Gynecomastia Surgery – Male Breast Reduction Perth.

Gynecomastia is a prominence of glandular or breast tissue in men. Pseudogynecomastia is the presence of fat in the chest area. Male breasts may consist of any combination of excess fat, skin, or glandular tissue. With gynecomastia and pseudogynecomastia, the chest will appear overly abundant ranging from puffiness behind the nipple to total loss of muscle definition. One or both breasts will contain fat, glandular tissue or excess skin that make the breasts protrude from or sag away from the chest wall. In milder cases, it may be isolated behind the areola, or the nipples may swell. In severe cases, the male chest can look very much like woman’s breasts. Men frequently feel self- conscious about Gynecomastia and Pseudogynecomastia.

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Surgery is the most common and predictable way of managing gynecomastia and pseudogynecomastia. The surgery involves a combination of liposuction to remove excess fat, and a curvilinear incision along the nipple-areolar complex to remove the glandular tissue. Following recovery, the scars become almost invisible.

Frequently Asked Questions

Find below some of the most frequently asked questions we hear about Gynecomastia Surgery – Male Breast Reduction Procedures, from our customers in Perth.

What is Gynecomastia?

Gynecomastia is a prominence of glandular or breast tissue in men. Pseudogynecomastia is the presence of fat in the chest area. Male breasts may consist of any combination of excess fat, skin, or glandular tissue. With gynecomastia and pseudogynecomastia, the chest will appear overly abundant ranging from puffiness behind the nipple to total loss of muscle definition. One or both breasts will contain fat, glandular tissue or excess skin that make the breasts protrude from or sag away from the chest wall. In milder cases, it may be isolated behind the areola, or the nipples may swell. In severe cases, the male chest can look very much like a woman’s breasts. Men frequently feel self-conscious about Gynecomastia and Pseudogynecomastia.

What is the ideal male chest?

The ideal male chest is typically flat and firm with very little projection from the nipple. Ideally, the pectoralis major muscle, lateral, and inferior border can be seen.

How is Gynecomastia treated?

Surgery is the most common and predictable way of managing gynecomastia and pseudogynecomastia. The surgery involves a combination of liposuction to remove excess fat, and a curvilinear incision along the nipple-areolar complex to remove the glandular tissue. Following recovery, the scars become almost invisible.

What are causes of Gynecomastia?

Many causes of enlarged breasts in men are unknown- this is called idiopathic gynecomastia. It may also be caused by imbalances of testosterone and estrogen marked by an increase in estrogen production and/or a decrease in androgen production. In the majority of cases, the cause is genetic with enlarged breasts being familial and from puberty.

Causes of gynecomastia include:

  • Tumors
  • Steroids (and testosterone therapy)
  • Marijuana
  • Excessive alcohol consumption
  • Kidney Disease
  • Thyroid Disease
  • Prescription Drugs
  • Liver Disease
  • Certain Herbs
What is involved with the procedure?

Following anaesthesia, the chest area is infiltrated (injected) with a special solution called tumescence anaesthesia, which facilitates the removal of fat while minimising bruising and discomfort post-operatively. Liposuction is performed through two tiny access sites, each approximately 5 millimetres in length. These tiny access incisions are placed on the border of the areola to help camouflage the scar and the anterior or lateral chest wall. With two access points for liposuction, a more uniform result can be achieved. After liposuction of the fat, the incisions are closed with a single stitch. An incision is then made along the border of the areola from approximately three o’clock to nine o’clock to perform gland excision under direct vision. Glandular or breast tissue is then carefully removed.

Following the surgery, patients can return to a desk job within 48 hours. Strenuous exercise should be avoided for three to six weeks post-surgery to allow the tissues to tighten. The vests worn post-operatively can be worn under normal clothes and can be removed for showering.

Can male breasts be reduced without surgery?

Male breasts can be reduced without surgery through healthy dieting and exercise. This can help with burning fat tissue in the chest area and balancing hormones.

Is male breast reduction surgery painful?

It is common for the treated area to feel sore for the first few days; however, the pain is often minimal. You should see a full recovery within 4-6 weeks and a reduction in pain after the first week. Your doctor or surgeon may offer you some prescribed pain medication or some over-the-counter medication. Additionally, you may be offered a compression garment to wear.

How long does it take to recover from male breast reduction?

Typically, the full recovery time of gynecomastia surgery is 4-6 weeks. This duration can fluctuate depending on the extent of your surgery. The amount of excess tissue that needs to be removed is one of the multiple factors that go into the length of time it takes to return to your usual day to day activities.

Is male breast reduction permanent?

After you have recovered from your surgery, your results will be permanent as long as you maintain a healthy weight. It is important to maintain a healthy weight for your overall health and to ensure that your gynecomastia does not return due to being overweight.

What do I need to do after my gynecomastia surgery?

Once your male breast reduction surgery is completed and you are back home, you may experience some bruising or swelling around the operated area. You may also notice some numbness. You may be given pain relief and possibly an elastic, surgical bra to support your breast area.

Will I need anaesthesia for male breast reduction surgery?

When undergoing gynecomastia surgery, you will always have some form of anaesthetic. Depending on the extent of your surgery, you may need either local or general anaesthetic. During your consultation, your surgeon will speak with you about which option may be best for you.

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