Gynaecomastia Surgery
Gynaecomastia surgery treats enlarged male breast tissue, a condition affecting approximately forty to sixty per cent of men at some point. It can develop during puberty, with ageing, due to hormonal changes, certain medications, or without any identifiable cause. The condition can cause physical discomfort and significant psychological distress. Surgery removes excess glandular tissue and fat to create a flatter, more masculine chest contour.
What does a Gynaecomastia procedure involve?
Your surgeon will examine your chest to determine the amount and type of tissue present, assess skin laxity, and discuss the best approach. Blood tests may be arranged to investigate hormonal causes. Gynaecomastia is graded from I (small enlargement, no excess skin) to IV (marked enlargement with significant excess skin).
Surgery takes one to two hours under general anaesthetic. The approach depends on tissue composition:
Liposuction alone: Suitable when excess tissue is primarily fat. Small incisions allow fat removal with minimal scarring.
Excision: Required for significant glandular tissue. An incision along the lower areola border allows removal of firm tissue beneath the nipple.
Combined approach: Liposuction plus excision — the most common technique for optimal contouring.
Skin excision: In severe cases with excess skin, additional incisions may be required.
A compression garment is applied following surgery.
Recovery
Most patients go home the same day. Swelling, bruising, and discomfort are common for one to two weeks. The compression vest is worn for four to six weeks. Desk work is typically possible within one week; strenuous activity and upper body exercise should be avoided for four to six weeks. Final chest contour emerges over three to six months.
Risks and Complications
Infection, bleeding, or haematoma
Seroma (fluid collection)
Changes in nipple or chest sensation
Asymmetry or contour irregularities
Scarring
Under- or over-correction
Recurrence if underlying cause is not addressed
Need for revision surgery
Frequently Asked Questions
What causes gynaecomastia?
Common causes include hormonal imbalances, certain medications, alcohol or cannabis use, and medical conditions. Often no specific cause is identified.
Will it come back after surgery?
Recurrence is uncommon once glandular tissue is removed, provided any underlying cause is addressed.
When can I return to the gym?
Light lower body exercise is usually possible at two weeks, with upper body and chest exercises from six weeks.
THE SPECIALIST CLINIC DUBLIN
Plastic, Reconstructive & Aesthetic Surgery performed with Care & Compassion
To find out whether gynaecomastia surgery is right for you, contact us to arrange a confidential consultation.