All patients need a full assessment which may include a hormonal profile to exclude an underlying cause. The majority of patients can then be treated with liposuction under general anaesthetic as a daycase procedure.
This involves two small incisions at the periphery of the breast. Patients need to wear a compressive garment afterwards but can return to normal activities by around 7 to 10 days. If excision of the gland is needed, this is usually carried out with a small incision at the edge of the pigmented areolar. It takes a little longer to recover from and the complication rate (bleeding, fluid collecting afterwards, and abnormal scar formation) is higher. Mr Harris often prescribes an anti-oestrogen tablet (Tamoxifen) for six weeks after surgery to prevent re-activation of the gland.