Overview
Gynaecomastia, commonly referred to as ‘man boobs,’ is a condition where the male breast tissue enlarges. This can affect one or both breasts and, in some cases, can resemble female breasts. While gynaecomastia is usually harmless and may resolve on its own, persistent or severe cases can cause emotional distress. In such instances, surgery may be an option. Before considering surgery, it is important to understand the procedure, potential risks, and benefits to make an informed decision.
What Is Gynaecomastia Surgery (Male Breast Reduction)?
Also known as male breast reduction, gynaecomastia surgery reduces the size of enlarged male breasts. It involves the removal of excess breast tissue and fat to restore a flatter, firmer, and more masculine chest contour. Gynecomastia surgery can improve your posture, reduce back strain, and boost your self-confidence. By addressing the physical discomfort and self-consciousness associated with enlarged breast tissue, you can feel more comfortable and confident in your own skin.
Gynaecomastia Surgery Techniques
Several surgical techniques can be used to treat gynaecomastia, including:
- Liposuction: This minimally invasive procedure uses suction to vacuum out excess fatty tissue in gynaecomastia. This is effective for cases with minimal glandular enlargement.
- Tissue Excision: This technique removes glandular breast tissue and excess skin through incisions around the areola or in the armpit. It is ideal for cases of glandular gynaecomastia where fibrous tissue cannot be removed via liposuction.
- Combination of Tissue Excision and Liposuction: This offers a comprehensive solution for cases where both glandular tissue and excess fat need to be removed. It is effective in achieving a natural chest contour in mixed tissue types.
- Laser Surgery: This is a minimally invasive technique that uses laser energy to liquefy and remove fat cells. It is often used for mild to moderate fat deposits and may be combined with traditional methods for glandular issues.
- Mastectomy: This extensive surgical procedure removes the entire breast and sometimes even the surrounding tissue. It is rarely used for gynaecomastia but may be employed for severe cases or when cancer is suspected.
- Areola Reduction: This is a cosmetic procedure that reduces the size of an enlarged or stretched areola. It aims to achieve a balanced, proportionate chest appearance, enhancing gynecomastia treatment results.
Male Breast Reduction Procedure
Gynecomastia surgery involves several key stages designed to ensure optimal outcomes and patient safety. Here is a breakdown of the procedure:
Before the Procedure
Before undergoing gynaecomastia surgery, patients will undergo a comprehensive evaluation. This includes a consultation with the surgeon to discuss concerns, goals, medical history, and the severity of gynaecomastia. A thorough physical examination will be conducted to assess overall health and identify any underlying medical conditions.
Additionally, pre-operative tests such as blood tests, ECG, and hormonal tests may be necessary. In some cases, a mammogram may be recommended to rule out any underlying health issues. Patients will also be asked to review their current medications with the surgeon to determine if any adjustments need to be made before the procedure.
During the Procedure
To ensure patient comfort, general anaesthesia is administered. The surgeon then makes incisions around the areola to access the excess breast tissue. Depending on the specific technique, excess tissue and fat are removed, and the remaining breast tissue is reshaped to create a more masculine contour. The incisions are then closed with sutures. The entire procedure can take around 1 to 3 hours to complete.
After the Procedure
Post-operative care commences immediately after surgery. Your breast reduction surgeon will provide you with a list of instructions to ensure a swift and safe recovery.
- Wound Care: Keep the incisions clean and dry to prevent infection.
- Compression Garments: Wear the provided tight garment to control bruising and manage swelling.
- Pain Management: Take prescribed pain medication to manage discomfort.
- Activity Restrictions: Avoid strenuous activities and heavy lifting for several weeks.
- Fluid Intake: Stay hydrated to recuperate fluids lost during surgery.
- Follow-up Appointments: Attend all scheduled follow-up appointments with your surgeon to monitor healing and address any concerns.
Benefits of Gynaecomastia Surgery
Gynaecomastia surgery can offer significant physical and psychological benefits for individuals affected by this condition. Here are some of the key advantages:
- Reduced Physical Discomfort: By removing the weight of excess tissue, it helps reduce tenderness, pain, and nipple sensitivity.
- Improved Body Image: Reduced breast tissue can significantly boost self-esteem and body confidence, allowing men to feel more comfortable and at ease with their appearance.
- Enhanced Physical Appearance: The procedure can create a more masculine and balanced chest contour, improving overall physical appearance.
- Improved Clothing Fit: After surgery, clothing can fit better and feel more comfortable, allowing for a wider range of clothing options without the need to hide or compress the chest area.
- Long-Lasting Results: The results of gynecomastia surgery are typically long-lasting, providing a permanent solution to the condition.
Possible Risks or Complications
While male breast reduction surgery is generally safe, it still carries some potential risks and complications, such as:
- Infection: There is a slight risk of infection at the surgical sites.
- Bleeding: Excessive bleeding may occur during or after surgery which may lead to the formation of haematomas (blood clots).
- Scarring: Incisions may result in scars, especially if large amounts of tissue are removed.
- Asymmetry: There may be a slight difference in size or shape of the breasts post-surgery.
- Correction Issues: The surgery may result in under or over-correction of the chest area.
FAQs About Gynaecomastia Surgery
What is the average cost of male breast reduction surgery in Singapore?
The cost of male breast reduction surgery in Singapore depends on several factors including the type of surgery, complexity of the procedure and surgeon and hospital fees. For a precise cost estimate tailored to your specific needs, it is advisable to consult with a qualified plastic surgeon.
Are there non-surgical alternatives to gynaecomastia surgery?
Yes, there are non-surgical alternatives, like medications and lifestyle changes, but they do not completely eliminate gynaecomastia.
Is gynaecomastia surgery painful?
No, gynaecomastia surgery is not painful due to general anaesthesia. However, there might be mild post-operative discomfort for a few days; this is manageable with prescribed medication.
What is the success rate of gynaecomastia surgery?
Gynaecomastia surgery has a high success rate of around 90% when performed by an experienced surgeon.
Is scarring inevitable after male breast reduction surgery?
Yes, like any surgical procedure, scarring is inevitable after male breast reduction surgery. However, skilled surgeons use techniques to minimise scarring and scars typically fade over time.
Taking the Next Step
For those considering gynaecomastia surgery, Colin Tham Plastic Surgery offers advanced techniques to achieve natural-looking results. Our skilled surgeon understands the sensitivity of this condition and offers personalised care to help you regain your confidence.
We also provide breast reduction surgery for women, addressing concerns related to excessively large breasts. Schedule a consultation today to determine what surgical technique will help you achieve your aesthetic goal.
About Our Plastic Surgeon
Dr Colin Tham is a consultant plastic surgeon in Singapore. He is accredited and recognised by the Ministry of Health for his expertise in both reconstructive and plastic surgery. He obtained his medical degree from the University of Aberdeen, Scotland. He then underwent extensive training to master various cosmetic procedures including gynaecomastia surgery, highlighting his commitment to achieving the best possible outcomes for his patients.