Gynaecomastia affects one in four men and can be an embarrassing condition to deal with on a daily basis. Usually, it’s  caused by a hormonal imbalance in males when their bodies decrease the production of testosterone and experience an increase in oestrogen.


Gynaecomastia affects one in four men and can be an embarrassing condition to deal with on a daily basis. Usually, it’s caused by a hormonal imbalance in males when their bodies decrease the production of testosterone and experience an increase in oestrogen. This ultimately causes their pectoral tissue to swell which resembles female breasts.

Gynecomastia has also been linked to several medications and health conditions that have been shown to increase one’s chances of developing the condition, however, there are ways to rectify it.

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Who Would Benefit From A Male Breast Reduction?

Any man who experiences discomfort or embarrassment associated with these enlarged breasts, but doesn’t want to endure prolonged medicinal treatment can consult with Dr Nerina Wilkinson for a Gynaecomastia procedure.

What To Expect From Male Breast Reduction?

Once you’ve had surgery, you can expect to feel a significant boost in self-confidence. Your clothes will feel looser and you’ll have no problem taking your shirt off at the beach, which is something that everyone deserves to feel.

Are there any risks involved?

As with any cosmetic procedure, there are some possible risks when undergoing a male breast reduction, each of which will be discussed in detail during your consultation. Of the potential setbacks, the most concerning are infection and keloid scarring among smokers.

However, you should note that if you are being operated on by a reputable surgeon that the chances of incurring any risks are significantly decreased.



During the initial consultation, the tissue of your chest is photographed and examined in order to make an informed decision of the best course of action. There are two options for a male breast reduction, one of which being liposuction of the affected area, which is usually effective.

However, if there is a large amount of excess tissue, the other option is more ideal, which involves trimming away all of the tissue and fat you want to be rid of.

It’s vital that you’re honest about your expectations of the surgery, so there’s no miscommunication. Moreover, you should inform Dr Wilkinson of any medical conditions you suffer from, medication you’re taking, and whether or not you’re a smoker. As all of these factors can impact whether or not she deems you fit to undergo this procedure.

  • Incisions – The Gynaecomastia procedure agree on during your consultation will determine the size and placement of the incisions. If you opted for liposuction, small incisions are made in the targeted area so a suction tube may be inserted. However, if you decided to remove tissue, Dr Nerina Wilkinson will make incisions in the natural folds of your body to hide any scarring.
  • Liposuction/ tissue removal – If suction is being used, she will insert the tube and begin the process of removing the excess fat. However, if tissue is being removed, she will carefully remove the visible breast tissue to give you the desired results. These incisions are similar to mastopexy.
  • Finishing touches – Once the ideal amount of tissue or fat has been removed, the incisions are closed using dissolving stitches and the area is cleaned before a bandage is applied.
  • You can expect to feel a significant amount of pain for a few days, which can be remedied with the prescription medication. Patients are reminded to keep the area as clean as possible as this can fight potential infection. Most patients have reported being able to return to work within a few days of undergoing the procedure. However, exercise should be avoided for at least a week to avoid unnecessary strain on the area.

Dr Nerina Wilkinson has over 18 years worth of experience in cosmetic surgery. Moreover, the whole team is renowned for the excellent pre and post-operative care of our patients. We pride ourselves on our ability to understand all of your needs and wants, and grant you with the opportunity to attain the shape you’ve always desired. Contact the practice today to book your first consultation with Dr Nerina Wilkinson.



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The Cosmetic Surgery Team

She specialises in Breast Rejuvenation & Restoration

Dr Wilkinson is considered the “go to” expert for patients seeking a highly personalized bespoke breast rejuvenation and restorative surgery.

She takes her clients on an ultimate curated journey to beauty and confidence.

About Dr Nerina Wilkinson FCS (Plast SA)

Dr Nerina Wilkinson is an extremely distinguished plastic surgeon and known as one of South Africa’s leading breasts specialists. Over 2 decades of surgical experience instills confidence in patients seeking minimal scar Breast rejuvenation surgery

“Nerina, you ladies made me feel so comfortable from the day I consulted, right to the end. I can’t thank you enough for helping me remove this embarrassing problem that has bothered me since my teens. Today I went to the beach for the first time without a t-shirt. I can’t explain what this means to me. Thank you.”

J Foster, Gynaecomastia

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