Male Breast Reduction Exercise

My chest is growing, not from bench pressing! Hoping one of the doctors can answer whether male breast enlargement is reversible or is plastic surgery the only answer.

Doctor Answers (32)

Gynecomastia or Male Breast Enlargement

+3

Gynecomastia, or male breast enlargement, is an increasingly common reason that male patients schedule consultation in our practice. Gynecomastia may occur on one or both sides of the chest, may be localized primarily behind the nipple and areola or involve the entire pectoral area, and may arise in the teen years or in retirement years. As the manifestations of gynecomastia vary significantly from patient to patient, the surgical treatment must be carefully individualized.

Some enlargement of male breast tissue commonly occurs during puberty, and the incidence of noticeable (transient) pubertal breast enlargement has been reported to be as high as 60%. For most males this hormone-related breast enlargement is temporary, but for a few individuals the breast tissue proliferation will persist and in some cases even continue.

For the majority of patients with gynecomastia, no clear causative factor can be identified. However, because this phenomenon may be associated with endocrine (hormone) disorders, testicular tumors, and the use of some medications/drugs, a careful medical evaluation is an absolute necessity prior to surgical treatment.

Over the past two to three years, I have evaluated and treated a number of male patients who developed gynecomastia after using 'prohormone' and steroid supplements as part of a bodybuilding regimen. These agents are known to increase estrogen activity in some individuals, which may stimulate the proliferation of breast tissue and result in visible breast enlargement. The breast enlargement generally persists after the cessation of supplement use, requiring surgical treatment.

Patient evaluation, treatment planning and surgical management are carried out with complete discretion in my practice. Some gynecomastia breast surgery patients have related that prior to scheduling an appointment, they were concerned about 'feeling awkward' while sitting in a plastic surgeon's waiting room before their consultation. Because my office is a medical spa offering a variety of services, including laser treatments and massage, no client in our office can ever be presumed to be a surgical patient. Discuss privacy concerns with a plastic surgeon practice prior to scheduling a consultation.


Raleigh-Durham Plastic Surgeon
4.5 out of 5 stars 42 reviews

First and Foremost, Get a good examination

+2

While the majority of gynecomastia is an isolated issue, there are some cases in which gynecomastia is a sign of another underlying issue (testicular issues, hormone imbalance, or even side effects of medication or drugs). You need to first be checked out by either a Board Certified Plastic Surgeon, or even a good Internist who knows what to look for.

Assuming there are no other medical issues to be addressed, it is unlikely that true gynecomastia (presence of breast tissue, not just fat) that has been present for a year or more will just go away on its own. There are multiple good options for surgical correction that can give you the results you're looking for. The key is to find a Board Certified Plastic Surgeon in your area, sit down and chat with him or her and get a sense of their plan for your procedure.

Shahram Salemy, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 103 reviews

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Get a check-up with your doctor first

+2

Davis,

Gynecomastia is more common that you would think. Sometimes a cause can be found such as a medication side-effect, drug (marijuana) side-effect, or a hormonal imbalance. You should go to your family physician to make sure that there is not a medical cause to your problem.

After that however, the discussion is on how to correct the problem. As you have probably found out, it is very hard to fix with exercise alone. Most men with moderate size gynecomastia can be helped with liposuction through very small incisions (1/2 cm).

If there is persistent breast tissue or firm tissue, then a small incision around the areola can be used to excise or cut out the tissue. This is a common operation and you do not have to be embarrassed to go to a plastic surgeon to seek advice. The surgery is quick and the results can help you physically and mentally.

Good Luck.

David Shafer, MD
New York Plastic Surgeon
5.0 out of 5 stars 57 reviews

See a physician to identify the cause of your gynecomastia

+2

Gynecomastia can be due to several different causes. It can be transient in the young, due to medications, due to recreational drug use, or a hormonal imbalance. You should see a physician in order to be appropriately evaluated.

If your gynecomastia is secondary to a medication side effect, then switching medications may lead to a complete resolution of your problem, i.e. no surgery. Once you figure out why you're developing breast enlargement, then you can start to worry about the treatment.

In general, the smaller your breasts, the smaller the surgery needed to remove the breast tissue. It can range from a small excision, liposuction, ultrasound assisted liposuction, or a larger operation. See your physician to identify the cause of your gynecomastia first.

Edward S. Lee, MD
Englewood Plastic Surgeon

Exercise or plastic surgery for male breast reduction

+2

Hello,
Your answer really depends upon whether or not there is a reversible cause.

Gynecomastia refers to the growth of glandular breast tissue. This is not fat or muscle. It is common with some medications and recreational drugs like marijuana. It can also be a relatively normal phase of development in some men between the ages of 14-20. In these patients time may be associated with spontaneous regression.

Surgery can be helpful when other measures have not been successful.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 24 reviews

No Breast Reduction Exercises are effective

+1
Plastic surgery is the only answer in most cases. Exercise will strenthen and elarge the muscle under breast but not the breast tissue itself. Prominence of the male nipple and areola can be reduced by removing some of the breast tissue below the areola in conjunction with gynecomastia reduction.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 50 reviews

Male breast reduction

+1
This depends on the cause of your enlarged breasts. If it is due to excess fatty tissue, then you may be able to reshape your chest with exercise and diet to minimize the fat in the area. Please note that it can be difficult to "spot reduce" though, and this fat may remain despite your effort. If it is caused by breast glandular tissue, then exercise will not help. 

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 74 reviews

Exercises Do Not Significantly Impact Male Breast Size

+1

Unfortunately, there are no exercises that significantly impact breast size. The breast tissue and subcutaneous fat set on top of the muscle and are not impacted by exercise.

Exercise and diet may occasionally result in weight loss and subsequent decreases in breast size in cases of obesity. In contrast, exercise may increase the size of the pectoralis muscles and lower body fat percentages and make gynecomastia more noticeable.

In the majority of patients, surgical intervention will prove to be necessary in cases of gynecomastia. If gynecomastia is an issue, consultation with a board certified plastic surgeon may be necessary.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 89 reviews

Male breast growing. Gynecomastia?

+1

Gynecomastic is more common than you think.  It sounds like your "chest" is getting bigger.  If it is the soft tissue on top of the muscle, it may be gynecomastia.  Please go see a board certified plastic surgeon for an evaluation. He/she will help you know what is going on.

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 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.