Understanding Gynaecomastia Surgery: A Safe and Effective Solution for Male Chest Contouring
Gynaecomastia—the enlargement of male breast tissue—is a common yet often under-discussed condition that affects a significant number of men. It's estimated that up to 60–70% of adolescent boys will experience some degree of breast enlargement during puberty, and for approximately 30% of adult men, the condition persists well beyond those years. While not medically dangerous in most cases, gynaecomastia can lead to emotional discomfort, social anxiety, and reduced confidence—especially when it comes to wearing fitted clothing or participating in activities like swimming or exercise.
The causes of gynaecomastia are varied. In some cases, it can be traced to hormonal imbalances, where there is an increase in estrogen relative to testosterone. Other contributing factors include certain medications, such as steroids or anti-androgens, chronic health conditions like liver disease, or lifestyle influences such as alcohol and recreational drug use. Obesity can also play a role, as excess fat increases the conversion of testosterone to estrogen, although true gynaecomastia is distinct from fat-related chest fullness.
Patients often present with firm tissue beneath the nipple, sometimes with tenderness or a visible fullness in the chest area. For those in whom the condition does not resolve on its own—or who experience significant psychological or functional discomfort—surgical treatment is the most reliable option.
At Norwest Cosmetic Surgery, we take a comprehensive and tailored approach to treating gynaecomastia. Dr Senthil Supramaniam performs the procedure in fully accredited day-surgery theatres using tumescent anaesthesia, a technique known for minimising bleeding, enhancing safety, and reducing post-operative discomfort. Unlike traditional general anaesthesia, this approach contributes to quicker recovery times and lower overall costs for the patient.
The surgical technique typically involves liposuction to remove excess fatty tissue and precise excision of the dense glandular tissue that often sits directly beneath the nipple. What distinguishes our approach is the integration of advanced skin tightening technologies. We routinely use Renuvion, a helium plasma device that contracts the skin from within, enhancing the chest contour in real time. For selected patients, we may also recommend Morpheus8 radiofrequency microneedling after surgery to further refine the skin texture and firmness.
Recovery is generally straightforward. Patients wear a compression garment for three to four weeks to reduce swelling and help the skin retract. Absorbable sutures are used, so no removal is necessary. Pain is usually mild and well managed with simple analgesia, and we prescribe a short course of antibiotics as a preventive measure. The excised gland is routinely sent for pathology to rule out any rare abnormalities. Risks from this surgery is rare but may include infection, seroma, nipple loss, asymmetry or residual tissue.
Most patients are able to return to work within a few days, particularly if their role is desk-based. Gentle walking is encouraged as early as the day after surgery, with light cardiovascular exercise resuming by the second week. However, upper body weights, particularly bench presses, should be avoided for at least 4–6 weeks to ensure proper healing and optimal results.
Many men choose Norwest Cosmetic Surgery not just for our technology and outcomes, but because they feel more comfortable discussing their concerns with a male doctor who understands their perspective. Dr Supramaniam is known for his honest, patient-centred approach and attention to detail. By combining surgical expertise with thoughtful perioperative care, we aim to provide results that look natural and feel right for you.
If you’ve been living with gynaecomastia and are ready to take the next step, we welcome you to book a private consultation. We’re here to guide you with clarity, care, and confidence.
