About the Condition
Gynaecomastia is the development of excess breast tissue in men. It may affect one or both sides and can involve excess fat, glandular breast tissue, or a combination of both. It is important to distinguish between true gynaecomastia (involving glandular tissue) and pseudogynaecomastia (excess fat only), as the surgical approach differs.
Underlying causes include hormonal changes, certain medications, and, in some cases, anabolic steroid use. Where an underlying cause is identifiable, this should be addressed before surgery is considered. A thorough assessment will be undertaken at consultation.
Surgical Options
Where excess fat is the primary component, liposuction alone may produce satisfactory results. Where glandular tissue is present, surgical excision through a small incision at the edge of the areola is required. Most patients require a combination of both techniques. In cases with significant skin excess, skin excision may also be needed.
The Procedure
Surgery is performed under general anaesthetic and is usually a day case procedure. Operating time is typically one to two hours.
Recovery
A compression vest is worn for six weeks. Most patients return to desk-based work within one week. Strenuous activity should be avoided for six weeks. Final results are visible once swelling has fully settled, usually over three to six months.
Risks
Risks include bleeding, infection, contour irregularities, changes in nipple sensation, and, rarely, recurrence. All risks will be discussed in full at your consultation.
Your Consultation
All consultations are with Mr Lewis personally. There is no obligation to proceed following consultation.
