Is fat removed during gynecomastia surgery?

Typically yes. Most surgeons will combine fat removal with gland removal to achieve a harmonious result. This can be either direct excision or with liposuction. A smooth contour throughout the entire breast is always the overall goal.

Thanks for submitting your questions about your upcoming procedure. Typically, liposuction is performed during gynecomastia reduction surgery to thin the chest wall. This helps protect against uneven fat distribution with weight fluctuations over time. It also provides an even contour once the glandular tissue is excised.
There are different incision patterns that can be used with this surgery, such as upper chest, along the lower aspect of “fold,” and around the areola. Your plastic surgeon can show you in more detail where these incisions are placed and reasons for using one incision site vs another. Thanks again for reaching out and good luck!

Thank you for your question. In gynecomastia surgery, fat removal depends on the method used. If liposuction is performed, fat will indeed be aspirated and removed. If surgery involves direct tissue resection around the areola, very few fat cells will be removed.
Asymmetries, such as uneven fat distribution, are typically corrected during surgery. In cases with significant excess skin, an additional incision might be made across the chest or under the breast to remove it.
I hope this concise answer clarifies your question.

Depending on your anatomy and how much fat is surrounding the gland, most surgeons will do gland excision with some liposuction to contour the chest and avoid the uneven contour you're describing. Most surgeons hide the incisions at the border of the areola. A scar underneath the areola is only necessary when there's a lot of extra skin, namely in massive weight loss patients.

Yes, fat is often removed during gynecomastia surgery. The procedure aims to reduce the size of enlarged male breasts, and this enlargement can be due to a combination of factors:

Excess fat: This is often referred to as pseudogynecomastia.
Excess glandular tissue: This is the actual breast tissue growth, known as true gynecomastia.
Excess skin: In more severe or long-standing cases, the weight of the excess tissue can cause the skin to stretch.
How fat is removed during gynecomastia surgery:

Liposuction: This technique is commonly used to remove excess fat from the chest area. Small incisions are made, and a thin tube called a cannula is inserted to break up and suction out the fat. Liposuction alone may be sufficient when the enlargement is primarily due to fatty tissue.
Excision: When there is a significant amount of glandular tissue and/or excess skin, surgical excision is necessary. This involves making incisions to directly remove the tissue and trim excess skin. The incisions are often placed around the areola (the dark area around the nipple) or in the natural creases of the chest to minimize visible scarring.
Combination: In many cases, surgeons use a combination of liposuction and excision to achieve the best results, addressing both excess fat and glandular tissue.
The specific techniques used will depend on the individual's anatomy, the primary cause of the gynecomastia, and the desired outcome. A thorough consultation with a board-certified plastic surgeon is essential to determine the most appropriate surgical approach. They will assess the proportions of fat and glandular tissue present and recommend a plan to effectively reduce the breast size and contour the chest.

Brandon, FL, USA  •  Update location

Yes, during gynecomastia surgery, excess glandular tissue and sometimes fat are typically removed to reduce enlarged male breasts. The extent of fat removal depends on the specific case and the surgeon’s approach.

Hi, thanks for your question. Regularly, your surgeon will perform Liposuction in addition to gynecomastia, to get better results. Be sure that your doctor is aware of your goals. Consult a board-certified plastic surgeon in your area. Good luck!

The ultimate aim of ideal gynecomastia surgery is to remove fat and glands without any obvious scarring and this is very well achievable with a trans-nipple gynecomastia correction surgery. Uneven fat disctribution will not be an issue if the liposuction is performed with right technique and also, you do not gain major weight in future (weight loss will not affect it). The traditional incisions leave scars under or around the areola that is not acceptable to many patients, that why the most innovative Trans-Nipple incision remains gold standard in today's gynecomastia correction procedures. I suggest you see a board certifiied plastic surgeon and dicuss your goals as well as best possible options for a permanent & scarless solution. All the best.

The aesthetics of the Male chest is influenced by three different tissue variables. An accurate assessment should address each of these three tissue variables to determine how much each one is contributing to how the chest looks compared to the ideal. The three tissue variables that determine what the chest looks like our overdevelopment of glandular breast, tissue or true gynecomastia, excess subcutaneous, fat, and skin laxity. All three can contribute to excessive fullness, and the appearance of a feminine or lack of ideal characteristics.
The best way to assess the mail chest is to put the skin and pectoralis muscle under tension by taking one arm at a time and stretch them behind your head like you’re scratching the back of your neck. with the skin and pectoralis muscle under tension, you can easily see the true outline of glandular tissue and get an assessment of how thick the subcutaneous fat layer sorry. She put your arm down and see the change in chest contour. You can then appreciate how much any potential skin laxity is contributing.
Individuals who are at risk for having a skin Laxcity component include men who had significant weight fluctuations. This begins to appear with any weight fluctuation above 35 pounds, and also with increased age.
Men who are overweight will most likely have subcutaneous fat, which may be contributing as well. The most common treatment for gynecomastia is liposuction of the subcutaneous fat with a partial, direct excision of the glandular tissue. All glandular tissue cannot be removed or it will leave a contour deformity with an indentation.
This may still leave some exes fullness in individuals who have even mild skin Laxcity.To get an assessment, I suggest having multiple in person, consultations with local, board-certified plastic surgeons who have a proven track record of a successful, gynecomastia surgery. In my opinion, a thorough assessment should address each of these three tissue variables, because making an assessment determines the potential success of anyone single treatment. Mattaa significan skin Laxcity need skin resection surgery and there’s always leaves significant large Scars. This procedure is sometimes called the chest lift. It is only indicated in individuals who have skin laxity, such as those who had significant weight loss.
Young men who don’t have skin laxity typically only need glandular skin excision with Liposuction.
The degree of improvement depends on the candidacy for the treatment in combination of how well the procedure is performed.
There are significant variation in skill and experience, both in making accurate assessment and delivering predictable outcomes. For that reason, I suggest patients of multiple in person consultations. During each consultation, ask each provider to open up their entire portfolio of before, and after pictures of previous patients with similar chest characteristics. An experience plastic surgeon should have no difficulty showing of the before and after pictures of at least 50 previous patients.Best,
Mats Hagstrom, MD

Hello,In order to obtain the optimum results, both the gland and the fat are usually removed during gynecomastia surgery.