Gynaecomastia (male breasts)

The operation of gynaecomastia removal can be done in many ways. Each patient is different, as is each surgeon. It is because of this that this can only be an outline guide to the procedure. (For more detail about gynaecomastia please go to the links page.)

This is why the initial consultation is so important. Mr Burge will hear from you what you find a problem and will compare it will what he can physically find. He will then explain to you the options available along with their pros and cons. Only after all this will he propose a surgical plan, tailored to you as an individual and not as part of a production line.

It is important to realise that it is this very variability between individuals that makes this as much an art as a science. Results can never be absolutely guaranteed (at least by honest practitioners) and adverse results are always possible.

All surgery carries some risks. It is Mr Burge’s responsibility to explain, minimize and, if necessary, deal with these risks.

Gynaecomastia can arise due to other medical conditions or for no obvious reason. It may therefore be necessary to perform a more general examination and some investigations to rule out any underlying cause.

The surgery is usually performed under general anaesthetic with an overnight stay.

Incisions are usually kept within or around the edge of the nipple, sparing the surrounding skin. The firm element of the gynaecomastia is removed surgically; the surrounding fatty tissue (if present) is then removed with liposuction. Surgical drains are frequently required postoperatively.

Postoperatively, the patient is placed in a tubigrip support. Dissolving sutures and waterproof dressings allow early mobilisation and showering.

Most patients are advised to avoid activities such as work and driving for 7-10 days after surgery. During this period Mr Burge will check that everything is okay.

Things will then settle down over the next few months.

Risks include bleeding infection and scarring. Not all the involved tissue may be removed at the first procedure and rarely re-operation is required. In very extensive cases skin shrinkage after the initial procedure may be inadequate and a further skin reducing procedure may be needed.

Following the procedure Mr Burge will see you regularly, both while you are in hospital and in the weeks and months afterwards.

If there are any problems he will be on hand to help manage them.

Due to the Data Protection Act etc out supply of pre/post operative pictures is currently limited.

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