Male Body Aesthetic Surgery
Gynaecomastia: Male breasts
Gynaecomastia is breast development in the male. All males normally have some breast tissue, but when there is excess it is called gynaecomastia.
Breast development can occur in newborns (due to maternal hormones), in teenage years (hormones again) and in old age when oestrogen levels go up and testosterone levels decline. Typically gynaecomastia can occur in families. Gynaecomastia can be made worse by certain drugs and medication, including steroids (body builders beware). Rarely gynaecomastia is caused by serious disease (liver or testicular cancer) but then the gynaecomastia is just one of the symptoms.
The options for gynaecomastia treatment are either conventional open surgery or liposuction or a combination of both. There is no non surgical treatment for gynaecomastia. Whichever procedure is performed it is done in my own clinic as day case surgery under sedation and local anaesthesia. The procedure usually takes about an hour and you will be discharged later in the day. Removal of gynaecomastia tissue is usually permanent.
Conventional surgery may be required if the gynaecomastia is large or if there is hard tissue present, usually under the nipple. Incisions are made either around or through the nipple or areola. At the edge of the excision liposuction will be done to try and avoid contour irregularities.
Liposuction with a special cannula (the hollow rigid pipe which sucks out fat and other tissue) can be appropriate for most cases of gynaecomastia. It is performed usually through 2 small incisions below each breast. It is difficult to remove fibrous or glandular tissue with liposuction (although the special cannula I use facilitates this) and the risk is a persistent knob of hard tissue below the nipple. This hard tissue (stoneys) can be excised.
Whether liposuction alone or in combination with open surgery is used, there will be some bruising and swelling. Bruising usually subsides at around 2 weeks post-operatively. Swelling can take longer to settle and often with gynaecomastia the final result is only evident 6 months or more after surgery.
An enlarged nipple or areola (the pigmented part around the nipple) can be associated with gynaecomastia. Both can be reduced/corrected at the time of gynaecomastia surgery.
Before and after treatment of gynaecomastia with liposuction.
Tummy and love handles
Accumulation of fat in certain areas is unattractive and can give men a female or gynecoid appearance. A masculine shape is more desirable and this can usually be achieved simply with liposuction. Men frequently request liposuction of tummy, love handles and perhaps other areas too. While good results can be obtained it is important to understand about the two types of fat.
Subcutaneous fat is fat beneath the skin. It is what you feel when you pinch. Subcutaneous fat is what is treated with liposuction.
Deeper fat, around the internal organs, is called visceral fat. Visceral fat is not treated with liposution.
Women typically accumulate subcutaneous fat. While men also do, frequently men have visceral fat which is inaccessible to liposuction. Because of visceral fat accumulation it is possible to get an inferior result with lipo in men.
Males make up about 12% of my liposuction patients. Liposuction can be done to one or multiple areas in one surgery. Liposuction leaves minimal stigmata – it is done through tiny stab incisions hidden in natural body lines. Over time, these usually heal with inconspicuous scars. The surgery is performed in my own clinic under sedation and local anaesthesia. Patients are done as day cases, discharged home on the day of surgery. Recovery is relatively quick with some swelling and bruising for about 10 days post op. Complications are rare.
“Dr Lazarus and his team are awesome, never felt uncomfortable they gave me all the info I needed and my op has completely changed my life. Would recommend 20/10, don’t feel embarrassed taking off my top anymore, happier than ever. Thanks Dr L”
I’m a 30 year old flight attendant with previously AA cup size, I’ve always wanted Brest augmentation since the age of 19 when i knew my breast weren’t gonna grow any further. Anyway I’m based in the Middle East and initially wanted to do my surgery in Thailand but change my mind last minute and started researching plastic surgeons in Cape town, where I’m from. I thought it’s much better if im home with family and surrounded my people that can help me in my initial recovery period, Dr Dirks page popped up and I immediately emailed him, he replied almost instantly and I was very impressed. I then delt with Anneli the secretary over the last few months before my face to face consultation with Dr Dirk and she answered all my nervous questions via email, everyone was so professional and really helpful. Got my three weeks vacation holiday and did my surgery about two weeks ago and never looked back. Dr Dirk and his team are absolutely fantastic!!!! I couldn’t be more happy with my 300cc choice and dont regret a single moment, this is the best gift I’ve bought myself! I can’t wait for the final result and show off my new boobies … Thank you Dr Dirk, Anelli, Danni and Elmari for such fabulous service and for taking such good care of me. Will definitely be recommending this surgery to all my flight attendant friends back in the Middle East !!!!