Gynaecomastia is the term used for the development of a breast in males. This is usually benign and can be unilateral or bilateral. In the exceptional case one has to exclude malignancy. The breast tissue can be fatty or glandular. There are certain drugs that can induce glandular development as in steroids in body-builders, and excessive intake of majurana. Some of the time it is a combination of fatty and glandular tissue excess and sometimes it is mostly fat. Depending on the amount of glandular and fatty tissue, different techniques can be performed to improve the appearance. I use ultrasonic assisted liposuction for fatty gynaecomastia. For a combination of the two I use a combination of ultrasonic assisted liposuction and direct excision. For the glandular gynaecomastia I use only the open technique. The open technique involves a scar around the areola from the 3 o'clock to the 9 o'clock position. The scar heals usually very well and is not a problem aesthetically.

Post-operative Care for Gynaecomastia Patients