Breast Reduction for Man Vs. Gynecomastia?

What is the difference between Gynecomastia and Breast Reduction for a man?

Doctor Answers 4

Gynecomastia Vs Breast Reduction

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Gynecomastia is the condition of having excess male breast tissue while male breast reduction encompasses any procedure that is used to reduce the appearance of gynecomastia. Technically, male breast reduction surgery is referred to as gynecomastia correction.


Breast Reduction for Man Vs. Gynecomastia

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The condition of having excess male breast tissue is called gynecomastia. The procedure for gynecomastia correction is breast reduction for a man.

Man Boobs

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Gynecomastia and male breast reduction are two sides of the same coin.  In the process of male breast reduction, the surgeon removes true and psuedo-gynecomastia in the same operation.  True gynecomastia is breast ducts found both in men and women.  Psuedo-gynecomastia is fat.  Breast reduction for a man takes away both of these elements.  Liposuction of the male chest can remove of these elements.  This was described in a landmark article by Dr. Gary Rosenberg of Del Rey Beach, Florida.  However, there are times when an incision at the bottom of the areolar is necessary for a direct approach to excessive breast tissue on a man, i.e. true gynecomastia.  A liposuction component of this surgery is done through a very small incision in the armpit and it should be sutured under the skin, therefore no stitches to remove and minimal scarring.  If gland removal is necessary, a small button of tissue immediately under the nipple needs to be left, or else the nipple will indent.  All breast tissue removed should be sent for pathological evaluation because unfortunately, male breast cancer is a reality.   Post surgery, in office ultrasound will speed recovery and give a more even result. 

Gynecomastia Versus Breast Reduction for of Man?

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Thank you for the question.

I have noticed that in this forum, these terms have been used interchangeably,  although they probably should not be. “Gynecomastia” is a diagnostic term, while “breast reduction for man” is a procedural term.

Gynecomastia comes from the Greek meaning "gyne" meaning woman and  "mastos"  meaning breasts.  It refers to abnormal development of large mammary glands in males.  The diagnosis can be made by physical examination where relatively firm tissue  (breast gland tissue) can be differentiated from relatively soft tissue (adipose tissue).

Breast reduction surgery  for men refers to a  variety of surgical procedures that  serve to reduce the size of a man's breast. Exactly what procedure is  utilized will depend on exactly what the specific patient situation and goals are.

For example, gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area.  If the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.  On the other hand, if a significant amount of redundant/loose skin is also present them additional skin excision may also be necessary as part of the breast reduction procedure.

I hope this helps.

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.