Gynecomastia surgery is performed to reduce excess male breast tissue.
It may be suitable for individuals who experience enlarged male breast tissue due to hormonal changes, medication use, or other factors.
What the Procedure Involves
Gynecomastia surgery is generally a day procedure performed under general anaesthesia. The surgical technique depends on the composition of the breast tissue and skin:
- Liposuction: Used if the enlargement is mainly due to fatty tissue. Small incisions are made, and a thin tube (cannula) is inserted to suction out fat.
- Excision: Required if there is significant glandular tissue or excess skin. Incisions are typically made around the edge of the areola or in other inconspicuous areas. The surgeon removes glandular tissue and may reposition the nipple and areola if necessary.
- Combination: Some patients require both liposuction and excision for optimal results.
Your surgeon will recommend the most appropriate approach based on your presentation.
What to Expect During the Procedure
Gynecomastia surgery is an effective surgical solution to reduce excess male breast tissue. The surgical process usually involves:
- The surgery usually takes between one to two hours, depending on the complexity, the surgical techniques used, and the amount of tissue to be removed.
- Incisions are usually made around the areola (the coloured area around the nipple) or within the natural creases of the chest.
- In some cases, the nipple and areola may be repositioned or resized to achieve a more natural contour.
Potential Benefits of Gynecomastia Surgery
Benefits may include:
- A flatter, firmer chest appearance
- Can correct chest asymmetry and, in severe cases, improve nipple position and skin tightness
- Long-lasting results, especially if a stable weight and a healthy lifestyle is maintained
Individual results depend on surgical technique and healing response.
Gynecomastia Surgery Risks and Considerations
Modern surgery is generally safe, but as with any surgical procedure, gynecomastia surgery carries risks. These include changes in nipple sensation, scarring and asymmetry. Rare complications may include irregular contours or allergic reactions. Working with a certified and experienced plastic surgeon significantly minimises these risks. For a list of general and specific risks and complications associated with plastic surgery and gynecomastia surgery, please click here to download.
During your consultation, your plastic surgeon will talk about possible risks and complications. It's essential to grasp these factors before deciding to proceed with any surgical procedure. Any concerns should be communicated to the team at Advanced Plastic and Cosmetic Surgery.
Gynecomastia Surgery Recovery and Aftercare
Recovery times differ among patients. After surgery, you will wear an elastic dressing or surgical bra for support of your breast. A plastic tube may be inserted into each breast to drain excess fluid. Typical stages include:
- First Week: Swelling, bruising, and mild discomfort. Compression garments may be used.
- 2–4 Weeks: Gradual return to work and light activity.
- 3–6 Months: Final results become more visible.
Your surgeon will provide detailed instructions for care and activity. These instructions may include:
- How to care for your surgical site(s) following surgery
- Medications to apply or take orally to aid healing and reduce the risk of infection
- Specific concerns to look for at the surgical site(s) or in your general health
- When to schedule follow-up appointments with your plastic surgeon
Who Might Be Suitable for Gynecomastia Surgery?
Surgery may be suitable for males who:
- Have persistent gynecomastia unresponsive to lifestyle changes
- Are in good health
- Have fully developed
- Have a stable weight
Getting advice from a qualified plastic surgeon is crucial to determine if it's right for you. Before deciding to have gynecomastia surgery, you should have a thorough consultation with a registered plastic surgeon who can assess your individual needs and explain the potential outcomes and risks.
Q: Will the condition return?
A: This depends on the underlying cause. Maintaining a stable weight and healthy lifestyle may help reduce the risk of recurrence.
Q: Will there be visible scars?
A: Scars are usually small and placed discreetly. They typically fade over time.
Q: Is liposuction always used?
A: No. The surgical approach depends on the cause and type of tissue involved.
Important Note
Surgical outcomes can vary significantly between individuals. Any before-and-after images or descriptions of outcomes (not included here) are not indicative of what every patient may achieve. Only a consultation with a RACS Certified plastic surgeon can determine whether male breast reduction surgery (gynecomastia) is suitable for you.
Deciding on male breast reduction surgery (gynecomastia) is a personal choice that’s best made with a full understanding of the potential benefits, limitations, and risks. Our surgeons at Advanced Plastic & Cosmetic Surgery provide evidence-based guidance and a transparent consultation process to help you make an informed decision. If you would like to explore whether male breast reduction surgery (gynecomastia) is suitable for you, we encourage you to arrange a consultation with our team.