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Gynaecomastia surgery

What is gynaecomastia surgery?

This surgery reduces the size of male breasts by removing excess fat, glandular tissue or skin. This can be for cosmetic or psychological reasons, or it can be to treat discomfort.

Is gynaecomastia surgery for me?

Gynaecomastia surgery is not for everyone with gynaecomastia. The first step if you think you may have gynaecomastia is to go to your GP, who will examine you and do some tests.

If needed, your GP can refer you to a hormone specialist (an endocrinologist). For many men non-surgical options – such as starting or changing medications – may be the best treatment. An endocrinologist can refer you to a plastic surgeon if they think that surgery may be an option for you.

If you are overweight this can contribute to gynaecomastia, so it is best to lose weight first before any surgery. If you need help to lose weight, the resources in our section How to lose weight may help. Heavy use of alcohol and marijuana can cause gynaecomastia, so if you are a heavy user of either of these substances stopping them may solve your gynaecomastia. If you need help to do this talk to your doctor or use the resources in our pages on Alcohol and safe drinking and Alcohol, drugs and gambling in men.

With younger men, surgeons may want to wait a while, as gynaecomastia can improve after adolescence.

Smokers who have gynaecomastia surgery do not heal as well. Your surgeon will strongly encourage you to stop smoking and may not be prepared to proceed until you do. If you need help to stop smoking, use the resources on our page How to become smokefree.

It is important to have realistic expectations about what the surgery can do for you. The final result can lead to greater self confidence, but it may not match the image of how you would like your breasts to look.

On the next page: Gynaecomastia surgery techniques and risks


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