Male Breast Reduction Explained | Dr Mark Gittos | Plastic Surgeon NZ

moobsEnlarged male breasts are caused by a medical condition known as ‘gynaecomastia’, which can cause untold embarrassment and stress. Many men in New Zealand suffer from the condition with some estimates as high as 40%. And it’s not just older men with excess weight – young adolescents can see their chest go to the size of a C cup. Undergoing male breast reduction surgery can offer a permanent solution to gynaecomastia, enabling you to lead a more normal life.

Male breast reduction is not a way to lose weight. Surgeons will discourage surgery for obese men, or for overweight men who have not first attempted to correct the problem with exercise or dieting or weight loss surgery.

What causes gynaecomastia?

There are a variety of causes for this condition. Physiological changes in hormone ratios just after birth, at puberty and late in life often create ‘moobs’. Various drugs – medical or recreational – such as cannabis, steroids, methyldopa, phenothiazines, cimetidine, cyproterone acetate and drugs that inhibit testosterone also can have side-effects such as breast growth.

Usually you will have been referred for treatment by your GP who knows what drugs you take and after doing the relevant physical examination and special investigations to exclude the above conditions.

Am I a good candidate for male breast reduction?

This is best decided during a consultation, but generally speaking if you are a healthy, emotionally stable man, with firm, elastic skin that will contract to your chest’s new contours after breast reduction, you will benefit from either liposuction or surgery to decrease your breast mounds.

How is the surgery performed?

The aim of either liposuction, or surgery for this condition is to produce as predictable, stable and aesthetic a breast shape for you as possible.

Liposuction is best suited to small breast mounds composed mostly of fatty tissue in men with good elastic skin tone. It involves making 2 – 3 small incisions through which the excess tissue is sucked out.

Surgical technique depends on the size of your breast mounds and the elastic tone of your skin. At the least, incisions are made around half the circumference of the areolar skin, but may stretch all the way around the areolar, then vertically down the chest wall and then in a symmetrical curve below – to leave an anchor-shaped scar.

If you wish to book an appointment please contact our friendly reception staff.