Our consultants at The London Clinic are experienced in surgery to reduce gynaecomastia (enlarged breasts in men), and will offer you treatment and care with compassion and expertise.
Gynaecomastia surgery is a type of surgery carried out to reduce the size of the breasts in men.
Gynaecomastia is a condition where the breasts in men become enlarged. Although gynaecomastia is usually benign, we know it can be upsetting and cause distress for some. In some people it can also be uncomfortable or painful. At The London Clinic, we support many patients with gynaecomastia.
We offer a full diagnostic service to check for any underlying problems that may be causing it. If an underlying cause either cannot be identified or cannot be treated, and other treatments have not worked, gynaecomastia surgery may be an option for you.
We’ll provide full support throughout your treatment journey, from understanding the options available to deciding on treatment through to your recovery.
Our priority is to provide you with the best results, as well as outstanding personalised care.
Why choose The London Clinic
Excellence in one place
We operate as teams of experts with world-class resources dedicated to maintaining the highest standards of medical care. You are surrounded by the latest treatments and advice with everything you need to get back to your best health.
Personal care, every time
Exceptional patient care is a way of life for us. Our nurses, clinicians and support teams are dedicated to the care of a very small number of patients, so have more time for you. They’ll be with you every step of the way, tailoring your care around you and giving the peace-of-mind that comes with knowing you’re in the best hands.
We work together as one to guide you through each step of your experience, with complexities unravelled and answers readily to hand. Your personal treatment plan will be laid out for you, with all the details taken care of so you can focus on you.
Get in touch with us
If you’re concerned about gynaecomastia, at The London Clinic we will be happy to help. Contact us and we’ll arrange an appointment with one of our doctors as soon as is convenient for you.
Your initial consultation
Your doctor will review your case in detail. This will involve discussing your symptoms, how long you have had them for and how they affect your daily life. Your doctor will also carry out a full examination and arrange any further investigations needed.
Treatment options before surgery
Before deciding on surgery, there may be other treatment options available for you to try. These may include lifestyle changes such as weight loss, reducing alcohol intake or medication. Our experts will also check for any direct causes of your gynaecomastia, such as a side effect of medication where switching to a different medicine may improve your symptoms.
Deciding on surgery
Before deciding on surgery, we’ll discuss with you what you would like the surgery to achieve. We’ll also make sure you are fully aware of any associated risks and side effects.
The day of your operation
Our care team will welcome you to our hospital and provide all the support you need throughout the day. The surgery is usually carried out under general anaesthetic and takes around one to two hours.
You will need to stay in hospital with us for one or two nights after your operation to recover. Our nursing team will make sure you are as comfortable as possible throughout.
You will need to take it easy for a couple of weeks after your surgery and avoid strenuous work or exercise. We’ll be on hand to answer any queries. We’ll also arrange a follow-up appointment with your surgeon.
Most patients are pleased with the results of their gynaecomastia surgery. You’ll be able to see the initial results straight away, although it can take several months or up to a year for the full results to develop.
Gynaecomastia develops when there is an imbalance between the hormone oestrogen, which stimulates the breasts to grow, and testosterone, which inhibits breast growth.
There are many different causes of gynaecomastia. It’s common during teenage years and usually resolves without treatment.
In adulthood, gynaecomastia may be caused by other medical conditions that affect hormone levels. It can also be a side effect of some medication, including some cancer treatments, herbal remedies and drugs such as cannabis. Gynaecomastia may also develop due to obesity.
Gynaecomastia surgery is a possible treatment option for adult males with gynaecomastia.
It may be recommended if your symptoms of gynaecomastia (enlarged breasts which may be accompanied by pain) have been going on for some time and are causing you significant upset or distress.
Our doctors will want to check for any possible causes of gynaecomastia. You’ll usually be recommended to try other, non-surgical treatment options first.
If these have not worked, you may be able to have gynaecomastia surgery. Surgery is not usually recommended until at least after puberty has finished and not before the age of 18.
Having surgery is a significant decision. At The London Clinic, we will review your symptoms in detail and explore all treatment options available with you before recommending surgery.
Before going ahead, you should take the time you need to understand what the surgery involves and make sure you are comfortable with your decision.
We’ll be on hand to support you and offer any advice needed throughout.
Gynaecomastia surgery is usually carried out under general anaesthetic.
Gynaecomastia is a result of excess fatty or glandular tissue. The aim of surgery is to reduce the amount of this excess tissue.
1. During surgery, a small incision is made and excess tissue removed either by liposuction or by excision (using a scalpel). A combination of techniques may be used.
2. If gynaecomastia has led to stretching of the skin, excess skin may also be removed during surgery. Surgery does not affect the pectoral muscles that sit beneath the breast area.
3. The incision is then repaired, usually with dissolvable stitches. The size of the incision depends on the extent of the gynaecomastia and the techniques used to remove the excess tissue.
Gynaecomastia surgery is usually carried out under general anaesthetic, and you’ll need to stay in hospital for one or two nights after your surgery.
It’ll take a further few weeks for your wound to heal. You’ll normally be advised to wear an elastic compression vest for a couple of weeks after your surgery to help with the healing.
You may need to take a week or two off work and avoid strenuous work and exercise for up to six weeks. We’ll keep in touch with you during this time to monitor your recovery. We’ll also arrange a follow-up appointment with your surgeon to check the results.
It can take several months for the final effects to develop.
Gynaecomastia surgery is usually safe and successful, producing results that patients are happy with. However, any surgery carries some risks. We’ll discuss these with you in detail before you decide to go ahead with gynaecomastia surgery.
All surgery carries a small risk of infection. We will make sure you know the symptoms to look out for and provide treatment with antibiotics if necessary.
After surgery, you may experience some swelling and bruising. This should improve over time. Some patients develop a haematoma (collection of blood). This usually resolves on its own but sometimes needs further surgery.
Occasionally, patients have some permanent numbness in the breast area after surgery. You may have a small scar.
Before deciding on surgery, we’ll explain to you what the surgery can achieve and how it will affect your appearance. There is a very small risk that the results are not what you expect. It’ll also take some time for the full effects to develop – from a few months to up to a year.
Breast cancer in men is very rare. Only around 350 cases of breast cancer in men are diagnosed in the UK each year, compared to around 55,000 cases in women.
Symptoms typically include a lump and changes to the nipple, usually just on one side. Very occasionally, gynaecomastia may be a symptom of male breast cancer.
If you have gynaecomastia, our doctors will check for any other concerning signs and symptoms during your initial consultation. If you are concerned about male breast cancer, you can contact us for help or speak to your GP.