Mr A. O. Grobbelaar  MBChB  MMed(Plast)  FCS(SA)(Plast)  FRCS(Plast)

Gynaecomastia

 

Introduction

Gynecomastia (woman-like breast) is an extremely common condition occurring in approximately 50% of all men. The degree of the condition may vary from a small nubbin of breast tissue behind the nipple-areola complex to real female like breasts of mixed fat and/or glandular tissue. Certain medical conditions can course the problem as well as certain medication for example anabolic steroids. Appropriate medical course should be investigated and treated before surgery is considered. Suitable candidates for surgery should ideally have a stable weight and be well supported and balanced emotionally.

The operation

Depending on the degree and whether the problem is mainly course by excess fat and/or gland the problem can either be corrected by liposuction only (mainly fatty tissue) or surgical removal of the glandular tissue or in some cases a combination of the two. The aim is to create a male shaped breast without removing excessive tissue as that can cause a contour deformity.

An incision on the edge of the areola is normally used for surgical removal while an incision in the side of the breast or the edge of the areola can be utilized for liposuction. In extreme cases more skin may have to be removed and the scarring be more extensive.

The procedure is normally performed as a day case procedure under general anaesthetic in the hospital. If large amounts of glandular tissue are removed an overnight stay may be required. Surgical drains are usually inserted overnight in cases of glandular resection.

The wounds are normally covered by a dressing and you may be required to wear a compression garment for up to 6 weeks post surgery. Pain is normally mild and can easily be controlled by adequate medication which will be provided at the hospital.

Possible Complications

After the operation

Your sutures will be removed approximately 12 days post-operatively. Sometimes the fine sutures around the areola will be removed earlier. The wound should be kept clean and dry until the removal of the sutures. It is possible to sit in a shallow bath and keep the dressings intact and dry. Driving can normally be commenced after two weeks if you did not have any wound healing problems. A full exercise programme should be deferred for 6 weeks. You may be required to wear a compression garment for 6 weeks after the surgery.

If you require further information or want to schedule a consultation please contact Mr. Grobbelaar's secretary details on the Contact page