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Gynaecomastia

Gynaecomastia Surgery (Male Breast Reduction) in Sydney

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Overview

Gynaecomastia surgery (sometimes called male breast reduction) is a procedure that may be considered for the management of excess male breast tissue, which can involve glandular tissue, fatty tissue, or both. The aim is to reduce breast prominence and reshape the chest where clinically appropriate. A consultation is required to confirm the cause of breast enlargement, assess suitability, and discuss expected changes and limitations, scarring, risks, recovery, and alternatives.

Add volume to breasts

Reduce sagging

Lift and tighten

Reshape and contour

Before & After

The outcomes shown are only relevant for this patient and do not necessarily reflect the results other patients may experience, as results may vary due to many factors including the individual’s genetics, diet and exercise.

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

Breast Augmentation

Implant Size: 300cc – 450cc

Recovery Timeline: 1–2 weeks light

Tags: Breast Enhancement, Cosmetic Surgery

About This Procedure

Gynaecomastia is the medical term for benign enlargement of male breast tissue. It can be associated with factors such as hormonal changes, certain medications, genetics, or other medical conditions. A clinical assessment may include history, examination, and investigations where indicated to exclude underlying causes.

Surgical correction typically involves removing excess tissue and may include liposuction, surgical excision of glandular tissue, or a combination. All surgery results in scars, and scar appearance varies between individuals.

Your Consultation with Dr Lajevardi

Dr Sepehr Lajevardi is a highly skilled and experienced plastic surgeon, dedicated to providing exceptional results to each patient. He takes a caring approach, working with patients to create an individualised treatment plan that helps them feel confident in their outcomes. Book your appointment to receive professional care and guidance from Dr Lajevardi, and find out if breast augmentation surgery is right for you.

Key Benefits

The goals of gynaecomastia surgery depend on anatomy, tissue composition, and the agreed surgical plan. Depending on individual circumstances, potential physical outcomes may include:

Reduction in breast prominence

by removing excess tissue (results vary).

Change in chest contour

reshaping may occur depending on tissue type and skin quality.

Clothing comfort considerations

some people report changes in how clothing fits; this varies.

Addressing tissue that may not change with lifestyle measures

in some cases, glandular tissue may persist despite weight changes or exercise.

Outcomes vary and depend on skin elasticity, the degree of enlargement, technique used, and healing.

Complete Breast Guide

Get step-by-step insights, recovery tips, and expert recommendations for your Breast. Download our free guide today.

Ideal Candidate

A suitable candidate is generally a physically healthy adult seeking assessment for excess male breast tissue that remains after appropriate evaluation and management of contributing factors. Candidates should have realistic expectations about outcomes, scarring, and recovery. A consultation is required to confirm suitability and to determine the most appropriate treatment approach.

You May Be a Good Candidate If

You may be a good candidate for gynaecomastia surgery if you:

Are in good overall physical health
Have stable weight (where relevant to surgical planning)
Have chest fullness that you believe is disproportionate and would like assessed
Have been assessed for contributing factors (e.g., medications, hormonal or medical causes) where indicated
Understand that scarring is expected and results vary
Do not smoke or are willing to stop nicotine use for a specified period before and after surgery (as directed)

Who Should Not Undergo This Procedure

Gynaecomastia surgery may not be suitable for individuals who:

Are significantly overweight where weight change may meaningfully alter chest contour (clinical advice required)
Are currently using substances or medications known to contribute to gynaecomastia without medical management (risk of recurrence may be higher)
Have uncontrolled medical conditions that increase surgical risk
Have an active infection
Are unable to stop nicotine use where clinically required
Have unrealistic expectations regarding scarring, symmetry, or outcome variability

Surgical Techniques & Approaches

Technique selection depends on whether the enlargement is primarily fatty tissue, glandular tissue, or a combination, and whether there is excess skin.

Liposuction:

Often considered where fatty tissue contributes significantly. Small incisions are used to remove fat.

Excision (surgical removal):

Often considered where firm glandular tissue is present and/or when skin adjustment is required. Incisions are commonly placed around the areola edge or within natural creases depending on the plan.

Combination approach:

Many cases involve both liposuction and excision. In some patients with more significant skin excess, additional skin tightening/removal may be discussed.

Your surgeon will explain the recommended approach, incision placement, scarring expectations, and trade-offs during consultation.

Anesthesia

Gynaecomastia surgery is commonly performed under general anaesthesia, though sedation with local anaesthesia may be considered in selected cases depending on the extent of surgery and facility protocols. The anaesthesia plan will be discussed during consultation.

Pre-Operative Preparation

Preparation typically includes:

Medical review: including medications, supplements, and relevant investigations where required.
Medication guidance: you may be asked to stop certain medications/supplements that can increase bleeding risk (where clinically appropriate).
Nicotine cessation: nicotine can impair healing; you may be asked to stop smoking/vaping/nicotine products for a specified period before and after surgery.
Fasting instructions: follow the facility’s requirements prior to anaesthesia.
Support planning: arrange transport and post-operative support after discharge.

Recovery Process

Recovery varies depending on the extent of surgery (liposuction alone vs excision and/or skin adjustment).

Timeline

Activity & Expectations

Immediately Post-Op

Dressings and a compression garment may be applied. Swelling, bruising, and discomfort can occur. Monitoring depends on the anaesthesia used.

First 24–48 Hours

Rest is commonly recommended. Discomfort varies and is managed according to your clinician’s plan. Drains may be used in some cases.

Week 1

Follow-up is typically scheduled for wound review and dressing/drain management (if applicable). Light daily activity may be possible depending on comfort.

Weeks 2–4

Swelling often reduces gradually. Compression garment use may continue as advised. Activity is increased gradually, avoiding chest strain as directed.

1–3 Months

Ongoing changes in contour and scar healing occur. Some residual swelling may persist.

6+ Months

Scars continue to mature and chest contour may continue to evolve. Timelines vary between individuals.

Recovery Milestones

Return to Work

Timing varies depending on comfort, the extent of surgery, and the physical demands of your role.

Return to Exercise

Light activity may be resumed as advised. Strenuous exercise, heavy lifting, and chest-focused training are typically restricted for a period determined by your surgeon.

Appearance over time

Swelling reduces gradually and contour continues to evolve during healing. There is no single timeline that applies to everyone.

Resources & Guides

A breast augmentation is a very customized procedure, and selecting an experienced surgeon is paramount. Dr. Lajevardi focuses on patient safety, naturally appearing results, and transparency throughout the process.

Patient Preparation Guide

Get a Guide

Procedure Walkthroughs

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Procedure Walkthroughs

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Patient Preparation Guide

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Frequently Asked Questions

Procedure & Results

How long does gynaecomastia surgery take?

Timing varies depending on the technique used (liposuction, excision, or combined). Your surgeon will provide an estimate during consultation.

Will I have noticeable scars?

All surgery results in scars. Incision placement depends on the technique used and individual anatomy. Scar visibility varies between individuals and changes over time as scars mature.

How long will the results last?

Longevity varies. Weight changes, medication or substance factors, and hormonal or medical causes can affect the chest over time. Your clinician can discuss strategies to reduce recurrence risk where relevant.

Pain & Recovery

Is the gynaecomastia procedure painful?

Discomfort varies. Many people describe soreness or tightness early in recovery. Pain management guidance will be provided.

When can I shower after surgery?

This depends on dressings and incision healing. You will receive written guidance before discharge. Submerging incisions (bath/pool/ocean) is usually restricted for a period.

Safety & Credentials

Where will the surgery be performed?

Surgery is performed in an appropriate licensed surgical facility or hospital setting. Facility details and aftercare arrangements will be discussed during consultation.

How do I verify my surgeon’s credentials?

You can verify your surgeon’s registration on the AHPRA public register.

Important Safety Information

Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.