Gynaecomastia

Gynaecomastia is a term to describe the swelling of the male breasts. It can affect men in other ways, including:

• puffy nipples
• sagging breast skin excess

The main causes are:

• hormonal imbalance – more oestrogen than testosterone is produced
• weight – obesity can make the male body create more oestrogen
• age – it is more common during puberty and older age, when testosterone levels can drop

Less common causes include: ill health, medication side effects, alcohol and drug use.

Gynaecomastia is generally not a painful condition, but it can cause some tenderness. Many men find the condition embarrassing, causing stress and anxiety.

It's important to see your GP or consultant if you are worried about breast tissue growth.

The main method of diagnosing gynaecomastia is through a physical examination. Occasionally other tests, such as an X-ray, mammogram, fine needle aspiration or a core biopsy of breast tissue may also be used.

Many men find it hard to talk to a doctor about gynaecomastia. At HCA UK, our consultants understand the importance of your privacy and dignity and all examinations are carried out with utmost discretion.

As gynaecomastia is harmless, many men simply live with the condition. Others grow out of it with age or lose weight to help the condition. Sometimes, medication can help to adjust a hormonal imbalance.

For some men, breast reduction surgery is the best solution. This is generally done under general anaesthetic and usually involves moving your nipple, removing excess tissue (often with liposuction) and skin and reshaping your chest.

Our surgeons, with their expert knowledge of breast surgery, reconstruction and plastic surgery, understand how crucial it is that patients are provided with options and will discuss the best course of treatment for your individual needs.