Gynaecomastia (Male Breast Reduction)


Gynecomastia surgery (male breast reduction) is a surgical procedure that removes excess breast tissue from one or both male breasts and resculpts the chest for a more toned appearance.

The formation of noticeable male breasts has many causes, including weight fluctuations, genetics, hormonal changes, steroid use, and certain medications. Gynecomastia, the overdevelopment of overabundant breast tissue, is one of the most common causes.  Newborns and adolescent boys often experience gynecomastia; however, some men experience this in adulthood. Whilst not painful,  the condition can be detrimental to a man’s self-esteem and mental health.

Whilst non-surgical treatments can help treat gynecomastia, like hormone treatment or changing medications, surgery is the most effective method for removing glandular breast tissue. Procedures include excision techniques to remove excess breast tissue and large amounts of fat and/or redundant skin, areola reduction, and liposuction to reduce fatty tissue. Depending on your physiology and desired outcome, a single procedure or combination of these are used to create a smoother, tighter contour and flat chest wall.

Dr Page makes a small incision around the nipple during the procedure and performs liposuction, gland excision, or both. Liposuction is used to vacuum fat out of the breast to reduce the size, and excision techniques are employed to remove the glandular tissue or remove excess skin.

Before contemplating surgery, consider these important issues first:

  • For a successful outcome, you must be physically healthy and maintain a stable weight.
  • Breast tissue must be fully developed. Teenagers and younger men should wait at least two years after the onset of gynecomastia.
  • Overweight men must have tried losing weight first through diet and exercise.
  • If you are a smoker, you must give up for at least six weeks before and after surgery.
  • If gynecomastia is due to excessive alcohol consumption, prescription medicine or certain drugs, you must be completely substance-free before surgery.

Male breast reduction surgery takes place in a fully accredited hospital, as a day procedure or short hospital stay. As this procedure is performed for medical/functional reasons, it attracts a rebate from Medicare.

The entire procedure takes approximately two hours under a local or general anaesthesia depending on your health and extent of the procedure.

Recovery time varies from patient to patient and depends on the extent of the surgery. You will be required to wear post-operative garments, which will aid in faster recovery and a satisfactory final result. Dr Page recommends a week of rest. Please allow three weeks before swelling and bruising disappear. Light exercise can be taken after three days, but heavy lifting and more strenuous exercise should be avoided for 2 – 3 months.

Some results are immediate with visible improvement and reduction in the chest shape, however, the final results will be visible within two months. Scars around the areola usually fade over 6 – 12 months with some change in sensation of the nipples, which improves with time. Some permanent pigment changes may also occur in the area.