Procedures

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Gynaecomastia
What can the procedures achieve?

Some cases of gynaecomastia may improve with time. This is particularly true in teenage boys. If your gynaecomastia is due to being overweight, then we would strongly recommend a diet and exercise in the first instance. Many cases may improve with weight loss and in any case, surgery is best deferred until your target weight has been achieved.

The aims of surgery are to achieve a chest profile which is a close to a ‘normal' male chest as possible. It is normal for men to have a slight swelling under their nipple.

If the gynaecomastia is predominantly due to excess fat and the skin quality is good, then liposuction may be the best treatment. This has the advantage of minimal scaring. If, however, the problem is due to firm fibrous breast tissue, then it will not be amenable to liposuction and it will have to be excised (cut out). This will inevitably leave more scarring.

In some cases, there is a large excess of skin which is unlikely to resolve if the underlying breast tissue or fat is removed. Patients whose weight has fluctuated may also have stretch marks. Excess skin will be surgically reduced and this too will result in some scarring on the chest.

 

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