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New Zealand institute of Plastic and Cosmetic Surgery Male Breast Reduction
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Male Breast Reduction (Gynaecomastia)

Gynaecomastia is a common condition in which men develop breast tissue.

It occurs for a short period in many teenage males, but usually resolves spontaneously. However, breast development may persist in some men, or develop later in life.

The enlargement of the male breast can be caused by either excess glandular tissue, excess fat, or both.

Some of the causes include hormone fluctuations, medical or recreational drugs, obesity, as well as some genetic disorders.

It is rarely caused by a more serious disease.

Planning
Surgery
Recovery
Procedure Costs

Planning

Your surgeon will perform a thorough medical examination, answer all your questions, and suggest the most appropriate treatment.

Photographs will be taken before and after your surgery to plan your operation and to record your results.

A breast X-ray (mammogram) may be performed in some cases of gynaecomastia to rule out the presence of breast cancer, and to determine whether your breast enlargement is secondary to an increase in fat, glandular tissue, or both. The appropriate procedure can then be determined from this information.

Like any surgical procedure there are some risks and possible complications. Your surgeon will discuss these with you.

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Surgery

Surgery may include liposuction, gland excision through a small incision around the nipple, or a combination of both. The ideal treatment depends on the consistency of the breast tissue – whether it is more firm and glandular, or more soft and fatty.

Ultrasonic Assisted Liposuction (UAL) has proven very beneficial in the treatment of gynaecomastia. It may be possible to reduce relatively large male breasts solely by UAL without necessitating large scars. Sometimes a second, smaller procedure may be required to remove excessive skin which does not shrink back after UAL.

A breast reduction can take appproximately 1.5-2 hours. Depending on the complexity of the operation, your surgeon will either use a local or general anaesthetic.

In most cases, an overnight stay is not required.

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Recovery

After surgery you will wear a pressure vest for several weeks to minimize any swelling and bruising.

Your surgeon will advise you to stay off work for a few days and to avoid contact sports for about three weeks.

You should be able to resume most of your normal activities within a month.

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Procedure Costs

Please ring the Institute for an up-to-date estimate.

A more accurate costing will be made after the first consultation.

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This page provides an overview. More detailed information can be obtained during a consultation with one of our plastic surgeons.
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