Can Man Boobs Grow Back After Gynecomastia?

If I have a gynecomastia breast reduction for men, are the results permanent, or can the man boobs grow back?

Doctor Answers 41

Can man boobs grow back after gynecomastia

Generally gynecomastia surgery will take care of the problem permanently. Weight gain, steroids, hormones, or other factors could contribute to a recurrence of gynecomastia. Find an excellent surgeon the first time around to help ensure the best result. 

Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 70 reviews

Can gynecomastia recur?

Gynecomastia which arises during puberty, does not typically recur after surgical correction in the absence of other inciting causes. If there is a significant fatty component, post-operative weight gain might result in some recurrence.  If the condition arose from use of medication or anabolic steroids, further use could lead to recurrence.  

Richard Silverman, MD
Newton Plastic Surgeon
3.5 out of 5 stars 6 reviews

Recurrent Gynecomastia or Male Breast Enlargement

Results are usually permanent after the extra breast tissue is removed. There are some factors that can cause the recurrance of gynecomastia such as weight gain, steroids, and hormones. As with breast reduction in women, repeat reduction procedures are occasionally required when subsequent enlargement has occurred.

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Is Gynecomastia a Permanent Fix

For most patients who have gynecomastia surgery, the results are permanent as the fat combined with tissue that was removed is permanently gone. However, if there is still fat and a small amount of glandular tissue left after the surgery and if patients have hormonal issues or engage in activity such as anabolic steroid use which created the problem in the first place, then it can recur although usually to a lesser degree. Additionally, as patients age and get into their 50s or 60s it is very common for testosterone levels to change and for more fat and glandular tissue development to occur in the chest. You can be comforted that most patients that have gynecomastia surgery do not need a second procedure, but if it becomes necessary at a later point, it is certainly possible to do this.

Robert Cohen, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 31 reviews

Gynecomastia permanent results

If the gynecomastia is treated with liposuction only, there is always a small chance of recurrence since only fat is removed. If the tissue is excised (totally) the risk for recurrence is very small. Leaving a small amount of tissue behind will increase the chance of recurrence and is not recommended in my practice.

Can Gynecomastia Return After Surgery?

Hi liezle14,

Thanks for your post. Gynecomastia can return under three conditions.
1. If there was an inadequate glandular excision
2. If what remaining gland is stimulated (i.e. steroids, medical condition)
3. If the patient gains a moderate to significant amount of weight.

If done correctly and the above conditions are avoided, then the gynecomastia should not recur.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 27 reviews

Generally permanent results

With surgical excision of breast tissue (and not just lipo), it is very unlikely that the breast tissue will grow back.  You make a good point, though.  The main thing is to ensure an adequate, surgical excision of gland.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 22 reviews

Generally permanent

If you gain weight then excess fat may contribute to gynecomastia. Saggy skin and some medications can also do this. 

Man Boobs Can Grow Back in Some Cases

If there is a known cause for the gynecomastia, and this cause is not corrected, recurrence can occur due to the continued stimulus for breast tissue growth.  For instance, if the gynecomastia is due to a medical condition such as an adrenal gland tumor causing elevated levels of estrogen in the blood, re-growth of the breast tissue would be expected because of the continued stimulus of the hormone imbalance.  Not all of the breast tissue is removed with gynecomastia surgery, not even when direct excision is performed.  Thus, the potential exists for continued tissue growth and recurrence of the gynecomastia.
The good news is that the great majority of cases of gynecomastia that occur in the U.S. are known as "idiopathic" gynecomastia, meaning that the actual cause for the breast enlargement is unknown.  In these cases there is no obvious cause for the gynecomastia condition such as medications, marijuana use or Androgenic steroid abuse.   Also there are no associated signs or symptoms such as underdeveloped testicles, abnormal blood hormone levels or other findings.   Effective treatment of idiopathic gynecomastia is usually permanent with no recurrence of the condition.
I hope this answers your question.  Good luck!

Can male breasts return after surgical removal?

No, the gland will not regrow to any significant degree, and the fatty tissue likewise will not return.  If someone goes on to gain a significant amount of weight, the fat will be evenly distributed around the body.  It will not focus on the breast as it had before surgery.

Gregory Diehl, MD, FACS
Long Island Plastic Surgeon
5.0 out of 5 stars 14 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.