Is it possible to treat male (Type 1 or Grade 1) Gyncomastia (Gland on both sides) with only botox?

Question

Is it possible to treat male (Type 1 or Grade 1) Gyncomastia (Gland on both sides) with only botox? Is Gland Excision or liposuction or combination of both is necessary?

Jason Emer, MD · Answer

Unfortunately, Botox isn't a viable treatment for gynocomastia. I'd recommend consulting with an expert surgeon specializing in body and contouring procedures, as this would require the removal of the gland and extra fat.

Matthew Brace, MD · Answer

Botox works by stopping nerves from signalling to muscles (or glands in some cases). This disruption in communication has no effect on the bulk tissue present in gynecomastia. It is best to see a plastic surgeon to discuss your surgical options.

All the best!

Dr. Brace

All the best!

Dr. Brace

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Neither botox nor the other neuromodulators will help treat gynecomastia as the gold standard remains direct glandular excision and contouring liposuction.  See an ASPS board certified plastic surgeon in consultation for the best recommendations.

Max Polo, MD · Answer

Thank you for your question. Botox is a neurotoxin which blocks transmission of chemical signals between nerves and muscles. Male gynecomastia is caused by overgrowth of glandular breast tissue, usually from excessive hormonal stimulation. Treatment of gynecomastia that persists after removal of hormonal or medication related stimulus is surgical with either liposuction, direct excision or a combination of the two. There is no indication for Botox in the treatment of gynecomastia.

Aldo Guerra, MD · Answer

Thanks for this question. Botox and Dysport are medications that temporarily relax muscles for a period of 3 to 4 months. Some people use these medication to relax the nipples, but I am not aware of it working to reduce gynecomastia. I do believe the best treatment for gynecomastia is a combination of direct excision and liposuction, but the treatment for you can only be planned out after an in-person examination. Best, Dr. ALDO :)

Reza Tirgari, MD · Answer

Unfortunately, Botox only works to relax muscles and would not be an effective treatment for gynecomastia.  There are non-invasive laser treatments that are commonly performed as well as liposuction or complete excision for selected clients.

Kristin J. Tarbet, MD, FACS · Answer

I would not recommend botox for treatment of gynecomastia. There are other options available to you however.

Michael Yunaev, MBBS, MS · Answer

Hello Arunvaanan, thank you for your question.  Unfortunately I'll have to agree with the other opinions regarding your question.  I am not aware of any utility for Botox in treatment of gynaecomastia.  There are a couple of options, most of which include surgery of some sort. I hope you have resolved your concerns regarding this question.

Ravi Jain, MBBS · Answer

I am afraid there are only a few options. Traditionally I have always used VASER Liposuction with a pull-through technique to remove any residual gland. Recently we have seen success in treating pseudogynecomastia with Coolsculpting.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question arunvaanan. Botox is
a purified protein used to address wrinkles associated with facial expression. Gynecomastia is not treated with Botox. A number of surgical and non-surgical options are available. Please consult with
a doctor for specific recommendations. Good luck!

Is it possible to treat male (Type 1 or Grade 1) Gyncomastia (Gland on both sides) with only botox?

Answers (13)

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