the consistency of your chest tissue by your surgeon, along with a series of blood and other diagnostic tests will determine whether your problem is due to gynaecomastia (glandular tissue) or just fat. Your surgeon will then advise you on the most appropriate course of treatment for your particular condition.

Could drugs or medications cause gynecomastia?

There are some men who are on medications known to cause gynecomastia, whether by prescription or illicitly. It is advisable to curtail all illicit substances for many reasons, beyond just the gynecomastia. If you are on prescription medicines that might be related to causing gynecomastia, discuss with your prescribing doctor whether there are alternative drugs for you to take.

Is Gynecomastia common?

Don’t worry you’re not alone. Approximately one third of the men suffer with gynaecomastia. As many as 65% of 14 year old boys have this percent of these boys will have complete “recovery” within 18 to 36 months without any treatment and is usually caused by changes in hormones at puberty or as part of aging.

Sometimes, gynecomastia may be caused by prescription drugs (cardiac, high blood pressure meds, etc.), over-the-counter medicines (allergy, asthma meds, etc.), illegal drugs, tumours or disease (as liver problems).


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