Key Takeaways
- Gynaecomastia is characterized by the benign enlargement of breast gland tissue in men, often due to hormonal imbalances.
- Symptoms of gynaecomastia include increased breast size, localized tenderness, and the presence of a firm mass beneath the nipple.
- Male breast reduction surgery is considered when non-surgical approaches fail, symptoms persist, or there is significant physical/emotional discomfort.
- The surgical process typically involves a combination of liposuction and excision techniques to remove excess tissue.
- Dr. Mark Doyle, a Specialist Plastic Surgeon, offers tailored treatment for gynaecomastia, emphasizing a patient-centered approach and customized planning.
Gynaecomastia is a common condition in men that involves the enlargement of breast gland tissue. Though not often openly discussed, it can affect individuals of all ages and may cause physical discomfort or self-consciousness. When non-surgical methods are not effective, male breast reduction surgery may be considered.
At Gold Coast Plastic Surgery, Dr Mark Doyle offers surgical treatment for gynaecomastia using techniques tailored to each patient’s presentation. Below, we outline the condition, available treatment options, and what to expect from the surgical process.
What is Gynaecomastia in Men?
Gynaecomastia refers to the benign enlargement of glandular tissue in the male breast. This differs from pseudogynaecomastia, which is caused by excess fat without glandular involvement.
The condition can affect one or both sides of the chest and may occur due to hormonal fluctuations, most commonly an imbalance between estrogen and testosterone. While some cases resolve on their own, others persist or progress over time.
Common Gynaecomastia Symptoms
Gynaecomastia symptoms include:
- An increase in breast size or fullness
- Localised tenderness or sensitivity
- A firm, rubbery mass beneath the nipple
These symptoms can sometimes resemble other conditions, including lipomas or, in rare cases, male breast cancer. A proper diagnosis from a medical professional is essential before considering treatment.
Causes of Gynaecomastia
Gynaecomastia in men may be caused by a variety of factors, including:
- Hormonal imbalances
- Puberty or natural hormonal changes with ageing
- Certain medications (e.g. anti-androgens, anabolic steroids, antidepressants)
- Underlying medical conditions, such as liver or thyroid disorders
- Use of recreational drugs or alcohol
When to Consider Male Breast Reduction Surgery
Surgery may be considered when:
- The enlarged glandular tissue is significant
- Non-surgical approaches have not improved symptoms
- The condition has persisted beyond puberty
- There is ongoing physical or emotional discomfort
The Gynaecomastia Operation
The gynaecomastia operation typically involves removing excess glandular tissue and/or fat. In many cases, liposuction and excision are used in combination. Incisions are usually placed discreetly around the lower edge of the areola.
Liposuction Technique
Liposuction targets excess tissue in the chest, which is especially useful in cases of pseudogynecomastia or mixed-type gynaecomastia. A small cannula is used to break up and suction out fat through tiny incisions.
Excision Technique
When dense glandular tissue is present, surgical excision is often necessary. This technique allows for more targeted tissue removal and, if needed, repositioning of the nipple or tightening of excess skin.
Gynaecomastia Recovery: What to Expect
Most patients experience swelling, bruising, and some discomfort in the first few days following surgery. A compression garment is typically worn to support healing and reduce swelling.
Initial recovery takes about one to two weeks, with a gradual return to light activities. Strenuous exercise and upper body training are usually postponed for several weeks.
Managing Gynaecomastia Through Self-Care
Maintaining a healthy weight through balanced nutrition and regular exercise can help support the results of surgery and manage symptoms in mild cases. However, these methods are not a substitute for medical evaluation or treatment when glandular enlargement is present.
Potential Risks and Complications
As with any surgical procedure, male breast reduction carries potential risks, including:
- Infection or bleeding (haematoma)
- Scarring or irregularities in skin contour
- Asymmetry or changes in nipple sensation
- The need for revision surgery
Why Choose Dr Mark Doyle for Gynaecomastia Treatment?
Dr Mark Doyle is a Specialist Plastic Surgeon (FRACS) with over 30 years of experience in cosmetic and reconstructive procedures. He has demonstrated experience with male chest surgery, with a focus on creating an organic, balanced chest contour.
Dr Doyle’s patient-centred approach prioritises thorough assessment, clear communication, and customised treatment planning.
Schedule Your Consultation
If you’re experiencing symptoms of gynaecomastia and considering male breast reduction surgery, contact Gold Coast Plastic Surgery to book a consultation with Dr Mark Doyle.
About Dr Mark Doyle FRACS (Plas) – Queensland Plastic Surgeon
Servicing patients in Gold Coast, Brisbane, Sunshine Coast, Cairns and New South Wales NSW – Northern Rivers, Byron Bay, Ballina, Lismore and more.
Dr Mark Doyle is a fully qualified Specialist Plastic Surgeon with over 30 years of experience performing breast, body, face and nose surgery. He has completed all required training and only carries out approved surgical practices. There are NO undertrained doctors or cosmetic doctors acting as surgeons at Gold Coast Plastic Surgery.
