Brest reduction
(Gynaecomastia)

In some patients, the tissue to be removed is predominantly glandular. This specific operation is called “Webster procedure” and consists of making a discrete incision around the edge of the areola, through which excess tissue is removed.

In other cases, the excess is mainly subcutaneous adipose tissue, the so-called. pseudo-gynecomastia. In these cases, the following approaches are possible:

• Liposuction or BodyTite procedure – for patients with minimal accumulation of subcutaneous adipose tissue without ptosis / sagging / of the skin;
• BodyTite in combination with „defining“ liposuction procedure for lifting soft tissues – for patients with minimal accumulation of subcutaneous adipose tissue and minimal ptosis /sagging / of the skin;
• Liposuction in combination with BodyTite procedure for lifting soft tissues – for patients with significant excess of subcutaneous adipose tissue and minimal ptosis /sagging/ of the skin;
• Liposuction and excision /removal/ of excess skin – for patients with  significant excess of subcutaneous fat in combination with significant ptosis /sagging/ of the skin ;

Patients are often presented with excess skin and subcutaneous adipose tissue, in combination with gland overdevelopment – in these cases, liposuction is recommended in combination with excision /removal/ of the excess skin, subcutaneous adipose tissue and glandular component.

Male breast reduction requires an individualized approach and may involve several different procedures. What exactly they are is decided according to the specific case and patient.

Of course, during your online consultation you will have the opportunity to discuss in detail all the options available to you in our clinic in order to make the best decision.

During the consultation, you will discuss with the surgeon exactly how much tissue needs to be removed and what the risks of re-occurrence of the condition are. It will be specified what exactly the treatment will be – only liposuction, only BodyTite – radiofrequency tissue lifting, only excision (removal by excision) or a combination of two or more techniques.

If you have decided to undergo surgery, you need to make the following changes:

• Stop smoking 2 weeks before and after surgery;
• Stop taking medicines that contain aspirin or other NSAIDs, as well as vitamin E and any herbal supplements, 7 days before surgery;
• You need to be healthy – an infection or other illness can interfere with the operation.

Recovery time varies, depending on the case and the specific procedures used. In general, you will be able to return to your normal daily activities in about two weeks.

 Fitness and sports activities should be stopped for 4 weeks. During this time, you should be careful about all actions that require raising the elbows above the shoulders.

 All surgical techniques that can be used require an incision to be made, which will result in a scar. It will be red and slightly swollen for a few months after the procedure, before fading completely.

 It is very important for the good appearance of the scars to follow exactly all the care instructions that will be given to you by your surgeon and his team. With certain genetic predispositions, a rough and uneven scar is possible to form, even with an aesthetically pleasing suture of the skin and subcutaneous tissue. Therefore, this should be discussed during the preoperative consultation.

The different procedures and techniques that can be used for breast reduction  lead to different scars, which are usually minimal. Most often you can expect scars around the nipple and / or in the lower part of the breast fold and / or a vertical scar that connects them.

 However, if only liposuction and / or BodyTite techniques are used for breast reduction, then the scars may be minimal.

 Whatever your procedure involves, you will receive complete and detailed instructions on scar care.

Scars – our surgeons will do their best to avoid visible scars, no matter what procedures have been performed. For best results, the patient will need to follow the postoperative scar care instructions exactly. However, there are some patients who are genetically predisposed to have problem traits and this is difficult to avoid, but can certainly be reduced.

Bleeding – it is a rare complication of Webster’s procedure. That is why it is important to stop all medications that increase the risk of bleeding before surgery.

Recurrence – any hormonal imbalance that is not treated properly will continue after surgery, so the tissue that remains can also increase in size. Of course, once a portion of the tissue is removed, the increase will not be so great, but it still exists as an option.

Swelling, bruising and pain – Bruising after breast liposuction is often greater than in other areas and lasts longer. This is not dangerous, but it requires patience.

Seroma – it is possible to collect „liquefied“ adipose tissue in the subcutaneous tissue, both in the early stages after the intervention and in the late postoperative period – 2nd to 3rd month. In most cases, these quantities are in a minimum volume – 20 / 30ml and are absorbed and disappear without the need for additional intervention. In rare cases, it may be necessary to withdraw the fluid by puncturing it, and if it is necessary to perform this type of intervention, it is relatively painless due to the subcutaneous localization of the fluid.

Increased and decreased sensation after surgery – most patients will experience some change in the sensation of their breasts, most often a temporary tingling sensation around the nipple.

Asymmetry – The appearance of asymmetry is possible when more tissue is removed from one of the breasts. It is usually noticed when a few weeks have passed since the operation.

Unsatisfactory results – Sometimes patients are not satisfied with the result of their gynecomastia, because the expectations and requirements are not in line with the technical capabilities. It is important to have a careful discussion with your surgeon in order to avoid this disappointment.