MED0001664328 This website contains imagery which is only suitable for audiences 18+. Any surgical or invasive procedure carries risks. Read more here
MED0001664328 This website contains imagery which is only suitable for audiences 18+. Any surgical or invasive procedure carries risks. Read more here
Gynaecomastia is a condition in which men experience an increase in breast tissue, affecting one or both sides of the chest. This condition is commonly linked to hormonal imbalances, particularly an increase in oestrogen relative to testosterone. It can develop at different life stages, including puberty, middle age, and later in life. Certain factors, such as medication use, underlying medical conditions (which require further investigation), or changes in body composition, may also contribute to its development. Unlike general fat accumulation in the chest, Gynaecomastia involves the growth of glandular breast tissue, which may feel firm or sensitive.
This condition can cause physical discomfort, such as tenderness or sensitivity in the affected area. Some individuals seek treatment if the condition does not change with weight loss or non-surgical approaches. Surgical intervention may be considered when the enlargement causes ongoing discomfort or if other treatments have not been effective.
We take a customised approach for each patient, ensuring they are fully informed about their treatment options and actively involved in the decision-making process. Dr Maree Kekeff provides a thorough assessment to determine the most suitable approach, whether through glandular tissue removal, liposuction, or a combination of both. The goal is to adjust the chest area in a way that aligns with the patient’s needs while considering both functional and aesthetic aspects of treatment. By carefully planning each procedure, we prioritise both physical comfort and the intended surgical outcome, ensuring that the approach taken is suited to the patient’s specific concerns.
Liposuction is a common technique used to address Gynaecomastia when the enlargement is primarily due to excess fatty tissue rather than glandular tissue. In this procedure, Dr Maree Kekeff uses a small cannula to remove fat through tiny incisions in inconspicuous areas, usually around the nipple or in the armpit. This method is suitable for patients with less glandular tissue and those who have developed excess fat in the chest area, which may occur due to weight gain or hormonal changes.
While liposuction can effectively reduce excess fat in the chest, it may not be sufficient for patients with substantial glandular tissue enlargement. In such cases, additional surgical techniques, such as glandular tissue excision, may be required to achieve the intended result. The suitability of liposuction alone depends on the composition of the tissue in the chest, which is assessed during consultation.
For patients with significant breast tissue enlargement or glandular involvement, surgical excision may be necessary. This procedure involves making an incision around the areola or in the lower breast fold to remove excess glandular tissue. Unlike liposuction, which targets fat, excision allows for direct removal of firm breast tissue that does not respond to non-surgical methods. This approach is often used in cases where the enlargement is primarily caused by an overgrowth of glandular tissue rather than fat.
Glandular tissue removal is suitable for patients who experience firmer breast enlargement and may also be used to address excess skin if significant stretching has occurred. In some cases, excision is combined with liposuction to remove both glandular and fatty tissue while changing the overall shape of the chest. Incisions are planned to reduce scar visibility, though healing times vary, and scar maturation can take several months.
The recovery period after Gynaecomastia surgery varies depending on the extent of the procedure performed. Patients can expect some swelling, bruising, and discomfort in the chest area, which can be managed with prescribed pain medications. A compression garment is often worn to support the chest, reduce swelling, and help the tissue settle into its new shape. Most patients can return to light activities within a few days, but more strenuous activities, including heavy lifting and intense exercise, should be avoided for approximately 4 to 6 weeks to ensure proper healing.
Follow-up appointments are essential to monitor the progress of healing and assess any potential complications. Swelling and bruising will gradually subside over the first few weeks, and the full results may take several months to fully develop as the chest heals. Patients are advised to avoid exposing the chest to direct sunlight for a few months to ensure that the incisions heal properly and to minimise the risk of scarring. Dr Maree Kekeff provides detailed post-operative instructions to support the recovery process and help ensure that the final result aligns with the planned surgical adjustments.
As with any surgical procedure, Gynaecomastia surgery carries certain risks, including:
It is important to discuss these risks with Dr Maree Kekeff during the consultation to fully understand the potential complications and the steps that can be taken to minimise them. Proper post-operative care and following medical guidance play a key role in reducing the likelihood of complications and supporting the healing process.
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