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Breast Reduction (Male)

Gynaecomastia is a medical term that comes from the Greek meaning 'female-like-breasts'. This condition occurs when firm breast tissue forms in males. The tissue is usually less than 1½ inches across and grows directly under the nipple, can be present on one side or on both sides, and sometimes makes the breasts tender.

Before talking about treatment for this condition, it is important to distinguish between real gynaecomastia and pseudo- or false- gynaecomastia. In real gynaecomastia the enlarged male breast actually contains breast tissue.

This is unaltered by vigorous exercise or weight loss, and it cannot be reduced other than by surgery. In pseudo- or false- gynaecomastia on the other hand, the enlarged male breast contains no breast tissue but is simply a fatty enlargement of the male breast, which often arises in very overweight or obese men and does reduce when there is an overall weight loss.

Many boys or young men will experience a temporary enlargement of their breasts while going through puberty, which does tend to disappear as they pass from puberty into full manhood; but this does not always happen and can be an indication of a rare congenital condition called Klinefelter's syndrome. There are also a number of other medical conditions that may rarely cause male breast enlargement. These include hormone imbalances, tumours on the testicles or in the pituitary gland in the brain, breast cancer and chronic liver diseases such as alcoholic cirrhosis. Also, certain prescription drugs and some illegal drugs, including anabolic steroids used by bodybuilders are known to cause gynaecomastia as a side effect; this will often revert and not require treatment if the taking of the medicine or drug ceases.

Male breast reduction surgery is usually performed under local anaesthetic combined with a sedative to make you drowsy so that you remain awake but feel very little discomfort during the operation. Depending on your health and the extent of the procedure, your surgeon may advise having the operation under a general anaesthetic. The operation usually takes about 1½ to 2 hours, although depending on the extent of the procedure, it may take longer. Some people may be up and about in a day or two after the operation, but you shouldn’t plan on returning
to (non-strenuous) work for 3-7 days.

Private costs for a male breast reduction can range from approximately £3,000-£5,000.

Please note that all clinics offering cosmetic surgery should be registered with the Healthcare Commission, as they need to follow certain standards for the safe provision of cosmetic surgery and receive regular inspections to ensure that National Minimum Standards are met.

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