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 (35)

Can man boobs grow back after gynecomastia

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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
4.5 out of 5 stars 42 reviews

Man Boobs Can Grow Back in Some Cases

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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!

David F. Pratt, MD
Kirkland Plastic Surgeon
5.0 out of 5 stars 25 reviews

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Can male breasts return after surgical removal?

+1
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
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It's possible but not typical

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It depends on the cause of your gynecomastia. If you have a tendency to store fat in your breasts, then it is possible that with subsequent significant weight gain your gynecomastia may return. Certain medications and supplements may also contribute to its development.

Jerome Edelstein, MD
Toronto Plastic Surgeon
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Gynecomastia recurrence

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When gynecomastia is properly treated with removal of the involved tissue the risk of recurrence is very low. This risk may be greater if there are underlying conditions or medications which caused the condition originally. A thorough evaluation by a board certified plastic surgeon should help in determining if further studies are needed or if consultation with other physicians would be required.

Andrew Goldberg, MD
Fairfax Plastic Surgeon
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Re-Growth Following Male Breast Reduction is Unusual

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It’s unusual for patients to experience re-growth of breast tissue following surgical correction of gynecomastia. Even though re-growth is rare, it can occasionally occur and this may be for a variety of reasons.

It’s important to realize that when breast tissue is removed during surgery, some breast tissue and fat is always left behind. This residual breast tissue can be impacted by weight gain, hormonal imbalance, marijuana, alcohol, steroids, and a variety of drugs.

For these reasons, recurrent gynecomastia should be carefully evaluated to determine its cause. This may require consultation with an endocrinologist. In most cases, correction of the underlying cause will address the problem, but occasionally revisional surgery may be necessary. If recurrence of gynecomastia occurs, it’s important to discuss the problem with your plastic surgeon.

Although this problem is unusual, your surgeon should be able to make an appropriate recommendation.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
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Can gynecomastia recur?

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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 5 reviews

Male breasts returning after treatment for gynecomastia

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most men have breast tissue and or fatty tissue removed to "reduce" the breasts.  If you gain weight or if the breast tissue was not removed, you may see the breasts reappear.  If any other stimulant is being used, like steroids, you may also see the breasts reappear.  For most men, the breasts do not return.

Jeffrey Ditesheim, MD, FACS
Charlotte Plastic Surgeon
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Does Gynecomastia re-occur?

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Familial gynecomastia where most of the male breast tissue is removed generally has long lasting results without recurrence as long as your weight remains the same. However, other causes of gynecomastia if still present can cause the residual breast tissue to grow again. For example THC (frequent use of marijuana), certain medications, hormonal imbalance, and other causes can make that happen

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
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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.