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Gynaecomastia in Toowoomba

An estimated 40-60% of men are affected by gynaecomastia at some point – better known as ‘man boobs’, it can significantly impact a man’s self-esteem and sense of masculinity. It occurs when men have an increased amount of breast gland tissue, sometimes caused by steroid use, low testosterone levels, and some types of antidepressants. Some men have excessive tissue in both breasts (bilateral gynaecomastia), while others have it in only one (unilateral gynaecomastia).

The excess tissue usually builds behind the nipple, forming a rubbery lump that may not dissipate with exercise alone. If the excess tissue causes the areola to stretch or the breast to droop, a breast reduction may be the answer.

Eligibility for gynaecomastia surgery

You should be a fully developed adult who is within a healthy weight range to have a male breast reduction surgery – puberty and obesity can both impact hormone levels and cause extra breast tissue to develop, though gynaecomastia caused by these factors often disappears with time, healthy diet, and exercise alone.

Drugs, alcohol, and some medications can also cause extra breast tissue to develop, so your surgeon will work with you to determine the cause before committing to a male breast reduction procedure. If gynaecomastia is caused by a medication or lifestyle choice, changing that can reduce breast tissue without the need for surgery.

What can I expect from my gynaecomstia surgery?

Male breast reduction surgery generally takes about an hour and a half. It may take less time if it only involves operating on one side of the chest. You can usually go home on the day of your procedure, provided you have someone to drive you home afterwards.

The two types of male breast reduction are surgical mastectomy and liposuction-assisted mastectomy. If an overgrowth of the breast gland is found, a partial gland removal must be done. At Cutting Edge Surgery Toowoomba, we make a small incision around the bottom half of the areola, do a partial removal of the breast gland or breast bud and with liposuction remove enough fat and glandular tissue to create a normal male breast or chest appearance. Your surgeon will discuss the best approach with you prior to your procedure.

Your exact results depend on your age, skin quality, how well you adhere to recovery regimes and other factors. It may take up to three months after your breast reduction to see the final results.

What is a breast reduction surgery? Dr Assad Bangash explains further below.

You know what it’s like to live with uncomfortably large breasts – the shoulder and neck pain, the difficulty in exercising, finding the right clothes and last but not the least, the unwanted stares. Having breasts that are just too large for your frame affects your life in so many ways. When you’re ready to make a change for the better, you have an exciting new option.

In the below video, Dr Assad Bangash answers the questions surrounding the process for a breast reduction patient. 

Age, significant weight fluctuation, and having children considerably affects skin and soft tissue laxity leading breasts to sag out of proportion with the rest of the body.

What is body contouring and when is Abdominoplasty considered a suitable treatment? Dr Assad Bangash explains more in the above video.  

You’ve worked hard to lose weight and to improve your muscle tone through diet, exercise programs and surgery. But when you have reached your desired weight but not your desired shape, it may be time to consider a tummy tuck.

What is a patient journey for body contouring? Dr Assad Bangash takes us through the process for this procedure in the above video.

When people lose significant amounts of body weight they are often, still troubled by excess skin. This can make it harder to fit into clothes and even cause mobility problems. Also, recurring infections often occur in the skin folds. Body contouring or reshaping surgery may significantly improve your comfort and quality of life. It can be performed on the abdomen, flanks and buttocks, breasts and back, inner thighs and arms. There are a many different types of body contouring procedures available, and operations need to be tailored to suit individual needs and expectations.

For the millions of us who diet and work out regularly, but still don’t see the results we want, there is hope with a plastic surgery procedure called liposculpture.


There will be a mild to moderate amount of pain and discomfort associated with the surgery. This should be easily controlled with oral medications. Panadol with Ibuprofen is generally always sufficient for pain control.

The discomfort and pain should begin to decrease within 48 hours after surgery. A significant increase in pain after this period should prompt you to call the office.

You may notice some numbness in the area from which the fat was removed. This is because the surgery often causes a temporary disruption of the small nerve fibres going through the fat layer to reach the skin surface. You should not be alarmed, as the sensation will gradually return over several weeks. Some patients will normally experience prolonged numbness that may last for months. As the nerves start to heal, it is normal to experience some tingling in the area.

Bruising and swelling are to be expected after this surgery. These symptoms will peak 36 to 48 hours after surgery and will gradually subside over 10 to 14 days. To minimise the swelling you should elevate your limb with a pillow underneath.

It is not unusual during the healing phase, to note some irregularities under the skin. These small bumps under the skin are present because your body is sending inflammatory cells to the area to get rid of residual damaged fat cells. For every fat cell that we remove during liposuction, we injure a few more. This is a beneficial effect because your body will gradually resorb these injured cells over several weeks. Thus, although you will begin to notice significant changes soon after the surgery, your neck should continue to slowly improve for up to 6 months after your procedure.

The skin of the neck will often feel quite stiff while it is healing. Do not be alarmed. It will gradually soften up and return to normal over a period of several weeks, or, sometimes, months.

Patients with diabetes, smoking or other comorbidities may not be good candidates for this procedure as the risks of poor healing and infection leading to permanent scarring and poor aesthetic results may be much higher


  • you experience increased difficulties swallowing or breathing.
  • development of a temperature elevation exceeding 38 degrees.
  • a significant increase in pain after the first 48 hours following surgery

For whatever reason, if you notice one of the above changes and cannot reach us at our office or through the answering service, present yourself to the emergency department for evaluation.



Make arrangements to have someone drive you to, and from, your surgery.

Having someone stay with you on at least the first night after your surgery is highly recommended.

Be sure to fill your prescriptions before your surgery since it means one less thing for you to worry about afterwards.

Arrive for your surgery in loose, comfortable clothing. Your top should button or zip rather than pull over your head.

Be sure to keep the small incisions, used for liposuction, clean and dry until your first post operative visit to the office. You may start to shower beginning 2 days after your surgery.

Take the antibiotics and pain medication only as prescribed by the office.

Do not take any aspirin or any anti-inflammatory compounds for 2 weeks before and 2 weeks after your surgery unless you first discuss it with your surgeon.

After the surgery, you will be placed in a supportive elastic garment that is to be worn continuously, unless showering, for the first 7 to 10 days. After this time, it should only be worn at night for the next 3 to 4 weeks.

The sutures used to close the small incisions, may be either dissolvable or non-dissolvable. Dissolvable sutures will disappear on their own in 5 to 7 days. Non dissolvable sutures should be removed approximately 1 week after surgery.

You should do no vigorous exercise and should avoid any significant physical exertion for a minimum of 3 weeks after your surgery.

You should not participate in any contact sports until approved by your surgeon. Generally, you should avoid such activity for a minimum of 4 weeks after your surgery.


The approximate recovery after liposuction is as follows:

DAY 1 Return home, some bruising and mild swelling. Wear supportive elastic garment at all times for the first 7 to 10 days, unless showering.

DAY 1-2 Aching, throbbing

DAYS 2 May shower or bathe. Keep incisions dry.

DAY 7 May start to wear cover make up.

WEEKS 3-4 Wear elastic garment at night only. Swelling much improved. Some areas of the neck will feel quite stiff.

6 MONTHS Enjoy your final result.

Ear “set-back” surgery, also known as otoplasty, is a procedure that changes the angle and shape of protruding or uneven ears in children and adults.
• Correction of Prominent Ear
• Ear Lobe Reduction

One of the most common procedures performed for people who are unhappy with wrinkled, sagging skin on the forehead is a brow lift. It is a highly recommended procedure for people with issues of visual field impairment due to sagging forehead muscles and “bunching up” of upper eyelid skin.


What to Expect

Eye Lift, also called Blepharoplasty or eyelid surgery, is one of the most performed facial cosmetic procedures in Australia. It involves removing excess skin and fat from the upper and lower eyelids to solve the problem of drooping eyelids or bulging fat around the eyes. With blepharoplasty, patients have been able to refresh the appearance of their eyes without looking fake.


Recovery after an eye lift procedure is relatively pain-free and quick for most patients.

If you are a smoker, you should not smoke for at least 2 weeks prior to surgery and 2 weeks after surgery. Smoking and chewing tobacco inhibit your circulation and can significantly compromise your surgical outcome.

To minimise swelling you may use cool clean compresses or ice wrapped in a dry cloth. Apply these gently to your closed eyes four-to-six times a day for the first twenty-four hours after surgery.

Sleep with the head elevated for the first week after surgery.

Some crusting may appear around your eyes after the first 24 hours. Warm clean compresses applied to the area several times a day will help alleviate the crusting.

If your eyes are dry after surgery, you may use artificial tear drops (available in chemist stores) to help soothe them during the day. Dr Bangash may prescribe a lubricating ointment to put into your eyes at bedtime. It is not unusual for this ointment to briefly blur your vision when it is first applied but this is temporary.

External sutures should be kept clean and dry. If non-dissolvable sutures are used, they should be removed within 5-to-7 days after surgery.

You should do no vigorous exercise and should avoid any significant physical exertion lifting or straining for a minimum of 3 weeks after your surgery, as this activity could disrupt your wound healing. Plan on taking it easy.

You may shower or bathe the day after surgery but do not let the spray directly strike the area of your eyes. Do not rub, wash, or massage your eyelids.

Do not wear any eye makeup until after you are examined and told it is all right to do so. Do not wear contact lenses for the first 5 days after surgery. Contact lenses may be worn after this time if there is no significant eye irritation present, and if the incisions are healing well.


Approximate recovery after Blepharoplasty is as follows:
DAY 1 Return Home. Use cool compresses for 24 Hours. Mild swelling and bruising, mild discomfort.

DAY 2-3 Maximum bruising, swelling and some crusting on eyelashes. Use warm compresses for crusting.

DAY 5-7 Stitches removed or dissolving. Bruising going away.

WEEK 1-4 Eyes mildly irritated or teary.


A facelift, also known as rhytidectomy or rhytidoplasty, is a surgical procedure that tightens and removes sagging skin on the face and neck. Facial muscles may be surgically tightened to improve their tone. Excess fat may also be removed or repositioned and muscles tightened as part of the neck surgery.

This surgery is planned to change the form and function of the nose. Nasal deformities can develop due to trauma or can be present from birth. This can have subtle effects on breathing and self-image. This procedure is designed to change the appearance of the nose, improve breathing or both.

In the above video, Dr Assad Bangash discusses what Gynaecomastia or ‘Male Breast Reduction’ is and the patient journey of this treatment.

Overdeveloped or enlarged breasts in men is common in men of any age. It can be the result of hormonal changes, heredity conditions, disease, or the use of certain drugs. Gynaecomastia can cause emotional discomfort and impair self-confidence in some men. Some men even avoid certain physical activities and physical intimacy out of embarrassment and to hide their condition.

Male Breast Reduction Surgery is the surgical correction of overdeveloped or enlarged breasts in men, a condition called Gynaecomastia.

The two types of male breast reduction are surgical mastectomy and liposuction-assisted mastectomy. If an overgrowth of the breast gland is found, a partial gland removal must be done. At Cutting Edge Surgery Toowoomba, we make a small incision around the bottom half of the areola, do a partial removal of the breast gland or breast bud and with POWER ASSISTED LIPOSUCTION remove enough fat and glandular tissue to create a normal male breast or chest appearance.


Healthy and without a life-threatening illness or medical conditions that can impair healing Non-smokers and non-drug users with a positive outlook and committed to improving the physical symptoms of gynaecomastia.


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