Male Breast Reduction Surgery


Male Breast Reduction/Gynecomastia Surgery is to make normal of enlarged male breasts.  It’s quite natural and rather common for male adolescents to temporarily develop enlarged breasts, also known as Gynecomastia.  It is a problem for many young men as they have to get through gym class somehow, and enjoy their summers like everybody else.  It can be a big emotional burden.  But then what happens if it doesn’t go away?  What if it gets worse instead of better?  Many men carry this problem into adulthood.  It can be very difficult to conceal, and interferes with so many social activities that we all take for granted.  Summertime is the worst, when clothing gets thinner and bathing suits are the norm.

The good news is that Gynecomastia is readily treatable. Removing the excess breast tissue is the fourth most common plastic surgical procedure among men. 18,000 such cases are performed annually in the U.S. 

The causes of Male Breast Enlargement/Gynecomastia:
Gynecomastia, is not the same as the excess breast size seen in overweight men, known as Pseudogynecomastia.  In the case of Gynecomastia, the excess growth is limited to only the areola, often referred to as a “puffy nipple”.  More often the surrounding area is enlarged as well, as fairly obvious breast development.  The glandular tissue can be painful also.   Both male and female breast tissue responds to the circulating levels of estrogen and testosterone.  Both high estrogen and low testosterone can cause the breasts to enlarge.  The balance of these hormones is disturbed during puberty, which explains adolescent Gynecomastia. Most cases that persist into adulthood, however, have normal hormone levels, and the fault seems to lie in the inability of the breast tissue to spontaneously regress.

Gynecomastia, in most cases, are benign and do not indicate any underlying serious problem. However, all of these other factors must first be addressed, and problem diagnoses ruled out, during the process of evaluation.  Usually a good medical history, and a physical examination is adequate, and blood lab-testing is not indicated.  If there is rapid or asymmetric growth, or the growth is particularly large, then a panel of lab work is ordered.

The treatment of Male Breast Enlargement/Gynecomastia:
While the cause of Gynecomastia may be somewhat mysterious, the treatment is not.  Liposuction is quite effective in the treatment of Gynecomastia or Male Breast Enlargement.  The breast tissue can be removed with an excellent smooth contour, and the patient can be free to remove his shirt again without concern.

The Recovery from Male Breast Reduction/Gynecomastia Surgery:
There is no significant discomfort after Liposuction.  Our patients wear a compression vest for a few weeks to keep the area flat against the chest.  Office-type work can be resumed the next day, while more active jobs may need some extra time off, perhaps 3-5 days.   The result from Liposuction is immediate.  Before Liposuction Surgery patients with Gynecomastia often have a forward, hunched posture to de-accentuate their chest but after surgery, they tend to stand more proudly and erect.  Furthermore, patients’ attitudes change towards exercise and by becoming more interested in their physiques and hitting the gym more often.

How do I choose the right surgeon?

It is important to choose a surgeon who is experienced in Gynecomastia/Male Breast Reduction surgery and has been Board Certified in Plastic Surgery.  

Article by
Long Island Plastic Surgeon