Also known as gynecomastia, male breast reduction surgery is the correction of over-developed or enlarged breasts in men. In basic terms, gynecomastia is an enlargement of the gland tissue of the male breast. Whilst most teenage boys experience some degree of breast enlargement affecting one or both breasts, by early adulthood less than 10% of males have a residual problem. This rises with age though, reaching approximately 30% in older men.

Mr Sherif Wilson is an expert plastic surgeon who can perform male breast reduction surgery in either Bristol, Bath or Gloucester.

Why you might need breast reduction surgery

Enlarged breasts in men – sometimes referred to as man boobs or moobs – can cause a great deal of embarrassment for the individual. Whilst all men have breast tissue, some have an excessive amount and this can lead to the breasts resembling more of a female figure. Men can be fit and healthy and still have gynecomastia, and in most cases excessive amounts of exercise will not solve the problem.

You may be considering male breast reduction surgery if you experience any of the following:

  • You feel that your breasts are too large and it’s causing you anxiety
  • You are in good shape and aren’t overweight, but your breasts are large in comparison to the rest of your body
  • Despite regular physical exercise, your breasts remain oversized

Preparing for male breast reduction surgery

If you decide you want to go ahead with male breast reduction surgery, you will have a consultation with Mr Wilson beforehand so he can talk you through exactly how the surgery works and what you can expect post surgery

Breast reduction procedure

Mr Wilson is a vastly experienced plastic surgeon, and following your consultation he will advise you on the best approach for your male breast reduction surgery.

The breast is made up of two main components, glandular tissue (firm and dense) and fatty tissue (soft). The ratio of glandular to fatty tissue in any breast varies from individual to individual and in gynaecomastia there may be an excess of both.

If there is predominantly a diffuse fatty enlargement of the breast, liposuction is the usual treatment. This involves sucking out the tissue through a small tube inserted via a 3-4mm incision.

If excess glandular tissue is the primary cause of breast enlargement, it may need to be excised (removed) with a scalpel. This will leave a scar, usually around the nipple edge. This excision can be performed alone or in conjunction with liposuction. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions that result in more obvious scars.

Most male breast reduction operations take about 90 minutes to complete and are performed under general anaesthesia. Patients are normally able to return home the same day although may be required to stay in hospital for one or two nights.

After breast reduction surgery

Following breast reduction surgery the chest is swollen and bruise. To help reduce swelling, patients are often instructed to wear an elastic pressure garment continuously for one or two weeks.

It is advisable to refrain from exercise for about two weeks and, in general, it takes about six weeks before one can return to completely normal activities. It is advised to take at least one week off work following the surgery and to also avoid driving for the week immediately following surgery.

Risks with breast reduction surgery

The potential complications of gynecomastia are relatively rare. They include inadequate removal of breast tissue, an uneven contour to the chest and reduced nipple sensation. If an excision has been performed, rather than liposuction, then a blood clot can form that may need to be drained at a second operation.