Male Breast Reduction Sydney & Bella Vista (Gynaecomastia Correction Surgery)

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Specialist Plastic Surgeon
Dr Ben Norris FRACS

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Follow-Up Guarantee
Care for the rest of your life

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Accredited Hospitals
Not performed in-clinic

  • Elective medical procedure
  • Rebates from Medicare and Private health insurance
  • Day procedure only

Gynaecomastia is a medical term used to describe enlarged breasts in males. Although this is not usually a medical concern, some men with gynaecomastia may choose to undergo surgery to address the condition.

There are a number of reasons why gynecomastia can occur. It is relatively common in young male teenagers due to the usual hormonal imbalances during puberty. In most cases, this will settle without treatment. Other causes include obesity, liver disease, abnormal hormonal problems, and the use of certain medications or anabolic steroids. These causes need to be excluded before surgery can be considered. The technique used to treat enlarged male breasts usually involves liposuction, which is performed through a surgical excision made at the edge of the areola.

Suitable candidates for gynaecomastia correction (male breast reduction) are men who have been diagnosed with gynaecomastia but still have good skin elasticity. Patients who are overweight should first attempt to lose excess weight before considering this procedure.

What happens at my gynaecomastia correction consultation?

Because there are a number of potential medical causes for gynaecomastia, Dr Norris will ask about other symptoms, your past medical history, and the use of drugs and medications.

Dr Norris will evaluate your chest to determine whether your breast enlargement is due to fatty tissue, glandular tissue, or a combination of the two. Photographs will be taken for your medical records. This evaluation helps Dr Norris determine the most appropriate course of action. Dr Norris will discuss in detail how the operation is performed, where the incisions are placed, and what type of procedure will be suitable. You will be encouraged to ask questions and discuss any concerns you have. Dr Norris will also discuss the possible risks, complications, and consequences of having the operation.

At the end of this initial consultation, you should have a good idea of what will be possible for you. Dr Norris will arrange for a quote for you, which will provide detailed options for surgery. Some of the surgical fees may be covered by Medicare and your Health Fund.

If you decide to proceed with surgery, Dr Norris will see you again for a second consultation. This additional time with Dr Norris will allow you to ask any new questions you have, discuss anything you need clarification on, and provide you with a date for the procedure.

How is the operation performed?

Dr Norris performs male breast reduction (gynaecomastia correction) in fully accredited facilities. The procedure can be performed under local anaesthetic with sedation or a full general anaesthetic administered by Dr Ross Foreman. You can expect the operation to take 1-2 hours.

MaleStep1_

Step 1
Excess fat and
mammary gland tissue

MaleStep2_

Step 2
Incisions are made
around the nipple or
under the breast

MaleStep3_

Step 3
Excess mammary gland
tissue is removed

MaleStep4_

Step 4
Liposuction may be
used to remove excess
breast fat

MaleStep5_

Step 5
The incisions are
sutured

The type of gynaecomastia correction procedure you will have depends on the underlying cause:

If the enlargement is due to excess fatty tissue alone, then liposuction will be used to remove the fat-containing cells through very small incisions. If the enlargement is due to excess glandular tissue alone (usually lying beneath the nipple), then a small incision around the edge of the areola (periareolar scar) will be used, and the tissue will be cut out rather than suctioned out.

If the enlargement is due to a combination of excess fatty tissue and glandular tissue, then it is likely you will need both liposuction and a surgical excision using a periareolar incision.

In a very small number of cases, where the degree of breast enlargement is extreme, then a larger procedure may be required, necessitating longer scars to remove excess skin as well as fat and glandular tissue.

Dr Norris will tell you which technique is most appropriate for you after the assessment of your chest at your initial consultation.

At the end of the operation, the incisions are closed with absorbable sutures to save you the inconvenience of having them removed. A dressing is applied over the incisions, and you will leave the hospital wearing a comfortable and supportive chest binder garment.

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.

Male Breast Reduction (Gynaecomastia Correction) Before and After

Surgery for Gynaecomastia | 1

Male Breast Reduction (Gynaecomastia Correction) before and after photos post-op 6 weeks, patient 01, front view

Surgery for Gynaecomastia | 2

Male Breast Reduction (Gynaecomastia Correction) surgery, before and after photos post-op 6 weeks, patient 05, front view

Surgery for Gynaecomastia | 3

Male Breast Reduction (Gynaecomastia Correction) before and after photos post-op 6 weeks, patient 11, image 20

Surgery for Gynaecomastia | 4

Dr Norris, Male Breast Reduction (Gynaecomastia Correction) images, patient 04, front view, before and after photos post-op 6 weeks

What happens after the surgery?

  • Patients can expect to spend about 5 hours in the hospital before being discharged by Dr Norris.
  • A friend or responsible adult must collect you from the hospital as you won’t be able to drive. This is because your range of movement will be very restricted, and you may be slightly drowsy from the painkillers.
  • Dr Norris will provide detailed aftercare instructions after surgery. You will also be sent home with a prescription for pain medication.
  • The compression garment must be worn day and night for at least six weeks. The only time that it can be removed is when showering.
  • Daily short showers are permitted, provided your waterproof dressings are dried with a hairdryer afterwards.
  • To get a good night’s sleep and reduce swelling, patients should sleep on their backs, propped up by pillows, for several weeks.
  • Pain and discomfort will peak during the first two days after surgery, but they can be managed with pain medication.
  • Patients can expect some bruising, swelling, tenderness, and sensitivity after their male breast reduction procedure. Swelling may vary from patient to patient but should resolve after about two weeks.
  • As with any type of surgery, scarring is inevitable. However, the incision lines will be concealed within the natural contours of the chest, making them less noticeable. Dr Norris will also provide scar management tips you can apply at home.
  • Light exercise such as walking is permitted after one week. Your normal exercise routine can be resumed after six weeks.
  • You may return to work after one week unless it involves heavy lifting or use of the upper body. If this is the case, you might need to be on light duties for up to 3 weeks.
  • Patients won’t be able to drive for at least two weeks, so it’s best to arrange for someone to assist you before you schedule the surgery.
  • A follow-up appointment will be booked for you on day three after the operation. This is to check your wounds and change the dressing.
  • While it is very rare for gynaecomastia to return, patients should prepare themselves for the possibility that a second male breast reduction procedure might be required later on in life.

Possible complications

  • Haematoma – Refers to a collection of blood in the breast pocket, which is either absorbed naturally into the body or sometimes requires further surgical drainage. Symptoms include swelling, pain, bruising, itchy skin or warm skin.
  • Infection – Signs of infection include redness along the incision lines, itchy skin, and a high temperature. Any infection should be treated with antibiotics as soon as possible.
  • Scar Tissue – You may experience hard lumps around or behind your nipples after surgery. This is scar tissue building up after trauma to the area caused by the liposuction. This will eventually settle and subside but might require steroid injections into the scar tissue. Dr Norris will discuss this if needed.
  • Asymmetry – It’s possible for the patient’s chest to look slightly asymmetrical after surgery, something that will be covered during your consultation.

How much does a gynaecomastia correction surgery cost in Sydney?

The cost of gynaecomastia correction surgery in Sydney depends on several factors, as the procedure and setting vary for each patient. Costs can vary depending on what needs to be done surgically, such as whether the procedure involves liposuction, removal of gland tissue, skin removal, or a combination, and whether one or both sides are treated. The amount of operating time matters as well, because longer procedures can increase theatre fees and anaesthetic time. Your general health can also affect planning, including whether any extra monitoring is required on the day of surgery.

The type of anaesthetic used and the anaesthetist’s fees form part of the overall cost, and hospital fees can also vary depending on the facility, theatre time, and whether you need an overnight stay. The surgeon’s fees can differ as well, depending on how much work is required and whether extra steps are needed during the procedure to address your concerns. In some cases, imaging or other tests may be recommended before surgery, and these can add to the overall cost. Pathology fees may also apply if breast tissue is sent for assessment.

After the procedure, you may also need to consider the costs of compression garments, dressings, medications, and follow-up appointments (varies depending on how you heal). If private health insurance is involved, what is covered depends on your level of cover, waiting periods, excess, and any gap payments, so it helps to confirm the details directly with your insurer. Medicare rebates may apply in selected cases when certain criteria are met, and the correct referrals and documentation are in place, so eligibility needs to be checked for your situation. Dr Norris can explain which costs may apply to you, what may be included, and what is involved if rebates may be relevant.

Does Medicare Cover Gynaecomastia Surgery in Australia?

Medicare can help cover gynaecomastia surgery in Australia in some situations. However, you will need to meet the requirements set by Medicare, and the surgery should be classified as medically necessary rather than cosmetic. A medical assessment and some important documents supporting your case are needed for you to become eligible. In addition, it is important to keep in mind that Medicare may only cover part of the medical service rather than the full cost of having surgery.

Other fees, such as hospital or day surgery and the anaesthetist, are usually separate, and private health insurance cover varies between policies, waiting periods, and exclusions. The clinic can explain what information is needed and help clarify whether Medicare may be relevant in your situation.

Male Breast Reduction (Gynaecomastia Correction) FAQs

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How much does gynaecomastia surgery cost in Sydney and Bella Vista?

Cost varies between patients and can differ between Sydney and Bella Vista depending on where your surgery is performed. It depends on what the procedure involves, the type of anaesthetic, and hospital fees. Costs can also change if additional steps are needed, such as gland removal, liposuction, or skin tightening. Medicare and private health insurance may apply in selected cases.

How to prepare for the surgery?

Preparation usually includes a full medical history, a physical exam, and certain tests. You may be asked to stop smoking or vaping and avoid certain medicines or supplements that can increase bleeding risk. You’ll also be given instructions about fasting before surgery and what to organise for recovery at home. If you have questions, bring them to your pre-op appointment.

Does gynaecomastia surgery leave scars?

Yes, scars are expected. Scar location depends on the technique used, such as liposuction, gland removal, or skin removal. Scars may be placed around the areola, in the crease under the chest, or in other planned locations, depending on your anatomy. Scar appearance varies between patients, and changes in colour and texture can continue over time as healing progresses.

How does the surgery recovery look?

Recovery depends on what was done during surgery and how you heal. Swelling, bruising, redness, and a tight feeling in the chest can occur early on, and you may be advised to wear a compression garment. You will usually need to avoid heavy lifting and strenuous exercise for the recommended timeframe. Follow-up appointments are used to check healing, and you will be given clear aftercare instructions to follow.

Can gynaecomastia come back after surgery?

It can, depending on the cause. If gland tissue remains, or if hormone changes, certain medications, anabolic steroids, or weight gain occur, breast tissue may increase again. Surgery removes tissue present at the time, but it does not prevent future hormonal or medication-related changes. This is why the underlying cause is reviewed, and risk factors are addressed where possible.

Can gynaecomastia be treated without surgery?

This depends on what is causing the enlargement. If medications, supplements, hormone changes, or other health conditions are contributing, managing these factors may help. If the main issue is fat in the chest area, weight management may help, although this does not remove gland tissue. If there is established gland tissue or significant skin changes, non-surgical options may be limited.

Can I combine male breast reduction with other surgeries?

Combining procedures may be possible in selected cases, depending on your health, the total operating time, and what recovery would involve. Some patients ask about combining gynaecomastia surgery with liposuction in other areas or other body procedures. Whether this is suitable is assessed on an individual basis, and sometimes procedures are planned in stages rather than done at the same time.

How long does it take to recover from male breast reduction surgery?

Recovery time varies, and it depends on what was done during surgery and how you heal. You may be back to light activities within days, but swelling and firmness often take longer to settle. Time away from work depends on your job and how you are feeling, and returning to exercise is usually gradual, based on the advice you are given during recovery.

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