Gynaecomastia surgery (male breast reduction) at Haywards Heath Hospital

What is gynaecomastia surgery at Hayward's Heath Hospital?

Gynaecomastia surgery, also known as male breast reduction, is a cosmetic surgical procedure that removes excess breast tissue in men to create a flatter, more traditionally masculine chest shape. The operation typically involves two main techniques: liposuction, to remove fatty tissue, and making incisions to remove dense glandular breast tissue. In some cases, both techniques are combined for optimal results. The procedure can also involve repositioning the nipples or removing excess skin if necessary.

What causes gynaecomastia?

Gynaecomastia is caused by an imbalance between the hormones testosterone and oestrogen. It can occur naturally during puberty, though in most cases it resolves on its own. In adults, causes include:

• Ageing
• Obesity
• Certain medications such as anabolic steroids or antidepressants
• Underlying medical conditions like liver disease, kidney disease, hyperthyroidism, or hormone-secreting tumours
• Lifestyle factors, including excessive alcohol or recreational drug use.

In many cases, however, there may not be any clear cause, this is referred to as idiopathic gynaecomastia.

Why choose Nuffield Health Hayward's Heath Hospital for your gynaecomastia surgery?

We offer a vast range of first-class medical and surgical services performed by expert consultants.

All of our staff are highly trained in providing care on an individual basis, with an overall aim of creating a caring environment to encourage a speedy recovery and wellbeing.

How to book a consultation at Nuffield Health Hayward's Heath Hospital?

Booking your consultation has never been easier with Nuffield Health. Simply click the button below to find a consultant and book your appointment, all from your device.

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Is male breast reduction right for me?

Male breast reduction surgery at Hayward's Heath Hospital may be suitable for men who have persistent gynaecomastia that has not responded to non-surgical treatments, such as lifestyle changes or medication adjustments. Patients often look to surgery for both physical reasons, such as discomfort and chafing, as well as emotional reasons, including self-consciousness or embarrassment.

It is important to look after your general health before opting for male breast reduction surgery. Stopping smoking can help the long-term outcomes of the procedure.

A thorough consultation with one of Hayward's Heath Hospital's specialist surgeons is essential to assess your condition, review your medical history, and discuss whether surgery is the right option for you.

What happens during male breast reduction surgery at Nuffield Health Hayward's Heath?

The surgery is typically performed under a general anaesthetic and can take between one to two hours, depending on the extent of tissue removal. During the operation, the surgeon may use liposuction to remove excess fatty tissue through small incisions, usually around the areola (nipple) or under the arm.

In some cases, excess skin may be removed, and the nipples repositioned for a natural appearance. The specific technique that your surgeon will use will depend on the amount and type of tissue involved and the desired cosmetic outcome.

Preparing for gynaecomastia surgery at Nuffield Health Hayward's Heath

Before undergoing surgery, you will have a detailed assessment including from Hayward's Heath Hospital's healthcare team, a health review, blood tests, and sometimes imaging studies.

If you are a smoker, it is important to stop smoking several weeks before the operation, as this can delay healing and increase the risk of complications. Certain medications, including aspirin and anti-inflammatory drugs, may also need to be stopped.

As with all procedures that need general anaesthetic, you will be asked to fast for a period before surgery. This will be explained by your surgeon or anaesthetist, and to ensure you have someone to accompany you home and assist with your care in the early stages of recovery.

For more information, read our patient guide about getting ready for your hospital stay.

During the operation

The procedure usually lasts between one to two hours and is performed as a day-case operation, allowing most patients to return home the same day. In some situations, particularly after more extensive procedures or if there are any complications, an overnight hospital stay may be recommended.

After surgery, a compression garment is placed over the chest to reduce swelling, minimise bruising, and help with your healing. This also helps the skin to move back into place smoothly for your new chest shape.

Going home after gynaecomastia surgery at Nuffield Health Hayward's Heath

Patients are generally discharged on the same day of the procedure, although you will need to arrange for someone to drive you home and help with your care for at least 24 hours.

Pain and discomfort are typically mild to moderate and can be managed with prescribed or over-the-counter painkillers. A compression garment must be worn continuously for four weeks to help reduce swelling and maintain your new chest shape. Our healthcare team will give you advice and instructions on how to care for your wound care and any activities you might need to avoid during your recovery. For more information, read our patient guide on going home after your treatment.

Recovery timeline

This chart is a guide to stages of recovery only. Everyone heals differently so your results may vary.

What are the benefits of male breast reduction?

The main benefit of male breast reduction is achieving a flatter, firmer, and more masculine chest appearance, which can significantly improve self-confidence and body image. The procedure can also relieve physical discomfort caused by enlarged breast tissue, such as chafing or tenderness.

How long does gynaecomastia surgery last?

The results of male breast reduction surgery are usually permanent, provided that underlying cause of gynaecomastia, such as weight gain, hormonal imbalance, or certain medication use, does not return. Maintaining a health weight after your surgery is important in seeing lasting results from your procedure.

What are the risks of gynaecomastia surgery?

General complications

As with all surgical procedures, male breast reduction carries potential risks, including bleeding, infection, scarring, and changes in nipple sensation, which may be temporary or, in some cases , permanent. Asymmetry between the two sides of the chest can occur, and further surgery may sometimes be required to achieve optimal results. Your consultant will discuss all the risks and possible complications with you before your surgery. Include pain, swelling, bruising, and the rare risk of developing a blood clot.

Specific complications of gynaecomastia surgery

Complications associated with gynaecomastia surgery include:

• Haematomas (collections of blood under the skin)
• Seromas (fluid build-up)
• Contour irregularities
• Under or overcorrection
• Poor wound healing
• Very rarely, nipple necrosis (loss of nipple tissue)

Pain following male breast reduction surgery

After your surgery, pain is usually mild to moderate and can be managed with painkillers. Discomfort is typically greatest in the first few days after surgery but improves steadily over the course of a week. You may also experience tightness or tenderness in the chest area as the tissues heal, which is a normal part of the recovery process.

Are there non-surgical alternatives to treat gynaecomastia?

There are non-surgical alternative treatments for gynaecomastia. These can include addressing any underlying medical or hormonal causes, adjusting medications that may contribute to the condition, and losing weight if excess fatty tissue is a factor. In some cases, medications may be prescribed to manage hormone-related male breast enlargement. Psychological support is also recommended for men experiencing distress due to the appearance of their chest.

How much does male breast reduction cost at Nuffield Health Hayward's Heath?

Click below to find out more about Nuffield Health Hayward's Heath Hospital's guide prices for male breast reduction. Please note that the guide price stated is an approximate cost of treatment only. You will be given a fixed all-inclusive price for treatment following your initial consultation with a consultant.

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