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01342 330302

Gynaecomastia

'moob' correction

Gynaecomastia (enlarged male breasts or “moobs”) is extremely common and in the general population up to 40% may experience enlargement of their chest which can lead to considerable anxiety and reduced self esteem. This can affect going swimming, training in the gym and personal relationships.

The cause of the condition may be related to diet, physiological reasons, hormones, alcohol or related to recreational or prescribed drugs. Usually your GP will investigate with blood tests to exclude anything abnormal before referring you on to Mr Banwell in Sussex, Surrey, Kent or Harley Street.

The first line treatment for gynaecomastia is liposuction (sucking out the fat and breast tissue through small incisions) and in the majority of cases this is very successful.

However, if there is excess skin or very fibrous tissue, a more extensive procedure may be required such as a Websters procedure. This operation carries more risks and complications but may be the best solution to the problem. Mr Banwell will discuss this in person with you.

As with any elective cosmetic procedure there are risks and complications and recovery time but these will be outlined in person at consultation as well as in writing. Please feel free to ask questions!

The use of a compression top for 8 weeks is vital to help contract skin and minimise contour irregularity (although this is still common) and our recommendation is the range of compression garments and CrystalSmooth leisure wear by MACOM.

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Price From
£5000

Please contact Mr Banwell's office on 01342 330302 or email help@paulebanwell.com for further information.

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Treatment Factsheet

For your convenience Mr Banwell has created a factsheet for this treatment to download and retain.


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SURGERY TIME


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HOSPITAL STAY


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ANAESTHETIC ASSESSMENT


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PRE ADMISSION TESTS


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SLEEPING POSITION


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REASONABLY MOBILE


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WASHING


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DRIVING


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EXERCISE INCLUDING GYM


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SEXUAL ACTIVITY


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FULL RECOVERY


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TIME OFF WORK


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BRAS & GARMENTS

Gynaecomastia surgery can be either unilateral or bilateral, and is performed under a general anaesthetic (with you asleep). You will wake up with a couple of small sutures where the liposuction cannulae have been as well as a foam dressing. If you have an ‘open’ surgical technique then you will have surgical tapes along the wounds and a surgical drain (tube) coming out of each side. You will need to go into a tightly-fitting compression top the following day. This will need to be worn day and night for 8 weeks.

Gynaecomastia surgery addresses the excess fat and breast tissue as well as any excess skin you may have as well. Furthermore, reducing the size of your nipples can also be performed if required.

The surgery takes about an hour and a half.

For liposuction alone you are likely to have your surgery as a day case procedure (in and out the same day) or an overnight stay. Otherwise, you will stay in hospital for 2-nights. After the surgery the wounds will be dressed with brown micropore tape. This is splash-proof and shower- proof. You will be able to shower from the day after surgery, then pat the tape dry with a towel and use a hair-dryer to dry completely.

Strenuous activity should be avoided for at least two weeks. You may be able to drive after this period, but remember that you need to be comfortable in performing an emergency stop or you may invalidate your insurance. If you drive too early and you need to do an emergency stop, the wounds may burst apart from pressure of the seat belt.

Gynaecomastia surgery has a high success rate, with low instances of failure but frequently small revision and investigation procedures may be needed. The philosophy is always to be conservative with the surgery – it is better to need a minor further procedure to improve things than to have overdone the first operation (taken too much away) and have to correct it.

Lumpy scarring (hypertrophic or keloid scarring) which may be difficult to treat. Bleeding or haematoma (a collection of blood in the wound that would mean that we would need to take you back to theatre to stop the bleeding), Wound infection & wound breakdown. Alteration in nipple sensation. Complete or partial loss of your nipple (a rare but important complication). Fat necrosis (dying of some areas of fat within the breast) – this either shows as an oily discharge from the wound or as the formation of lumps within the breast. It may mean we need to take you back to surgery, but can usually be treated as an outpatient with dressings (if the wound has opened) or with massage of any lumps. Asymmetry – no chest is perfectly symmetrical, and although we strive to make both sides as equal as we can, there will be differences between them. Chronic deep vein thrombosis (DVT) and pulmonary embolus (PE) – these are blood clots that may occur in the leg (DVT) and travel to the lung (PE) which may be very serious – fortunately they are rare in gynaecomastia surgery. Further surgery may be needed to make adjustments to correct for imperfections or significant differences between the two sides (rates may be up to 20%).

Just a note to say a big thank you for your professional expertise, your excellent care and your kindness towards me during my treatment.


Marilyn W.

After deciding to go down the surgery route I contact Mr Banwell’s team and was dealt with quickly and efficiently but most of all everyone was so friendly and helpful which put me at ease. The care from start to finish and still on-going was 110% and everyone who I dealt with was fantastic. Mr Banwell was always professional and friendly and put me at ease from the very beginning. I am so pleased with my results and putting myself in Mr Banwell’s care was the best thing I could have done. It has completely changed my life and I can’t thank you all enough. I have already recommended you to my aunty! Thanks again.


Ruth G.

I felt upon meeting Mr Banwell that I was really comfortable dealing with him. He put me at ease with his friendly and professional approach. My overall experience was excellent, I can’t praise it enough. Mr Banwell was so patient with all my questions, he explained everything clearly, he is so friendly as well as professional and his admin team back up his service perfectly. You all turned a daunting experience in to a breeze. I would recommend you to everyone.


Felicity C.

It is hard for me to find the right words to thank you enough for everything you have done for me.

I am writing to let you know that I was very pleased with the recent surgery to remove several moles on my face, neck and back. The whole process was carried out very efficiently.  The mole on my face has almost completely disappeared already.  The post-operative information was most helpful, although the leaflet I was given varied slightly from your verbal instructions. However, you accurately told me what to expect.  I have no hesitation in recommending your work to other people.  The on site staff were all friendly and helpful throughout.


Pamela H.

The results of the surgery were excellent. Four months after the surgery there is hardly any evidence of scarring. Mr Banwell was also very good at explaining the nature of the problem and the treatment.


Stephen L.

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