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Male Breast Reduction, Cheshire

Male breast enlargement or gynaecomastia is a common condition which can cause embarrassment and make individuals feel self-conscious of their appearance.

Most teenage boys, because of hormonal changes at puberty, experience some degree of breast enlargement.This usually resolves but up to 10% of young adults can have some degree of residual fullness.

With our western lifestyle, the problem increases with age, to the point where up to 1 in 3 older men have some gynaecomastia. Some drugs and medical conditions can cause the problem but, in the majority of cases no cause is found. Patients may need further investigation to exclude other medical problems.

General Procedure

Breast tissue is made up of two components, a firm glandular element and a soft fatty element. When the breast fullness is mainly fatty tissue, liposuction may treat the problem. When more glandular tissue is present, then this may require male breast surgery, sometimes combined with liposuction.

If there is considerable skin excess, this may require reduction which leaves more scaring. Treatment, unless the problem is small, is best carried out under a general anesthetic. Where glandular tissue is resected, a drain is usually required and patients will stay in hospital overnight.

Liposuction can be done through discrete stab incisions, but excision leaves a more obvious scar, usually just around the nipple edge.

Recovery Process

Following male breast surgery, or liposuction, there will be bruising and swelling of the chest. Tapes may be applied to support the skin and most patients are required to get a tight, elastic sports top which they will wear for 2-4 weeks.

It is not usually a painful procedure and only simple analgesia is required. Most patients return to day to day activities by 2 weeks but impact exercise is best avoided for a month. Occasionally the swelling can take some months to completely settle.

Limitations and Complications

As with all cosmetic surgical procedures, complications are unusual. If excision of glandular tissue is required, then there is a risk of haematoma formation, (a collection of blood), as surgery is carried out through small incisions. Drains help to minimise this risk. Infection is rare.

Contour irregularities can be left after both treatment options and revision surgery is sometimes required.