Gynaecomastia is surgery performed to reduce the size of the male breast. This can grow asymmetrically or symmetrically. There are a number of causes for this. After excluding abnormal growths of the breast, other causes can be hormonal, medication related, and can be related to abnormalities of the organs of the body.

Once these other causes are excluded, the enlarged breast tissue can be removed in one of three ways

  1. Liposuction only. This is best when the excess tissue is fatty.
  2. Liposuction + excision of breast tissue. This is ideal when there is excess glandular breast tissue but there is no major excess skin. The cut is around the lower part of the nipple.
  3. Liposuction + excision of the breast tissue + excision of skin. This is when there is more significant breast tissue and there is excess skin. The cut is around the lower part of the nipple, but there will be a horizontal cut too.

Surgery is performed in hospital and is usually performed as day surgery. Sutures are dissolvable and recovery takes 1-2 weeks. Return to heavy exercise occurs in 4 weeks. After surgery, it is vital to wear a garment to help reduce swelling and helps the tissues retract. Ideally, this garment should be worn for 4 weeks.