About Gynaecomastia

Gynaecomastia - An Overview

Gynaecomastia is the excessive enlargement of the male breast. This often embarrassing condition is actually quite common and can affect one or both breasts. The development of this breast tissue is often influenced by hormones called oestrogens that are usually low in men. During puberty, due to an imbalance in the hormones a tender Gynaecomastia may develop and boys who develop Gynaecomastia at this stage of their life may out grow it within a few years or by the time they are 20 years old. In otherwise healthy men Gynaecomastia may develop due to metabolic changes whilst other types of Gynaecomastia can be due to other health problems as well as by the taking of some medications for example steroids. In the vast majority of cases there is no known cause.

However, for the majority gynaecomastia may be improved by non-surgical treatments for example by treating an abnormal hormone level if this is the cause of the Gynaecomastia whilst for some men surgery to remove the excess tissue may be the best option. Excess breast tissue in men with Gynaecomastia is made up of fatty tissue or glandular tissue or in some cases a combination of both. Extra skin may also make the breast area look bigger.

The type of surgery required will depend largely on the type of tissue you have. Fatty tissue can be removed by liposuction whilst glandular tissue requires surgical removal. A combination of fatty and glandular tissue requires a combined approach.


Gynaecomastia - The Incision

Dr Lim will discuss the surgical approach most suitable for you and your concerns regarding these. The type of incision you have will depend on the type of surgery required. The incisions for liposuction and glandular tissue removal are very small and care is taken to place the incisions so they will be as inconspicuous as possible. If you required the removal of excess tissue the incisions will be larger and this will be discussed during your consultation.

Your Gynaecomastia Surgery

The procedure is performed under general anaesthetic in an accredited hospital and can take from one to two hours. You can expect to stay in hospital for the day only or you can stay over night if you wish. Some patients decide to stay over night if drainage tubes are required. Drainage tubes may be required if you have both glandular and fatty tissue removed. These drainage tubes are used to drain away any excess fluid that may accumulate after surgery. Dr Lim will review you post-operatively and will prescribe analgesia and antibiotics for you to take home. Dr Lim’s staff will keep in contact with you after the procedure and monitor your progress and attend to any queries you may have. Dr Lim will review you one week after the surgery with further reviews scheduled at one and three months post operation.

Our goal is to make your experience as easy and comfortable as possible. Dr Lim and the Nurse Consultant will take as much time with you as is necessary to answer any questions you may have.

Dr Lim performs gynaecomastia surgeries only in fully accredited hospitals:

  • Castle Hill Hospital
  • Westmead Private Hospital