Gynaecomastia surgery, or male breast reduction, can be an effective way to reduce or remove excess glandular tissue. Due to the techniques used, the procedure can have a shorter recovery time than other surgeries. This can make it a good option for many men. However, it is important to note that every patient has different needs, and results may vary.

Depending on the cause of the condition, one could consider other non-surgical techniques to treat the condition, such as:

• A tailored exercise regimen
• Changing medications
• Medically treating the cause of the abnormal hormone levels
• Hormonal treatment of gynaecomastia itself, if appropriate

However, for most men, surgery is the best treatment option. In such cases, Dr Michael Yunaev may advise surgical options such as liposuction, excision, or both in combination. The right option for you will depend on the nature of the condition and whether it is mostly glandular, fatty or both.

As a specialist breast and general surgeon, Dr Yunaev has a holistic approach towards any surgical procedure – that addresses the cosmetic and functional aspects, as well as improves the quality of life post-surgery.

He employs advanced techniques to ensure the best outcomes possible. He has developed a specific technique to prevent post op deformities following excision of the gland – utilising a derma-fatty advancement flap taken from the crease under the breast. This acts as a buffer to prevent deformities. Another option is fat grafting to correct post-op deformities, if they arise.

There are many cosmetic surgeons marketing liposuction alone for man boob surgery in NSW. This is misleading, as it is not possible to remove this tissue with liposuction alone (regardless of the type used). However, the downside of excision is that it can create some skin puckering and divots under the areola. This carries the risk of creating a displeasing aesthetic result, which is difficult to correct down the track.

Therefore, at Breast & Body Clinic, we use a number of techniques (such as the derma-fatty advancement flap) to address the problem. Dr Yunaev takes care to minimise the above issues during surgery so as to encourage a pleasing outcome. Patients should be aware that results are not guaranteed, and individual factors will affect the outcomes of each male breast reduction (gynaecomastia surgery).

Before you decide on surgery, there are some critical issues to keep in mind. We will need to consult with you about your health, condition, and desired outcomes in order to decide if you are a good candidate.

We will also consider the techniques required for your procedure. Some types of male breast reduction, or gynaecomastia surgery, can be performed with liposuction alone. However, it is important that we consider the amount of skin laxity present, age of the patient, and skin damage and quality. Sometimes, the skin overlying the chest may not shrink enough, and a droopy skin excess may persist after surgery. In these cases, Dr Yunaev may suggest a second skin reduction procedure to tighten the skin over the chest wall. It is up to the patient to decide if they wish to take on that further surgery to correct this problem.

Here are some points to consider before you opt for male breast reduction / gynaecomastia surgery:

• Any surgical treatment to correct gynaecomastia will require incisions, albeit small. While most incisions are hidden in natural contours or the areolae of the breasts, some scars may be visible.
• Dr Michael Yunaev generally advises waiting until breast tissues have fully developed. We may advise younger men or adolescent boys to wait several years after the onset of the condition before surgery.
• We do not advise surgery for overweight men who have not tried proven weight-loss techniques such as diet and exercise.
• If the condition has resulted from the use of alcohol, medications, or drugs, you must be entirely free of these substances before having surgery.
• You are not a smoker or a drug user.
• You are prepared to remain at a stable weight to maintain the results of your operation.
• Smokers are at increased risk of post-op healing problems. If you are serious about surgery, you should try to quit smoking.
• You are self-conscious about the appearance of your chest.
• You have discomfort as the breast tissue is tender and sore.
• Other treatments are ineffective in treating the condition.
• You are physically healthy.
• You have realistic expectations.
• Your breast tissues are fully developed.

Prior to your male breast reduction (gynaecomastia surgery), it will be necessary to discuss your condition and desired results with Dr Yunaev during a consultation.

He will explain the pros and cons of the treatment, the risks, what you can expect, as well as what to do in the aftercare process. You should raise any issues or concerns you may have about the procedure, and be sure to mention any health issues or medications you are taking. This will help us to tailor the process to your specific needs. Dr Yunaev will also assess your condition and advise which techniques may work best in your case.

If you are thinking about having this surgery, book a consultation at Breast & Body Clinic in Sydney to receive personal advice.

As with any surgical procedure, it is good to understand the aftercare involved prior to your surgery.

It will take about four to six weeks to fully recover from surgery, and patients should be prepared to take time off work to rest. During recovery, patients can expect some mild pain, swelling, and bruising.

We can help you manage any pain by prescribing medicine, as well as giving you aftercare guidance. Following these guidelines will promote wound healing and help your body recover. They may include:

• Getting someone to drive you home
• Wearing a support garment
• Staying hydrated and eat a healthy diet
• Avoiding strenuous tasks
• Sleeping on your back with your head raised
• Avoiding smoking and alcohol
• Consulting us if you notice any issues

Note that recovery times vary, and each patient may have a different experience. Most patients can return to their routine within one to two weeks post op. However, if you have a more physically strenuous job, you may require more time off to avoid developing any complications post-surgery. The best way to encourage a good recovery is to speak to your surgeon and follow his advice.

Every surgery comes with some risks, and patients should be mindful of these. Weighing the risks and benefits of male breast reduction / gynaecomastia surgery will help you make a decision about what is right for you. During your meeting with us, Dr Yunaev will outline the risks of the surgery, which may include:

• Poor scarring
• Infection
• Bleeding and bruising
• Ongoing pain
• Slow healing
• Unwanted outcomes
• Loss of nipple skin
• Numbness
• Injury to underlying structures
• Fat embolism from liposuction
• Further surgery

You can reduce your risks by taking good care of your health both before and after treatment. If you notice any worrisome side effects or symptoms during recovery, contact us for further advice.

Dr Yunaev has extensive surgical experience in breast and general surgeries, and is known for his holistic approach towards surgery.

He understands the anxiety associated with surgery, and gives each patient the time, attention and care they require throughout their treatment, and even post-surgery. His expertise and compassion is complemented by the friendly team at BB Clinic.

We have several clinics across different suburbs in Sydney – Bowral, Potts Point, Bella Vista, Goulburn and Gledswood Hills. If you are thinking about getting a man boob surgery in Sydney, it would be a good idea to consult with Dr Yunaev at any of our clinics, after booking an appointment.

We provide services from various locations across Sydney, NSW and the Southern Highlands, such as:

• Wollongong
• Newcastle
• Canberra