The type of procedure you will have depends on the underlying cause of the gynaecomastia. If the enlargement is due to excess fatty tissue alone, then liposuction will be used to remove the fat-containing cells through very small incisions . If the enlargement is due to excess glandular tissue alone (usually lying beneath the nipple) then a small incision around the edge of the areola (periareolar scar) will be used and the tissue cut out rather than suctioned out. If the enlargement is due to a combination of excess fatty tissue and glandular tissue then it is likely you will need both liposuction and a surgical excision using a periareolar incision. In a very small number of cases, where the degree of breast enlargement is extreme, then a larger procedure may be required necessitating longer scars to remove excess skin as well as the fatty and glandular tissue. Dr Norris will tell you which technique is most appropriate for you after assessment of your chest at the initial consultation.
At the end of the operation the incisions are closed with absorbable sutures to save you the inconvenience of having them removed. A dressing is applied over the incisions and you will leave the hospital wearing a comfortable and supportive chest binder garment.


