Gynaecomastia

Most certainly! During consultation I am happy to share before and after photos with you of people who have had the same procedure(s) you are considering. By doing this during the consultation, and in person, I have the opportunity to relate the example specifically to your situation, highlighting outcomes and helping with expectations.

Man breasts (gynaecomastia) are not usually due to genetic causes. The vast majority is due to a developmental problem during growth often stimulated by puberty. It is likely that there is an oversensitivity of the developing male breast to the circulating hormone of puberty such as progesterone an oestrogen that are present in small amounts during male growth. Rarely hormonal problems can cause male breast such as excess adreno-cortical hormones and feminizing syndromes. Rarely male breasts are caused by certain drugs such as Cimetidine, Spironolactone and cannabis abuse. Liver disease can also cause man boobs along with some very rare pituitary tumours such as prolactinomas. It is important the “man boobs” are not part of general obesity. A competent surgeon will rule out all these possible causes to reassure you. Proper surgery should then deal with the problem and there should be no recurrence.

For mild to moderate gynaecomastia the skin will often shrink back. However for larger “breasts” some form of tightening surgery may be necessary resulting in external scars. Your surgeon should be able to assess this and advise accordingly.

No. There will almost certainly be enough muscle under the breast to give a good post operative result.

Perfect symmetry is difficult to achieve but most normal men will have some asymmetry occurring naturally as well. The aim of treatment is to allow the patient to regain confidence and at least be happy in T shirt or when swimming, if possible.