Gynecomastia  (Male Breast Reduction) in Melbourne

Gynecomastia (also spelled gynaecomastia) is the enlargement of breast tissue in men. It may affect one or both sides of the chest and can involve glandular tissue, excess fatty tissue, or a combination of both. It is distinct from pseudogynecomastia, which involves excess fatty tissue only without true glandular development — a distinction that matters because each responds differently to treatment.

Gynecomastia is most commonly linked to hormonal changes that shift the balance between oestrogen and testosterone — allowing breast tissue to develop. This can occur naturally at puberty or midlife, or as a side effect of certain medications including some antidepressants, anabolic steroids, and heart medications. In some cases no specific cause is identified (idiopathic gynecomastia). A thorough assessment and, where appropriate, investigations can help determine whether an underlying cause is present before treatment is planned.

Treatment depends on what the assessment finds. Options include:

Liposuction removes excess fatty tissue from the chest area.

Surgical excision removes glandular tissue via a small incision around the nipple, where firm or dense tissue is present

Combination approach — liposuction and excision used together where both fatty and glandular tissue are involved

Non-surgical options— considered in appropriate cases, particularly where fatty tissue is the primary concern.

Every treatment plan is discussed in detail during consultation, including realistic expectations and potential risks.

After gynecomastia surgery, a compression vest is worn for approximately 4–6 weeks. Most patients return to light work within a couple of days, depending on the nature of their work. More strenuous activity is generally appropriate after 2–3 weeks, with full recovery typically around 4–6 weeks. Individual recovery times vary. Lymphatic drainage or gentle massage may be recommended to support healing. Follow-up appointments are included as part of the procedure cost.

The cost of gynecomastia treatment at Aesthetica Image Centre is tailored to each individual based on their specific requirements. A personalised written estimate — covering procedure, theatre, anaesthesia, and medication costs — is provided following consultation. Medicare rebates and private health insurance may be an option but will be discussed during your consultation. All aftercare and post-operative visits are included in the procedure cost. Consultation fee to see Dr Tony Prochazka is $180.00 out of pocket.

As with all surgical procedures, gynecomastia surgery carries potential risks. Before proceeding, it is important to consider whether the potential risks are acceptable given your individual circumstances. Possible risks include: Insufficient removal of tissue or fatty deposits Bleeding Infection Poor wound healing Reaction to tapes or dressings Risks are discussed in detail during your consultation. Aesthetica Image Centre recommends seeking a second opinion from an appropriately qualified health practitioner before proceeding with any surgical procedure.

The glandular tissue or fat removed during gynecomastia surgery does not return. However, if the underlying hormonal cause continues or recurs — or if significant weight is gained — the appearance of the chest may be affected over time. This is something your doctor will discuss with you during consultation, including any investigations that may be appropriate beforehand.