Male Breast Surgery (Gynaecomastia)
Why might gynaecomastia surgery be considered?
Male breast development (gynaecomastia) can occur for a variety of reasons. In some cases, it relates to hormonal changes, medications, or other medical conditions. Sometimes the changes cannot be reversed with non-surgical approaches, and surgery may be discussed as an option.
How is the surgery performed?
Surgical management of gynaecomastia often involves liposuction to remove fatty tissue. If firmer glandular tissue remains after liposuction, this may be removed through an incision at the border of the areola. In some cases where the skin does not contract adequately, skin removal may also be considered. The surgical approach depends on each individual’s anatomy and circumstances and will be discussed during consultation.
Will there be scars?
All surgery results in scarring. In many cases of gynaecomastia surgery, scars are placed around the areola and can be less noticeable over time. If skin needs to be removed, scars may be longer or more visible. The extent and appearance of scarring varies between individuals.
What is the recovery process?
Gynaecomastia surgery is commonly performed as day surgery. A compression garment is usually recommended for several weeks to help manage swelling and support the chest. Swelling typically improves over the first few weeks, although changes in the chest may continue for several months. Return to light activity is generally possible after a short period, but more strenuous exercise may need to be delayed, depending on the extent of the surgery and individual healing. Your surgeon will provide specific guidance for your circumstances.
FAQ
What is gynaecomastia?
Gynaecomastia is the enlargement of male breast tissue caused by an imbalance of hormones, typically an increase in oestrogen or a decrease in testosterone. Unlike fat, it involves glandular tissue. Dr Sophie Ricketts, a plastic surgeon in Melbourne, Victoria, often sees men seeking clarity on whether their condition is due to hormonal changes, medication, or genetics. Treatment options, including gynaecomastia surgery, can help restore a more typical chest appearance.
How common is gynaecomastia in men?
Gynaecomastia is more common than many realise, affecting over 50% of males at some point in their lives. It can appear during puberty, middle age, or later due to hormonal shifts, medications, or health conditions. Most cases are harmless, though some men may experience physical discomfort. Where the condition does not resolve, gynaecomastia surgery may be considered.
At what age does gynaecomastia usually occur?
Gynaecomastia can appear at different life stages, often during puberty due to hormonal changes, and sometimes later in adulthood as metabolism and hormones shift. While it is common in teenagers, it can also affect men in their 30s, 40s, and beyond. The condition may resolve naturally in younger men, but persistent cases may need treatment.
Can gynaecomastia affect both breasts or just one?
Yes, gynaecomastia can affect either one breast or both. In some men, the enlargement is more noticeable on one side, while in others it occurs in both. Dr Sophie Ricketts, a specialist in treating this condition, often evaluates whether the enlargement is symmetrical and advises on the most suitable management options, including surgery if required.
Who is a good candidate for a male breast reduction?
A good candidate for male breast reduction, or gynaecomastia surgery, typically has enlarged breast tissue that hasn’t responded to lifestyle changes or medical treatments, possesses realistic expectations, maintains good overall health, has a stable weight, is a non-smoker or willing to quit, approaches the procedure with a positive mindset, and has made an informed decision through research and consultation with a qualified plastic surgeon.
When is surgery recommended for gynaecomastia?
Surgery is recommended when gynaecomastia does not resolve with time, lifestyle changes, or medical management, and when it causes discomfort or physical limitations. It is usually considered for men whose condition has been stable for at least a year and who are seeking a long-term solution.
Is gynaecomastia the same as having excess chest fat?
No, gynaecomastia differs from excess chest fat. Fatty deposits on the chest, sometimes called “pseudogynaecomastia,” are linked to weight gain, while gynaecomastia involves glandular tissue growth caused by hormonal imbalance. Distinguishing between the two is important, as true gynaecomastia often requires surgical removal of the gland, whereas chest fat may reduce with weight loss and exercise.
What is gynaecomastia surgery or male breast reduction?
Gynaecomastia refers to the enlargement of breast tissue in males. This can occur due to hormonal imbalances, genetic factors, certain medications, or obesity. To address this, male breast reduction surgery, also known as gynaecomastia surgery, is performed. This procedure commonly involves the removal of fatty tissue across the chest with liposuction. In addition to this sometimes more dense glandular tissue needs to be removed from a small scar around the nipple. In severe male breast enlargement skin may need to be removed, but this is less common. The goal of the surgery is to create a more traditionally masculine chest contour, which can enhance self-confidence and body image.
What is the recovery like after male breast reduction surgery?
Recovery after male breast reduction varies between individuals. A compression garment is usually worn after the procedure to support the area and help manage swelling. Bruising, swelling and discomfort are common in the early stages and generally change over the first few weeks.
More strenuous activity is often limited for a period of time, while light activity such as walking may be appropriate earlier, depending on your surgeon’s advice.
Scarring depends on the technique used. When liposuction alone is performed, the incisions are small. If glandular tissue is removed through an incision at the edge of the areola, the scar in that area generally becomes less noticeable over time, although the appearance of scars varies between individuals.
Your surgeon will provide postoperative instructions based on your individual circumstances and the extent of your surgery.
