Gynecomastia Recurrence After Surgery Not As Bad As Original Gyno?

I had lipo and excision 5 months ago. A couple of months before my surgery I quit propecia. I wasn't sure if the propecia contributed to my gyno or if happened because I put on some weight, so just to be safe I stopped. Turns out I still want to keep my hair. So my question is if I were to start back on propecia and develop gyno again, is it likely to be less severe than it was originally because I already had most of the gland (200cc I think) removed during the surgery? Thanks

Doctor Answers 10

Reoccurence Possibilities Following Gynecomastia Surgery

The #recurrence of breast enlargement is uncommon following #gynecomastia surgery.
However, it can occur. If this happens, you may require further surgery in the future.

The male breast is composed of glandular tissue and fatty tissue. An excess in either type of tissue can cause the chest to take on the look of gynecomastia. Gynecomastia can affect #men of all different body types. There are different types of #gynecomastia.
Several common factors can cause gynecomastia including excessive levels of #estrogen, natural #hormone changes, use of recreational drugs or alcohol, medications and their associated side effects, and, various health conditions. Also, there are different types of #gynecomastia.
Therefore, weight gain, steroid use,recreational drug use and have hormonal conditions can contribute to a return of gynecomastia regardless of previous surgical removal and treatments.

Each patient is unique and previous #results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Can gynecomastia re-occur?

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
4.9 out of 5 stars 154 reviews

Propecia Use

As you may have guessed no one  is able to definitively answer your question.Each patient is unique.If your gynecomastia was related to Propecia it may recur to a variable extent with use of the drug.If your gynecomastia was not related to Propecia it will not make a difference.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

Recurrence of Gynecomastia

In gynecomastia surgery you are leaving a small amount of residual breast tissue under the areola to avoid creating a dished out appearance.  Therefore, any medication or nutritional supplement that cause cause swelling or hypertrophy to the breast tissue could affect the result down the road.  Likely, the Propecia is fine to use, just need to keep an eye on it.  More important is maintaining a stable weight.  Good Luck!

Brian K. Reedy, MD
Reading Plastic Surgeon
4.9 out of 5 stars 144 reviews

Gynecomastia Recurrence --Propecia

With most of the actual breast tissue presumably removed at surgery, I would not expect much of a increase in the gynecomastia if the Propecia is resumed. Best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Propecia and gynecomastia

In gynecomastia surgery 99% of the gland is removed, but a small piece is kept under the areola to prevent its hollowing. Propecia can cause gynecomastia but you have most of your gland removed. I do not hink it would be a problem to resume the treatment. However you should be aware that maybe you can fill a slight puffiness under your areola. Not sure to happen, anyway.

Jesus Benito-Ruiz, MD
Spain Plastic Surgeon
3.0 out of 5 stars 3 reviews

Propecia and gynecomastia

     With the breast tissue gone, Propecia should be ok to use.  I would agree with the other doctors.

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews

Propecia and gynecomastia

chances are if you start propecia again your breasts will get marginally bigger, but not as big as before.

Talmage Raine MD FACS

Talmage J. Raine, MD, FACS
Chicago Plastic Surgeon
4.6 out of 5 stars 9 reviews

Gynecomastia recurrence and Propecia use

Although propecia  use can contribute to gynecomastia,  if you have had gynecomastia surgery, and the glandular tissue that was causing the problem has been removed, it should be safe to use propecia without causing the gynecomastia to return.  I agree with Dr. Wallach.  Best wishes.

Vincent D. Lepore, MD
San Jose Plastic Surgeon
4.8 out of 5 stars 56 reviews

Propecia and gynecomastia

Propecia can definitely contribute to gynecomastia and if you had surgery to remove the gland, the likelihood that it would come back is low.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

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.