Gynaecomastia Surgery (Enlarged Male Breasts)
Gynaecomastia Surgery Sydney
Enlarged male breasts, or gynaecomastia, is a condition that can affect up to 40-60% of men.
Not only can the male breasts cause discomfort and be painful, but gynaecomastia can also result in lifestyle changes that these men may avoid tight tops or being topless in public places.
Gynaecomastia can be normal in pubescent boys, an estimated 60-70% of boys may have gynaecomastia to some degree, this relates to the changes in levels of specific hormones during the growth spur phase. As their growth stabilises, the hormone levels stabilise and the enlarged breasts usually resolve.
With adult gynaecomastia, causation can be multifactorial. During your appointment, you can discuss what factors may have been relevant in your situation.
Ideal Candidate for Gynaecomastia Surgery
It is important to differentiate if the gynaecomastia is true glandular hypertrophy, or if it is due to weight gain. It is important for the weight to be stable for at least 6 months. If lifestyle factors have contributed to gynaecomastia, Dr Kwei may recommend against surgery, as the causative reasons are still present.
The presence of gynaecomastia is usually confirmed when a firm, rubbery mass is felt underneath the nipple area, which is often quite sensitive when pressure is applied. This is also confirmed with an ultrasound imaging modality.
Gynaecomastia (Male Breast Reduction) Surgery
The surgery involves both an excisional and a liposuction component, and rarely, in the very full gynaecomastia patients, skin excision is required to get the desired result.
The procedure will take 60 to 120 minutes, depending on the degree of gynaecomastia and is done at a fully accredited facility or the practice, if appropriate.
The recovery is usually not strenuous, the swelling and discomfort may last up to 2 weeks but will settle. You should be able to recommence light duties after a week and back into exercise in approximately a month. A compression vest needs to be worn to allow the chest to conform to the new contours.
It is important to be sure that your Surgeon is qualified to not only perform the procedure but to deal with all aspects around the surgery and its results and also for the surgery to be carried out at a fully accredited hospital day surgery.
Dr Johnny Kwei is a Specialist Plastic Surgeon affiliated with The Australian Society of Plastic Surgeons, the International Society of Aesthetic Plastic Surgeons and the Royal Australasian College of Surgeons. He has undergone extensive education and training, both in Australia and abroad, to earn the designation.
Dr Kwei takes pride in providing the highest quality care to his patients and ensures they are always fully informed and receiving the best treatment.
At Johnny Kwei Plastic Surgery, your well-being are our top priorities. Gynaecomastia surgery is a commonly performed procedure to address enlarged male breasts. Here are some of the possible complications and risks associated with gynaecomastia surgery:
- Risks of Anesthesia: All surgical procedures carry a small risk of complications related to anesthesia. These can include allergic reactions or potentially fatal cardiovascular complications such as a heart attack.
- Deep Vein Thrombosis (DVT): DVT is a rare but potential complication that involves the formation of blood clots in the deep veins of the legs. These clots can potentially move to the lungs (pulmonary embolus) or the brain, posing a life-threatening risk.
- Allergic Reactions: Some individuals may experience allergic reactions to suture materials, tape adhesive, or other medical materials and lotions used during the surgical process.
- Excessive Bleeding: While rare, excessive bleeding can occur during or after gynecomastia surgery.
- Slightly Mismatched Breasts or Nipples: In some cases, there may be slight differences in the size or shape of the breasts or nipples after gynecomastia surgery.
- Temporary Numbness or Loss of Breast Sensation: It is common to experience temporary numbness or a loss of sensation in the breast area following surgery. Sensation typically returns gradually as the nerves regenerate, but in rare cases, some individuals may experience permanent changes in sensation.
- Recurrence of Breast Growth: In cases where gynaecomastia surgery is performed before the breasts have fully developed, there is a small risk of recurrence of breast growth.
- Additional Procedures for Excess Skin: In cases where there is significant excess skin, additional procedures such as skin excision may be necessary to achieve optimal results.
- Permanent Pigment Changes: Some individuals may experience permanent pigment changes in the breast area after surgery. These changes are generally minor and can be addressed with appropriate post-operative care.
- Keloids and Hypertrophic Scars: Keloids and hypertrophic scars, which are raised, red, and thickened scars, can occur following gynecomastia surgery. While they are not a threat to health, they may be itchy, annoying, and aesthetically undesirable.
Dr Kwei will thoroughly evaluate your individual case, discuss these potential risks, and provide personalised recommendations to ensure a secure and successful gynaecomastia surgery. Dr Kwei is committed to providing the highest level of care and support throughout your journey.
During the healing process, it is normal to experience some pain, bruising, swelling, and numbness around the operated site. Dr Kwei will prescribe pain relief medication as needed to manage any discomfort. If you have any concerns or issues during your recovery, it is important to communicate them with Dr Kwei.
After your gynaecomastia surgery, you will be instructed to wear an elastic dressing or surgical bra to provide support to your chest area. Additionally, plastic tubes may be inserted into each breast to drain any excess fluid that may accumulate. Dr Kwei on may also change or remove other dressings as needed during your follow-up appointments.
Depending on the extent of your procedure, it may be necessary to take a few days off work to allow your body to rest and recover. It is important to avoid heavy lifting, strenuous exercise, swimming, and engaging in strenuous sports activities until you receive clearance from Dr Kwei. Following their advice will help minimize the risk of complications and promote a smooth recovery.
Remember to follow Dr Kwei’s specific post-operative instructions closely. By doing so, along with giving yourself sufficient time to heal, you can expect to achieve optimal results from your gynaecomastia surgery.