Breast reduction is a different procedure for men and women

Dr. Gregory A. Buford answers: Is breast reduction the same for men and women?

Is a male breast reduction for gynecomastia the same as a female breast reduction (reduction mammaplasty)? How are they different?


Gregory A. Buford, MD
19 months ago

While breast reduction has been around for several years, there have been a number of recent advancements which have made this procedure not only safer but also associated with less downtime... for both men and women.

For women, breast reduction classically addresses several things:

  • It reduces diameter of the areola
  • It removes loose skin and tightens the breasts overall
  • It raises the position of the nipple and areola
  • It reduces the overall cup size of the breasts

To accomplish these endpoints, the classical breast reduction has relied on large incisions, drains, and extended downtime. In recent years, this has all changed. More and more physicians are incorporating "short scar" techniques into their practice which effectively reduce scar length and, quite often, may also reduce healing time.

In addition, for those clients who are good candidates, the VASER-assisted breast reduction has become a very popular way in which to reduce breast size--often with very small incisions which are almost unnoticeable when healed.

For men, the procedure is very different. Most men who have gynecomastia (male breast development) have far less breast tissue volume than women and, as such, are candidates for far less invasive procedures.

The standard treatment method for gynecomastia in my practice begins with VASER LipoSelection of the chestwall to effectively remove fat and better contour this area. This procedure is performed through a very small incision at the areaolar base. Following this, any residual breast tissue is then removed from beneath the areola by extending this incision and directly excising excess breast tissue.

Results are often dramatic and downtime is generally less than a week.

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