Body Surgery


Why have a Gynaecomastia?

Men seek this procedure after weight loss or when the area doesn't respond to diet and exercise.Gynaecomastia is an enlargement of the male breast as a result of an abnormal increase in the glandular (Breast) tissue.Enlargement in the adult male may be due to excess fatty tissue or a combination of fatty and glandular tissue.Gynaecomastia in the late adolescent and adult male may be associated with hormone disorders.Most patients seek treatment because of embarrassment they suffer.Sometimes Liposculpture is performed at the same time as excision of the glandular breast tissue.Surgical Excision may not be necessary. Liposuction may be the surgical choice.Some cases excess skin is also present and need skin removal what will cause severe scars.

What is involved?

Three methods are available for this procedure, and sometimes a combination is used.

  1. By making a half moon incision around or below the areola and cutting away the unwanted breast tissue.
  2. With the advancement of surgical techniques and the introduction of specifically designed lipoplasty equipment, I am able to break up and draw off excess fat through a fine cannula. The breast fat is approached from a tiny incision towards the armpit or under the nipple. This incision heals well and is difficult to see.
  3. Patients with massive weight loss may need skin removal

Gynaecomastia Aftercare

After surgery

After surgery is completed, you will have an elastic garment put on in the operating theatre.It is important that this garment is not removed for a period of at least 10 days. Any remaining discomfort can be controlled by medication.Drink plenty of water in the first 24hrs to replace fluid lost during the procedure. Gynaecomastia requires an over-night stay at the hospital so your immediate recovery can be closely monitored by a member of our medical team.

Your recovery

Recovery depends greatly on the extent of the procedure. Expect to feel sore and swollen for several weeks. Strenuous activity should be avoided for 4-6 weeks. Although most of the bruising and swelling usually disappears within three weeks, some swelling may remain longer. This procedure will leave scars that can be hidden by underwear, and can be expected to fade in most cases.

Post-op appointments

Post-operative follow-up is of paramount importance. Each patient undergoingGynaecomastia surgery will be given post operative appointments for wound management and suture removal. Post-operative instructions are vital and we consider it very important that you adhere to them. Failing to follow these guidelines and attend your appointments can adversely affect the outcome of surgery and put your safety at risk. Following Gynaecomastia the patient is asked to return on specified appointments approximately at 10, 30 and 90 days, or as required. Occasionally it may be necessary to return more regularly than those stated.

Gynaecomastia Risks and Conditions

(If you are having liposculpture please read the section in this website)


Scars are an individual response to surgery and vary from person to person. Although I will try to position the scars as neatly as possible, they will not disappear completely, but in general they fade and soften over a period of a year.

Pain (discomfort)

Pain may vary in intensity and duration following gynaecomastia, pain thresholds vary from patient to patient.You should expect a small degree of pain, however this should be manageable with simple analgesia. Most patients state initially they feel sore due to the bruising. Due to the proximity of the surgery, moving your arms may initially cause a little discomfort. The surgical garment may restrict a little movement.


All patients experience some degree of numbness around the nipple and areola after the operation, which is due to the nerves to the skin being stretched or even cut during the operation. In small patients this numbness can be permanent.You may also experience hypersensitivity or reduced sensation to nipple area andsurrounding skin, this is quite common. Nerves that have been damaged need time to repair and re-grow, this is a slow process and can take months or years.

Nipple, Areola & Skin Loss

This complication can occur as a result of poor circulation to these areas after the operation. Fortunately this complication is rare.Smoking is known to delay healing and constrict blood vessels, this can increase the risk of this complication. Diabetics also have a greater risk of delayed healing and circulation complications.


Research has shown massage helps soften or loosen areas of skin post surgery. It decreases swelling by increasing lymph flow drainage. Massage Increases arterial & venous flow which speeds up the healing process. This also helps to stimulate the nerve endings, which helps the numbness and altered sensation. Massage helps increase the elasticity of the skin. Evidence also shows massage prevents adhesions and helps to reduce bruising.


Most sutures used in body surgery are dissolving, occasionally the Surgeon may put a few individual sutures around the nipple area which are not dissolving and require removing.There are many different types of wound closure, your Surgeon will decide what closure he/she uses. Most of the time dissolving sutures will be used.Occasionally patients develop a mild suture reaction, this produces redness, tenderness and some times a small hole appears with pus present. This can cause a small scale infection which manifests as redness, tender to touch along the suture site. This requires a further out patients appointment to remove the stitch causing the problem.If left untreated, a superficial infection can develop.

Compression Garment

I will require you to wear a compression garment following your surgery.The garment may be either a binder or vest.The compression material speeds resolution of swelling and helps mold tissues during healing.