Dr Nicholas Lotz
MBBS BSc(Med) FRACS
Specialist Plastic Surgeon
Main Rooms
Level 1 357 Military Rd
MOSMAN, NSW 2088
Appointments & Enquiries
info@drnicholaslotz.com.au
Ph: 1300 304 209
Fax: 02 9904 0166

Male Breast Reduction (Surgery for Gynaecomastia)

The following information sheet is intended to assist patients preparing for male breast reduction surgery with Dr Nicholas Lotz.


 

Overview

Male Breast Reduction

Occasionally the breast tissue in a male may enlarge abnormally.  This condition is known as gynaecomastia. This can range from a small lump you can feel under the nipple, to a much larger mass which can resemble a small female breast.

Enlarged breast tissue is common around puberty in men, and in most cases it disappears spontaneously. If it persists it can cause embarrassment and a loss of self-confidence. Other causes include some medications, other medical conditions and drugs (including anabolic steroids).

Male Breast Reduction

Before the
surgery

Dr Lotz will explain during your consultation how your particular case is best treated. This will vary a bit depending how much breast tissue there is, and if there is loose skin or fat associated with the breast tissue. If there are reasons to suspect your condition is from a medication or medical condition, then your GP may also ask you to see an endocrinologist to investigate possible causes.

You will usually need to have an ultrasound performed to examine the breast tissue and confirm it all appears normal.

You will be sent an information pack further explaining the procedure, along with a detailed, personalised quotation which explains all the relevant costs pertaining to the procedure as well and any heath fund or Medicare rebates applicable.

It is important that you stop any blood thinning medications at least 10 days prior to surgery in order to reduce the risk of bleeding.

You should also cease smoking a month before and a month after your surgery to reduce the risk of skin healing problems.

You will have a second consultation a week or two prior to your surgery to answer any final questions you may have, and photographs will be taken to aid planning your surgery.

Male Breast Reduction

The surgery

Surgery to treat gynaecomastia is performed in an accredited hospital under general anaesthetic, with an accredited and experienced anaesthetist. The surgery generally takes an hour and a half.

Surgical Procedure

An incision is made around the edge of the areola, and the abnormal tissue is removed. Liposuction is normally then used to help contour the edges so that you are not left with a visible ridge around where the breast tissue was removed. A small drain is placed into the cavity to drain any fluid, and the incision closed with internal, dissolving stitches to minimise the scarring.

In extremely large cases, some skin removal may also be required to loose skin. This is sometimes done with a scar around the areola, but in larger cases the scars may be similar to those in a breast reduction.

A special chest garment is applied to maintain gentle pressure on the chest to help prevent, swelling, bleeding and any fluid from accumulating. Most patients can go home the same day, but sometimes you will stay overnight. You will go home with the drain still in place and will be given instructions regarding this.

Male Breast Reduction

After the surgery

Post-operative Recovery and Care

You will be shown how to measure how much fluid is coming from the drain, and when it has stopped draining, the drain will be removed in the rooms (usually a few days after the surgery). The dressings are waterproof, and after the drain is removed you can shower normally.

Follow-Up Care

You will be seen a week after the surgery and the dressings removed to check the wounds. Tape will be applied to the scars for a month to support them during the healing period. You will need to continue to wear the chest compression garment for one month, and should avoid strenuous exercise in this time. It will take a couple of months for the swelling to completely resolve after the surgery and for the scars to fade.

Risks of male breast reduction surgery

Fortunately, severe complications from mastopexy are unusual, and most problems do not impact the final long-term result. Dr Lotz will explain the risks in detail during his consultation, which include:

  • Pain
  • Infection
  • Bleeding or haematoma 
  • Scarring
  • Anaesthetic problems (nausea, vomiting, allergy)
  • Numbness of the nipple
  • Healing problems, including necrosis of the nipple
  • Asymmetry between the breasts
  • Depressions where the tissue was removed
  • Recurrence of the gynaecomastia if you continue drug use

These risks will all be explained in detail to you during the consultation.

Male Breast Reduction Surgery

Frequently Asked Questions

What is gynaecomastia?

Gynaecomastia is enlargement of the male breast tissue.

How is gynaecomastia treated?

Treatment for gynaecomastia usually involves a combination of liposuction and surgical excision of the breast tissue through incisions camouflaged around the edge of your areola.

I'm a male and have a swelling in my breast area. Could it be breast cancer?

Breast cancer is rare in men. If your swelling is unilateral (one side only) then an ultrasound should always be performed to check the lump. All tissue that Dr Lotz removes during surgery will be sent for examination to check there is nothing of concern there.

How much does male breast reduction cost?

The cost for the procedure will vary a little depending on what you require. There is a Medicare item number to treat gynaecomastia, so if you are in a health fund then the hospital fees should be covered.

You will be sent a detailed quotation following your consultation which outlines the fees for Dr Lotz, the anaesthetist and any hospital fees which may apply.

Considering plastic surgery?

If you would like further information or if you wish to make an appointment to discuss Male Breast Reduction Surgery for Gynaecomastia with Dr Nicholas Lotz, please contact our rooms.