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Gynaecomastia Reduction

by Artisan

Man Boobs Treatment

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The epitome of masculinity is often embodied in that of a well-sculpted body.

Men want to feel comfortable and confident when they go in the buff or walk down the beach in their board shorts. However, some may be troubled by gynecomastia – otherwise known as “man-boobs”. In most cases, no amount of dieting or hours at the gym can help them remove those “mounds of shame”- as some patients have called them.

What is gynaecomastia?

Gynaecomastia, or colloquially known as man-boobs, is a relatively common condition where the breast tissue of a man is enlarged or overdeveloped in either one or both breasts.

It is characterised by an excess of breast skin, localised fat, and glandular tissue development. Gynaecomastia has been known to be caused by the following:

  • Hormonal imbalance (oestrogen and testosterone)
  • Obesity
  • Old age
  • Alcoholism
  • Drugs

About gynaecomastia

Some cases of gynaecomastia are reversible while others are not. The severity also varies between patients, from slight swelling to those with excess skin and deep tissue.

Men with gynaecomastia that cannot be improved with exercise and diet, will have to undergo male breast reduction also known as gynaecomastia reduction, like a female breast reduction known as reduction mammaplasty. 

What is gynaecomastia reduction?

Gynaecomastia reduction, also known as a male breast reduction or reduction mammaplasty, is a surgical procedure to reduce the amount of breast tissue in men. It also flattens and enhances the outline of a man’s chest. 

This procedure involves the removal of excess fats, skin, and the breast gland. The areola and nipples are also repositioned to give the chest a more aesthetically pleasing appearance. Gynaecomastia reduction usually involves liposuction, surgery, or both, depending on the severity of the condition.

gynaecomastia classification
Gynaecomastia Classification

The surgical options for gynaecomastia depend on the severity and your expectations. In most cases, liposuction with a minimally invasive excision of deep tissue can be performed. It results in a short downtime and minimal scarring.

Additionally, suitable individuals who undergo gynaecomastia reduction can also elect to have high definition liposculpting performed in the same operation or in stages.

How does gynaecomastia reduction work?

There are three methods of gynaecomastia reduction, let’s have a look at them in detail:

  • Liposuction: excess fats are removed via liposuction. Suitable for individuals with mild to moderate fatty tissue and those with a higher proportion of fatty tissue compared to glandular tissues. 
  • Surgical: excess breast tissue and skin are removed, and areola/nipples are repositioned via surgery. Suitable for individuals with moderate to severe gynaecomastia.
  • Combination: both liposuction and surgery are used to remove excess fats, breast tissue, and skin. 

Benefits of gynaecomastia reduction in Singapore

  • Minimal scarring and downtime
  • Enhances contour of a man’s chest
  • Long-lasting results
  • Boost self-esteem and confidence
  • Short procedure

What should I expect before the procedure?

During your first consultation, you and your surgeon will discuss why you want a gynaecomastia reduction, what are your concerns with regards to your breasts, and how you want your breasts to look after the procedure. Additionally, you will discuss on the following things:

Medical history

It is important to give honest answers with regards to your medical history. This allows your surgeon to make accurate and safe decisions with regards to the procedure. Inform your surgeon about any medications, surgeries, or allergies you have/had. You must also inform your surgeon if you have diabetes, circulatory problems, thyroid problems, and other health issues if any. You must disclose if you or any of your family members have or had breast cancer. 

Physical examination

Your surgeon will conduct a physical examination of your breasts and help to identify any problem areas that can be treated with gynaecomastia reduction. Your breasts will also be measured, and pictures will be taken to guide your surgeon before and during the procedure.

After this, you and your surgeon will discuss the procedure and expected results. Once the treatment plan has been decided for you, your procedure will be booked. Before the procedure, you must:

  • Stop smoking: smoking reduces blood flow to the skin and hinders the healing process. It also increases your risk of tissue damage.
  • Stop some medications: medications such as aspirins and anti-inflammatory drugs are blood thinners which may increase bleeding during and after the procedure.
  • Maintain a healthy weight: Ensure that you are at a healthy weight before your procedure so that the results are long-lasting.

What should I expect during the procedure?

Gynaecomastia reduction is an out-patient procedure, and you will not be required to stay overnight at the hospital if all goes well. 

  • Anaesthesia is administered.
  • Several small incisions are made. 
  • Thin tube attached to a vacuum is inserted to suck out the excess fats.
  • Incisions are closed with sutures.
Gynaecomastia: Liposuction
  • Area to be removed is marked out.
  • Anaesthesia is administered.
  • Incisions are made.
  • Previously marked out areas of excess fat, tissue, and breast glands are removed.
  • Incisions are closed with sutures.
Gynaecomastia: Mammary Gland Tissue Surgery
  • Area to be removed is marked out.
  • Anaesthesia is administered.
  • Incisions for both surgery and liposuction are made.
  • Previously marked out areas of excess fat, tissue, and breast glands are removed.
  • Incisions are closed with sutures.
  • Thin tube attached to a vacuum is inserted to suck out the excess fats.
Gynaecomastia: Liposuction + Mammary Gland Tissue Surgery

For all procedures, chest tubes may be placed if necessary and these are removed within 24-48 hours.

In the management of gynaecomastia, Dr Vincent Tay will first perform a thorough evaluation and make an accurate diagnosis of your condition.

If needed,surgical intervention can be discussed and performed.

All surgical procedures have some degree of risk. The procedure should be carried in a safe environment and in an accredited clinic. Minor complications that do not affect the outcome could occur occasionally. Major complications are rare.

who is a candidate

for Gynaecomastia Reduction

Individuals with the following issues are suitable for gynaecomastia reduction:

  • New or long-standing enlarged breasts 
  • Stubborn areas over the pectoral region that stays even with diet and exercise
  • Lack of definition in chest contour
  • Enlarged breasts that cannot be corrected using alternative medical treatments

Men seeking to undergo gynaecomastia reduction must ensure that they are at a healthy weight, do not have any life-threatening illness, and whose breast development has been stabilised.

What to expect?

for Gynaecomastia Reduction

  • After your gynaecomastia reduction procedure, your chest will be covered with a compression garment to help reduce swelling and bruising but some bruising and tenderness is to be expected. This should resolve in two to three weeks.
  • Depending on the extent of your surgery, the compression garment must be worn for approximately one to three months.
  • You may return to light exercises in one to two weeks, depending on the advice of your surgeon. 
  • You will also be prescribed painkillers to help alleviate any pain or discomfort you may feel.
  • A follow-up appointment will be made to remove drainage tubes or sutures if necessary.
Frequently asked questions

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