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GYNECOMASTIA
Welcome to Cosmetic Surgery Specialists
Compassionate Care you Can Trust
Our primary mission is to educate potential patients
who are considering aesthetic plastic surgery to
enhance their appearance. We provide this in a
warm, caring and compassionate manner while
keeping individual, physical and emotional, interests
and needs in mind.
At Cosmetic Surgery Specialists, we are guided by
an artistic vision that emphasizes the natural and is
repelled by the artificial. Our goal is to enhance or
restore the intrinsic beauty, which is present in each
individual, rather than create a result that appears
“surgical”.
It is our ongoing commitment to provide an
environment of comfort and safety, and to treat each
patient with respect, dignity and compassion.
Patients who undergo plastic surgery may look
forward to gaining self confidence and a sense of
well-being from looking, feeling and functioning at
their best. Thus, we provide you with clear and
accurate information in order that informed decisions
can be made in relation to cosmetic procedures and
treatments. We want you to look and feel great.
Introduction
We understand that patients have questions about
their surgery throughout the process and no matter
how much detail we include in this brochure, it will
not compare to the level of advice you can receive
from a private consultation with a specialist cosmetic
surgeon. This brochure is simply a guide; we would
always advise you to take advantage of the
opportunity to sit down with a specialist surgeon and
discuss what you would like to achieve through
gynecomastia (male breast reduction) surgery, along
with any associated benefits or risks.
About Gynecomastia
Gynecomastia is the most common form of breast
problem in men. It is generally considered to be of
one of three types:-
• Just made up of fatty tissue
• Just made up of breast gland tissue
• Made up of a combination of both fatty and
glandular tissue
The most common form of gynecomastia is a simple
accumulation of fatty tissue, often related to overall
obesity. Most are men in their twenties to mid-fifties,
who are simply embarrassed about the size of their
chests. As long as there is little or no excess
redundant skin over the breast all that is required in
these circumstances is liposuction.
www.cosmeticsurgeryspecialists.co.uk Phone: 020-7580-8001
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Cosmetic Surgery Specialists
Compassion . Experience . Trust
In a few cases:
• There is significant glandular tissue present (this
may require surgical excision)
• Or there is significant skin excess over the chest
(a form of breast uplift is necessary)
True glandular gynecomastia is a medical condition
and must first be investigated to find its cause.
Suffice to say, in true gynecomastia, there is an
imbalance between the normal male and female
hormones that circulate in all men, which may occur:-
• Normally at certain times of life (new-born,
puberty, with ageing ) – ‘physiological’, or
• Abnormally due to a wide range of causes
(idiopathic, diseases of the hormone system,
drugs, alcohol) – ‘pathological gynecomastia’
Whatever the cause, medical treatment aimed at the
originating condition relatively rarely results in full
reduction in breast size. For these patients, surgery is
the only option.
In the great majority of patients with glandular
gynecomastia, it is possible to remove the gland
through an incision placed around the lower half of
the areola.
Technical Consideration
• The operation is performed under general
anaesthetic
• It takes between sixty to ninety minutes
• Patients stay in hospital for one night
• An adhesive dressing and a Lycra vest are worn
for about one week.
• Any sutures are removed after ten to fourteen
days
• If your work is not physical, expect to return to
work after one to two weeks
• Expect to be back to normal physical exercise
within six to eight weeks
• Unless the operation is performed at a young
age, it is very unlikely that your breasts will re-
grow. Excessive weight gain will alter the breast
shape as in any other men. Further with age your
breasts are likely to sag as normal.
www.cosmeticsurgeryspecialists.co.uk Phone: 020-7580-8001
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GYNECOMASTIA
Considering Gynecomastia - What Next?
Initial consultation
The first step is to simply take advantage of a
completely free initial consultation with one of our
nurse counsellors. She will become your primary
contact at the Cosmetic Surgery Specialists and your
liaison between you and your surgeon. Your nurse
counsellor is responsible for ensuring that you
receive the very best care and attention.
The initial consultation is designed to be warm and
informative, and you are very welcome to bring a
friend, partner, or relative along with you. Your nurse
counsellor will be able to answer many of the
questions you may have, and will offer you objective
advice and guidance.
The initial consultation is simply designed to give you
more information (specific to you), and allow you to
think more about what it is you would like to achieve
through your surgery. It is also very valuable because
it helps you to think of questions you may wish to ask
your surgeon – should you decide to progress to the
next stage. At no point are you under any obligation
to progress any further.
Specialist Consultation
Should you decide that you would like to progress
further we would arrange for you to meet with a
specialist cosmetic surgeon. All surgeons associated
with Cosmetic Surgery Specialists are on the GMC
Specialist Register for Plastic Surgery. Should you
wish to check your surgeon’s registration, the
telephone number for the GMC is 020 7915 3630.
At your consultation with the surgeon, you will have
the opportunity to discuss your procedure in order
that he/she can ascertain your expectations as to
what can realistically be achieved. It also gives you
the opportunity to ask any final questions and get to
know the surgeon and the experience that they have
with patients undergoing similar procedures.
In addition the surgeon will:
- Discuss your and your family’s medical history and
any pre-operative tests that will need to be
conducted.
- Make a detailed and thorough physical examination
of your area of concern.
- Explain the surgical options available and which
would be most suited to you.
- Talk you through in details all aspects of the
procedure such as where and how each incision will
be made, an overview of the procedure and what’s
involved, likely complications and possible
conditions, recovery and healing times and stages,
dressing and after care, pain and where it is likely to
be felt and specific care details
www.cosmeticsurgeryspecialists.co.uk Phone: 020-7580-8001
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Cosmetic Surgery Specialists
Compassion . Experience . Trust
- Assess your feelings and expectations, providing a
realistic account of the likely results and what can be
achieved.
- Confirm how long the procedure will take from
surgery to recovery and establish if any post-
operative treatments are necessary.
Following this consultation it is possible that the
surgeon may decide that surgery is not in your best
interest and might recommend not processing any
further.
The surgeon you see at your consultation will be the
surgeon who will carry out your procedure. Please
note that you are under absolutely no obligation to
take this consultation any further.
Informed Consent
Patients have a fundamental legal and ethical right to
determine what happens to their own bodies. Valid
consent to treatment is therefore absolutely central
Prior to any cosmetic treatment or surgical operation
being performed. Seeking consent is also a matter of
common courtesy between health professionals and
patients.
Age Limit
The minimum age for any consultation or surgical
procedure is 18 years.
Time for Reflection
All aesthetic cosmetic procedures are elective
operations. Following your consultation we
recommend that you take a period of fourteen days
to consider all the benefits and risks of the
procedures, and seek more information if necessary,
before you decide.
Your Procedure
Should you decide that a procedure is right for you,
your nurse counsellor will arrange a date with you for
your procedure. Your nurse counsellor will support
and guide you throughout the entire process, and will
be your point of contact through out your journey with
us.
We at Cosmetic Surgery Specialists are
delighted to be able to offer you compassionate
care you can trust.
www.cosmeticsurgeryspecialists.co.uk Phone: 020-7580-8001
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www.cosmeticsurgeryspecialists.co.uk Phone: 020-7580-8001
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