Breast Surgeries

Gynaecomastia Surgery for the Reduction of Man Boobs

Let's face it, breasts look better on women than they do on men. More and more men are approaching our clinic because they have gynecomastia - otherwise known as ‘man boobs’. Located in the Sydney CBD, we specialise in an effective solution for men who want to improve their appearance and feel better about themselves.

 Watch the Video to learn more about ASPS Member Dr. Mark Kohout.

What is gynecomastia?

Gynaecomastia or Gynecomastia is a common disorder of the male’s breast where there is a benign glandular enlargement of that breast at some time in a male’s life, affecting an estimated 40 – 60% of men. It usually consists of the appearance of a flat pod of glandular tissue behind the nipple that becomes tender at the same time; it may affect either one breast or both. Though certain drugs and medical problems have been linked with male breast over development, there is no known cause in the vast majority of cases. For men who feel self-conscious about their appearance, breast reduction surgery can help. The procedure involves reduction of the breast tissue by excision of glandular tissue and/or fat removal by liposuction. In extreme cases excess skin is removed, resulting in a chest that is flatter, firmer and better contoured. The scar can usually be hidden along the border of the nipple, with the results of surgery being very successful. Surgery to correct any Gynaecomastia can be performed on healthy, emotionally stable men of any age. The best candidates for male breast reduction surgery in Sydney have firm, elastic skin that will reshape to the body’s new contours. Surgery may be discouraged for obese or overweight men who have not first attempted to correct the problem with exercise or weight loss. Also, individuals who drink alcohol in excess or smoke marijuana are usually not considered good candidates for surgery. These drugs, along with anabolic steroids, may actually cause Gynaecomastia, therefore patients are first directed to stop the use of these drugs to see if the breast fullness diminishes before surgery is considered an option.

The Initial consultation

The initial consultation with your surgeon is very important. Dr. Kohout will need a complete medical history so be ready to provide this information. This will include information about any medical conditions, drug allergies, previous operations and medication you are taking, if any. Dr. Mark Kohout will examine your breasts and check for causes of Gynaecomastia such as impaired liver function, use of oestrogen containing medications, or anabolic steroids.

Your operation

The surgical procedure can be performed under twilight sedation or general anaesthetic as a day case. The surgeon can make a small incision along the border of the nipple and removing excess tissue and/or fat. It is usually combined with liposuction. Rarely, is it necessary to remove skin from the breast, therefore scarring should be minimal.

How long does it take?

The operation takes approximately one hour.

Preparation for surgery with Dr. Kohout

Smokers will be asked to stop smoking 3 weeks prior to surgery. Aspirin and some antiinflammatory drugs used for the treatment or arthritis can cause increased bleeding, so you should avoid taking these medications for 2 weeks before surgery.


More FAQs and Informations

Day of surgery in Sydney

Your operation may be performed in a hospital under general anaesthetic or in a day surgery facility under intravenous sedation. Medications are administered for your comfort during the surgical procedure.

After Surgery

When surgery is completed you will be taken into a recovery area where you will be closely monitored. Your chest will be wrapped and you will generally be able to go home within 5 hours of surgery. You will need to wear a compression binder for approximately 4 weeks following surgery. It is important to understand that recovery time varies among individuals. Some discomfort may be present but will resolve within three to four days and is well controlled with oral medications such as Panadeine. Showering is permitted one or two days after surgery. You will have stitches along the incisions, which will be removed after four to seven days. Bruising and swelling will occur initially but will disappear quickly. Most residual swelling will resolve within a month, however swelling may take from 6 to 9 months to settle completely. Dependent upon your occupation, you may return to work after 1 to 2 weeks.

What are the risks?

The subject of risks and potential complications of surgery is best discussed on a personal basis between you and your surgeon. Fortunately, significant complications from Gynaecomastia surgery are infrequent however every surgical procedure involves some general risks. One of the main risks is bleeding arising from a haematoma (collection of blood tissue), infection, scar formation and partial or complete loss of nipple sensation. These complications are temporary and will resolve in time. You can help minimise certain risks by following the advice and instructions of your plastics surgeon both before and after surgery.

Maintaining a relationship with Your Surgeon

Should there be any questions regarding your surgery be sure they are answered in advance. Well-meaning friends are not a good source of information. Find out everything before proceeding with the operation – a well-informed patient is a happy one! After surgery, you will return to your plastic surgeon’s office for follow-up care at prescribed intervals, at which time your progress can be evaluated. Please remember that the relationship with Dr Mark Kohout does not end when you leave the operating room. If you have questions or concerns during your recovery, or need additional information at a later time, you should contact your surgeon.

Safe surgery and exceptional gynecomastia correction results

Fortunately, correction of man boobs is relatively straightforward and very successful. The exact method of correction depends on the age of the sufferer, the volume of tissue that needs to be reduced and also the predominant tissue within the breast. In young men, firm, dense tissue tends to predominate and the breasts may need a combination of liposculpture and tissue excision. Later in life, the prominent breasts (or man boobs) tend to be mainly composed of fatty tissue and liposculpture may be sufficient to correct the problem. If there is excess of skin as well as breast tissue, open surgery may be required.

A caring and discrete team for your comfort

We understand that a male breast reduction surgery can be a sensitive procedure to discuss openly. By meeting with you one-on-one for a personal consultation, we’ll ensure you are comfortable about the procedure, and will endeavour to provide you with exceptional support. Please be reassured that all my staff at my Sydney clinic will treat your enquiry with absolute discretion.

Before & After Pictures

after gyne operation male breast reductionhappy sydney patient

How much does it cost?Additional costs?

Male breast reduction:
  This price assumes top hospital cover with a private fund. If fund cover does not apply in your situation, plan for additional costs of around $3,000


Speak to us today and discover more about this procedure
To find out more about our gynaecomastia surgery options with Dr. Mark Kohout, please get in touch with us. We are located in 185-211 Broadway, Sydney, Australia 2007. We’re always available to provide you with reliable advice that you can trust. Call us on 1300 551 151 and speak with our helpful and friendly staff. We will be happy to answer your questions and book a consultation appointment.


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