Sunday 29 November 2015

Want a chest like Chris Eubank or Anthony Joshua?

Many of my patients are slim, heathy and enjoy gym and sport. Indeed I have treated many young men aspiring to be boxers just like Chris Eubank & Anthony Joshua.


These patients are extremely fit yet still have some degree of breast swelling - gynaecomastia. In most of these cases, the condition is true gynaecomastia which is some resistant breast gland which needs surgical removal. In others there is mixed gynaecomastia which consists of fatty breast tissue as well as glandular tissue. Again this needs surgical removal but it can be removed via my VASER Lipo technique or traditional excision.



So if you are bothered by the appearance of your chest let me explain how I treat my patients with gynaecomastia:


  1. After you contact the clinic you will be offered a full consultation with me. There is a fee for this consultation.
  2. During the consultation I will obtain a full medical history from you and you will also get the opportunity to explain in detail why you would like to be considered for surgery and what are your options. You will also be shown some intraoperative video if you are interested. Many patients also want to find out what the recovery involves, how much time off work they need and what are the side effects and risks following gynaecomastia surgery in the UK. All of this will be explained to you.
  3. During your examination I will assess the type of gynaecomastia you have - true, mixed or pseudo. I will also explain where your scars would be and what sort of result you should expect.
  4. If after your consultation I feel you are not suitable for VASER lipo I will explain why. It is important to me that you understand how VASER can help and what its limitations are. Only 5% of patients who attend need to be referred to a colleague for formal gland excision through a  bigger scar.
  5. If we feel that VASER is a suitable option for you, then my secretary will sit with you and explain the pre-operative procedure and also your quote.
  6. We respect the GMC's guidelines and allow a 14 day cooling off period between consultation and surgery, however in most cases we have a 4 week wait.
  7. Before surgery you will have an appointment with my nurse to check your fitness for surgery - this is a standard pre-op assessment. Blood tests are taken as are measurements and it is also another opportunity to ask questions.
  8. On surgery day you will meet the anaesthetist and the nurse again and myself. The procedure takes place shortly after you arrive and you will be out of the operating theatre after about 90 mins. 
  9. In the recovery room, your companion can sit with you until you are ready to go home (about 60-90 mins after the surgery is finished).
  10. We see you the next day for a wound check and to go through any instructions on how to look after yourself in the forthcoming days.
  11. We review you at 1 week post op and 8-12 weeks post op.
  12. :-)


If you would like to schedule an appointment please call 01582762877 for a consultation in London or Harpenden.

Monday 23 November 2015

Gynaecomastia treatment - don't forget the side walls

For many sufferers of gynaecomastia, getting T-Shirts and Work Shirts to fit comfortably is an issue. Often they describe the shirts being too tight around the sides of the chest as well as at the front. If this is a major problem for my patients I recommend not only just reducing the front of the chest but also extending towards the sides of the chests to reduce the density of the breast tail.

treating the lateral chest walls only
In the above case, the gentleman received just a single 5mm incision at the bottom of the nipple area. I then treated the side of the chest wall giving him a more streamline silhouette and looser fitting shirts.

Daily stretches and massage are advisable when treating this area to reduce contracture of the skin and delayed healing. But otherwise, this heals very simply and very quickly. The photos above are taken 2 weeks apart.

Treating gynaecomastia has become an areas of special interest for me in my VASER practice. We are starting to offer suitable patients with pure fatty gynaecomastia a non-surgical option called fat-freezing. Less than 1% of patients so far are suitable. So for the other 99% - VASER is an excellent choice for treating gynaecomastia.

Tuesday 3 November 2015

Side chest wall reduction for increased definition

Most patients who present to me with gynaecomastia are mainly focussed on the front of their chests as this is what tends to stick out under clothing. However, I always examine the sides of the chest walls as if there is excess tissue in this area, often called the breast tail. The lateral chest wall (sides of chest) contribute to the overall chest measurement size and so by reducing the size of these fat pads, your shirts will fit better and be looser. This will mean more comfortable days at work and also more confidence when wearing T-shirts or Slim-Fit shirts.

If you are considering cosmetic surgery for chest reduction and you live in the UK then please contact my PA to book a consultation.