Male Breast Reduction (Gynaecomastia)

Gynaecomastia is the medical term that describes the excessive enlargement of breasts in males. It is more common than people realise, affecting an estimated 30 percent of the male population in Australia.

Male breast reduction can involve surgery to reduce abnormally enlarged, ‘female-like breasts’ in men through the procedure of either liposuction or the excision of excess glandular tissue. There is also a non-surgical solution to help reduce the size of large mammary glands or fatty breast tissue in men, called CoolSculpting®, which is becoming increasingly popular.

Gynaecomastia, commonly known as ‘man boobs’ can cause embarrassment, make you feel self-conscious or stop you from doing the things that you enjoy doing, like going to the beach or wearing the latest fashion trends, such as tight fitting t-shirts.

There are many reasons for Gynaecomastia occurring such as hormonal imbalances that can affect male teenagers during puberty. Most simply ‘grow out of it, but some do not, however surgery is not advisable before the age 18 as the condition may go of its own accord.

Breast enlargement that affects men in adulthood can be caused by being overweight or an underlying medical condition.

As with any surgery it is important that you have all the relevant information available to make an informed decision. All of our surgeons have had many years of experience performing this surgery and can assist you in determining the most appropriate course of action.

Frequently Asked Questions

More information on Male Breast Reduction (Gynaecomastia)

Why choose Cosmetic Image Clinics for Male Breast Reduction surgery?

At Cosmetic Image Clinics, we pride ourselves on delivering the highest levels of personal care while providing both surgical and non-surgical options for people seeking cosmetic rejuvenation and cosmetic plastic surgery.

Our selected team of doctors, plastic and cosmetic surgeons, clinical nurses and administrative team, have a wealth of experience caring for men and women undergoing cosmetic treatments.

By selecting our multi-award winning Cosmetic Image Clinics in Aquarius Health and Medispa, you can be assured that your comfort and satisfaction is our highest priority.

Your consultation will be conducted in the strictest of confidence and you will receive professional care and expert advice from our highly trained team.

What treatments are available at Cosmetic Image Clinics to treat Gynaecomastia?

Male Breast Reduction Surgery

Male breast reduction surgery can be performed in a day surgery facility using twilight sedation or in a hospital under general anaesthetic. The procedure takes about 1 to 1½ hours.

To surgically excise the breast tissue, you will have a half circle incision made around the areola, the dark area surrounding the nipple, or in the armpit. Fat and glandular tissue is removed to create a chest that is flatter and firmer, contributing to a more masculine contour. The incision heals well and is difficult to see.


If liposuction is the method to be used you will have two to four small incisions on your chest to enable fat to be removed via a fine cannula. Scarring should be minimal and will eventually fade. The breast tissue does not grow back but the swelling can take up to six months to settle completely.

Click here to read more about Liposuction.

Non-Surgical CoolSculpting®

CoolSculpting is a technique in which the fat cells are frozen in order to destroy the fat cell.

Fat reduction occurs by freezing the fat cells in the problematic areas. The gold standard for fat reduction has traditionally been surgical liposuction which we offer, however many people are not prepared to undergo surgery and great advances have been made in the area of fat freezing or cryolipolysis, pioneered by Harvard scientists with CoolSculpting. This is now a commonly used treatment for the reduction of ‘fatty male breasts’ and is an economical and non-invasive fat busting technology alternative to liposuction. Fat freezing or CoolSculpting is not appropriate if there is very little adipose or ‘fatty tissue’ present and the presenting complaint is enlarged, firm glandular tissue under the nipple or areolar region. This is responsive only to surgery however this occurs in a minority of cases. Most men suffer from an excess of fatty tissue in the area, commonly referred to as ‘man boobs’.

Click here to read more about CoolSculpting.

What is Gynaecomastia?

Gynaecomastia, also known as ‘man boobs’ is a common condition that causes both men’s and boy’s breasts to swell and become enlarged. It is most common in teenage boys and older men, affecting an estimated 30 percent of the population in Australia.

What are the risk factors in Gynaecomastia or Male Breast Reduction Surgery?

Complications from Gynaecomastia correction are infrequent. Bruising is a natural result of the surgery and may persist for a week or so. Hardness or lumpiness within the tissues due to swelling can persist for a month or so and sometimes numbness after surgery can occur.

Infection is uncommon and antibiotics may be prescribed for you. There may be a slight chance of asymmetry occurring, this may require a second procedure to correct this by removing additional tissue.

Every year, many men undergo successful breast reduction surgery, experience no major problems and are pleased with the results. Anyone considering surgery, however, should be aware of both the benefits and the risks. Your experienced surgeon will discuss these with you during your consultation.

Why wouldn’t I be a good candidate for Gynaecomastia or Male Breast Reduction Surgery?

If you are taking anabolic steroids or excessively drinking alcohol or smoking marijuana this may be the cause of the Gynaecomastia, so ceasing taking these may reverse the condition, therefore avoiding surgery.

Men who are obese would firstly be encouraged to correct this with exercise and diet changes before any surgery options are discussed.

What is involved in planning your Gynaecomastia or Male Breast Reduction Surgery?

In your initial consultation, the surgeon will thoroughly evaluate your health and explain which surgical technique is appropriate for you. It is important that you bring any medications that you are taking, or a list which includes medication types and dosages.

Sometimes liposuction to reduce prominent breasts can be done as part of a combination body contouring procedure involving other parts of the body, for example, the abdomen and “love handles”. If you have this in mind, be sure to discuss your options with your doctor at the consultation.

At Cosmetic Image Clinics we understand the issues involved in making such an important decision and we are happy to discuss your concerns.

What is involved in your Gynaecomastia or Male Breast Reduction Surgery Post-Operative Care?

The pain associated with breast reduction surgery varies from person to person but in general it’s not considered to be particularly painful. There may be pain for the first 24 hours and discomfort for a week or more.

We will ensure that you have adequate pain medication, however most patients cope extremely well with minimal reliance on medication.

You may be required to wear a chest binder garment for four to six weeks following surgery.

During the first week after your surgery you will need to take life easy and avoid heavy lifting and excessive movements of your arms. Activities can be gradually increased after the first week, within your own comfort level.

You will be able to shower 24 hours after your surgery. You should be able to return to work after one week. If your job involves any form of heavy lifting or straining of any kind, you may need to take up to two weeks off work. Sport, particularly contact sport, should be avoided for at least 4 to 6 weeks. This includes swimming.

You will be reassessed in our clinic 7 days after surgery when your sutures are removed. You will subsequently be seen at our clinic 6 weeks and 3 months after surgery.

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