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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.

Gynaecomastia
At a Glance

60 - 90 Minutes

SURGERY TIME

Gynaecomastia
At a Glance

Outpatients/Inpatient 1 night

HOSPITAL STAY

Gynaecomastia
At a Glance

No

ANAESTHETIC ASSESSMENT

Gynaecomastia
At a Glance

No

PRE ADMISSION TESTS

Gynaecomastia
At a Glance

Sleeping on back recommended for 4 weeks.

SLEEPING POSITION

Gynaecomastia
At a Glance

Immediately

REASONABLY MOBILE

Gynaecomastia
At a Glance

Shower after 1 day. Bath after 2 weeks.

WASHING

Gynaecomastia
At a Glance

1 week

DRIVING

Gynaecomastia
At a Glance

8 weeks

EXERCISE INCLUDING GYM

Gynaecomastia
At a Glance

Restricted activity after 4 weeks

SEXUAL ACTIVITY

Gynaecomastia
At a Glance

4 weeks

FULL RECOVERY

Gynaecomastia
At a Glance

None

TIME OFF WORK

Gynaecomastia
At a Glance

Compression Garment worn for 8 weeks

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%).

A perfect blemish free outcome!

My care was efficient and well taken care of, the outcome of my surgery couldn’t be more perfect, I’m so pleased. My surgery has given me a new found confidence in my body in a way I never thought I could feel.


Amelia P.

The consultation was conducted quickly, professionally but Mr Banwell also made me feel as if any question I may have wouldn’t not be too small or insignificant for him to take the time to answer. He left me feeling fully informed with both the pros and cons of any form of elective surgery but also that my worries were normal and that he would be able to assist me with my desired outcomes. His team were caring and professional making me feel that they were actually interested and were able to accommodate my dates when making the initial consultation booking. Prompt returning of calls, flexibility in booking of appointments friendliness, informative, caring and professional from the initial telephone call, the surgery, follow up appointments right through to my final appointment made me feel that my care, personal views and worries were important to them at all times. You can trust him to always be honest with you about the possible problems and outcomes. Overall experience with Mr Banwell and his team? Amazing! I just wish I’d not waited so many years to have this procedure done; I have my life back and it’s amazing to be able to walk into any shop and buy clothes that fit in my actual size and not 5 dress sizes larger just to fit my bust in. With the Upper Blepharoplasty everyone in my family says that I now look so much brighter and not tired, others I meet just tell me I look really great and ask if I’ve just had a holiday. Mr Banwell Thank You for all that you did for me.


Anne G.

Mr Banwell explained the details of my procedures in a professional and sensitive manner. He took the time to put me at ease and answer all my questions in a way that I could understand. Each step of my treatment from the initial consultation through to its conclusion was supported by professional who with their support enables me to have an extremely smooth journey through my procedures. For the first time in my adult life I am happy in my own skin. I would recommend Mr Banwell to anyone who has been thinking of cosmetic surgery in a heartbeat. Through his skill and understanding of the female body, he carries out his profession with the utmost care and consideration.


Susan G.

We just wanted to say a big thanks you again to you and your team for making our experience so much better than we could have ever imagined. You and your team were so professional and friendly which really put us at ease from our very first appointment. This definitely gave us the confidence to finally have the surgery we’ve wanted for such a long time. We’re both extremely happy with the results. Thanks again.


Gill W.

Procedure was quick, pain fee and I was made to feel at ease. I would highly recommend Mr Banwell, he provided an honest opinion of the result and all the options. I barely have a scar to speak of! Great result.


Claire H.

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