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Gynaecomastia

Gynaecomastia Surgery (Male Breast Reduction) in Sydney

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.

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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.

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.

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.

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 Preparations

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 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.

Frequently Asked Questions

Procedure & Results

Do I need imaging?

Imaging is recommended in some situations and depends on symptoms, examination findings and your history.
Examination can provide clues, but imaging is often needed to confirm.
Changes in breast shape, firmness, swelling, discomfort, or concerns about implant integrity warrant assessment.

Pain & Recovery

Is the exam painful?

Most examinations are tolerable, but sensitivity varies. Tell your clinician if you are uncomfortable.
You can discuss concerns during the consultation; the assessment can be paced to your comfort.

Safety & Credentials

How do I verify practitioner registration?

Check the AHPRA public register and ask about experience with implant monitoring and management.
Imaging is performed by appropriate radiology providers; referrals are discussed during consultation.
Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.