Lipo for Male Breast Reduction - How Long Until Results Are Noticeable?

At 3-4 weeks you can see a significant difference in most areas except very fibrous areas. The fibrous or glandular tissue of the chest requires extra effort to remove the fat and tissue so as a result you have more trauma to the area which causes more prolonged swelling. In a month from now you should see a bigger difference and the final result at about 4-6 months. Be patient and trust what your doc tells you along the way. David Hansen,MD

Typically gynecomastia is a combination of fat cells and glandular  (breast ) tissue. The fat responds to liposuction the glandular tissue does not. In cases with substantial glandular tissue there will be minimal improvement after liposuction the tissue needs to be surgically removed. Results are apparent at 72 hours although that is not the final result but certainly a change would be noted.

  Patients should notice the results of liposuction for male breast reduction very quickly. The extent of your results depend on the technique that the surgeon used as well, fat was removed. Discuss with your surgeon the amount of fat that was removed in the areas where he was removed from. Patients will typically have swelling in this area for 4 to 6 months after their surgery. If after that time, you still do not notice appreciable results or would like a more sculpted look,... more

At 23 dyas, it is still a bit early to see final results. I would give it at least 4- 6 months for the majority of the swelling to disappear.

The abnormally large male breast consists of three main components: excess fat, excess skin, and excess glandular tissue. Some breasts have more or less of these components influencing what needs to be done surgically. There are many types of liposuction techniques. All are good at removing fat. Ultrasonic and laser lipolysis are believed to be better at skin tightening. However, there have been no scientific studies to prove this. Removal of glandular tissue by lipolysis is more... more

Liposuction for gynecomastia can produce a significant improvement in breast shape, volume, and skin redundancy. It plays a smaller role in very large male breasts that sag. Results are seen within one week as the swelling from surgery subsides. Ultrasound and laser assisted liposuction also cause skin shrinkage.

It seems that every couple of years a new technology arises that generates much enthusiasm for minimally invasive gynecomastia treatment. 10 years ago, it was ultrasonic liposuction but I have found that achieving the best results still requires direct excision. I believe the same will be true for laser lipolysis. While it may work for mild cases alone, I still believe that glandular excision will be necessary to achieve a "flat" chest. see video

Although I am not currently a proponent of this type of liposuction, with appropriately done liposuction you would see some results immediately. Liposuction will remove the fat in the breasts. If your doctor told you that you didn't have much glandular tissue you should see results immediately. However, final results of liposuction take a few months. Be patient.

Liposuction by any technique will not remove the fibroglandular tissue that can contribute to gynecomastia. If anything, an aggressive removal of all subcutaneous fat will act to hilight the remaining gland centered under the areola. Three weeks is too early to predict a final result, but future excisional surgery may prove to be of benefit.

To ms8172, Hi. I have learned the hard way, after doing many male breast reductions, that in most patients, you need to do both liposuction AND cutting out some breast tissue under the nipple (through a tiny incision in the nipple). Of course you still have swelling at 23 days, and you probably will look better in another 2or 3 months. But I am afraid that I predict you wil need a revision to remove the residual tissue. If you do, this can be done in 4 months. The final result after a... more