The best male breast reduction surgeon is someone who has a lot of experience with this type of procedure, and is able to deal with the complex anatomy that is often involved in male breast reduction surgeries. The surgeon should have a good track record of successful surgeries, but it’s also important that he or she be open to working with you during your consultation and pre-surgery appointments so that you feel comfortable with him or her as your doctor.
The best way to find a good male breast reduction surgeon for yourself is by asking friends and family for recommendations, as well as consulting with your primary care physician about whether he or she has any referrals for patients who have had this type of surgery before. You can also search online for reputable websites that specialize in breast reductions for men, which will give you access to more information about surgeons in your area who have performed these procedures before.
You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on Best male breast reduction surgeon, Recovery after breast augmentation surgery. Read on to learn more. We at cosmeticsurgerytips have all the information that you need about Breast reconstruction cost. Read on to learn more.
Best male breast reduction surgeon
Some men have one or both breasts that are abnormally large.
Known as gynaecomastia, this condition can be caused by a hormone imbalance or from being very overweight, which can increase levels of oestrogen and cause breast tissue to grow.
Breast reduction surgery is an option for men with gynaecomastia. It may also be used to tighten the breast area after significant weight loss that has caused the skin to sag.
However, surgery is not suitable for men who have large breasts simply from being overweight.
Breast reduction surgery is not usually available on the NHS
Male breast reduction surgery is not usually available on the NHS. You’ll probably need to pay to have it done privately.
In rare cases, the NHS may provide male breast reduction if:
- you’ve had gynaecomastia for a long time
- it has not responded to other treatments
- it’s causing considerable pain or distress
How much male breast reduction surgery costs
In the UK, breast reduction surgery for men costs £3,500 to £5,500, plus the cost of any consultations or follow-up care that may not be included in the price.
What to think about before you have breast reduction
Before you go ahead, be sure about why you want breast reduction surgery. Speak to a GP about it and take time to think about your decision.
Choosing a surgeon
If you’re having breast reduction in England, check the Care Quality Commission (CQC) website to see if the hospital or clinic is registered. All independent clinics and hospitals that provide cosmetic surgery in England must be registered with the CQC.
Be careful when searching the internet to look for doctors and clinics who provide breast reduction. Some clinics may pay to advertise their services on search listings.
Check the surgeon is registered with the General Medical Council (GMC). They should be listed on the specialist register and have a licence to practise.
Also, check the British Association of Plastic Reconstruction and Aesthetic Surgeons (BAPRAS) or the British Association of Aesthetic Plastic Surgeons (BAAPS) to see if the surgeon is a “full member” on the specialist register for plastic surgery.
Book an appointment with the surgeon before the procedure.
Ask your surgeon:
- about their qualifications and experience
- how many male breast reduction operations they’ve done
- how many male breast reduction operations they’ve done where there have been complications
- what sort of follow-up you should expect if things go wrong
- what their patient satisfaction rates are
What male breast reduction involves
Breast reduction surgery is usually done under general anaesthetic. In some cases, local anaesthetic with sedation may be used.
The operation involves:
- making a cut around the nipple
- removing excess fatty tissue with a scalpel (surgical knife) or using liposuction to suck it out (a combination of both techniques may be used)
- repositioning the nipples if a lot of tissue needs to be removed
You’ll have dressings over your wounds.
The operation takes about 1.5 hours. You usually need to stay in hospital overnight.
It can take several weeks to fully recover from breast reduction surgery. You may need to take a few days off work. You may have sore, swollen and bruised breasts for a few weeks.
You’ll need to wear an elasticated compression garment day and night for 1 to 2 weeks after the operation. This helps support your chest while it heals.
How long you need to keep the dressings on will depend on how quickly your wounds heal. After 1 to 2 weeks, your stitches will either dissolve or be removed.
Avoid stretching, strenuous exercise and heavy lifting for about 3 weeks after the operation. It will take about 6 weeks until you can return fully to your normal activities.
You can drive again when it’s no longer painful to wear a seatbelt, which may be several weeks after the operation.
It can take up to 6 months to see the full results of your surgery.
Most men just have a scar around their nipples. But a large breast reduction may also result in a vertical scar and a horizontal scar across the breast crease (an anchor-shaped scar).
Your scars may take several months to fade.
What could go wrong
Breast reduction surgery can occasionally result in problems, including:
- thick, obvious scarring
- unevenly shaped breasts or nipples
- wound healing problems
- loss of nipple sensation
- bleeding inside the breast tissue (haematoma) – this usually happens within the first 24 hours after the operation
- developing lumps, bruising or swelling
Also, any type of operation carries a small risk of:
- excessive bleeding
- an allergic reaction to the anaesthetic
- a blood clot forming in the deep veins
Your surgeon should explain how likely these risks and complications are, and how they will be treated if you have them.
What to do if you have problems
Cosmetic surgery can sometimes go wrong, and the results may not be what you expected.
Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as red skin, burning, or unusual swelling.
If you’re not happy with the results of your breast reduction, or you think the procedure was not done properly, speak to your surgeon at the hospital or clinic where you were treated.
You can contact the Care Quality Commission (CQC) if you have any concerns about your care. If necessary, you can make a complaint about a doctor to the General Medical Council (GMC).
The Royal College of Surgeons also has more information and advice about what to do if things go wrong.
Recovery after breast augmentation surgery
Breast augmentation, also called augmentation mammoplasty or casually referred to as “boob job” is a quick elective surgery to increase the size or the fullness of the breasts.
There are a lot of reasons why women opt for breast augmentation surgery. Whether you have an uneven volume of fat in your breast area, are dissatisfied with the size of your breasts, or need a lift after breastfeeding, it all comes down to bringing confidence back.
Despite being cosmetic in nature, breast augmentation surgery is still a major operation. Assisting your body and applying the best practices for recovery will help your breasts heal without complications. You must work hand in hand with your surgeon and equip yourself with as much knowledge as you can to take care of yourself pre and post surgery.
Here’s everything that you can expect during the recovery period.
After the operation, here are some things you need to consider:
- When you wake up after the procedure, you might feel loopy and funny because of the pain medicine and anesthesia. While you are able to make minimal movements, you can’t drive yourself home or participate in any activity that will require mental focus. Make sure that you will be assisted by at least 1 caretaker who will take you home and assist you post surgery.
- As far as pain goes, you will feel more discomfort than pain since you will be given numbing creams and painkillers that will last you a while. It’s exactly why you might feel funny for as long as the medicine is in your system.
- Your surgeon will recommend you wear a supportive bra while in recovery (ideally for around 6 months). A surgical bra may be provided, but high-impact sports bras or compression bras will work just fine. Make sure to choose bras that open from the front so as not to strain your arms. You will not be able to do much with them during the first few days after the operation.
- Avoid straining your chest area by refraining from lifting heavy objects and wearing inappropriate bras. Keep the surgical bra on for support and as much as possible, avoid bralettes and wire bras for up to 6 months.
- It is normal to experience bruising and swelling around your breast area post-op. Feeling tightness is also a common feeling for the first 2 days. Cold therapy by using gel packs or clay packs will definitely help calm the soreness.
- You will not be able to shower on your own because you cannot stretch your arms from the surgery. Your stitches can also be infected when it gets wet so request for waterproof tape to cover your stitches until your next doctor’s visit. Alternatively, ask for assistance whenever you’re washing your body or your hair.
- Light walking is highly recommended to help with blood circulation, thus preventing any blood clots from forming.
- Drinking loads of water can help with flushing out the anesthesia post-op. As you take pain medication during your recovery period, remember that these meds can cause constipation so drinking a lot of water helps prevent that.
- While pain, discomfort, swelling, and bruising are completely normal, you must go to the doctor if you get fever as this could be a sign of an infection.
- You have to sleep on our back during the whole duration of your recovery period. Sleeping on your chest or sides can put pressure on your implants and stitches, and can cause an infection. You’ll have to sleep on your back for a while and wait for the green light from your doctor before you can sleep on your sides or chest (in some cases, it can take a full year).
- Use supporting pillows to make you comfortable, and when you catch yourself sleeping on your side, immediately correct your position. If you’re someone who’s used to sleeping on your stomach or side, this position will take a little getting used to.
- If you’re reading this before your surgery, practice sleeping on your back as early as you can. It will be one less thing to worry about once you’re home after surgery. This will also ensure that you will get the right amount of sleep to help you recover fast.
1 Week Post-Op
The day after your surgery isn’t all that bad since there’s still anesthesia in your system. The days following that, however, have been regarded as the worst part of the recovery process. But don’t fret – it will only last a week.
- Aside from the discomfort, there have been cases where women report experiencing postoperative depression. Some women need an adjustment period to get used to the look of their new breasts, and others report brief moments of doubt with their decision to get the surgery. If you ever experience symptoms like low mood, fatigue, change in appetite, a loss of interest, irritability, and other symptoms of depression, know that it is normal. Post-surgical depression can last for a couple of days up to a month.
- During these times, it is important to reach out for help and support. This is also the time to take care of yourself even more by eating healthy and being active (but not too active).
- Given that the implants have not completely settled or are still swollen, women might feel like they chose the wrong size or regret the procedure altogether. The look of your breasts will improve as it “drops and fluffs,” (a process that takes 6 months) finally settling into its intended position once the muscles in your breast relax.
- You will not be completely helpless but you might need a designated caretaker to assist you with menial tasks from time to time.
- You can go back to work 2-4 days after your surgery, but you can not do any heavy lifting or anything too strenuous.
- As for the pain and swelling, you might still feel stinging or discomfort since your skin and nerves are being stretched because of your implant. Your nipples might experience pain or numbness. You might also notice stretch marks forming, so you can apply moisturizer or oil to help reduce its appearance.
1 Month Post-Op
By this time, you’re most likely used to your new boobs and might not feel as much pain and discomfort, except for the occasional random pains and pulls. However, there are some things you still have to remember.
- Your stitches have been around long enough for them to accumulate moisture and dirt, so make sure to clean them thoroughly to avoid infection.
- After the one month mark, you can already start with light exercise if you’ve been exercising before your surgery. 6 weeks is the prescribed time until you can fully return to your normal function, but you will still be restricted from using weights that weigh more than 10 pounds.
- You might experience what’s called a “morning boob,” which manifests as a tightness and hardness in your breasts for the first 30 minutes when you wake up. This is nothing to worry about and is completely normal.
- Morning boob is due to muscle spasm. During your sleep, you don’t move your arms around very much and so your pecs (pectoralis muscles located in your chest) are not engaged. Since your pecs have not been fully accustomed to the implants, it tries to return to its unstretched state. Thus, your breasts might feel tight when you wake up. After a few light movements, the discomfort disappears altogether.
At this stage, you need to be aware of capsular contracture. Capsular contracture is a breast augmentation complication which happens when the scar tissue or ‘capsule’ that naturally develops around your implant squeezes or chokes the implants. This is an immune system response and it can happen as early as a month after your surgery or even years after.
Capsular contracture develops gradually. It starts out normal and the first sign is usually a high-riding breast/s. After that, pain and firmness may be felt around your implants.
As you already know, your implants are supposed to drop to its intended position but if you notice that they are doing the exact opposite, you should consult a doctor immediately.
The degree of capsular contracture is graded using the four-grade Baker scale:
- Grade 1: The breasts are normal, soft, and appears natural
- Grade 2: The breasts are a little firm, but appears natural and normal
- Grade 3: The breasts are firm and appears high-riding or unnatural
- Grade 4: The breasts are hard, appears high-riding or unnatural, and is painful to the touch
Your risk of getting capsular contracture increases when you get an infection, hematoma (collection of blood outside a blood vessel), or seroma (fluid build-up under the surface of the skin).
It is important to call your doctor immediately when you feel like something is wrong with your implants. The most effective treatment of capsular contracture is by removing the scar tissue/capsule surrounding your implants, or by removing or replacing your implants.
6 Months Post Op
After 6 months, your breasts are considered fully healed. You can now go back to your normal activities and enjoy your new breasts. Still, keep these few things in mind:
- You need to still sleep on your back until you get a green light from your surgeon to avoid putting pressure on your implant or your stitches.
- 6 months after the surgery is also when the “drop and fluff” process is completed. When the drop and fluff process ends, your pectoral muscles relax, the implants drop to their final place, and fluff out into the space where they should be.
- Numbness especially around your nipples is completely normal. Unfortunately, the numbing can last up to two years for some people.
Recovery after breast augmentation needs to be slow and steady. For your stitches to fully heal and for your implants to beautifully settle, you need to support your body’s natural healing process. Use supportive bras for as long as necessary, avoid infection by taking care of your stitches and protecting your implants, and tend to your pain.
You can always ask your doctor for medication, but as much as you can, go natural and relieve bruising, swelling, and pain by cold therapy. IceWraps carries a wide range of gel packs and clay packs for soothing pain relief.
Breast Reconstruction Cost
Breast reconstruction typically is performed to re-create one or both breasts after a single or double mastectomy. The American Cancer Society provides a detailed overview of breast reconstruction.
- Without health insurance, breast reconstruction using implants typically costs $5,000 to $15,000 per breast, for a total of $10,000 to $30,000 if both breasts are reconstructed. On RealSelf.com , plastic surgeons discuss estimated total costs for bilateral implant reconstruction without insurance.
- Without health insurance, breast reconstruction with “flap” techniques (using tissue from the patient’s own body to create new breasts) typically costs $25,000 to $50,000 or more per breast, or $50,000 to $100,000 for both sides. Total costs of $100,000 to $150,000 are not uncommon.
- With health insurance, out-of-pocket costs for breast reconstruction total a few hundred to several thousand dollars. In some cases, costs can hit $10,000 to $12,000 or more. Patients on a breast cancer forum discuss out-of-pocket costs for the most expensive surgeries.
- When done after a mastectomy, breast reconstruction is covered by health insurance. The federal Women’s Health and Cancer Rights Act of 1998 requires all U.S. health insurers and self-insured group plans that cover mastectomy to also cover post-mastectomy breast reconstruction, surgery on the other breast to create symmetry and treatment of post-reconstruction complications. Some states also have laws requiring coverage.
What should be included:
- In some cases, reconstruction can be done immediately after the mastectomy; in other cases, especially if radiation is being used, the reconstruction is done months, or even years, after the mastectomy.
- With an implant, the surgeon usually stretches the skin by inserting a tissue expander under the skin and muscle and, over a four- to six-month period, slowly inflates it by adding saline. When the expansion is complete, the expander is surgically removed and replaced with a silicone gel or saline implant, usually in an outpatient procedure that takes an hour or two under general anesthesia, and requires two to four weeks off work for recovery.
- With flap methods, the surgeon removes skin, blood vessels and, with some older techniques, muscle, usually from the abdomen, back or buttocks, and uses that tissue to re-create the breast. These inpatient operations typically use general anesthesia, take four to 12 hours to perform, and require up to a week in the hospital and as long as two months off work. These procedures are complicated and require an experienced surgeon highly skilled in microsurgery. The DIEP Flap procedure is considered by some to be the state-of-the-art technique. Other options include the SIEA Flap , the TUG Flap , the GAP Flap , the TRAM Flap and the Latissimus Dorsi Flap . Which procedure is recommended depends on how much tissue the patient has in a given area, prior surgeries and other health issues. Typically, one or two additional outpatient surgeries (a few hours each) are required, months after the initial operation, for revisions — smoothing out scars or injecting fat — and nipple and areola creation. On a breast cancer forum , patients discuss the different stages of surgery.
- An implant will need to be replaced after about 10 or 15 years; insurance typically covers replacement.
- Many patients must pay travel and hotel expenses for the initial consultation and at least two to three surgeries.
- Getting a nipple and areola tattooed — usually several months after nipple reconstruction — by a permanent makeup artist or plastic surgeon typically costs $200 to $600 per breast; some providers offer the service free to breast cancer survivors.
- The nonprofit My Hope Chest helps qualifying women pay for breast reconstruction. And the United Breast Cancer Foundation offers financial help for patients in need.
Shopping for breast reconstruction:
- A plastic surgeon performs breast reconstruction. Make sure the doctor is certified by the American Board of Plastic Surgery and has privileges at an accredited hospital, even if the surgery is not taking place there. The American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery offer referrals. Ask about the surgeon’s experience and success rate, and ask to see before-and-after photos of previous patients. According to this guide on how to find a surgeon, from Plastic Reconstructive & Microsurgical Associates , a surgeon should have performed at least 100 procedures and, in the case of flap procedures, should have a success rate (where the flap of tissue lives in its new location) of at least 97 percent.
- Possible risks include bleeding, swelling, infection, pain, scarring, necrosis of tissue (cell death) requiring more surgery, change in or loss of sensation, and reaction to anesthesia that could include death. Ask about specific risks for each type of procedure (such as an abdominal hernia or lifelong limits on lifting weight after the TRAM Flap procedure). BreastReconstruction.org provides surgeon-reviewed information and discussion forums for patients, and BreastCancer.org has a reconstruction discussion forum.
Material on this page is for informational purposes only and should not be construed as medical advice. Always consult your physician or pharmacist regarding medications or medical procedures.