Overview

Gynaecomastia is a condition in which men develop enlarged breast tissue, commonly referred to as "man boobs." This may result from hormonal imbalances, certain medications, or excess weight. In some cases, the exact cause is unknown.

Who Needs Surgery?

Surgical treatment may be recommended when:

• The breast enlargement does not respond to weight loss or medications.
• The condition causes psychological distress, embarrassment, or physical discomfort.
• There is a noticeable asymmetry in chest size or sagging skin after significant weight loss.

How is the Surgery Performed?

• The procedure is usually carried out under general anaesthesia.
• The surgeon removes excess fat using liposuction and excises glandular breast tissue through a small incision, typically around the areola (the dark skin surrounding the nipple).
• In severe cases, excess skin may be removed and the nipple repositioned to achieve a more natural appearance.
• The surgery typically takes 1–2 hours and is often done as a day-care procedure.

Recovery

• Most patients are discharged the same day or after one night in the hospital.
• Swelling, bruising, and discomfort may last for several weeks.
• A compression garment is worn for 1–2 weeks to aid healing and minimize swelling.
• Strenuous activities and heavy lifting should be avoided for about 3 weeks.
• Full recovery and final results may take up to 6 months.

Risks and Side Effects

• Temporary or permanent changes in nipple sensation
• Uneven chest contour
• Swelling, bruising, or bleeding
• Rarely, infection or the need for revision surgery

Summary Table

Is It Right for You?

If you are concerned about enlarged male breasts that haven’t responded to lifestyle changes or medications, gynaecomastia surgery can be a safe and effective solution. Always consult a qualified plastic surgeon to assess your condition and discuss realistic expectations.