Gynaecomastia Surgery
In Sydney
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GYNAECOMASTIA
Enlarged breast tissue in men is a common condition.
Weight change, hormones and some medications can cause enlarged breast tissue in men (gynaecomastia). Gynaecomastia surgery can reduce enlarged male breast tissue.
Gynaecomastia surgery can be performed through liposuction, which removes excess fatty tissues. One can also undergo surgical excision to remove excess glandular tissue and skin from the chest area. Dr. Rizk, a specialist plastic and reconstructive surgeon, performs gynaecomastia surgery in Sydney. It can be performed as Day Surgery in an accredited facility and generally takes six weeks until full recovery (i.e., back at the gym).
Gynaecomastia Surgery Before & Afters

Results shown are only relevant to this patient and do not necessarily reflect the results other patients may experience. Results may vary due to many factors, including the individual's genetics, diet and exercise.
What is Gynaecomastia?
What we know about male breast growth
Gynaecomastia is the development of the abnormal, non-cancerous growth of one or both breasts in men. The breasts can become enlarged or "feminized" in people experiencing the condition. This can lead to both physiological and emotional discomfort and distress.
The condition can present in a variety of ways, including excess skin and fat on the chest, enlarged tissues, and puffy nipples. Pointed nipples and descent of the breast tissue may also be noticeable. While it may not be widely discussed, gynaecomastia is actually quite common. Newborns, teenagers, and older men are most commonly afflicted. Gynaecomastia is common, particularly during puberty and later in life. In adolescents it often resolves naturally within two years.

Causes of Gynaecomastia
There are a variety of medical issues that can lead to gynaecomastia, but they are alike in that they cause an imbalance between the hormones estrogen and androgen. This imbalance can be confirmed through diagnostic testing, but this is typically not required. Changes in hormones are normal throughout one's lifetime, but a significant disruption can cause more substantial effects. The imbalance can be the result of physiological changes due to:
- •Puberty
- •Weight loss or gain
- •Declining testosterone production
- •Liver disease
- •Kidney failure
- •Thyroid disease
- •Tumors (cancerous or non-cancerous)
- •Chromosomal abnormalities (like Klinefelter syndrome)
- •Metabolic dysfunction
- •Alcohol consumption
- •Medications (like some used for the treatment of HIV, cancer, heartburn, and fungal infections)
- •Topical products (especially some containing tea tree oil and lavender)
Diagnosis of the underlying condition is important to identify and treat any underlying health issues. However, even with proper treatment, gynaecomastia may persist.
Am I a good candidate for Gynaecomastia Surgery?
The best candidates for gynaecomastia surgery include men who have tried other solutions but have had unsatisfactory results. They should be at a stable, healthy weight and free of any conditions that may interfere with the healing process.
Any serious underlying conditions (like liver disease, kidney failure, or cancer) should be dealt with first. It is important that candidates fully understand the procedure and its limitations. They also have realistic, healthy expectations for their outcome. Dr. Rizk advocates the National Law and Australian Health Practitioner Regulation Agency (AHPRA) guidelines that any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.
Gynaecomastia Surgery Procedure
Following your consultation with Dr. Rizk, your fully-customized treatment plan will outline the specific process you will undergo. The procedures may be performed utilising general anaesthesia, so it is advised that you have a trusted friend or family member available to drive you home once your procedure is finished. At Rizk Plastic Surgery in Sydney gynaecomastia surgery typically involves a combination of liposuction and excision surgery. Once excess fat is removed, the remaining skin and tissue will be adjusted and trimmed to create a flatter chest contour.
Double Bay, Sydney
Book a consultation with Dr Rizk
Every patient receives a personalised treatment plan tailored to their goals. Consultations are available in person at Double Bay or virtually. Cosmetic surgery requires a GP referral, at least two consultations with Dr Rizk (at least one in person) and a cooling-off period of at least seven days before surgery is booked.

Gynaecomastia Surgery Recovery
Dr. Rizk will dress your incisions following your surgery and may provide you with a support garment. You should expect to experience swelling, bruising, and discomfort for the first week of your recovery.
The doctor may also employ a small tube to allow the drainage of excess blood or fluid from your reshaped chest. You will be given detailed aftercare instructions, and any medications needed will be prescribed before your procedure. Normal, daily activities can typically be resumed after three to five days, but you should avoid strenuous activities and exercise for four to six weeks. Dr. Rizk will schedule follow-up examinations to assess your progress throughout the healing process.
Risks and possible complications
All surgery carries risks. Dr Rizk will discuss the risks that apply to you at your consultation.
Possible risks of gynaecomastia surgery include:
- •Bleeding or haematoma (a collection of blood that may need to be drained)
- •Infection
- •Fluid accumulation (seroma)
- •Wound-healing problems
- •Scarring
- •Risks related to anaesthesia
- •Blood clots (deep vein thrombosis or pulmonary embolism)
- •Changes in nipple or chest sensation, which may be permanent
- •Asymmetry
- •Contour irregularities, including a depression under the nipple
- •Loose or excess skin
- •Recurrence of breast tissue enlargement
- •The need for revision surgery
Results vary between individuals and further surgery may sometimes be needed.
Schedule your Gynaecomastia Surgery consultation with Dr. Rizk
If you are considering male breast reduction surgery in Sydney, you can contact Dr. Joseph Rizk Plastic Surgery. Come visit Dr. Rizk in our Sydney plastic surgery clinic to discuss your options. To find out if surgery is suitable for you, contact us on 1300 707 007 to book a consultation with Dr. Joseph Rizk at his office in Sydney.




Gynaecomastia FAQs
Enlarged breasts, puffy nipples, and other factors can denote the presence of gynaecomastia. It is important that you speak to your primary care physician to ascertain and treat any underlying conditions that may present more significant health risks.
All of the risks will be covered during your consultation. They include: • Bleeding or haematoma • Infection • Allergic reaction or other risks related to anaesthesia • Changes in sensation • Poor healing • Scarring • Asymmetry or contour irregularities • Suboptimal results or the need for revision surgery See the risks section on this page for more information.
Some medications can help treat gynaecomastia. Aromatase inhibitors, selective oestrogen receptor modulators, and some applications of testosterone may be considered by your doctor. However, surgery is often still required to remove excess tissue that has already formed.
We believe pricing should be transparent and specific to your treatment plan, not a generic internet estimate. Following your consultation, you will receive an itemised quote that outlines the anticipated fees and what each component relates to, so there are no surprises.
Request a consultation
Dr Joseph Rizk (MED0001186612) aims to make sure that each patient is heard, respected, and treated well. His approach is to give you the accurate medical information you need to make informed decisions about your course of treatment, including its risks and recovery.
Double Bay
Suite 301, Level 3
451 New South Head Road
Double Bay NSW 2028

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Book a Consultation OnlineCosmetic surgery requires a GP referral, at least two consultations with Dr Rizk (at least one in person) and a cooling-off period of at least seven days before surgery is booked.
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