Gynecomastia Surgery and Incision Issues? (photo)

Hi Doctors; 150 lbs weight loss. I am considering having a Gynecomastia very soon. I went to the doctor and he said that he would have incision underneeth the chest to remove the skin. I am writing you here to ask about another perspective if i could avoid the scar underneeth the chest.

Doctor Answers 7

Gynecomastia Surgery Techniques

There are three types of surgical treatment options available that treat gynecomastia. The doctor will recommend the one that is best suited to each individual case. The excision technique is used on cases of #gynecomastia where excess skin and glandular breast tissue must be removed and the areola or nipple needs reduction and repositioning to create a natural looking appearance. The incision patterns are determined by the specific condition of the patient. The doctor will recommend this procedure which combines the liposuction technique and excision technique to create a natural look. Patients are given specific instructions for the recovery period.
Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.Lastly, it is crucial you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews


Unfortunately, your excess skin makes it necessary for more extensive scarring. You can definitely get second opinions, but most likely you will have some visible scarring that will fade with time. 

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 140 reviews

Incision and Scar for Gynecomastia Surgery

Although there are many incisions for removal of male breasts (Gynecomastia), when there has been a significant weight loss and there is significant excess skin, the only way to make the area cosmetic is with a large skin excision. This is done in such a way to hide the resultant scar as well as possible. Trust your surgeon if he/she has had significant experience in dealing with this problem, or seek another opinion.


Robert T. Buchanan, MD
Highlands Plastic Surgeon
5.0 out of 5 stars 6 reviews

Skin removal and gynecomastia

Because you have a lot of loose skin, it makes sense that some of the skin will need to be removed.

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


Because your issue is excess skin you need to have the excess skin removed. With skin removal you will have scars. They will fade but will be permanent. Compromises on skin removal will significantly compromise the contour results.

John P. Stratis, MD
Harrisburg Plastic Surgeon
4.5 out of 5 stars 34 reviews

Gynecomastia Surgery and Incision Issues?

The photos demonstrate as Dr Jaibaji states the need for partial skin excision in your case. Best to be examined in person by a boarded  PS in your area. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Treatment of gynecomastia

Thank you for your question and the photos.You have type 2 gynecomastia where you have moderate breast enlargement and some skin redundancy. In these case some form of skin excision is required. There are different techniques  on how to excise the skin.  When ever you have skin excision you will have a scar. Talk to you plastic surgeon about the different excision option.Liposuction alone may result in more skin redundancy. Good luck.

Moneer Jaibaji, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 15 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.