Gynecomastia is defined as the enlargement of glandular tissue in the chest. Male chest enlargement can also be the result of the accumulation of fat tissue only and this condition is often referred to as pseudo-gynecomastia.

Restore your male physique with male breast reduction

Often the cause of significant anxiety, gynaecomastia or ‘man boobs’ can affect confidence, result in social withdrawal and embarrassment and have repercussions on both social and professional life.

Pseudo gynecomastia can be improved by attention to diet or exercise, whilst ‘true’ gynecomastia can be treated with either liposuction, to remove the excess tissue (fat or breast tissue), or a combination of liposuction and surgical excision to remove the excess breast tissue.

Male breast reduction surgery can achieve a flatter, firmer, contoured chest, with small scars in a procedure that takes up to 90 minutes to perform.

Frequently Asked Questions

Examination of the consistency of your chest tissue by your surgeon, along with a series of blood and other diagnostic tests will determine whether your problem is due to gynecomastia (glandular tissue) or just fat.  Your surgeon will then advise you on the most appropriate course of treatment.

Gynecomastia affects up to 70% of adolescent boys and is a physiological response to the changing levels of hormones as they go through puberty. The majority resolve but it can persist. Some causes in adult males are as a result of other conditions and it is important that the cause be investigated. After all appropriate investigations have been completed, and any underlying conditions treated, if the gynecomastia has not resolved it can then be addressed.

Liposuction and/or surgical excision of the excess tissue is performed under a general anaesthetic as a day case procedure. Excess glandular and fat tissue are removed from the chest area with liposuction in a crosshatched pattern to give a smoother final contour. Excess breast tissue, often under the nipple is then removed (if necessary), through a small semicircular incision under the nipple at the edge of the areola.

The efficient nature of this procedure ensures that downtime is minimal, with patients generally returning to normal activities within two to three days.

Recovery after male breast reduction is important for both your health and the results of your surgery. Recovery time is different for everybody, but most people resume daily activities 2-3 days after the procedure, and typically return to work around 1 to 2 weeks later. You can expect to be exercising again in 3-4 weeks.

To optimise the healing process, you will be required to wear a surgical vest for up to three weeks following the procedure. Any stitches applied to incisions will dissolve.

Most male breast reduction surgery takes between 60 to 90 minutes, depending on the size of your chest.

To minimise any discomfort or pain, a long-lasting local anaesthetic is introduced to the chest area during the procedure. Over the counter pain medications are all that is generally required to manage any soreness. Most patients report feeling mild discomfort rather than pain after the procedure.

Whilst considered a safe surgical procedure, as with any surgical procedure there are potential risks and complications including; bleeding, infection, scarring, irregular chest contour, persistent breast tissue, chest asymmetry and reaction to the anaesthetic or medications and pain. All risks associated with surgery will be explained to you during your consultation.

Your individual circumstances will determine your suitability for male breast reduction, but a good candidate for the procedure is someone over the age of 18, who is of good health. It is important to discuss any previous health conditions, medication use and whether you are a smoker with your surgeon.

For some men, a Medicare rebate may apply. This will be determined in consultation with your surgeon during your consultation.

The effects are usually permanent however if you gain weight following the procedure, fat cells can return to the chest area.

Esq. Plastic Surgery and Skin Clinic is Australia’s first specialist plastic surgery, cosmetic treatment and skin clinic with a particular focus on men. We help men to be the best version of themselves. To look and feel the way they want and be confident and comfortable in their own skin

Your Surgeon

Andrew Ives

Dr. Andrew Ives
Plastic & Reconstructive Surgeon | MB. Ch. B (UK), FRACS (Plast.Recon.Surg)

Andrew is a highly respected Plastic, Cosmetic and Reconstructive surgeon. Commonly known to his patients and colleagues as Andy, his knowledge of the nuances of male skin is coupled with a genuine care and commitment to understanding a patient’s concerns and building trust with them to achieve positive outcomes.


Contact Us Today

We understand the importance of feeling safe and confident when it comes to surgery. The information contained above is designed to answer any general questions about gynecomastia procedures and highlight the experience and expertise of our surgical team free consultation with one of our cosmetic surgeon’s or aesthetic experts today. Book a consultation or call (03) 9533 9911