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Gynaecomastia is a medical term that refers to male breast overdevelopment and is quite common.   It may affect one or both breasts.

Often men can feel self-conscious about their appearance and breast reduction surgery can help.
During the procedure, fat, glandular tissue and sometimes skin is removed from the breast through an incision around the nipple-areola that will leave an inconspicuous scar. Thr procedure might be combined with liposuction. The result is a chest that is flatter, firmer and better contoured.

During your consultation, Dr du Toit will explain the procedure in understandable terms and also inform you about the possible risks and expected postoperative course.

What is gynaecomastia?

Gynaecomastia is an excessive enlargement of the male breast and may be present in one breast (unilaterally) or in both breasts (bilaterally).

Gynaecomastia is common in men of any age and may develop as a result of:

• Hormonal changes
• Weight gain
• Hereditary conditions
• Disease, such as liver disease
• Certain medication
• Use of non-prescription or recreational drugs, including anabolic steroids and marijuana
Gynaecomastia can cause emotional discomfort and may affect a man's self-confidence. Excess breast tissue can also cause a man's breasts to sag and stretch the areola (the dark skin surrounding the nipple).
What will surgery for gynaecomastia do?

In some cases, gynaecomastia can be improved with non-surgical treatments, such as changing a medication or by medically treating the cause of the abnormal hormone levels. For some men, however, surgery to remove the excess breast tissue may be the best treatment option.


What are the potential risks and complications?


Modern surgery is generally safe but does have the potential for risks and complications to occur.


Some general complications and risks associated with surgery may include:

• Risks of anaesthesia including allergic reaction or potentially fatal cardiovascular complications such as heart attack
• A blood clot in the deep veins of the legs (deep vein thrombosis), which can move to the lungs (pulmonary embolus) or to the brain and may be life threatening
• Allergic reaction to suture materials, tape adhesive or other medical materials and lotions
• Excessive bleeding


Some potential complications and risks associated with surgery for gynaecomastia may include:

• Slightly mismatched breasts or nipples
• Temporary numbness or loss of breast sensation
• Recurrence of breast growth after surgery can occur if breasts are not fully developed
• Another procedure may be needed to remove excess skin
• Permanent pigment changes in the breast area
• Keloids and hypertrophic scars that are raised, red and thickened scars. These may form over the healed incisions. They may be itchy, annoying and unsightly but are not a threat to health

Will I have scarring?

• Scars are an inevitable part of any invasive surgery. si. Scars may fade with time and become barely noticeable. If you are prone to scarring, you should advise your surgeon

Will I need revisional surgery?

• Revisional surgery may be required to remove excess skin. Other procedures may also be necessary to correct minor irregularities


To read more about breast surgery pre/post-operative instructions click here


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