Treatment is individualised and may include:

• Liposuction alone when enlargement is predominantly fatty
  
• Liposuction with gland excision via a small incision at the edge of the areola when glandular tissue is present
  
• Liposuction, gland excision, and skin removal in more advanced cases
  

Where skin removal is required, this results in scars on the chest. Skin excision is avoided where possible, but discussed carefully when necessary.

VASER liposuction is particularly helpful in gynecomastia due to its ability to assist with fibrous and glandular tissue, allowing more controlled contouring.

• The proportion of fatty versus glandular tissue
  
• Skin quality and elasticity
  
• Nipple position and chest symmetry
  
• Medical history and contributing factors
  

A tailored surgical plan is developed to achieve the most balanced and natural chest contour possible.

• Bruising and swelling
  
• Use of a compression garment for six weeks
  
• Light activities only for the first two weeks
  
• Gradual return to exercise and heavier lifting from around six weeks, guided by healing

• Bleeding, infection, and fluid collections
  
• Contour irregularity or residual fullness
  
• Asymmetry
  
• Changes in nipple or chest sensation
  
• Scarring
  
• Anaesthetic risks
  
• The possibility of further surgery
  

These risks are discussed carefully during consultation.

Medically indicated gynecomastia surgery (Item 31525 or 31526, where Medicare criteria are met)

• Single side: total upfront cost approximately $5,800, with a modest Medicare rebate, resulting in an estimated out-of-pocket of approximately $5,300
  
• Both sides: total upfront cost approximately $10,900, with modest Medicare rebates, resulting in an estimated out-of-pocket of approximately $9,900
  

Self-funded gynecomastia surgery

Patients without private health insurance may choose to self-fund. Surgery is performed at Newcastle Private Hospital to utilise VASER technology. Pricing at this hospital is individualised based on the extent of surgery and whether one or both sides are treated. 

A personalised all-inclusive quote is provided following consultation.