Surgery

Gynaecomastia

All about breast gynaecomastia

Gynaecomastia is the enlargement of the male breast, which can be a normal occurrence for some adult men and teenage boys at a certain stage in life. This can develop as a result of oestrogen hormones being at a higher level in the male body than usual. It is a problem that can affect up to 30% of the Australian male population, and is often a normal occurrence that is not related to any underlying medical condition. Up to 90% of adolescent boys will develop some male breast enlargement, which resolves in the majority as they grow into adulthood.

During puberty, hormonal imbalances can occur, causing gynaecomastia in one or both breasts. In older men, gynecomastia may occur due to changes in metabolism which may heighten oestrogen production. The condition can also be caused by steroid use, liver disease and other underlying changes occurring in the body.

Price

We have worked hard to be able to offer an affordable price so patients do not feel pressured to visit under qualified practices or destination surgery.

Our gynaecomastia surgery includes surgeons fee, hospital fee, general anaesthetic costs, compression garments and lifetime follow up care.

Patient with private insurance From $7,500
Patient without private insurance From $10,500

Some Medicare rebates and health fund covers may apply to this procedure

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The Surgery & Recovery

Before your procedure, Dr Wessels and our surgery team will make sure that you are comfortable and well before going ahead. Dr Wessels will draw on your breast to plan the where the incisions will be.

Gynaecomastia surgery is performed under general anaesthesia. The procedure normally takes between one to three hours and can be performed in a number of ways, utilising various incision sites. An incision is placed around the nipple and the excess breast tissue and gland is removed. Liposuction will also be performed to remove excess fat in the area. Once the new contours are in place, the incisions are carefully closed in layers with a concealed absorbable stitch. The incisions are then covered with a waterproof dressing. Patients are then taken to recovery for 2-4 hours with our recovery care specialists. You may be allowed to travel home that evening, as some breast lift is a day surgery only.

Our surgeons are available from the following hospitals for this procedure:

Kingsway Day Surgery (Miranda, NSW)
East Sydney Private Hospital (Woolloomooloo, NSW)
Macquarie University Hospital (Macquarie University, NSW)
Kareena Private Hospital (Caringbah, NSW)
Double Bay Day Surgery (Double Bay, NSW)

Recovery

After surgery our recovery specialists will given post-op instructions. It is important to follow carefully. You will be provided with a script for medication, which you will need to purchase after surgery and instructions on when to take the medication over the days ahead. You will be discharged from hospital when your companion picks you up from the hospital. All patients must have a companion to stay with them for 72hours following surgery.

The first week after surgery you should stick to gentle day-to-day activities. This includes minimal house duties, no lifting, staying home as much as possible and sleeping in an elevated position. Commence postoperative exercise (instructions given post surgery).

In the second week of recovery try not to raise your blood pressure too much and still sleep in an upright position. Patients will also be required to attend a postoperative appointment at our office in week 2. this will be scheduled prior to surgery.


In week 2 patients may:
  • Commence a light walk
  • Return to work in week 2 if you have an office job with little physical activity
  • Avoid sexual intercourse
  • Start driving provided they are not taking any pain medication. We also recommend waiting 3 days for the medication to be out of your system.

Weeks 3 – 5 patients with more physical jobs can return to work.


In weeks 3-5 patients may:
  • Start getting into a light exercise routine, using lower body
  • Start doing more physical household duties

In weeks 6-8 patients may:

  • Commence normal exercise routine and duties. Please note, do not push yourself into being back into your pre surgery routines.
  • Swimming, bathing running, yoga, stretching, spin class and Pilates
  • Stop wearing compression garment

At this stage patients are mostly fully recovered and sutures are absorbed. Patients should always wear a supportive bra when exercising or performing physical activity. For all patients with teardrop breast implants we recommend that you do not ever go back to using or exercising chest muscles heavily as teardrop implants can rotate.


In weeks 9-12 patients may:

  • Contact sport
  • Boxing and upper body exercise

Some possible complications and risks associated with breast lift surgery may include:

  • Surgical risks such as bleeding or infection
  • Fluid accumulation around the operation site(s)
  • Visible and prominent scars including keloid and hypertrophic scars. These are raised, red and thickened scars that may form over the healed incisions. They may be itchy, annoying and unsightly but are not a threat to health
  • Allergic reaction to suture materials, tape adhesive or other medical materials and lotions
  • Skin discoloration, permanent pigmentation changes, swelling and bruising
  • Fatty tissue deep in the skin could die (fat necrosis) leaving hard lumps
  • Changes in breast and nipple sensation
  • Temporary or permanent areas of numbness
  • Asymmetry (unevenness) of the breasts
  • Excessive firmness of the breast
  • Potential partial or total loss of nipple and areola
  • Need for further surgery to treat complications
  • Risks of anaesthesia including allergic reaction or potentially fatal cardiovascular complications such as heart attack
  • A blood clot in the deep veins of the legs (deep vein thrombosis), which can move to the lungs (pulmonary embolus) or to the brain and may be life threatening

At One, we are regularly researching how to minimise the possible risks during the procedure and our methods are now being adopted worldwide.

Frequently Asked Questions

We regularly get asked about our procedures, so we have put together a couple of questions we get asked on a regular basis. If there is something else you would like to know, please get in touch!

Yes, during puberty more than half of healthy males will develop this condition. In old age one third of males will develop gynaecomastia.

Many males try every form of chest exercise to get rid of the excess fatty tissue in their chest. In most cases only surgery can correct gynaecomastia.

Results are immediate as the extra tissue is removed during surgery. Swelling and bruising is normal following any surgical procedure and the final results of the chest contour can take up to 3 months.

Before & After

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Real Patients,
Real Results

Jade Pike

Patient Coordinator

Jade is the friendly and approachable face you’ll first meet at One Cosmetic, dedicated to making each client’s experience smooth and enjoyable—from the moment you book your appointment to the time you leave feeling rejuvenated. With a love for natural beauty, she brings genuine care and intention to every interaction.

Dr. Negin Sedaghat

SPECIALIST BREAST AND GENERAL SURGEON

FRACS MBBS BAS (Phys)(Hons)
Sydney Professional Certificate in Oncoplastic Breast Surgery (USYD)
Full Member BreastSurgANZ
VMO Surgeon BreastScreen NSW

Dr. Negin Sedaghat FRACS leads the breast care program after breast implant surgery at One Cosmetic, an essential component of maintaining breast health. Dr. Sedaghat is an Australian-trained Specialist General Surgeon with subspecialisation in Breast Surgery and Breast Surgical Oncology. She is BreastSurgANZ certified in breast surgery and awarded professional certification with distinction in oncoplastic breast surgery from the University of Sydney. Dr. Sedaghat combines her highly qualified and experienced surgical expertise with a compassionate and holistic approach to patient care. In addition to breast implant care, Dr. Sedaghat accepts consultations for women seeking comprehensive breast assessment and treatment for a wide range of breast concerns at the welcoming and luxurious environment of One Cosmetic in Double Bay – a valid GP referral at the time of consultation will be needed.

Maree Riitano

Nurse

With a clinical background in perioperative nursing, Maree brings medical precision and a strong eye for detail to her work in aesthetic medicine. She is an experienced cosmetic nurse and over the years has trained under leading injectors in the space. She is passionate about combining science with artistry to deliver natural and refined results.

 

Maree offers all aesthetic medicine treatments and takes a personalised, multi-modality approach when creating treatment plans. She has a focus on restoring and enhancing her clients’ natural anatomy rather than altering them. Her philosophy is centered on subtle, confident beauty and helping clients feel empowered in their own skin.

 

Maree stays at the forefront of the industry by regularly attending advanced training and cosmetic conferences, ensuring she brings the latest techniques and highest standard of care to every client.

Ailiya Greaves

Senior Dermal Aesthetician

Ailiya Greaves is an experienced Senior Dermal Aesthetician with over seven years in the aesthetics and skin health industry.

Throughout her career, Ailiya has built a strong reputation for delivering advanced, results-driven treatments with a focus on safety, precision, and patient care. Her extensive clinical experience spans a wide range of skin concerns, including rosacea, acne, pigmentation, scarring, and age-related changes. She takes pride in creating personalised treatment plans that integrate evidence-based dermal therapies to achieve optimal skin health and natural outcomes.

Currently undertaking a Bachelor of Nursing, Ailiya continues to advance her clinical knowledge and professional capabilities. This additional qualification enhances her holistic approach to treatment, combining nursing principles with her dermal expertise to ensure the highest standards of care.

As a valued member of OC’s Dermal Team, Ailiya is recognised for her professionalism, approachable manner, and commitment to empowering clients to feel confident in their skin. Her dedication to continuous learning, coupled with years of hands-on experience, ensures her clients receive exceptional care and outstanding results.

Katie O'Connor

Practice Coordinator

Katie is our beautiful clinic coordinator at OC and one of the first faces you’ll see when you walk through the doors or call our team. She has several years of experience in a customer service role and brings a wealth of knowledge in managing patients and understands what it takes to support our patients through their cosmetic journeys. 

 

Katie is passionate about skin and skin health, which is so important when patents are seeking advice on where to start. Katie has also recently been through the surgery process herself, so she can give first hand experience when it comes to any surgery related questions. 

Lacey Lopez

Senior Dermal Aesthetician

After completing her diploma in beauty therapy at the Australasian natural therapies in 2011, Lacey was quickly identified as an emerging talent due to her meticulous attention to detail and offering a uniquely holistic and personalised approach to beauty and Wellness.

 

Holistic Wellness is associated with treatments and remedies that are natural, safe and focused on one’s internal and external wellbeing. Much more goes into Wellness of your skin than just a single treatment or product. Ones emotions, hormonal balance, nutrition, and the types of products used on the skin synergistically can make up the health of their skin.

 

Whilst gaining incredible industry experience both here and in the United States, Lacey went on to further her studies in holistic skin analysis – completing courses in lymphatic drainage, advanced dermal needling, skin mapping, hormonal imbalances, massage therapy an integrative nutrition. Her incredibly diverse training in highly customised treatment plans have ensured her reputation as one of the best aestheticians in Sydney.

 

Now, with over 12 years of industry experience Lacey acts as the senior dermal aesthetician for one cosmetic and skin therapist to celebrities. Her expertise lies in being results driven, providing exceptional service, and mastering high quality products and technology on the market. Lacey is forever researching industry innovations in remaining at the forefront of the latest procedures and modalities Lacey has become a renowned skin expert and trainer across the country. Book a consultation with Lacey to create your customised skin plan.

Chelsea Scutts

REGISTERED NURSE

Chelsea has been with One Cosmetic since it’s inception, handpicked by Dr Wessels to manage his practice and patients. Having been in the health & beauty industry for over 8 years Chelsea has a passion for all aesthetic treatments! Her ever evolving thirst for knowledge and passion for delivering the very best to our patient is why Chelsea has a strong base of clients.

 

Chelsea treatments include anti wrinkle, dermal filler, PDO threads, lip enhancements, Morpheus8 face and body sculpting and much more! She has an eye for natural beauty and enhancing her patients features. She regularly attends seminars to learn new techniques for best practice.

 

Book a Consultation with Nurse Chelsea via the online booking system.

Dr. Louis Wessels

SPECIALIST PLASTIC SURGEON

MBChB FRACS (Plast) FCS Plastics (SA) MAdv Plastic Surgery (Macq Uni) Mmed Plastics (SA)

Dr Wessels is a cosmetic, plastic and reconstructive surgeon and is a senior lecturer at the Faculty of Medicine and Health Sciences of Macquarie University.

His practice covers the whole range of procedures in cosmetic, plastic and reconstructive surgery with special emphasis on cosmetic and reconstructive surgery of the breast (augmentation, reduction and breast lift) as well as facial cosmetic and reconstructive surgery.

Dr Wessels received his MBChB in South Africa, completing his internship and general surgery residency, training in one of the most challenging clinical environments, before completing his Fellowship and his Master of Medicine in Plastic and Reconstructive Surgery.

Dr Wessels successfully completed his second Fellowship in Plastic and Reconstructive Surgery when he was awarded a Fellowship of the Royal Australasian College of Surgeons in 2015. He has published world leading research on breast implant infection and outcomes following breast augmentation surgery.