Male Breast Reduction Specialists
At Quaba Plastic Surgery, we have expertise in all aspects of cosmetic male breast reduction.
Gynaecomastia surgery (moob surgery) or male breast reduction is used to correct enlargement of male breasts. Gynaecomastia is a common problem and is usually caused by hormonal imbalance which is not a serious problem. Very rarely, patients may have other underlying causes (such as testicular tumours or certain medications) and when indicated, a medical examination and blood tests are performed.
The main options for treating gynaecomastia are liposuction, surgical excision or often a combination of the two. This largely depends on the nature of the enlargement (firmness of the breast tissue/ presence of excess skin). A good cosmetic outcome is very much dependent on surgical technique. The main risks of surgery include removing too much or too little tissue and unevenness. When surgical excision is performed it is important that patients are aware of the scars which are usually well hidden.
Questions and answers about gynaecomastia
Gynaecomastia (sometimes referred to as ‘man boobs’) is a common condition that causes male breasts to swell and become larger than normal. It is most common in teenage boys and older men.
What are the features of gynaecomastia?
Signs vary from a small amount of extra tissue around the nipples to more prominent breasts. It can affect one or both breasts but usually affects both. The breast tissue may be tender or painful, but this isn’t always the case.
What are the causes of gynaecomastia?
Gynaecomastia can have several causes. As mentioned above, the majority of cases are physiological (hormonal).
Gynaecomastia can be caused by an imbalance between the sex hormones testosterone and oestrogen. Oestrogen is the hormone that causes breast tissue to grow. All men have some degree of oestrogen production but they usually have much higher levels of testosterone, which counteracts the effects of oestrogen. When the balance of oestrogen and testosterone changes it can cause a man’s breasts to grow. In most cases, the cause of this imbalance is unknown. Losing weight or doing more exercise will not improve the condition as the condition is not causes by excess fat, but rather excess breast tissue.
During puberty, boys’ hormone levels vary. Many teenage boys have some degree of breast enlargement. Gynaecomastia at puberty usually clears up as boys get older and their hormone levels become more stable.
As men get older, they produce less testosterone. Also, older men tend to have more body fat, and this can cause more oestrogen to be produced. These changes in hormone levels can lead to excess breast tissue growth.
How do I know if liposuction alone will correct my breast enlargement?
Liposuction works very well when the quality of your skin is good (as it is in most younger men) and your skin has not been stretched significantly from previous weight gain and loss.
Having said this, the main factor influencing whether liposuction will work alone without surgery, is related to how firm the breast tissue is underneath the nipple. In some men the breast tissue is so tough that liposuction alone may not work and a small cut is required in the lower half of the nipple to surgically remove the dense breast tissue.
What are the risks?
Gynaecomastia surgery complications
Gynaecomastia surgery usually carries a high satisfaction rate.
The following risks are associated with the procedure:
Bleeding – Bleeding is very rare if liposuction is used alone. Bleeding is more common when excision of breast tissue under the nipple is required. This may require a return to the operating theatre to stop bleeding and remove any blood which has collected. This risk of this happening is less than 5%.
Bruising – To be expected and will get worse before it improves. Most bruising usually disappears by 10 days after surgery.
Swelling – To be expected over the first few days and varies greatly between patients. May take a few weeks before it has completely settled.
Infection – Relatively uncommon and may require treatment with antibiotics.
Scars – Very small scars 5-6mm from the liposuction access points. Semi-circular scar at the lower half of the nipple when excision of tissue is required. Scars may be red during first few months and will continue to improve for up to 18 months after surgery.
Under correction – Not removing enough tissue.
Over correction – Removing too much tissue leaving a contour defect – uncommon
Asymmetry – Minor degrees of asymmetry are to be expected – this is normal.
Revision – A small number of patients (approx. 5%) may require further surgery to correct residual problems.
Recurrence – Very rarely new breast tissue may develop. This can be due to underlying medical problems, significant weight gain or certain medications/ drugs.
Male breast reduction £3600
All inclusive costs for 1 year following surgery
Finance is available (subject to application and vetting) by Zebra Health Finance (formerly First Medical Loans). They offer interest free loans up to a certain value. They can usually provide a decision online within 15 minutes.