Overview of Man Boobs (Gynecomastia) Surgery
Gynecomastia (informally known as Man-boobs), is a relatively common condition affecting adult males of all age groups. It is associated with abnormally large and visible breast tissue (mammary gland).
Gynecomastia is a generally benign (not dangerous) medical condition. However, it may cause significant psychological distress and social embarrassment to those who suffer from it. Patients may also experience occasional pain or discomfort in the area.
Some patients find that the gland increases or decreases in size with temperature. It becomes more swollen and noticeable when the body is warm and disappears completely when the body is cold.
Dr Ehsan Jadoon has successfully performed countless Gynecomastia surgery procedures in Perth and Sydney.
He utilizes a specialized technique of first using the Vaser 3-D Vibrational Liposuction, to soften the chest gland and remove excess fat around, it before surgical taking the gland out. This technique delivers far superior results compared to traditional Gynecomastia surgery where just the gland is removed without or without manual fat removal.
The decision to undergo any cosmetic surgery is quite daunting for most people. It can be extremely difficult to find the right doctor who you can trust. Most patients want to achieve natural-looking results when it comes to any cosmetic procedure. They don't want anyone else to know that they have had surgery done. They want to choose a doctor who is able to listen to them carefully and understand their concerns. A doctor who's surgical skills delivers effective and hassle-free results with minimal discomfort and downtime.
Dr Jadoon is known to achieve natural-looking results with a very high patient satisfaction rate. His friendly and down-to-earth nature makes his patient feel relax during the procedure as well as during any follow-up appointments.
Frequently Asked Questions
Gynecomastia may affect one side or, more commonly, it is bilateral.
- The chest gland becomes enlarged at puberty or afterwards.
- The gland may become tender to touch.
- The diameter of the areola (nipple area) increases.
- There may be a history of anabolic steroid use.
Important: You should see your GP urgently if there is unusual and persistent swelling, tenderness, pain, and/or nipple discharge.
Gynecomastia may have several causes. A hormonal imbalance between the hormones testosterone and oestrogen can cause excessive breast growth in men. This usually happens around puberty.
Increase in the size and amount of fat cells in the chest area happens in most males as they reach the middle-age. This is because of a sedentary lifestyle, overconsumption of calories, slowing of the metabolism and decrease in testosterone production.
One of the most common causes of Gynecomastia we see in clinical practice is the use of performance enhancing drugs i.e Anabolic Steroids.
Other rare causes of Gynecomastia may include:
- Alcohol abuse – alcohol abuse raises the risk of enlarged male breasts.
- Liver disease & Kidney failure
- Radiation treatment of the testicles
- Klinefelter’s syndrome
- Infections or lumps in the testicles
- Thyroid gland disorders
Medications – several medications can cause the breasts in men to enlarge, including:
- Certain antibiotics
- Certain ulcer medications
- Tricyclic antidepressants
- Oral sedatives and some other drugs for treating anxiety
- Some HIV medications
- Anti-androgens, commonly prescribed for patients with cancer or prostate enlargement
- Some heart drugs, including calcium channel blockers
Gynecomastia is often more noticeable in overweight people. However, true gynecomastia is caused by an increase in the size of the actual male breast gland, which is a fibrous, rubbery structure, different from fat. Both lean, as well as overweight men, can suffer from this condition.
Pseudo-Gynecomastia is a relatively common condition where males have excess subcutaneous body fat in the chest region. There are no enlarged breast glands as such. This condition is often associated with being overweight.
Gynecomastia is initially diagnosed by taking patients history and physical examination. This is accompanied by radiological investigations when required (UltraSound).
At Medaesthetics, our doctors will ask the patient questions regarding the onset of symptoms, medical and drug history, and possibly family history.
At Medaesthetics, we routinely perform gynecomastia surgery as a day procedure without the need for hospitalization.
The procedure is performed in two stages:
In stage one, we remove excess fat from the chest area using Vaser Liposuction technique. This helps tighten the chest skin and makes it easy to perform the second stage of the surgery which is excision of gland using a minimally invasive surgical technique.
Please watch the clinical videos at the bottom of this page where Dr Jadoon is explaining various aspects of the surgery while performing the procedure.
Note: Liposuction is only performed if the chest wall has an increased amount of fatty tissue around the gland.
The procedure usually takes about two hours. Patients are able to go home after surgery.
We routinely perform this procedure under local anaesthesia while the patient is awake. We also offer this procedure under Twilight Sedation in an accredited Day Hospital in Subiaco if the patient prefers to be asleep during the surgery (additional costs are associated).
We offer our patients the highest level of care. We make every effort to ensure that any procedure we perform is associated with minimal pain or discomfort. Once the treatment area is anaesthetised, patients are not able to feel any discomfort.
Patients are pleasantly surprised at the end of the procedure about the ease and comfort in which the whole process is completed.
Most people tolerate this procedure extremely well. Patients can go home after the surgery and do not require prolonged post-surgical hospital admission and monitoring.
Patients are sent home wearing a compression garment which needs to be worn daily for first two weeks.
Patients are strictly prohibited from any physical activity for first seven days to minimize the risk of post-surgical bleeding.
Patients with physically active jobs are required to take atleast first ten to fourteen days off from work. Medical certificates can be provided if required.
In the majority of cases, the incision scars are barely noticeable and begin to fade quickly within a few weeks
At Medaesthetics, we have the most extensive range of Fractional CO2 Lasers to help reduce any type of scarring whether related to surgery or trauma.
Patients may have some numbness in the treated area after the surgery. This will disappear with time.
Most patients can return to office-based work within five to ten days. As mentioned above, we recommend at least two weeks off work if your work involves heavy physical activity or travelling.
A Medical Certificate can be organised which will not mention the name of your procedure.
Light activity is permitted after seventy two hours and light exercise is usually okay after first two weeks. It is critical not to use the chest muscles for any physical activity for at least two weeks after the surgery to prevent post-surgical complications.
Like any surgical procedure, this procedure comes with possible risks and complications that include, but are not limited to:
- Bleeding (Haematoma)
- Inadequate Correction
- Swelling and Discomfort
- Delayed Healing and Unfavourable Scarring
- Nerve Irritation and Numbness
- Temporary Skin Discolouration at incision lines
- Respiratory depression and compromise
- Cardiovascular depression and compromise
- Increased risk of Deep Vein Thrombosis (DVT)
- Prolonged Nausea and vomiting
- Prolonged hangover
- Short term and long-term amnesia (memory loss) are some of the significant side effects.
Very high quantities of local anaesthesia are known to cause systemic toxicity which can result in cardiovascular compromise. At Medaesthetics, all procedures carried out under local anaesthesia are done using a minimal amount of local anaesthetic agent to ensure patient health.
To be considered suitable for undergoing any elective cosmetic procedure, you must:
- Be physically fit and active
- Be able to follow pre and post surgical instructions
- Have a balanced and healthy diet
- Be of sound emotional/mental health
- Have realistic expectations
People unfit to undergo This Procedure are:
- Physically unwell with pre-existing medical conditions
- People with a history of keloid scarring
- Those with unrealistic expectations and body dysmorphia
- Those who are going through emotional stress and trauma
- Those we are unable or willing to follow a healthy lifestyle (exercise and diet) after the surgery
Preparation for any surgical procedure involves:
- Avoiding blood-thinning medication. Please discuss this with your GP in detail and make sure you are aware of any side effects of the medications you are currently on.
- Avoiding herbal medication and nutritional supplements such as St John’s Wart, garlic, ginger, ginseng, homeopathic or herbal tonics, fish oil etc must be stopped for at least 2 weeks before surgery. These substances are known for their potential to thin blood and may cause excessive bleeding during and after the surgery.
- Avoiding alcohol and cigarettes as much as possible.
We recommend that patients do all their grocery shopping before surgery and refill the fridge and pantry with healthy food.
Patients are advised to organize a friend or family member to stay with them for the first few days after the surgery.
It is imperative that you follow the pre-surgical instructions given to you by our staff. Alcohol consumption and cigarette smoking are two major culprits when it comes to increasing potential risks associated with any surgery. Please avoid these harmful agents for at least 2 weeks (preferably more) prior to your surgery. Both alcohol and cigarettes interfere with the normal healing process, increase the pain and discomfort associated with any surgery, increase the risk of potential complications such as bleeding, wound infection and scarring and prolong the recovery time.
In clinical practice, we have found that a herbal substance called Arnica is helpful in reducing bleeding during or after the surgery. It also helps with healing and minimises bruising. Arnica is a naturally occurring herb and is available in the oral supplement from most health food stores and pharmacies in Australia.
Avoiding alcohol and cigarette smoking before and after surgery is highly recommended.
A healthy lifestyle, good sleep and a balanced nutritional diet after surgery are essential factors for optimum healing.
A “Cooling off” period of 2 weeks is required after your initial consultation to give you enough time to thoroughly evaluate the risks and benefits of any elective cosmetic surgery.
The cost for a Gynecomastia procedure starts from $6500 (all-inclusive) for both sides. Our patient's don't have to pay hospital or anaesthetist fees saving a minimum of $4000.