- Male chest reduction
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Male chest reduction


What is gynaecomastia?


Gynaecomastia affects around 15% of adult men in the UK and is caused when excess fat develops in the breast area.

What does male chest reduction surgery involve?

Surgery reduces the size of the breast by removing excess fat, breast tissue and/or skin.  The procedure is carried out under general anaesthetic and can be performed on a day case basis or may require a one night stay in hospital.
Your surgeon may make a half moon incision around or below the nipple and remove excess tissue, fat and/or skin.  Alternatively, a small incision is made under the nipple or towards the armpit through which a fine liposuction cannula (a thin metal tube) is inserted.  This allows your surgeon to break up and suction away excess tissue and fat.  Your surgeon will advise the most appropriate technique in your case.
A supportive compression garment will be fitted.  
Drainage tubes may be used remove excess fluid.  These will be removed prior to discharge.

How soon will I recover?

It is normal to experience some discomfort, swelling and bruising in your breasts and these effects should subside after a few weeks.  The shape of the breasts can take several months to settle.  
Your anaesthetist will prescribe painkillers and you should take these regularly for the first week or so.  It is important to discuss any discomfort with our nursing staff.
Your surgeon will advise when to wear your support garment and for how long.  You will also be advised on when to resume normal activities as this will vary from case to case depending on the extent of treatment and areas of the body affected.
You must avoid strenuous exercise, heavy lifting and swimming for four to six weeks after surgery.
The length of time you will need to be off work will depend on the type of work you do.  Your surgeon will advise, however a minimum of one week is usual.

What are the risks involved?

Male chest reduction is a commonly performed and generally safe procedure.  Nonetheless, all surgery and anaesthetic have some risk associated.  Risks to all surgeries include infection, excessive bleeding, adverse reaction to anaesthetic or blood clotting.
Your surgery will result in scarring, however it should gradually soften and fade over several months.   
Changes in sensation, including increased or decreased sensitivity may occur in different parts of the chest, including the nipple.  These changes are usually temporary, lasting up to six months, however in some cases numbness is permanent.  Rarely, alterations in the blood supply may lead to loss of part or all of the nipple.

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