(Male breast reduction)





Surgical treatment of Gynaecomastia in Sydney by Specialist Plastic Surgeon Dr Naveen Somia.

Gynaecomastia (commonly known as man boobs) is the excessive development of breast tissue in a male. It commonly affects both breasts but can affect one breast more than the other. Gynaecomastia is thought to result from excess stimulation of breast tissue by oestrogen (the female hormone). In a small group of cases there is an underlying medical cause for Gynaecomastia, that needs to be addressed by a referral to an Endocrinologist for additional tests.
Surgical treatment is aimed at remove the excess breast tissue followed by liposuction to remove the excess fat and blend it with the surrounding chest.
Usually a small incision (cut) is made to remove the breast tissue. Dr Somia, uses advanced liposuction technologies such as VASER and Body Jet (Water Assisted Liposuction) for best results. 

Increased and prominent breast tissue

Excess fat deposition 



VASER or BODY JET liposuction

Excision of breast tissue with a small scar


Exclude medical causes

Assess amount of glandular tissue and fat

Assess skin excess

Discuss your goals

Discuss what is possible

Select the right liposuction technology



Vaser Liposuction + surgery

Removal of breast and fat tissue

Compression garment of 6 weeks



You will generally see Dr Somia 3 times before your surgery. If you prefer, one of these consultations can be held via telehealth. Two consultations are required by law before a date for surgery is scheduled. This is to allow you plenty of time to ask questions and feel comfortable about the procedure. Your third consultation will assist us to prepare you for your surgery (ie paperwork, pre-operative testing). 



The surgery takes approximately 90 mins to 3 hours and requires an overnight stay in hospital. Our fees include specialist plastic surgeon, specialist anaesthetist, fully accredited hospital theatre, accommodation and 6 months aftercare. A formal estimate will be provided after you have discussed your goals and what is possible to achieve them with Dr Somia.  



Each patient recovers at a different rate and anothers recovery should not be compared with yours.

Generally, initial recovery from swelling and bruising is approximately 2-3 weeks. A return to normal activities can usually be expected after 6 weeks. Full results can be expected 3-6 months after. Procedures such as abdominoplasty, liposuction, brachioplasty, gynaecomastia, breast mammaplasty (reduction) and rhytidectomy (facelift) require a compression garment to be worn for the full 6 weeks (this is to assist with swelling and to ensure the skin and tissue re-adhere to the skin layers disturbed during the procedure). 

You can return to work when you feel well and if your employer has lighter duties for you and will allow you to take time to rest and move around. Most patients take at least 2 weeks off work if they work in an office context. Patients working outdoors or in a physical capacity may need to take up to 6 weeks off work whilst they recover. Talk to us about your specific occupation and surgery.  

You can drive when the anaesthetic has worn off, your vision is clear, and you are pain free getting in and out of the car and whilst performing an emergency stop. You should check your vehicle insurance policy for their requirements in this situation.  



All surgery carries risks. When travelling overseas on a plane whilst the expectation is a safe journey and arrival, it is understood things could go wrong. The choice of the airline based on safety record and flight path are important elements in determining risk. Similarly, for your surgery, the experience and expertise of your Surgeon, the skill of your anaesthetist and the standard of the hospital will determine the risk. Risks, both general and specific, will be discussed during your consultations and written information will be provided for you to take home.  

General risks include pneumonia, deep venous thrombosis and pulmonary embolism, stroke, heart attack, allergies, awareness, death, bleeding, infection, sensation change, haematoma and seroma, skin contour irregularities, damage to deeper structures, firmness, delayed healing and tissue death, exposed sutures, dog ears or additional skin golds, dressing issues, asymmetry, scars, lymphoedema and unsatisfactory results. 

Issues specific to Gynaecomastia:  Discovery of cancer in the breast tissue.



Our practice privacy policy prevents sharing patient before and afters online. Indicative before and after photos can be viewed during your consultation.     

DISCLAIMERS:   All surgical procedures are performed by Specialist Plastic Surgeon, Dr Naveen Somia (MBBS PhD, FRACS - APHRA Reg:  MED 0001189889).  For full information on Dr Somia's qualifications and risk/recovery information on procedures please visit the procedure page on this website.  From July 1, 2023 all surgical procedures require a GP referral.
All surgery carries risks.  information provided is general only.  Outcomes experienced by one person do not necessarily reflect the outcomes of others given factors such as genetics, diet and exercise.  Please seek a 2nd opinion from a qualified Specialist Plastic Surgeon.  

Book a consultation

or call: 02 9387 2110


Royal Australasian College of Surgeons


Plastic Surgery Research University of Louisville


Royal College of Surgeons of Edinburgh


PACES Plastic Surgery Atlanta USA