Gynaecomastia is a clinical condition which represents abnormally enlarged breast tissues in men. It is caused by excess glandular and fatty tissues within the breast. It maybe associated with some drug use or hormonal imbalance but the min the majority of cases there is no known cause. It is common in teenage boys but usually resolves by early adulthood.
It can lead to embarrassment and this may result in low self-esteem and depression in affected men.
For individuals who have tried a regime of exercise and diet and have had to success then a surgical operation maybe considered.
In some cases, when the enlargement is mainly due to excess fatty tissues, liposuction is useful. In other cases where the the enlargement is mainly due to breast tissue then surgery maybe useful to remove the excess disc of tissue trough an incision around the areolar (the coloured disc of skin around the nipple).
More commonly a combination of surgery and liposuction are indicated.
In extreme cases, there is also an excess of skin which need to be addressed with surgery. This procedure will leave a scar on the breast/chest.
WHO WOULD BENEFIT FROM GYNAECOMASTIA
Men who have:
- Excessively large breasts despite dieting and exercise
- Large amounts of saggy skin on the chest wall after massive weight loss
UNSUITABLE PATIENTS FOR THE SURGERY
- Patients who are actively smoking or who have medical conditions like uncontrolled hypertension are generally unsuitable for this procedure.
- Patients who smoke should have ceased for 4-6 weeks prior to surgery and hypertensive patients would need to have had their hypertension treated prior
- This like any other cosmetic procedures, should not be considered in patients who have unrealistic expectations or body image disorders.
YOUR SURGICAL JOURNEY
BEFORE THE OPERATION
- You will be having at least 2 consultations before your surgery.
- During your first consultation the reasons for, feasibility and expectations of the operation will be discussed.
- Standardized photographs will be taken with your consent before your surgery.
- If you take aspirin or NSAIDS (e.g. Ibuprofen) then you should stop these at least 1 week prior toyour surgery. These drugs thin the blood and predispose you to a higher risk of bleeding during andafter the operation.
- If you are a smoker, you should stop at least 4 weeks prior to your surgery.
- This will be performed under a general anaesthetic (that is, you will put to sleep by an experienced consultant anaesthetist). Most patients are able to go home on the following day.
- Mr. Oudit will see you before your surgery. If you have any further questions you would like to ask him prior to the operation, he would be most delighted to answer these for you. He will then place some marks on your chest.
- Your operation will be done in a safe and caring manner respecting your dignity.
- Your operation will involve liposuction and/or removing the excess skin and breast tissues in a controlled manner with the elevation and re-positioning of the nipple.
- At the end of the operation, a rubber tube maybe or may not be left in each breast. This is usually removed the next day prior to discharge. You will be fitted with tight elastic garment over the chest wall to help prevent swelling and bruising.
AFTER THE OPERATION
- You will be recovered in a safe environment by caring staff members before you are transferred to the ward where you will be nursed overnight.
- The following day, if you have drains, these will be removed, and you will be discharged after Mr. Oudit has seen you.
- You will be seen one week after your surgery. The dressings will be removed, and wounds inspected. You will then be seen the following week to ensure the wounds are healed and all is well. You will then be reviewed 3 months and then at 6 months later for the final time before discharge.
- Operating Time: 90 – 120 mins
- Anaesthetic: General Anaesthetic (GA)
- Hospital Stay: 1 night
- Exercise: After 6 weeks