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Comprehensive Guide to Gynecomastia Treatment: Male Breast Reduction Surgery

Gynecomastia, a condition characterised by an enlargement of male breast tissue, is a common issue affecting men of all ages, from adolescents to the elderly. Though not widely discussed, the impact of gynecomastia on a man's self-confidence and emotional well-being can be significant, making it important to address this condition with empathy and understanding. In this comprehensive guide, we will explore the possible causes of gynecomastia, its diagnosis, and the surgical solutions offered by Damir Kosutic Plastic & Reconstructive Surgeon.

Understanding the underlying causes behind gynecomastia is crucial, as it can shed light on the appropriate course of action to manage the condition. Some of the known contributors are hormonal imbalances, obesity, certain medications, and drugs like steroids or marijuana. It is also important to note that gynecomastia can be classified as either true gynecomastia or pseudogynecomastia.

True gynecomastia involves an overdevelopment of glandular tissue, often driven by hormonal imbalances such as an excess of estrogen or a deficiency of testosterone. On the other hand, pseudogynecomastia is characterised by an accumulation of fat tissues in the breasts, usually as a result of obesity. Identifying the type of gynecomastia a patient is experiencing is vital when deciding on a treatment method.

Diagnosing gynecomastia involves a thorough examination by a healthcare professional, who will assess the breast tissue and may recommend imaging studies such as mammography or ultrasound to determine the type and severity of the condition. Blood tests may also be conducted to check for hormonal imbalances or other underlying causes.

Once a diagnosis is made, the focus shifts to treatment options. Lifestyle changes, such as weight loss and exercise, can be particularly effective for pseudogynecomastia. For true gynecomastia, however, male breast reduction surgery is often the most effective solution. This surgical intervention involves the removal of excess glandular tissue and, in some cases, the removal of excess skin and fat as well.

Continuing in this article, we will delve deeper into the details of male breast reduction surgery, exploring the preoperative preparations, surgical techniques, and recovery process. Additionally, we will discuss the importance of choosing Damir Kosutic Plastic & Reconstructive Surgeon for this life-changing procedure. Our aim is to provide a comprehensive resource for men considering this transformative surgery, empowering them with the knowledge they need to make informed decisions about their gynecomastia treatment journey.

Preoperative Preparations for Male Breast Reduction Surgery

Before undergoing male breast reduction surgery, it is essential to follow the advice and guidance provided by your plastic and reconstructive surgeon. Preoperative preparations generally include a series of tests to determine overall health, and you may be advised to refrain from smoking, avoid specific medications, and maintain a stable weight leading up to the operation.

A comprehensive consultation with Damir Kosutic Plastic & Reconstructive Surgeon is also a crucial part of the preparation process. During this consultation, you will have the chance to discuss your medical history, expectations, and concerns. Your surgeon will provide you with detailed information about the procedure, its risks, and the expected outcomes, allowing you to make an informed decision regarding your gynecomastia treatment.

Male Breast Reduction Surgical Techniques

There are several surgical techniques employed in male breast reduction, with the choice depending on factors such as the extent of the gynecomastia, the amount of excess tissue, and the patient's individual anatomy. Some of the most common approaches include:

Liposuction: Liposuction is a minimally invasive procedure that can be particularly effective for patients with pseudogynecomastia. During this procedure, a small incision is made near the affected area, and a specialised cannula is used to break up and remove excess fat deposits. The surgeon will sculpt and reshape the breasts to achieve a more masculine and contoured appearance.

Excision: In cases where excess glandular tissue or skin must be removed, a more invasive excision technique may be necessary. This procedure involves making incisions around the areola or within the natural creases of the chest, through which the surgeon can remove excess tissue and skin. The incisions are then closed using sutures, preserving the natural contours and symmetry of the chest.

Combined Approach: In some instances, both liposuction and excision techniques may be used to achieve the best possible outcome. This combined approach allows the surgeon to address both fatty and glandular tissues, as well as any excess skin.

During your consultation, your surgeon will discuss the available techniques and recommend the most suitable approach based on your diagnosis and desired outcome.

Recovery and Postoperative Care

Recovery from male breast reduction surgery will vary depending on the techniques used and the patient's overall health. Generally, you can expect to experience some swelling, bruising, and discomfort during the initial recovery period. Pain relief medications, compression garments, and specific postoperative care instructions provided by your surgeon will aid in a smooth and comfortable recovery.

Patients are advised to avoid heavy lifting and strenuous exercise for approximately four to six weeks following surgery. Daily activities can usually be resumed within a week, with a gradual return to light exercise as tolerated. It is important to attend all follow-up appointments with your surgeon to ensure optimal healing and address any potential concerns.

Managing Expectations and Embracing Improved Confidence

Though male breast reduction surgery can significantly improve the appearance and contour of a patient's chest, it is essential to maintain realistic expectations regarding the results. While the procedure can provide long-lasting results, factors such as age, weight fluctuations, and underlying hormonal imbalances can influence the long-term outcome. So, maintaining a healthy lifestyle and addressing any underlying health issues is paramount in preserving your surgical results.

The emotional impact of undergoing male breast reduction surgery must not be underestimated. Patients often report an improved sense of self-confidence and quality of life. As the swelling subsides and the incisions heal, you will begin to see the outcome of your procedure—a more masculine and well-proportioned chest. This transformation can positively impact multiple facets of your life, from improved self-image to increased comfort in your clothing and social interactions.


Gynecomastia is a widespread issue affecting the lives of many men across the world. By providing clear, concise information about the causes, diagnosis, and surgical treatment options available, we hope to empower those affected by this condition to seek professional advice and potentially life-changing solutions.

Are you tired of feeling self-conscious about your appearance? Look no further than Damir Kosutic Plastic & Reconstructive Surgeon. Dr Kosutic is an internationally acclaimed plastic surgeon based in Manchester, UK, who can help enhance your natural beauty or alleviate your medical conditions with the highest standards of medical excellence. Whether you're based in the UK or abroad, Dr Kosutic has the expertise and experience to provide the best surgical services in the field of plastic, aesthetic, reconstructive, lymphoedema/lipoedema and migraine headache surgery. With a commitment to patient satisfaction and safety, Dr Kosutic will work with you to achieve your desired outcome. Contact us today to schedule a breast reduction consultation and take the first step towards a happier, healthier you.

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