“Man boobs”, or gynaecomastia, refers to the condition where males develop abnormally large breasts. This can vary from very minor lumpiness just beneath the nipple to fully developed feminine breasts.
This is a benign condition that commonly occurs during pubescence in approximately 60 to 70% of healthy males between the ages of 12 and 15. In most of these cases the gynaecomastia disappears.
Adult gynaecomastia can affect as many as 30% of men and whilst most causes are unknown, there are multiple possible causes that need to be explored. These include a persistence of pubescent gynaecomastia, obesity, steroid abuse, endocrine disorders and certain drugs. Gynaecosmastia can understandably cause significant distress for those affected. The surgery required to correct this problem depends on the severity of the condition.
Gynaecomastia is a condition in which male breast tissue becomes enlarged. This can range from minor swelling just beneath the nipple, to more feminine looking breasts. It’s essential to know that Gynaecomastia is generally harmless and can often occur during puberty in healthy males. In most cases, this condition resolves on its own. However, adult Gynaecomastia can affect a small proportion of men and has various causes, including hormonal imbalances, obesity, steroid use, endocrine disorders and a side effect of certain medications
Different factors can cause Gynaecomastia, but it primarily depends on whether it’s due to excess fat or excess breast tissue. To distinguish between the two, you will require a thorough examination with Dr Dona to determine the severity and cause. It is at this
While Gynaecomastia is a benign condition characterised by the development of excess breast tissue in males, it’s essential to consider the possibility of breast cancer, albeit rare, when evaluating any breast-related concerns.
Some warning signs that should prompt further evaluation include:
Determining your suitability for Gynaecomastia surgery involves several important factors that should be discussed during a consultation with Dr Dona. Your overall physical health should be evaluated to ensure that you are in good condition for surgery. Equally important is your emotional well-being, as Gynaecomastia can have a significant impact, and it’s essential to be emotionally prepared with realistic expectations regarding the aesthetic outcome following Gynaecomastia surgery. Ultimately, a consultation with Dr Dona is the first step to assess your unique situation and determine if Gynaecomastia surgery is the right choice for you.
During your initial consultation with Dr Dona for Gynaecomastia surgery, a thorough assessment should take place. Dr Dona typically begins by taking a detailed medical history and carefully evaluating your chest to ascertain the severity and potential causes of your Gynaecomastia. It is important to openly communicate any existing health issues, symptoms, or concerns, as well as provide a comprehensive list of both current and past medications you have taken. Following this evaluation, Dr Dona then discusses your surgical options. This conversation will cover the details about the procedure itself, considerations regarding scarring, the expected postoperative course and potential complications, and an opportunity for you to ask any questions you have. This consultation process is integral in customising your Gynaecomastia surgical plan to best suit your individual concerns.
If you plan to undergo surgery for Gynaecomastia, there are some essential steps to follow:
Male breast reduction surgery is typically conducted as a day hospital procedure, which means you can go home on the same day of the surgery. The choice of anaesthesia, whether local or general, is determined based on your individual needs and Dr Dona’s recommendations.
The type of surgery depends on the severity of Gynaecomastia:
When excess fat is mainly responsible for Gynaecomastia, Liposculpture might be a suitable option. In this procedure, a small incision is made in an inconspicuous location near the treatment area. Through this incision, a thin tube called a cannula is inserted. The cannula helps break down and remove excess fat deposits from the chest. Think of it as a precision sculpting technique that reshapes the chest by targeting and eliminating unwanted fatty tissue. The end result is a chest that appears more defined and visually appealing. Liposculpture is known for being minimally invasive, meaning it involves smaller incisions and less tissue disruption compared to traditional surgery, which typically translates to a quicker recovery and less scarring.
When Gynaecomastia involves a significant amount of glandular tissue or is more severe, surgical excision becomes the preferred choice. In this procedure, Dr Dona will make incisions around the areola, which is the darker area surrounding the nipple. These incisions provide access to the underlying tissue. Dr Dona then carefully removes excess glandular tissue, fat, and, if necessary, any surplus skin. The primary aim is to create a chest with a flatter, firmer and more masculine appearance. In instances where there is a noticeable sagging of the skin, additional incisions might be required to trim away the extra skin to achieve the best possible results.
Both Liposculpture and surgical excision are effective methods for addressing Gynaecomastia, but the choice between them depends on the specific characteristics of your condition, such as the proportion of fat to glandular tissue and the degree of skin laxity. During a consultation with Dr Dona, your condition will be assessed before the most suitable approach to achieve the desired outcome while minimising scarring should be recommended.
Recovery from Gynaecomastia surgery can vary from person to person, but there are general milestones and guidelines you can expect during the healing process. It’s important to note that you should follow Dr Dona’s specific post-operative instructions for the best results. Here are some common recovery milestones after Gynaecomastia surgery:
Immediately following the procedure, you should be transported to a recovery area where your condition should be closely monitored until you awaken and stabilise. Most patients can return home on the same day as the procedure but be prepared to experience some pain, discomfort, swelling and bruising to the chest area. This is typically managed with prescribed pain relief medications and prophylactic antibiotics to protect you against infections and promote the healing process. Scars are an unavoidable aspect of any surgery, including Gynaecomastia surgery, at this stage the surgical scars may be red and very prominent. To assist with recovery and optimise results, a special surgical garment should be provided for you to wear for the first four to six weeks. This garment not only offers vital support to the treated area but also plays a key role in reducing swelling and assisting in achieving the desired chest contour, contributing to a successful and comfortable healing process.
During the transition into the second phase of recovery, which typically spans from two to four weeks after your Gynaecomastia surgery, you’ll observe gradual improvements in your condition. Many patients can resume light, non-strenuous activities within a week or two post-surgery. As time progresses, the initial swelling and bruising should begin to subside, although some mild discomfort may persist. Should your surgery involve stitches or drains, Dr Dona may remove them during this period. It’s imperative to maintain adherence to wearing the compression garment as directed by Dr Dona for optimal healing.
As the days unfold and you approach the resumption of normalcy, you can typically return to your regular daily activities, including work, after a few weeks. However, it’s crucial to exercise caution and avoid engaging in strenuous exercises or activities that may strain your chest muscles during this stage. Fortunately, you should observe a visible improvement in the appearance of your chest as the swelling continues to decrease, marking a significant step towards your desired outcome.
During this period, many patients can gradually resume light exercise and physical activities into their daily routines, carefully following the guidance provided by Dr Dona. As time progresses, the contour of your chest should continue to improve, and any remaining swelling should persistently diminish, contributing to a more refined appearance.
Around the three to six-month mark, the final results of your Gynaecomastia surgery become increasingly apparent. During this period, most of the swelling should have subsided, allowing your chest to settle, assuming a more natural and aesthetically pleasing appearance. Over time, the scars should slowly fade and become less obvious. While how they look in the end can differ from person to person, they usually become less noticeable and blend in better with your skin.
It remains paramount to maintain vigilance in your post-operative care. It is essential to consult with Dr Dona before returning to more strenuous exercises or activities. This cautious approach plays a pivotal role in preserving the success and longevity of your surgical outcome.
Your post-operative plan will be detailed and involve multiple weekly in-clinic post-operative care visits with our amazing nursing team that will continue for at least five weeks. Unlike most Plastic and Cosmetic Surgery Clinics, we integrate light-based therapy into your post-operative wound healing journey. Light therapy expedites the healing process by helping your body reabsorb fluid faster and reducing inflammation. Since swelling and inflammation are the main cause of pain, you will find your post-surgery recovery far more comfortable. In addition, light therapy will promote healing cells, used to mature your surgical scars much faster, thus, providing the best possible scar formation.
Gynaecomastia surgery, like any surgical procedure, carries potential risks and complications. So, while complications are relatively rare, it’s essential to be aware of them.
In addition to these potential complications, patients should also be aware of the following considerations:
The cost of Gynaecomastia surgery can vary significantly depending on various factors, particularly the extent and method of procedure.
For a personalised evaluation and an accurate cost estimate tailored to your unique case, it’s best to book a consultation with Dr Dona. During the consultation, he can assess the severity of your Gynaecomastia, recommend the appropriate treatment and provide a detailed breakdown of the expected costs, including surgical fees, anaesthesia, facility fees and any additional expenses.
If Gynaecomastia is causing physical discomfort or other medical issues, your Private Health Insurance, and or Medicare, may cover some of your overall surgery costs however, this can only be confirmed following your consultation with Dr Dona
Call us 1300 DR DONA (1300 37 3662)