Dr Timothy Hewitt



Gynaecomastia is a term that is used to describe excess breast tissue in males. In most cases this occurs in young males and there is no underlying causative medical condition. It may occur when there is an imbalance in testosterone and oestrogen in the body.

Gynaecomastia surgery (also known as male breast reduction surgery)  is a surgical procedure for decreasing the size of male breast tissue. Surgery involves removing fat, glandular tissue and excess skin through inconspicuous incisions. Usually an incision around the lower half of the areola is used and liposuction addresses fatty elements.

This commonly performed procedure that can dramatically change a man’s appearance. For more information about gynaecomastia surgery in Perth performed by Dr Timothy Hewitt call (08) 9388 9222 or visit the contact page.

Gynaecomastia Symptoms — Who’s At Risk?

A swollen breast gland and breast tenderness are two of the main symptoms that are present in men who have gynaecomastia. Hormonal imbalances are common in puberty, which is why teenage boys are at an increased risk for developing gynaecomastia. This is usually transient. Older men also go through hormonal changes that can put them at risk for developing gynaecomastia.

There are a number of conditions that can cause gynaecomastia. In some cases preoperative blood tests are performed to exclude any underlying disorders. Recreational anabolic steroid use can also lead to gynaecomastia.

The Effects of Gynaecomastia

Male breast development does not have an effect on a man’s physical health. Most men with gynaecomastia are concerned regarding the appearance of their chest. It is sometimes worse in warmer months, and a common complaint is being unable to wear certain shirts through which the breast shape is visible.  A common variant of gynaecomastia is seen in patients who have an acceptable chest shape but “puffy nipples” which result in a pointy, feminine chest contour.

Gynaecomastia is not usually changed with diet or exercise.

If gynaecomastia is causing concerns and, as is the case in most instances, there is no underlying medical cause, patients will benefit from surgery.

Recovery from Gynaecomastia Surgery

The amount of time that it takes to recover from this procedure can vary. Most patients, however,  take one week off work. The procedure is not particularly painful. Oral analgesics are satisfactory and patients are able to leave hospital the same day.