Gynecomastia or male breast reduction is an outpatient procedure that corrects the enhancement of benign male breast tissue caused by a hormonal imbalance. It can be the development of the breast gland or it can be a development of fatty breast tissue which is actually called pseudogynecomastia. In most cases, it’s a combination of both.
The causes of gynecomastia are different. The development of the breast gland in men can be normal and there are three age groups in which this can occur: at birth, puberty, or in old age. Gynecomastia can also be caused by medications, kidney disease, liver disease, as well as some elicit over the counter drugs. However, it’s essential to remember that in about 50% of cases, no cause for the gynecomastia is found.
The treatment of gynecomastia depends on the type of gynecomastia and the underlying cause. If it’s true gynaecomastia, then the treatment depends on addressing the underlying cause. However, it is said that the most effective way of treating true gynecomastia is through surgery. If it is pseudogynecomastia, that is fatty breast tissue without a gland, then the treatment may simply be diet and exercise or common surgery like liposuction. If it is true gynecomastia and there is a breast gland or breast lump, then surgery involves simply exercising. If the gynecomastia is actually made of fatty tissue and more correctly called pseudogynecomastia, then the surgery involves liposuction. In this case, VASER liposuction is recommended because that causes less bruising and also produces skin tightening some months down the line.
Gynecomastia surgery is a day case procedure under either a general anesthetic. Once the procedure is over, the patient wears a compression garment for three weeks. Patients go home with some simple painkillers like paracetamol and ibuprofen. It is advisable to avoid undertaking any heavy lifting or going to the gym for a couple of weeks. Most patients are back at work in about three or four days and can drive after about five to seven days as long as they follow the safety instructions. The dressings are removed at two weeks and thereafter, the patient builds up their activity returning back to full range of normal activity between four to six weeks. Results take a little bit longer as the swelling can take a few months to settle down.