How do you treat gynaecomastia?

The preferred surgical treatment for Gynaecomastia is to use Liposuction to remove this stubborn fatty, glandular tissue. We most commonly use Water Assisted Liposuction (BodyJet) or Power Assisted Liposuction using MicroAire or Lipomatic. We have found other techniques such as Ultrasound (VASER) or Laser Assisted less effective. In younger people, or where the tissue is fibrous, it may be necessary to carry out Webster’s procedure, either on its own or in combination with liposuction. This is a direct excision of breast disc through a discrete peri-areolar incision. The skin itself is allowed to retract so that the operation is essentially scar-less.

Infrequently, there are however, patients with very large breasts where there is too much surplus skin and at a second stage, a reduction of skin with repositioning of the nipple is required.

All these treatments are carried out as day cases under TIVA (Total IntraVenous Anaesthesia). You are just lightly asleep and wake up quickly without nausea.

Bruising can persist for several months.

Normally with liposuction, there is no recurrence, but with breasts, we are removing breast tissue, which if the original cause persists, could continue to grow to a certain extent. It would never be as much as without treatment because now there are now fewer breast cells. A few patients need a second treatment.

This is a skilled procedure needing an experienced surgeon to avoid irregularities.

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