Male breast reduction surgery can reduce excess glandular tissue, fat and, in some cases, excess skin to create a flatter, more balanced chest. Dr Ali Rizvi provides assessment and surgical treatment for gynaecomastia in Sydney and South West Sydney
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Gynaecomastia, sometimes called enlarged male breasts, is a common condition caused by an increase in male breast glandular tissue. When persistent chest enlargement does not improve with weight loss or exercise, male breast reduction surgery may be considered.
Dr Ali Rizvi provides male breast reduction and gynaecomastia surgery in Sydney and South West Sydney, including assessment of glandular tissue, excess fat and chest contour. Depending on the individual anatomy, treatment may involve gland excision, liposuction or a combination of techniques.
This page explains who may benefit from surgery, surgical techniques, recovery, risks, costs and what to expect during your consultation.
Male breast reduction surgery removes excess breast gland tissue, fatty tissue, and in some cases excess skin from the male chest.
Unlike weight-related chest fullness, true gynaecomastia involves firm glandular tissue beneath the nipple. This tissue does not resolve with diet or exercise.
The goal of surgery is:
A flatter chest contour
Improved symmetry
Reduction of prominent glandular tissue
Natural, proportionate appearance
Gynaecomastia is the enlargement of male breast gland tissue. This can occur due to:
Hormonal imbalance
Puberty
Certain medications
Age-related hormonal changes
Weight fluctuation
Genetic predisposition
Many men delay seeking advice due to embarrassment. However, persistent breast tissue enlargement is common and easily treatable.
Arrange a consultation to discuss the cause of your chest enlargement, whether surgery is appropriate and which technique may be suitable for you.
You may be suitable if:
Persistent breast enlargement has not improved over time
Exercise does not reduce the chest fullness
You experience tenderness or discomfort
You avoid fitted clothing or certain activities
You are medically fit for surgery
A consultation includes examination and assessment to confirm true glandular gynaecomastia versus fatty tissue alone.
The technique depends on tissue type and severity.
A small incision is typically placed along the lower border of the areola. Firm glandular tissue is carefully excised.
Used to contour surrounding fatty tissue and improve chest definition.
Most patients require both gland removal and liposuction for optimal contour.
In more significant cases, excess skin may need adjustment.
Surgery is performed in accredited private hospitals under anaesthesia.
Male chest contouring requires:
Precise removal of glandular tissue
Preservation of natural chest contour
Symmetry between both sides
Careful scar placement
Avoidance of over-resection
Control of contour irregularities
An overly aggressive approach can result in deformity. A conservative, anatomical technique prioritises long-term balance.
Most procedures are day surgery.
Compression garment worn for 4–6 weeks
Mild swelling and bruising common
Light activity after several days
Swelling gradually improves
Avoid heavy lifting initially
Most patients return to work within 1–2 weeks (depending on occupation)
Final contour refines over several months
Scars mature over 6–12 months
All surgery carries risk.
Potential risks include:
Bleeding
Infection
Asymmetry
Contour irregularity
Temporary or permanent nipple sensation changes
Need for revision surgery
Procedures are performed in accredited facilities with structured monitoring.
The cost of male breast reduction surgery in Sydney varies between patients because gynaecomastia can involve different combinations of glandular tissue, excess fat and skin.
During your consultation, Dr Ali Rizvi will assess the chest and discuss whether treatment may involve glandular tissue removal, liposuction, skin reduction or a combination of techniques. The surgical approach affects the complexity of the procedure and therefore the overall cost.
Your total surgical costs may include:
Male breast reduction is designed to create a flatter, more balanced chest while maintaining natural proportions.
The result can vary considerably between patients because gynaecomastia may involve different amounts of glandular tissue, fat and excess skin. Your starting chest shape, skin quality, body composition and the surgical technique required can all influence the final appearance.
Depending on the individual case, male breast reduction may help to:
An improvement in chest contour can usually be seen as swelling begins to settle, but the appearance continues to change during recovery. Swelling gradually decreases and scars mature over time.
The final result should therefore be assessed after the healing process has progressed rather than immediately after surgery.
Before-and-after results should not be interpreted as a guarantee of an identical outcome. The appropriate surgical technique and expected result depend on your individual anatomy and the cause and severity of gynaecomastia.
If you’re considering male breast reduction, Dr Ali Rizvi can assess your chest and discuss whether surgery is appropriate and what result may realistically be achievable.
Patients across Campbelltown, Liverpool, Camden, Macarthur and greater South West Sydney are commonly referred for assessment of gynaecomastia and male breast enlargement.
A referral is not always required to book a private consultation.
However, a GP referral may assist with:
Coordination of investigations if needed
If breast enlargement is associated with hormonal concerns, medication changes, or systemic symptoms, your GP may arrange blood tests or imaging prior to surgical consultation.
Referral letter (if provided)
Relevant imaging or ultrasound results
Medication list
Details of previous chest procedures
Each consultation includes clinical examination, confirmation of glandular tissue presence, and discussion of surgical options.
Private treatment offers shorter wait times and surgeon choice
Access to accredited hospitals across Sydney, including South West Sydney
Personalised pre-op and post-op care plans
Some discomfort, tightness, swelling and bruising are expected after gynaecomastia surgery. The level of discomfort varies depending on the extent of surgery and individual recovery. Pain relief and post-operative instructions are provided to help manage discomfort during the healing period.
Surgery typically takes 60–120 minutes depending on complexity. Patients usually return home the same day.
Removal of the treated glandular tissue is intended to provide a long-term result. However, significant weight changes, hormonal changes, certain medications or other underlying conditions may affect the appearance of the chest in the future. The underlying cause of gynaecomastia should be assessed before surgery.
Yes. Some scarring is unavoidable because surgery requires incisions. When glandular tissue is removed, the incision may be positioned around the edge of the areola where appropriate. Scar appearance varies between individuals and gradually changes as the scars mature. Scars do not disappear completely.
Not always. Gynaecomastia can involve firm glandular tissue beneath the nipple as well as excess fatty tissue. Liposuction can reduce fatty tissue, but glandular tissue may require direct surgical removal. Some patients require a combination of gland excision and liposuction to achieve the desired chest contour.
Recovery varies depending on the extent of surgery. Swelling, bruising and tightness are common initially and gradually improve. Light activities can generally be resumed before strenuous exercise, but the exact recovery period depends on the procedure and individual healing. Dr Rizvi will provide specific post-operative instructions.
Walking and gentle movement are generally encouraged during recovery, but strenuous exercise and chest-focused workouts should be avoided initially. The timing of returning to the gym depends on the extent of surgery and your recovery. Dr Rizvi will advise when exercise can be gradually resumed.
Initial improvement is visible once swelling reduces. Final contour refines over several months.
Medicare does not cover cosmetic surgery. However, Medicare benefits may be available for some medically indicated procedures when the relevant Medicare Benefits Schedule requirements are met. Gynaecomastia has specific MBS provisions, so eligibility depends on the individual circumstances and applicable requirements. Private health insurance may also contribute to eligible hospital costs depending on your level of cover.
Arrange a consultation with Dr Ali Rizvi to:
Assess persistent chest enlargement and confirm gynaecomastia
Review any prior imaging or relevant medical history
Discuss surgical options and expected recovery
Understand risks, costs, and suitability
Receive a personalised treatment plan tailored to your anatomy and goals
Dr Ali Rizvi provides male breast reduction surgery in Sydney and South West Sydney with a focus on safety, anatomical precision, and structured follow-up care at every stage.
Visit our Surgery in Sydney page to explore all procedures offered by Dr Ali Rizvi and learn how we can help you with your surgical care.
