Male Breast Reduction with Areola Reduction?

I want know if Male breast reduction procedure can be done simultaneously with areola reduction?

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Areolar reduction

I do not perform areolar reduction at the same time as gynecomastia surgery. The complication rate for simultaneous areolar reduction and gynecomastia surgery is logrythmically increased. Areolar size is reduced by the gynecomastia surgery.

Chicago Plastic Surgeon
4.5 out of 5 stars 11 reviews


Yes, it is very common for male breast reduction and areola reduction to be performed at the same time.

Male Breast Reduction with Areola Reduction?

Depending on the extent of the surgery intended, there can be an increased risk with wound healing issues, but both procedures CAN be performed together.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 25 reviews

Male Breast Reduction with Areola Reduction - one or two procedures?

Yes it is possible to do both procedures at the same time. However, most often I find that the it is best to do it separately. For on reason, sometimes when I anticipate two surgeries - the second one is not needed. When the skin retracts for example after liposuction of the breasts so does the areola (which is a skin appendage) which may satisfy your wishes.

For males with very large breasts staged procedures (more than one procedure) may be required. For example, the first procedure may be liposuction, then several weeks to months later after skin contraction has occurred, a separate procedure is done to remove excess skin. By doing a staged procedure, often the final scars are less.

Larry Nichter, MD, FACS

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 59 reviews

Gynecomastia Surgery and Areola Reduction

Thank you for the question.

Both of these procedures can technically be done same time.  However I have found that correction of gynecomastia and areola reduction surgery done at the same time does carry increased risks  compared to either one of the procedures done separately.  This increased risk is related to decreased blood flow to the nipple/areola.

Sometimes the areola shrinks enough with the  gynecomastia surgery that the areola reduction surgery becomes unnecessary.

Please make sure you're working with a well experienced board-certified plastic surgeon.

Best wishes.

The areola will shrink as a by-product of male breast reduction

You may very well not need a formal reduction of the areola.  Removal of the breast tissue is often accompanied by a decrease in the diameter of the areola.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 13 reviews

Areola reduction with Gynecomastia

Gynecomastia can most definitely be performed at the same time with areola reduction. Performing both procedures simultaneously will not add to the recovery time of either procedure.

Ivan Thomas, MD (retired)
Los Angeles Plastic Surgeon
4.5 out of 5 stars 13 reviews

Gynecomastia surgery with areola reduction


The best technique for the correction of your gynecomastia ultimately depends on the quality and location of the excess tissue on your chest. If the extra tissue is central on your chest or just underneath the nipple, this may be corrected with a simple incision around your areola. You can combine this surgery with an areola reduction at the same time. Keep in mind that an areola reduction will create a scar completely around the areola and a scar will be more noticeable than the smaller scars we typically use just for the reduction of gynecomastia

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 63 reviews

Male breast reduction will reduce areolas.


1)  If your areolas are just a little wide, simply getting rid of the gynecomastia will make them shrink.  This is enough for most patients.

2)  If they are really wide, then they are reduced as part of the male breast reduction, with a circular scar at the edge of the nipples.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
5.0 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.