Gynecomastia means enlargement of male breasts. It can affect one or both breasts. This condition may be due to medical related problems like liver disease and drug related or genetics.

The breast enlarges by increasing the glandular tissue or just by fatty deposits.

Surgery in breast reduction depends upon the nature of the enlargement.

• Glandular enlargement will need excision.
• Fatty tissue in excess will need liposuction.
• A combination of liposuction and excision is usually done to get optimum cosmetic results.

Some improvements of techniques in the treatment of breast hypertrophy have also allowed a better result in the surgery of gynecomastia. Although it would seem that a simple solution should be adequate for a simple, visible subcutaneous mass, the challenge of obtaining a smooth and flat result has been helped by the technique of liposuction with circumareolar excision. For body-builders who are relatively thin, presenting a very small amount of fat over the chest area, treatment has been found to be satisfactory by simply excising the actual hypertrophic gland without having to remove any fat; however, in older patients as well as the average adolescent or middle-aged man, gynecomastia is often a mixture of breast tissue and fat, and the combination of gland excision with liposuction is most useful.

Indications

Gynecomastia is found in adolescent and middle-aged men, thus indicating some hormonal factors. It is sometimes embarrassing to the patients.

Laboratory tests rarely will show any hormonal problem. The condition is common and often improves spontaneously in young men, to return when they reach middle age.

The Procedure

In such cases of gynecomastia, the treatment is often a combination of the two techniques of liposuction and excision.

Preparing for the Operation

• Mammogram
• Ultrasound

These investigation may have to be done to rule out any breast disease or tumour.

Products that contain Aspirin, Vitamin E, or Evening Primrose oil should be avoided for four weeks before surgery. The use of Vitamin K (10mg daily) for three days before surgery is recommended.

Strong alcoholic drinks should be avoided before surgery.

Important: Patients should not smoke for two weeks before surgery and for a few days after surgery. Smoking interferes with the circulation of blood to the skin and can cause death of the skin flaps.

Patients must not wear any make-up (including mascara and nail polish) when they go into surgery. If the patient tints, dyes or bleaches his or her hair, this should be done no later than one week before surgery.

Surgery is done under local or general anaesthesia.

Post Operative Care

- Take a week off work.

- Takes 4 to 5 weeks to resume normal activity.

Cost of Procedure
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Treatments available at our Brisbane and Gold Coast Clinics

Windsor - Indooroopilly - Upper Mt. Gravatt - Bundall