If there is additional loose skin additional scars will be required. The procedure involves making incisions around the areola and also to varying degrees on the breast skin to rearrange skin, tissue and the NAC. The scars range from just around the areola (like an areola reduction), to around the areolar vertically down (like a lolly pop) to around the areola, vertically down and in the fold underneath the breast (like an anchor). Another pattern is just a horizontal scar and a scar around the areola. The degree of scarring is determined by the degree of excess skin removed.
The surgery is carried out under a general anaesthetic and if performed alone can be conducted as a day surgery, meaning you go home the same day as your surgery.
What is the aim of the gynaecomastia reduction surgery?
Gynaecomastia or male breast reduction surgery involves removal of unwanted breast volume to resolve volume related symptoms but also to improve the shape of the male chest and the position of the nipple areola complex (NAC) in some instances. The areola size can also be reduced in a gynaecomastia reduction.
How long will the results last?
There are changes in the male breasts, areolar and nipples with age, weight fluctuations, chest muscle bulk, hormonal influences and drugs. Therefore, surgery timing should be considered carefully if any medicines or weight fluctuations are planned.
The results of gynaecomastia reduction surgery will withstand but the above factors will inevitably have effects on the tissues over time.
This varies from patient to patient and can be difficult to predict.
What happens on the day of surgery?
Prior to the day of surgery you will be given the following information and it is critical to know these details ahead of time:
On the day of surgery you will be checked in by a nurse and all your details will be confirmed and you will be changed into a surgical gown.
Dr Rory will see you before your surgery to run through all the details of the surgery, the consent forms as well as performing all your surgical markings. Your implant sizes will be once again confirmed. Multiple ID checks and procedure confirmation will be performed prior to your operation as safety is a priority.
After your surgery Dr Rory will notify your friends or family to let them know the procedure has finished and put thieir mind at ease. Depending of the procedure he will see you after the surgery and discuss the procedure.
When you are feeling comfortable, the team will then allow you to be discharged as planned that morning. All medicines and instructions will be given to you on your discharge.
You will be discharged from hospital with a soft vest like like surgical support garment.
How long will the surgery take?
If done in isolation, the surgery takes approximately two hours but depends on the extent of the gynaecomastia.
This does not include anaesthesia time. In total, the whole procedure may last longer.
Will the procedure be painful?
One of the primary aims of any procedure performed by Dr Rory is to create a pain free experience.
A long acting local anaesthetic agent is placed into the surgical area at the end of the procedure. To make you comfortable a garment or specialized supportive dressings (with nipples exposed) will be applied to help support your new chest shape.
In terms of recovery, there will be some tenderness in the surgical area and some discomfort on movement.
Dr Rory does not used drains which again makes the procedure more comfortable
What is the recovery period?
This is a major procedure and so the recovery is one week.
During this time you can fully use your arms and are encourage to do so with care. The golden rule is no heavy lifting for one month following the surgery.
What should I consider when recovering from the procedure?
There will be a specialized skin glue place on the surgical area and a splash proof dressing. This will allow you to shower with care. The garment should be removed before showering.
No heavy exertional activity that will cause excessive sweating. No jerking chest or arm movements in the first seven days. The golden rule is no heavy lifting for one month following the surgery.
The specialized skin glue will peel off at week three to four. At this time, a silicone based strip or gel should be applied to the dry healed scar in order to minimize the final appearance of the scar.
The garment should be worn for four to six weeks after your gynaecomastia reduction surgery to help reduce swelling.
The final results in terms of shape will be at approximately four months.
As you attend your wound check appointments you will see the skin glue as purple and very often the skin can appear gathered. This gathering of the skin will flatten over time.
No swimming until all scars are fully healed at approximately four weeks.
The final appearance of your scars will be at eighteen months.
What is the cost of the procedure?
If performed alone, the cost of the procedure starts at 40,000 AED but thus can be variable. The cost largely depends on the extent and nature of the gynaecomastia.
The final cost is determined on a case by case basis dependent on degrees of size, complexity and additional procedures. Combination surgeries will lower the price of individual surgeries if done together.
A full surgical no-commitment consultation with Dr Rory will provide all the necessary details for your particular case and comprehensive size planning in terms of % reduction.
What are the risks of the procedure?
These include some discomfort, infection, nipple sensation change, alteration of blood supply to nipples, risk of bleeding, fat necrosis, degrees of asymmetry and delayed wound healing.
Your nipple sensation may increase or decrease, and each side may act independently. Sensation recovers over time. This varies between patients.
As the nipples and areola can be moved on their blood supply there is theoretical risk of interruption of blood supply that can lead to some or all of this area dying (undergoing necrosis). This is very rare but more common in smokers. The other problem smokers face is delayed wound healing and poorer quality scars.
Fat necrosis is a phenomenon of fat loosing its blood supply and the oily content of the fat cells can collect or cause firm painful lumps. Again, this is more common in smokers.
Dr Rory is therefore very strict when it comes to smoking and gynaecomastia reduction surgery. You are advised to stop smoking one month before and after this surgery.
There is also the risk of stretching of the scar and excessive scarring such as hypetrophic or keloid scarring.
Anything in particularly important I should know about the procedure?
It’s a straightforward procedure with very high satisfaction rates if you are willing to accept the potential scarring which will fade over time. It can completely resolve breast size related symptoms.
Final appearance takes approximately four months.
It is most commonly performed in conjunction with other body contouring surgeries.
What is the follow up after the procedure?
Each patient has a follow up schedule that is different.
You will be advised by Dr Rory and his team your particular follow up journey.
Typically it involves seeing the team a week after surgery for a wound check, then protective dressings until the glue falls off.
Thereafter, scar checks are performed at the six week point. Follow appointments are then at four and twelve months. This schedule will differ between individuals.
Who is involved in my care?
Dr Rory is the primary physician in charge of all your care. He performs all procedures himself and is meticulous about every aspect of your care.
Once he has performed a procedure on you he is available for you as your on-call doctor.
He will provide you with contact details and will be available for you. If you have any questions or concerns at any time he is available to support you.
He has trained his team around him to an exceptionally high standard from his aesthetic coordinators to aesthetic nurses.
In some instances, for example, for photography, garment fitting, wound dressings, checks or removal of stitches, his highly trained team will perform the care liasing directly with Dr Rory with real time updates.
He is a perfectionist and the best plastic surgeon in Dubai! Cannot recommend him enough.
Dr Rory is absolutely incredible, made me feel so relaxed about my surgery. His level of care and expertise sets him as one of the best plastic surgeon in the region.
An artist! Absolutely hands down would recommend Dr. Rory to everyone looking for an honest, professional and ethical doctor who isn’t afraid to say no to unrealistic requests but yes to enhancing natural beauty.
Very kind, friendly and patient. 10 stars from me!
I cannot recommend Dr Rory enough. In a location we’re we struggle to find certified, competent and capable surgeons finding Dr Rory has been an absolute god send and he has exceeded all expectations I had.
After loosing a significant amount of weight I was left with many areas of my body that had excess skin and needed fixing and a face that required signigant rejuvenating I now have the body and face I’ve always dreamed of.
If you are looking for great results, realistic opinions and a Dr you can trust he’s your surgeon. Thank you Dr. Rory for everything!
Dr Rory is not only a gentleman but a true professional. His surgical approach and results are of the highest standard. In addition, his bedside manner and dedication to his patients is a welcomed change in an already saturated mediocre market.
I cannot recommend Dr Rory enough and have full confidence in his ability and amazing results. Any client pursuing enhancement at any level will not be disappointed.
I have been a patient of Dr Rory for a couple of years and have been extremely pleased with the results.
He is very professional and caring. He consults with each patient to achieve the desired results for each individual. I would highly recommend Dr Rory for any of your cosmetic needs.
I had my breast augmentation surgery with Dr Rory as have three of my friends. We all had the same experience. Five stars.
I had a reconstructive surgery following mastectomy with Dr Rory and he was beyond amazing. He is extremely professional. He took special care of me considering my situation.
The second I met him I was at an ease. I felt very comfortable discussing all the tiny details with him.
His level of follow up is remarkable. He doesn’t mind contacting him at anytime and responds to all questions patiently. He is a true example of what an outstanding surgeon can be like.
He is professional, highly competent and his relaxed caring bedside manner instills confidence that you have chosen the well. I have recommended family members and friends to him and they have all been very pleased with their results.
I recently had breast reduction surgery with Dr. Rory. I can honestly say it was the best thing I have ever done, after 4 children and turning 50, I feel like a new person.
Dr. Rory was amazing from the moment I walked into his office, until now with my aftercare 2 months later. If you are thinking of having this or any other type of surgery done, he is your surgeon, genuine, understanding and most important he listens to what you want and gives his best guidance. Thank you Dr. Rory for changing my life.
Dr Rory is an incredible, professional and ethical plastic surgeon who I would recommend to anyone. His warm and welcoming approach instantly puts you at ease in what is often a daunting process.
He offers honest and professional advise/recommendations that will not go beyond your bodies limits leaving you feeling confident, supported and positive in your decision.
After meeting a few other surgeons, I was not sure I would proceed with my surgery in Dubai. Then I was referred to Dr. Rory from a friend and this changed my mind after the first consultation.
He is professional, patient, and made me feel comfortable and confident in every decision along the way. I am ecstatic with my results and thankful for the expertise of Dr. Rory!
The best plastic in Dubai hands down. Such an amazing experience as a patient from start to finish
Dr Rory is an absolute professional. I cannot recommend him highly enough. Always impressed with the personalised services of him and his team.
The facilities at the Lutetia clinic are very hard to beat – the whole experience is very unique.
Very happy with my breast augmentation results and so glad i chose Dr.Rory as my surgeon. He’s a professional compassionate and very skilled doctor. He was very attentive before and after my surgery. My breasts look natural and not overdone. It was an easy and stress free experience with great results.
Dr. Rory is an amazing plastic surgeon. Not only he knows the best his job , but also he is very polite and attentive to his patients after treatment too. Highly recommend.
Dr Rory is definitely one of a kind. He is not only an expert in his field, he is also a wonderful human being.
Dr Rory made me feel at ease during the consultation as well as treatment and explained every step throughout the procedure.
Does not disappoint. Dr Rory is always so professional and honest. He takes the time to explain everything so you know exactly what you are getting.
Dr. Rory takes plastic surgery to a whole new level. Highly professional, amazing supporting staff and a true gentleman. I had a full tummy tuck done a year ago with beyond amazing results.
Dr Rory McGoldrick has been my Dr and Surgeon for over a year. I cannot recommend his services enough. He is highly experienced, extremely professional yet empathetic at the same time.
The most professional service and a level of care which is exceptional. Absolute pleasure. Big thank you to Dr. Rory and his team.
I would never recommend anyone else, his professionalism, knowledge, experience are all spot on and would not trust anyone else in Dubai. He is also a great person and takes the time to listen and adjust his approach based on your needs.
I had been considering Rhinoplasty & Breast Augmentation surgery in Dubai for quite a while, I visited a number of surgeons but the one person that I was eager to meet was Dr Rory, not only had I heard great things about him, I had been left a little dubious about other surgeons I had met here and just never felt comfortable enough to make the decision to book the surgery and go ahead…. I genuinely cannot recommend Dr Rory enough!
I had some light facial procedures over a 6 month period with Dr Rory and then found the courage to undertake a Mommy makeover with him. It has been the best decision I ever made.
The care I received from him and his team were second to none, he never laughed at my daft questions and really reassured me every step of the way.
The surgery and the aftercare was fantastic. He has done an amazing job and even 10 months on I still look in the mirror completely thrilled. I have absolutely no hesitation in recommending Dr Rory.
After 10 years of contemplating breast augmentation surgery I have finally done it! I’m so glad that I decided to finally have my surgery performed by Dr Rory McGoldrick and his wonderful team. I’m so happy with the results and would highly recommend him if you are looking to have this procedure done.
Super knowledgeable, professional & personable – highly recommended!
I am an absolute fan of Dr Rory for his real and matter-of-fact approach to his work and his natural and confident talent at administering it. In a matter of my first visit I knew I was in the hands of a true professional and ever since he has exceeded expectations.
Dr Rory is an absolute superstar. He is not only outstanding surgeon but his approach to patients is “human”. He listened to my opinion and what I wish to achieve with the treatment I opted for.
His caring but professional approach before, during and after the procedure made the whole journey ja pleasant one. Would highly recommend him to anyone who considering cosmetic procedure in Dubai.
Dr. Rory is not only one of the best doctors I have met but also one of the most genuine people I have ever met. He takes the time to explain and listen to your wants or concerns.
Not only is he THE BEST but his team of nurses and assistants go out of their way to help in any way possible! Thank you Dr. Rory for always looking after me.
I recently had surgery (4weeks ago) with Dr Rory and from the moment I met him I felt in safe hands no question was too silly or too small!! Even on the day of surgery his calm, professional manor put me at ease even though I was very nervous!!
After having a very bad experience before I did lots and lots of research and I would have no doubt recommending Dr Rory to anyone that was looking for an amazing surgeon.
I have never experienced such a professional consultation before the treatment. He is focusing of getting natural look and i really liked that. It wasnt my first time, but im very impressed the way of communication. Not to mention the result. Thank you so much Dr. Rory, I will honestly recommend you to all my friends and definitely will come back!
Couldn’t ask for anything more from a doctor. Honest, professional, helpful and the best results you could ask for.
I’ve been seeing Dr Rory for about 3 years now and I wouldn’t go anywhere else in Dubai or London. Couldn’t recommend him highly enough.
He explains everything in detail and will not oversell any procedure for the sake of it. His advice and technique are tailored to each patient and you always feel that he is giving you a service above and beyond the norm. I trust his work implicitly.