Gynaecomastia (enlarged male breasts), is a very common condition in men. It can result in embarrassment, cruel teasing, and social trauma. Men so affected will try to hide it with thick shirts, avoiding bare chested activities, and withdrawing from public exposure. This breast tissue can't be reduced by exercise as it is not excess fat or flab.

Though this condition is rarely talked about, it's actually quite common. Gynaecomastia affects an estimated 40 to 60 percent of men. It may affect only one breast or both. It usually consists of two types of tissue: excess glandular tissue and fatty tissue in the breast. Though certain drugs and medical problems have been linked with male breast overdevelopment, there is no known cause in the vast majority of cases. A build up of tissue usually commences at puberty and the female sex hormone oestrogen is favoured. For men who feel self-conscious about their appearance, surgery to remove breast tissue can help. The procedure removes fat or glandular tissue from the breasts, and in extreme cases removes excess skin, resulting in a chest that is flatter, firmer, and better contoured.

The procedure

If excess glandular tissue is the primary cause of the breast enlargement, it will need to be excised. The incision is usually made around the areola and the excision may be performed either alone or in conjunction with liposuction. In a typical procedure, an incision is made in an inconspicuous location - either on the edge of the areola or in the under arm area. Working through the incision, the surgeon cuts away the excess glandular tissue, fat and skin from around the areola and from the sides and bottom of the breast. If the gynaecomastia is due to an excess of fatty tissue, this may be removed by liposuction. An incision for liposuction is made at the edge of the areola or higher up in the armpit. A cannula is then inserted into the incision and moved through the different layers beneath the skin to break up the fat and suction it out.

Recovery

Pain and discomfort vary depending on the individual but you can expect moderate to severe pain for the first few days after which the symptoms will improve. Most patients cope well with the assistance of pain medication. We would anticipate the patient being able to resume normal work activities after one week provided their occupation does not involve heavy lifting or strenuous exercise. Swelling and bruising may take a couple of weeks to resolve and the final cosmetic result will be enjoyed at about week six.