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Female Plastic Surgeon

Gynaecomastia Surgery Perth
(Male Breast Reduction)

Gynaecomastia, or the enlargement of male breast tissue, can cause physical discomfort, such as breast pain or tenderness, skin irritation due to chafing, and discomfort during physical activities. Gynaecomastia surgery, also referred to as male breast reduction, is a surgical procedure that addresses this breast condition by removing excess glandular tissue, fat, and sometimes skin.

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Gynaecomastia Causes
Reasons for Surgery
Our Philosophy
Methods and Options
The Procedure
Surgery Cost
Recovery
Risks & Complications

Why You may Consider this Surgery

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Gynaecomastia Causes

Gynaecomastia can occur due to a variety of factors, such as the following:

  • Hormonal Imbalances: Higher levels of oestrogen can stimulate the growth of excess breast tissue. In addition, low levels of testosterone can also cause gynaecomastia, as this imbalance causes oestrogen to increase.
  • Medications and Substances: Certain medications such as anti-androgens used to treat prostate conditions, anabolic steroids, some antidepressants, anti-anxiety drugs, antibiotics, medications for heart conditions, and recreational substances like alcohol, marijuana, and opioids can cause hormonal fluctuations, resulting in breast tissue enlargement.
  • Underlying Health Conditions: Chronic liver disease, kidney failure, thyroid disorders, and tumours can alter hormone production or metabolism, resulting in excess breast tissue.
  • Obesity: Excess body fat can lead to increased oestrogen production, contributing to gynaecomastia.
  • Ageing: The age-related hormonal changes and fat tissue accumulation in the chest can lead to gynaecomastia.

A thorough medical evaluation with Dr Anh in Perth is essential to determine the underlying cause of gynaecomastia and guide appropriate treatment. Understanding these causes is essential for identifying and managing the condition effectively.

How to Tell if You Have Gynaecomastia

Identifying gynaecomastia involves recognising its symptoms and distinguishing it from other conditions, such as pseudogynaecomastia (fat deposits in the chest area) or underlying medical issues. The following signs and symptoms may help determine if you have gynaecomastia:

  • A firm, rubbery mass of glandular tissue beneath the nipple that may be sensitive or painful to touch.
  • Breast enlargement that is often symmetrical but can sometimes affect only one side of the chest.
  • More prominent nipple and areola
  • Swelling or tenderness in the chest area
  • Changes in nipple or skin sensations such as tingling, itching, or sensitivity

If you notice any of these symptoms, consult with a medical professional for an accurate diagnosis and to determine the most appropriate course of action. During physical examination, the chest will be assessed to distinguish between glandular tissue and fat deposits. If necessary, additional tests, such as hormone evaluations, imaging (ultrasound or mammography), or blood tests, may be performed to confirm the diagnosis and rule out other conditions, such as breast cancer or hormonal imbalances caused by medications or illnesses.

Reasons for Considering Gynaecomastia Surgery

Gynaecomastia, characterised by the enlargement of male breast tissue, can lead to physical discomfort and challenges in daily activities. This condition may cause symptoms such as pain, tenderness, skin rashes, or infections due to excess tissue. Some individuals seek surgery to reduce breast size to address these physical concerns and achieve a chest profile that aligns with their personal goals.

The decision to undergo gynaecomastia surgery is highly personal and influenced by individual circumstances. Dr Anh Nguyen provides a supportive and respectful environment where patients can openly discuss their concerns and goals. She offers detailed information to guide the decision-making process, ensuring patients feel understood and informed.

Dr Anh Nguyen’s Philosophy on Gynaecomastia Surgery

Dr Anh Nguyen approaches gynaecomastia surgery with empathy and professionalism, tailoring her care to the unique needs of each patient. Recognising the sensitive nature of gynaecomastia, Dr Nguyen creates a comfortable setting for discussing the impact of the condition and the specific changes being considered.

Her philosophy focuses on providing individualised surgical plans that respect the patient’s anatomy and goals, whether addressing medical concerns or aesthetic preferences. Clear communication and informed consent are integral to her practice, ensuring that patients have a realistic understanding of the procedure, recovery process, and potential outcomes. Dr Nguyen’s commitment extends throughout the surgical journey, offering guidance and support from the initial consultation to post-operative recovery.

Options and Methods for Gynaecomastia Surgery

Gynaecomastia surgery can be approached through various methods, depending on the extent of breast tissue enlargement and the presence of excess fat:

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Liposuction

Often used when gynaecomastia is primarily the result of excess fatty tissue, liposuction involves removing fat to reduce breast size.

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Excision

Excision techniques are employed in cases where glandular breast tissue or excess skin must be removed to correct gynaecomastia. The extent of the incisions can vary depending on the amount of tissue to be removed.

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Combination of Liposuction and Excision

Some cases may require a combination of liposuction and excision to address excess fat and glandular tissue.

Dr Anh Nguyen will discuss these options with you in detail, taking into account your specific condition and the outcomes you’re aiming for to determine the most appropriate surgical approach.

The Procedure

Gynaecomastia surgery typically involves two primary techniques: liposuction and excision, or a combination of both, to remove excess tissue, fat, or skin. Liposuction involves the use of a small thin tube, called a cannula, that is attached to a powerful suction device to remove excess fatty tissue in the breast. On the other hand, excision techniques remove glandular breast tissue or excess skin that cannot be addressed through liposuction alone. This approach may also involve repositioning the nipple and areola. The choice of technique depends on the severity of the condition and the patient’s specific needs, which are thoroughly assessed during the consultation process.

During gynaecomastia surgery, general anaesthesia is administered to minimise discomfort. Once the anaesthesia has taken effect, small incisions are made in discreet locations, such as around the areola or in the natural creases of the chest, to minimise visible scarring. The surgery typically takes 1–3 hours to complete, depending on the complexity of the condition and the techniques used. Once the excess tissue is removed, the incisions are carefully closed using sutures.

In some cases, surgical drains may be placed to prevent the build-up of fluid or blood and promote proper healing of the breast tissues and surrounding area. A compression garment is usually applied after male breast reduction to reduce swelling, support the chest, and aid in the recovery process. To lower the risk of complications, patients are provided with detailed aftercare instructions that include wound care, activity restrictions, and when to return for follow-up.

Dr Anh carefully customises each surgical approach to address the unique anatomy and concerns of the patient. This personalised approach ensures that male breast reduction targets the underlying causes of gynaecomastia, such as excess glandular tissue, fat deposits, or excess skin. In addition, she discusses the available options in detail, helping patients make informed decisions about their treatment.

Gynaecomastia Surgery Cost

The cost of gynaecomastia surgery in Perth varies significantly based on several factors related to the procedure and the individual patient’s needs. One of the primary factors influencing the overall cost is the complexity of the surgery. Depending on the patient’s specific needs, liposuction, excision, or a combination of both can be used to remove excess tissue, fat, or skin. For patients with more severe cases of gynaecomastia, male breast reduction may involve extensive glandular tissue removal, skin excision, or the need to reposition the nipple. This, in turn, can increase the overall costs associated with the procedure.

Other factors that can influence the cost of gynaecomastia surgery include the surgeon’s experience and qualifications, the type of anaesthesia used, and the facility where the surgery is performed. Different surgeons may charge different professional fees depending on their experience, qualifications, and the complexity of male breast reduction. In addition, factors such as the location of their practice and the demand for their services can also influence professional fees. These fees typically cover the consultation time, the gynaecomastia surgery itself, and post-operative follow-up care.

Moreover, anaesthesia costs also vary depending on whether local anaesthesia with sedation or general anaesthesia is required. In the case of gynaecomastia surgery, general anaesthesia is used, which may result in higher costs due to the involvement of a specialist anaesthetist and the complexity of administering and monitoring the patient during the procedure.

The facility where the surgery is performed also plays a significant role in determining the overall cost. Hospitals and private surgical centres may have varying charges for operating theatre use, nursing care, and post-operative recovery services.

A detailed cost breakdown may be provided during the consultation process to help patients understand all associated expenses of male breast reduction. This allows patients to make informed decisions about their surgery. Patients are encouraged to discuss all financial aspects during their consultation to ensure they have a clear understanding of the gynaecomastia surgery costs involved and the potential for any rebates or coverage options.

Recovery

Recovery following gynaecomastia surgery requires careful adherence to post-operative care instructions to promote healing and reduce the risk of complications. In the first few days after surgery, signs and symptoms like swelling, pain, bruising, and changes in sensation in the chest area are expected as the body starts the healing process. To manage these, the prescribed medications should be taken as directed. Pain relievers, anti-inflammatories, or antibiotics may be prescribed to address the post-operative discomfort and prevent infection. The use of cold compresses is also recommended to reduce swelling. Most importantly, patients should wear compression garments during the initial recovery phase to support the healing of breast tissues, reduce swelling, and maintain a new chest contour.

There are also some activity restrictions to help with the recovery process after undergoing male breast reduction. It is important that patients avoid strenuous physical activities, including heavy lifting and exercises involving the chest muscles, for at least 4–6 weeks. This helps prevent further injury to the healing breast tissues as well as complications, which can compromise surgical outcomes. To promote blood circulation and prevent blood clot formation, light activities such as walking can be resumed within a week.

A proper sleeping position can also aid the healing process following male breast reduction. Patients should avoid sleeping on their stomach or side, as this could place unnecessary pressure on the chest area. To prevent injury or damage to the incision sites, patients should maintain a semi-upright sleeping position with the head higher than the chest (30-45 degrees) during the initial recovery period to help reduce swelling and promote comfort.

Patients are also advised to maintain proper hygiene around the incision sites to prevent infection and to follow specific care instructions. It is important to keep the chest area dry and avoid submerging the incision sites in water, such as in baths or swimming pools, until clearance is given.

Adhering to these recovery guidelines can help lower the risk of complications and promote proper healing. In addition, patients should keep in mind that the residual swelling may take several weeks or months to resolve, allowing the final results of gynaecomastia surgery to become more noticeable. Most importantly, attending all follow-up appointments is integral to the recovery process. During these visits, the surgical site and the patient’s overall health are carefully assessed, and any concerns are addressed promptly.

Risks & Complications

As with any surgical procedure, gynaecomastia surgery involves potential risks and complications. Common risks include:

  • Infection: This may occur at the incision sites due to improper wound care or exposure to microorganisms during or after male breast reduction.
  • Bleeding: While minor bleeding may occur as part of the healing process, uncontrolled bleeding may indicate complications.
  • Haematoma Formation: This refers to the collection of blood under the skin which may occur as a result of surgical trauma.
  • Changes in Sensation: Temporary or permanent changes in nipple or skin sensation can occur as gynaecomastia surgery may damage some of the nerves in the chest area.
  • Scarring: While scars become less noticeable over time as they undergo a maturation process, some patients may develop more prominent scars depending on their skin type or adherence to aftercare instructions.
  • Asymmetry or Contour Irregularities: Slight differences in chest appearance may occur after gynaecomastia surgery due to variations in healing, tissue response, or pre-existing anatomical differences, which may require further evaluation or revision surgery.
  • Seroma: In some cases, fluid may build up under the skin and require drainage.
  • Revision Surgery: Additional surgery may be necessary to address complications or adjust outcomes to align with the intended surgical goals.

Dr Anh and her team in Perth take a meticulous approach to patient care to help minimise these risks. During the consultation, a comprehensive assessment of the patient’s medical history, lifestyle, and specific goals is conducted to ensure that the male breast reduction procedure is suitable and personalised. Patients are provided with clear pre-operative instructions, such as avoiding smoking and certain medications, to reduce the likelihood of complications. After surgery, detailed post-operative care instructions are given, including guidance on wound care, activity restrictions, the use of compression garments to support healing, and when to return for follow-up to assess the patient’s recovery progress and address any questions or concerns.

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Dr Anh Nguyen

MBBS (HONS) PGRADDIPSURGANAT FRACS (PLAST)

Dr. Anh Nguyen is a distinguished member of several esteemed professional organizations, underscoring her commitment to the highest standards of surgical excellence and patient care. Some of her affiliations and recognitions include:

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Dr Anh Nguyen, Perth Female Plastic Surgeon 5

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(08) 9322 2659

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