Gynecomastia

Gynaecomastia is the development of excess breast tissue in men of all ages that can lead to both social and professional anxiety. It is an extremely common condition affecting up to 30% of the Australian male population, and is normal anatomical variation that is not related to any underlying medical condition.

While most teenage boys (~70%) will develop breast enlargement during puberty, the vast majority of these will resolve as they continue into adulthood and require no treatment or intervention. Those that persist into early adulthood may become problematic as there are no effective non-surgical treatments and the excessive breast tissue rarely shrinks or disappears without surgical intervention.

What causes Gynecomastia?

Male breast enlargement or gynecomastia may be associated with obesity, hormone imbalances, liver disease, malignancies or due to a range of medicinal or recreational drugs. However in the vast majority of cases it is ‘idiopathic’ which means we don’t have a reason for why it developed.

During your consultation, Dr Turner will discuss and create a unique plan to address your concerns, as well as explain in detail the surgical procedure, recovery phase and risks associated with Male Breast Reduction Surgery. He will also identify if there is any underlying conditions that may be contributing to your gynaecomastia and if further investigations are required

Are you Suitable for Gynaecomastia Surgery?

The best candidates for male breast reduction surgery are men who are unhappy with the size or appearance of their chest wall and are experiencing physical discomfort.

If you are considering gynaecomastia surgery, it is important that you are:

  • At least 18 years old
  • Are medically and psychologically healthy
  • Close to ideal body weight or BMI (<29)
  • Stopped any recreational drugs, like steroids and marijuana for 6 months
  • Do no smoke or vape
  • Do not drink excessive amounts of alcohol
  • Have realistic goals for the procedure and its recovery process

Benefits of Gynecomastia Surgery?

The main benefits of gynaecomastia are;

  • Reduce the size of male breast tissue
  • Reduce the amount of fatty tissue along the chest wall
  • Remove excess skin if required
  • Create a flatter and improved chest contour
  • Improve asymmetry
  • Improved fitting of clothing
  • Reduce discomfort from sore or tender breast tissue

Gynaecomastia Surgery

Dr Turner performs male breast reduction or gynecomastia surgery in a fully accredited private hospital with the assistance of a qualified anaesthetist. Most gynaecomastia procedures require general anesthesia and take 90 minutes to perform and patients are fine to go home the same day.

Dr Turner starts by using a power assisted liposuction machine with specialized liposuction cannula to remove excess fat from the chest wall region, and also within the actual breast tissue. After this is completed, a small incision is placed around the lower aspect of the areolar to remove any residual excess glandular breast tissue. The scars around the areola once healed are concealed along the border of the areolar and normal chest wall skin and are well tolerated by most men.

For the extremely large male breast, a more significant breast reduction may be required. In these cases it involves not only removal of the excess fat and breast tissue but also redundant skin. This may require larger incisions and create more obvious scars on the chest wall.

A Recovery After Your Gynecomastia Surgery

You may experience some mild discomfort over the first week, for which you are prescribed oral pain medication. Swelling and bruising around the chest area is quite common and not to be alarmed about, it often resolves within the first month. A compression garment is worn under the clothes for six weeks to facilitate the best chest contour and assists with recovery.

Recovery from a male breast reduction procedure is generally quick, and many patients can return to their normal activities after a few days and are back to work in 7-10 days. Most men can resume light exercise in the first month, however strenuous upper body exercises should be avoided for two months.

The final results of male breast reduction surgery can take up to six months to be fully apparent.

Learn more about Recovery after Gynaecomastia Surgery

Risks of Gynaecomastia Surgery?

As with any surgery, it is important that you are fully informed of the potential risks associated with gynaecomastia surgery. While all care is taken to minimize these complications, they may and do occur despite the best medical care.

It is important that you carefully read and understand the potential risks and they will be discussed in further detail when you have your consultation with Dr Turner.

Some risks are more likely to occur than others;

  • Irregular chest contour
  • Poor Scarring including keloid scars
  • Loss of sensation to the nipple
  • Recurrent glandular tissue
  • Partial or total loss of the nipple and/or areola
  • Wound breakdown and delayed healing
  • Postoperative infection
  • Bleeding or haematoma
  • Revision surgery to correct or improve outcome

The information provided is for general purposes only, it is not intended to replace a professional consultation with a qualified plastic surgeon. Invasive procedures carry inherent risks and potential complications which will be discussed in detail. Results vary and should be used only as a guide as every client is unique, which is why a second opinion is advisable.

Learn more about the risks of plastic surgery