Male Breast Reduction Sydney

Gynaecomastia 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

Gynaecomastia Retina HEADER1 - Form & Face
  • Elective medical procedure
  • Rebates from Medicare and Private health insurance
  • Day procedure only

Gynaecomastia is a medical term used to describe enlarged breasts in a male. This condition can have profound psychological and social consequences for a man. Many men are too embarrassed to seek treatment and will spend a lifetime feeling uncomfortable in their own skin.

There are a number of reasons why gynaecomastia 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 being necessary. 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 that is performed through a surgical excision made at the edge of the areola.

The ideal candidates for 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.

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What happens at my gynaecomastia consultation?

It may have taken you a long time to seek treatment for the condition known as Gynaecomastia. Dr Norris appreciates the courage needed for many men to visit a surgeon. You are assured that you will be treated with the utmost sympathy and discretion. Because there a number of potential medical causes for gynaecomastia you will be questioned 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 discuss with you the best way of correcting the problem and returning your chest to a more masculine profile. Dr Norris will discuss in detail with you how the operation is performed, where the scars are placed, and what type of procedure will best give you the result you desire. 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 will have a very good idea of what will be possible for you. Dr Norris will arrange for a quotation for you which will provide detailed options for your surgery. Some of the surgical fee may be covered by Medicare and your Health Fund.

If you decide to proceed with surgery, Dr Norris will see you again at 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 in fully accredited facilities. This is for your safety and to ensure optimum quality of care throughout the operation and the immediate postoperative period. 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.

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Step 1
Excess fat and
mammary gland tissue

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

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Step 3
Excess mammary gland
tissue is removed

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Step 4
Liposuction may be
used to remove excess
breast fat

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Step 5
The incisions are
sutured

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

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 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 the fatty and glandular tissue.
Dr Norris will tell you which technique is most appropriate for you after 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.

Male Breast Reduction Before and After – Real patients, real results

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1 – Before and After images in our Gynaecomastia

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2 – Before and After images in our Gynaecomastia

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3 – Before and After images in our Gynaecomastia

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4 – Before and After images in our Gynaecomastia

Male Breast Reduction FAQs

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It may have taken you a long time to seek treatment for the condition known as Gynaecomastia. Dr Norris appreciates the courage required for many men to visit a surgeon. You are assured that you will be treated with the utmost sympathy and discretion. Because there a number of potential medical causes of gynaecomastia, you will be questioned about other symptoms you might be experiencing, your medical history and whether or not you are using specific drugs or 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 discuss the best ways to correct the problem and return your chest to a more masculine profile. Dr Norris will take you through the specific details of how the male breast reduction procedure is performed, where the incisions are placed and the best approach for achieving your specific outcome. You will be encouraged to ask questions and discuss any concerns you have. Dr Norris will also take you through the possible risks, complications and consequences of having the operation.

At the end of this initial consultation, you will have a very good idea of what will be possible. Dr Norris will arrange for a quotation for you, which will outline the details of your surgery options.

If after careful consideration you decide that you would like to go ahead with the surgery, a second consultation will need to be scheduled. During your second consultation, a date will be set for your procedure and Dr Norris will outline the steps that you will need to take to prepare for your surgery. For one, patients are encouraged to stop smoking at least 2 months before male breast reduction surgery to accelerate healing and prevent complications.

Dr Norris only ever performs male breast reduction in fully accredited facilities. This is for your safety and to ensure optimum quality of care throughout the operation and the immediate postoperative period. The procedure can be performed under local anaesthetic with sedation or a full general anaesthetic administered by Dr Ross Foreman. You will be able to meet Dr Foreman prior to your surgery. You can expect the operation to take 1-2 hours.

The approach that is used will depend on the underlying cause of the gynaecomastia. If the enlargement is due to excess fatty tissue alone, then liposuction will be used to remove the fat cells through very small incisions. If the enlargement is due to excess glandular tissue alone (usually lying beneath the nipple) then a small incision will be made around the edge of the areola (periareolar scar). From there, 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, 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, a larger procedure may be required, necessitating longer scars to remove excess skin as well as the fatty 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 later on. A dressing is applied over the incisions and you will leave the hospital wearing a comfortable and supportive chest binder garment. This garment will provide the area with support and reduce swelling. Drains may need to be placed under the skin for several hours to remove any excess fluid and blood.

Patients will be moved to a recovery room after their procedure where they will be monitored for several hours before being discharged.

  • Patients can expect to spend about 5 hours in 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 pain killers
  • Dr Norris will provide you with detailed aftercare instructions after your surgery to ensure a smoother recovery. You will also be sent home with a prescription for pain medication
  • The compression garment will need to be worn day and night for at least 6 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
  • The worst of the pain and discomfort can be felt during the first 2 days after surgery but can be managed with pain medication
  • Patients can expect some bruising, swelling, tenderness, and sensitivity after their reduction procedure. Swelling may vary from patient to patient but should resolve after about 2 weeks
  • As with any type of surgery, scarring is inevitable. Fortunately, the incision lines will be concealed within the natural contours of the chest, making them nearly invisible. Dr Norris will also provide you with scar management tips that you can apply at home
  • Light exercise such as walking is permitted after 1 week. Your normal exercise routine can be resumed after 6 weeks, provided Dr Norris has signed off on it
  • You may return to work after 1 week, unless it involves heavy lifting or use of the upper body. You might need to be on light duties for up to 3 weeks if this is the case
  • Patients won’t be able to drive for at least 2 weeks, so it’s best to arrange for someone to assist you during this time before you schedule your surgery
  • A follow-up appointment will be booked for you on day 3 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 procedure might be required later on in life
  • 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 skin that feels warm to the touch
  • Infection – Infections are unpredictable and normally occur within the first 3 weeks after surgery. 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 need be
  • Asymmetry – It’s very rare for men and women to have perfectly symmetrical breasts. It’s possible for the patient’s chest to look slightly asymmetrical after surgery, something that will be covered during your consultation

The average cost of a male breast reduction procedure starts at about $6,000 but there are several factors that need to be taken into consideration, including anaesthetist and hospital fees. Patients can qualify for a Medicare rebate for this procedure and private health insurers may cover a portion of the costs too. Dr Norris will take you through the process of applying for a rebate after your surgery.

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