What Are the Chances of Full Sensation After Massive Gynecomastia Surgery?

The treatment of gynecomastia involves removing the tissue that is causing the chest to look puffy or enlarged. In most cases this involves removing 100% of the breast tissue. However, sometimes a very small amount of tissue may need to be left behind to avoid any contour abnormalities. For this reason, it is always discussed with patients that if they continue steroid use after surgery there is a chance that gynecomastia may return, albeit to a lesser degree.

As with all cosmetic surgery, results will be rewarding if expectations are realistic. With any surgical procedure, there are some risks which your doctor will discuss with you during your consultation.There are three types of surgical treatment options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal candidate. Weight, and more specifically body mass index (BMI), need to be considered when deciding. For instance, studies have shown that patients with BMI > 30kg/m sq (placing them in the obese category) have a higher complication rate. Therefore, it is important for patients to be as close as possible to their normal body weight prior to surgery. Not only will this decrease risks of complications, but will also enhance the aesthetic results. Further, normal body weight is different from one patient to another.

It sounds like you may have a severe case of gynecomastia with excessive skin and sagging.  There are many techniques to resect excess skin and breast tissue.  Some may have higher risks of losing nipple sensation.  For example, if you require a free nipple graft technique, you likely would lose all nipple sensation.  Consult with a board certified plastic surgeon.  Good luck
and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

Chances are very likely that you will loose erogenous sensation but have a reasonable chance of recovering protective sensation after significant gynecomastia surgery. For most men the surgery is worth it and few complaints about this loss of sensation occur, quite the opposite situation for most women. 

In all likelihood, it is probable that you will lose nearly all sensation to the nipples with a full correction of your gynecomastia. Some cutaneous sensation and deep pressure sensitivity (not true nipple sensation) may recover over a two year period.

The chances of regaining full sensation after massive gynecomastia surgery vary among individuals. While some experience a complete return of sensation, others may have persistent changes. It’s essential to discuss potential outcomes and risks with your surgeon before the procedure. Factors such as the extent of surgery, individual healing processes, and nerve involvement can influence sensation recovery.