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A Step-by-Step Guide to Gynaecomastia (Male Breast Reduction)

A Step-by-Step Guide to Gynaecomastia (Male Breast Reduction)

Gynaecomastia, or “man boobs,” is more common than you might think, but that doesn’t make it any less frustrating. For many men, it’s not just about appearance—it’s about feeling good in your own skin. Whether it’s caused by hormones, lifestyle factors, or something else, living with gynaecomastia can be tough.

The good news? You don’t have to live with it forever. With gynaecomastia surgery, also known as male breast reduction, you can achieve a flatter, more masculine chest.

What Is Gynaecomastia?

Gynaecomastia is a medical condition characterised by an abnormal increase in glandular tissue in male breasts. Also called ‘man boobs,’ this can result from hormonal imbalances, genetics, certain medications, or underlying health conditions.

Often mistaken for fat deposits caused by weight gain, gynaecomastia is distinct due to the presence of firm glandular tissue beneath the nipple.

What Causes Gynaecomastia?

Several factors can contribute to the development of gynaecomastia, including:

  1. Hormonal Imbalances: An increase in oestrogen or a decrease in testosterone levels can disrupt the hormonal balance, leading to breast tissue growth.
  2. Medications: Drugs such as anti-androgens, steroids, and certain antidepressants can trigger the condition.
  3. Underlying Health Conditions: Issues like liver disease, kidney failure, or thyroid problems may be linked to gynaecomastia.
  4. Lifestyle Factors: Excessive alcohol consumption, recreational drug use, or obesity can also contribute.

If you’re unsure whether you have gynaecomastia or pseudogynecomastia (fat-related breast enlargement), consult a medical professional for an accurate diagnosis.

Gynaecomastia Surgery

For individuals seeking a permanent solution, gynaecomastia surgery is a highly effective option.

This procedure, also referred to as male breast reduction, involves the removal of excess glandular tissue, fat, and sometimes skin from the chest area. It’s designed to create a flatter, more masculine chest contour.

Who is a Candidate for Gynaecomastia Surgery?

Men who are physically healthy, emotionally stable, and bothered by the appearance of their chest are typically good candidates for gyno removal. Some key criteria include:

  • Persistent breast enlargement despite exercise and dieting.
  • Stable weight and overall good health.
  • Realistic expectations about the results of male breast reduction surgery.

A consultation with a qualified cosmetic surgeon will help determine if this procedure is right for you.

Step-by-Step Guide to Gynaecomastia Surgery

Gynaecomastia surgery is a carefully planned process that starts long before you enter the operating room. Here’s a detailed look at the steps involved.

Step 1: Consultation with a Specialist

Your journey begins with a thorough consultation. During this stage, the surgeon will evaluate your medical history, perform a physical examination, and discuss your goals for the procedure.

Step 2: Pre-Operative Preparation

Preparation is key to a smooth surgery and recovery. Once you’ve decided to proceed, your surgeon will provide specific instructions to get ready for the procedure, such as:

  • Stop smoking to promote better healing.
  • Avoid certain medications, like blood thinners.
  • Maintain a stable weight for optimal results.

Step 3: The Procedure

Gynaecomastia surgery is typically performed under general anaesthesia, meaning you’ll be asleep and pain-free throughout the operation. The procedure itself depends on your condition:

  • Liposuction: If your gynaecomastia primarily involves fatty tissue, breast reduction liposuction may be sufficient. Small incisions are made near the chest, and a thin tube (cannula) is inserted to break up and remove excess fat.
  • Excision surgery: For cases involving firm glandular tissue, excess skin, or larger amounts of breast tissue, excision is necessary. This involves making incisions around the nipple or in the chest fold to remove the tissue and, if needed, tighten the skin.

The procedure usually takes one to three hours, depending on the complexity, and patients can often go home the same day.

Step 4: Recovery Process

Recovery is a gradual process that requires patience and following your surgeon’s advice. Expect some swelling, bruising, and discomfort post-surgery. Compression garments are often recommended to minimise swelling and support the new chest contour.

Most patients return to normal activities within a few weeks, although heavy lifting and strenuous exercise should be avoided for about six weeks. Swelling may take several months to fully subside, and the final results typically appear within three to six months.

Step 5: Follow-Up Care

Post-surgical follow-ups are crucial to ensure proper healing and satisfaction with your results. During these visits, your surgeon will advise you on gyno surgery aftercare:

  • Monitor your recovery and check for any signs of complications.
  • Remove any stitches if necessary (though many are dissolvable).
  • Advise on scar care and other long-term maintenance tips.

Cost of Gynaecomastia Surgery in Australia

The cost of gyno removal varies depending on factors like the surgeon’s expertise, location, and the extent of the procedure. On average, male breast reduction in Australia can range from $6,000 to $12,000.

Keep in mind that Medicare or private health insurance may cover part of the costs if the procedure is deemed medically necessary.

Take the First Step Towards Confidence

Don’t let Gynaecomastia hold you back any longer. Take the first step today—book your consultation with BB Clinic and discover how gyno removal can restore your confidence and reshape your future.

Schedule your visit today at one of our locations in Bella Vista, Potts Point, Bowral, or Gledswood Hill. For a speedy over-the-phone consultation, reach out to us at (02) 9819 7449.

Have a question for Dr Yunaev on this procedure?

Your question will be answered within 24 hours by Dr Yunaev; a Specialist Breast and General Surgeon with extensive training and experience.


  • A Step-by-Step Guide to Gynaecomastia (Male Breast Reduction)
  • A Step-by-Step Guide to Gynaecomastia (Male Breast Reduction)
  • A Step-by-Step Guide to Gynaecomastia (Male Breast Reduction)
  • A Step-by-Step Guide to Gynaecomastia (Male Breast Reduction)

“My team and I are committed to tailoring a personalised approach to you and your concerns so that you may benefit from our expertise and we can meet your expectations.” Dr Michael Yunaev
MS (Breast Surgery), BreastSurgANZ Breast Fellow, Aesthetic Breast and Body Fellow, FRACS (General Surgery), MPH, BMedSc (Hons).

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