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

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. Anita Jacombs

GENERAL SURGEON & BREAST IMPLANT SPECIALIST

Anita is a general surgeon at a variety of hospitals across Sydney and has been working alongside Dr Wessels for the past 2 years. She shares a passion for patient health and wellness, which is why is completes all of our breast implant checks. Anita has warm nature and wealth of knowledge when it comes to surgery and its possible complications. Anita is available for breast implant checks in clinic too ensure you and your implants are in good health.

Charlie Saphin

PRACTICE COORDINATOR

Charlie is one of the beautiful faces you’ ll meet when coming into clinic. Charlie brings knowledge and experience in VIP customer service management. Charlie has such a calming nature that will make even the most nervous patients feel at ease.


Charlie knows the answer to all surgical and non surgical questions you may have. She loves chatting with patients and holding their hand along their aesthetic journeys.

Dr. Sepehr Lajevardi

SPECIALIST PLASTIC SURGEON

MBBS BSc(Med) Hons GDip (Anat) MS FRACS (Plast) 

Dr Sepehr Lajevardi is a specialist plastic and reconstructive surgeon specialising in aesthetic surgery of the breast and body. After undertaking his undergraduate medical training at University of NSW with a scholarship, he went on to undertake 12 years of post graduate 12 years of post graduate training to be recognised as a specialist plastic surgeon with the Royal Australasian College of Surgeons. Dr Lajevardi has a keen interest in research with many publications and more than 50 presentations at national conferences. Dr Lajevardi was also mentored by many of Sydneys previous leading plastic surgeons to further his skills in aesthetic plastic surgery.

 

Dr Lajevardi is a clinical associate lecturer at the university of Sydney. He is also a founding member and past chairman of the International charity organisation, ‘Doctors Assisting in South Pacific Islands’ (DAISI), organising much needed surgical trips to the pacific as well as medical supplies to help our closest neighbours.

 

Dr Lajevardi prides himself in his meticulous surgical technique. His paramount consideration is patient satisfaction, always striving to achieve tailored results in a caring and compassionate way.

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.