Surgical Procedure

What is gynaecomastia?

It is defined as male breast enlargement. Gynaecomastia symptoms include the presence of unwanted breast volume.

If you’re wondering how to know if I have gynaecomastia, a consultation with a specialist like Dr Rory is the most reliable way to confirm the condition and discuss effective treatment.

While some men look for how to reduce gynaecomastia naturally or how to get rid of gynaecomastia during puberty, surgery is often the definitive solution for established cases.

What is gynaecomastia surgery in Dubai?

Gynaecomastia or male breast reduction surgery involves the 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. The type of surgery depends on the degree of excess fat, excess breast gland, and also the degree of any excess skin.

If there is simply excess fat, liposuction can be performed alone. If there is fat and excess breast tissue, then the breast tissue is removed through a semicircular incision in the junction between the areola and the skin.

If there is additional loose skin, additional scars will be required. The procedure involves making incisions around the areola and, to varying degrees, on the breast skin to rearrange the skin, tissue, and 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.

Gynaecomastia surgery cost in Dubai

If performed alone, the cost of the procedure starts at 40,000 AED, but this can vary. The cost largely depends on the extent and nature of the gynaecomastia.

The final gynaecomastia surgery cost Dubai is determined on a case-by-case basis, depending on the degree of size, complexity, and additional procedures. Combination surgeries can lower the price of individual surgeries when performed together.

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:

Surgery day, exact time of arrival, and where to report to.
Pre-surgery instructions for food, drink, and medications.
Organise transport to collect you from the hospital on the day of discharge.
Provide contact details of friends or family.
To organise toiletries, sleepwear (if overnight), and a suitable change of clothing.
Your list of medicines and allergies (if known)
The nature of your particular surgery, recovery details, and follow-up plan.
How to manage your surgical garment and dressings if there is a problem.

On the day of surgery, you will be checked in by a nurse, and all your details will be confirmed. You will then be changed into a surgical gown.

Dr Rory will see you before your surgery to review all the details, including the consent forms and perform all your surgical markings. Your implant sizes will be confirmed once again. 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 been completed and put their minds at ease. Depending on 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 provided to you upon discharge. You will be discharged from the hospital with a soft vest-like surgical support garment.

What are the risk 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 of the other.

Sensation recovers over time. This varies between patients. As the nipples and areola can be moved on their blood supply, there is a 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 in which fat loses its blood supply, and the oily content of the fat cells can collect, causing 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 a risk of scar stretching and excessive scarring, such as hypertrophic or keloid scarring.

What should I consider when recovering from gynecomastia in Dubai?

A specialised skin glue will be applied to the surgical area, along with 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 specialised skin glue will peel off in 3 to 4 weeks. At this time, a silicone-based strip or gel should be applied to the dry, healed scar to minimise 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, are expected to be visible approximately four months after treatment.

As you attend your wound check appointments, you will notice that the skin glue is purple, and the skin often appears 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.

Anything in particular 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 unique follow-up schedule. You will be advised by Dr Rory and his team of 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-up appointments are then at four and twelve months. This schedule will differ between individuals.

Ready to achieve a masculine chest contour?

If you are seeking a permanent solution for male breast enlargement, don’t let gynaecomastia hold you back any longer.

As a leading gynaecomastia surgeon in Dubai, Dr Rory McGoldrick specialises in advanced gynaecomastia surgery to deliver the defined results you desire. Take the first step in your gynaecomastia treatment journey today.

Don’t wait to learn how to get rid of gynaecomastia effectively. Book your consultation with Dr Rory the expert in gynaecomastia in Dubai, and explore your surgical options in a dedicated and confidential setting.

FAQ’S

How can gynaecomastia be treated?

The most effective approach is gynaecomastia treatment via surgical reduction.

The aim of the surgery: The primary objective of gynaecomastia reduction surgery is to remove excess breast tissue, refine the male chest’s shape, and optimise the position of the nipple-areola complex (NAC). The areola size can also be reduced.

Surgical customisation: The type of surgery performed depends on the degree of excess fat, excess breast gland, and any excess skin.

How much gynaecomastia surgery costs?

The starting gynaecomastia surgery cost for the procedure performed alone is 40,000 AED. The final gynaecomastia treatment cost is highly variable and depends on the complexity, extent of the gynaecomastia, and whether additional procedures are combined.

What is the typical gynaecomastia surgery recovery time?

The recovery period is primarily one week. However, the golden rule of no heavy lifting for one month must be strictly followed. The final shape will be noticeable around four months, and scars will mature by eighteen months.

How soon can I see the gynaecomastia surgery before and after results?

While the initial changes are immediately visible, the final results in terms of shape will be at approximately four months. This is also the time when you will see how to shape chest after gynaecomastia surgery effectively, as the swelling will have largely resolved.

Can I use natural methods to treat gynaecomastia instead of surgery?

While diet and exercise can reduce general male chest fat removal, true gynaecomastia involves glandular tissue that rarely responds to natural methods alone. Surgery is the most effective way to completely resolve breast size-related symptoms.

Will the procedure be painful?

One of the primary aims is to create a pain-free experience. A long-acting local anaesthetic is placed in the surgical area at the end of the procedure. You will experience some tenderness and discomfort on movement during recovery. Dr Rory does not use drains, which also increases comfort.

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 will be available to you as your on-call doctor.

He will provide you with the contact details and will be available to assist you. If you have any questions or concerns at any time, he is available to support you. He has trained his team to an exceptionally high standard, from his aesthetic coordinators to his 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.

How long will the results last?

There are changes in the male breasts, areola, and nipples with age, weight fluctuations, chest muscle bulk, hormonal influences, and drugs. Therefore, surgery timing should be carefully considered if any medications or weight fluctuations are planned.

The results of gynaecomastia reduction surgery will be long-lasting, but the above factors will inevitably have an effect on the tissues over time. This varies from patient to patient and can be difficult to predict.

How long will the surgery take?

If performed in isolation, the surgery takes approximately two hours, but this time may vary depending 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 specialised supportive dressings (with nipples exposed) will be applied to help support your new chest shape.

In terms of recovery, you can expect some tenderness in the surgical area and discomfort with movement. Dr Rory does not use drains, which again makes the procedure more comfortable.

What is the aim of the gynaecomastia reduction surgery?

Gynaecomastia or male breast reduction surgery involves the 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.