Gynaecomastia Surgery (Male Breast Reduction) in Sydney

Consult a Specialist Plastic Surgeon in Sydney about gynaecomastia surgery. Learn about assessment, technique options, and recovery for male breast reduction.

Specialist Plastic Surgeons (FRACS)
Individualised assessment and planning
Licensed surgical facilities
Structured aftercare and recovery support

Home » Gynaecomastia

Overview

Gynaecomastia surgery (sometimes called male breast reduction) is a procedure that may be considered for the management of excess male breast tissue, which can involve glandular tissue, fatty tissue, or both. The aim is to reduce breast prominence and reshape the chest where clinically appropriate. A consultation is required to confirm the cause of breast enlargement, assess suitability, and discuss expected changes and limitations, scarring, risks, recovery, and alternatives.

Before and After Images

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.

Before After

Procedure: Corset Abdominoplasty (360)

Recovery Timeline: 4 Months

Before After

Procedure: Breast Augmentation, 300 CC

Recovery Timeline: 2 Months

Implant Type: Motiva Ergo Demi

Before After

Procedure: Abdominoplasty, Breast Lift

Recovery Timeline: 3 Months

Before After

Procedure: Abdominoplasty, Breast Lift

Recovery Timeline: 3 Months

Before After

Procedure: Breast Augmentation

Recovery Timeline: 3 Months

Before After

Implant Size: 250cc to 400cc (Motiva)

Recovery Timeline: 12 Months

Procedure: Breast Augmenation

*It is important to note that individual results vary depending on factors such as anatomy, skin quality, surgical approach and healing response. The images shown are not intended to guarantee or predict the outcome of any procedure.

Take the Next Step by Booking a Consultation

About This Procedure

Gynaecomastia is the medical term for benign enlargement of male breast tissue. It can be associated with factors such as hormonal changes, certain medications, genetics, or other medical conditions. A clinical assessment may include history, examination, and investigations where indicated to exclude underlying causes.
Surgical correction typically involves removing excess tissue and may include liposuction, surgical excision of glandular tissue, or a combination. All surgery results in scars, and scar appearance varies between individuals.

Key Benefits

Gynaecomastia surgery may reduce breast prominence and improve chest contour. Individual outcomes vary depending on anatomy, tissue composition, and surgical approach.

Reduction in breast prominence: by removing excess tissue (results vary).
Change in chest contour: reshaping may occur depending on tissue type and skin quality.
Clothing comfort considerations: some people report changes in how clothing fits; this varies.

Ideal Candidate

A suitable candidate is generally a physically healthy adult seeking assessment for excess male breast tissue that remains after appropriate evaluation and management of contributing factors. Candidates should have realistic expectations about outcomes, scarring, and recovery. A consultation is required to confirm suitability and to determine the most appropriate treatment approach.

Are in good overall physical health
Have chest fullness that you believe is disproportionate and would like assessed
Have chest fullness that you believe is disproportionate and would like assessed
Have been assessed for contributing factors (e.g., medications, hormonal or medical causes) where indicated
Understand that scarring is expected and results vary

Techniques & Approaches

The specific surgical approach is selected based on individual anatomy, goals, and clinical assessment. Your surgeon will discuss the most appropriate technique during your consultation.

Liposuction:

Often considered where fatty tissue contributes significantly. Small incisions are used to remove fat.

Excision (surgical removal):

Often considered where firm glandular tissue is present and/or when skin adjustment is required. Incisions are commonly placed around the areola edge or within natural creases depending on the plan.

Combination approach:

Many cases involve both liposuction and excision. In some patients with more significant skin excess, additional skin tightening/removal may be discussed.

Skin excision (grade III)

In cases with significant skin excess following substantial weight change, additional skin excision may be required. Your surgeon will assess whether skin excision is indicated.

Anesthesia

Gynaecomastia surgery is commonly performed under general anaesthesia, though sedation with local anaesthesia may be considered in selected cases depending on the extent of surgery and facility protocols. The anaesthesia plan will be discussed during consultation.

What we will cover in consultation

Your medical practitioner will explain:

review of health, medications, and evaluation of tissue composition (glandular vs fatty).
investigation of contributing factors including hormonal, medication, or medical causes where indicated.
discussion of liposuction, excision, or a combined approach based on tissue type and anatomy.
explanation of incision placement and how scar appearance varies between individuals.
timeline, compression garment use, activity restrictions, and follow-up schedule.

Your surgeon will explain recommended incision placement, expected scarring, and the trade-offs of each approach during consultation.

Possible Risks and Complications

All surgical procedures carry risks. The decision to undergo gynaecomastia surgery should be made after a thorough consultation with a suitably qualified medical practitioner. The following is a summary of potential risks; a comprehensive discussion will occur during your consultation.

Potential risks and complications may include:

Potential risks and complications may include may require further intervention, may require antibiotics or additional treatment, all surgery results in scars; appearance varies between individuals, surface unevenness may occur, differences between sides may occur or persist, may be temporary or permanent, breast tissue may regrow if underlying causes are not addressed, and fluid accumulation that may require drainage. Your surgeon will discuss risks specific to your situation during consultation.

Preparation typically includes:

Medical review:: including medications, supplements, and relevant investigations where required.
Medication guidance:: you may be asked to stop certain medications/supplements that can increase bleeding risk (where clinically appropriate).
Nicotine cessation:: nicotine can impair healing; you may be asked to stop smoking/vaping/nicotine products for a specified period before and after surgery.
Fasting instructions:: follow the facility’s requirements prior to anaesthesia.
Support planning:: arrange transport and post-operative support after discharge.

Recovery Milestones

Week 1

dressings and a compression garment may be applied; swelling, bruising, and discomfort can occur; monitoring depends on the anaesthesia used.

Week 2

rest is commonly recommended; discomfort varies and is managed according to your care plan; drains may be used in some cases.

Week 2 - 6

follow-up typically scheduled for wound review and dressing/drain management; light daily activity may be possible depending on comfort.

Week 6 - 12

swelling often reduces gradually; compression garment use may continue as advised; activity increased gradually, avoiding chest strain.

3 - 12 Months

ongoing changes in contour and scar healing occur; some residual swelling may persist.

Pricing & Estimate

Prices vary based on individual assessment and the surgical plan, including the technique used (liposuction, excision, or combination) and whether skin tightening is required. A personalised quote will be provided during consultation after assessment of your anatomy and discussion of your goals. The quote typically includes surgeon fees, anaesthetic fees, and facility fees.

Disclaimer

Prices vary based on individual assessment. A personalised quote will be provided during consultation.

Starting From

Available on consultation

Indicative pricing only

Final exact cost will be confirmed after consultation.

Why Choose Us

At COSMEX, we combine advanced surgical expertise with personalized care to deliver natural, confident results. Your safety, comfort, and satisfaction are always our priority.

Specialist Plastic Surgeons

Our surgeons hold Fellowship of the Royal Australasian College of Surgeons (FRACS) in Plastic and Reconstructive Surgery. Each procedure is performed by qualified specialists with extensive training in cosmetic and reconstructive surgery. You are welcome to verify your surgeon's credentials via the AHPRA public register.

Accredited Surgical Facilities

All surgical procedures are performed in licensed, accredited hospitals in Sydney. Our facilities meet Australian standards for theatre safety, anaesthesia, infection control, and emergency care. Your safety is the foundation of every treatment plan.

Individualised Care

No two patients are the same. Every treatment plan at COSMEX is developed following a thorough one-on-one consultation where your anatomy, concerns, goals, and medical history are carefully assessed. You will receive a personalised recommendation — not a standardised package.

Structured Aftercare and Follow-Up

Your care continues well beyond the day of your procedure. COSMEX provides a structured aftercare program including scheduled follow-up appointments, access to your surgical team for questions during recovery, and long-term monitoring where clinically indicated.

Video FAQs

Playlist

6 Videos

Dr Sepher Lajevardi interview at the 2022 Plastic Surgery Congress