Which Gynecomastia Technique for a Thin Male?

I am getting gynecomastia surgery. Which is better for a thinly built person? Removing fat by manually cutting it out versus liposuction. The extra breast tissue is going to be removed for sure. I've read that surgeons have different techniques.

Doctor Answers 15

Technique for gynecomastia

The type of technique utilized depends on the specifics of the patient. There are two types of tissue in male breasts, fat ( adipose) and breast gland ( glandular). The type of treatment is dependent on each persons presentation. Thin patients typically have minimal fat and require a direct excision of the glandular tissue to achieve maximal benefit from surgery.

Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

Gynecomastia choices

True gynecomastia is the development of fibrous tissue in a male.  This may or not be amenable to removal with ultrasonically assisted liposuction, depending on amount and firmness.  Most gynecomastia is really nothing more than excess fatty tissues, and this is much more readily treated with liposuction.  For large amounts of tissue, especially if there is a significant amount of excess skin, formal surgical removal is required. 

Daniel Greenwald, MD
Tampa Plastic Surgeon
5.0 out of 5 stars 46 reviews

Gynecomastia in thin men is often breast gland with little fat.


I always try to do a little liposuction.  There is no down side,  But it sounds like what you need is cutting out the breast tissue right under the nipples. This is done though a small scar in the nipples, which does not show.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

Gynecomastia Treated With Excision & Liposuction

True gynecomastia is most typically treated with both excision and liposuction.  Occasionally excess fat without glandular tissue can be treated with liposuction alone and pure glandular gynecomastia in a slim patient can be treated with excision alone.  In the majority of patients that I see, however, both suction and excision are used.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews


Gynecomastia is enlaged breast tissue in the male. It is some times associated with more fat in the breast and the chest.

Breast tissue can not be taken out by liposuction therefore it has to be removed surgically. If there is fat in the breast and the chest then we add liposuction to the fat to reduce the size of the breast evenly.

Samir Shureih, MD
Baltimore Plastic Surgeon
4.2 out of 5 stars 7 reviews

Thin people and real gynecomastia

Usually thin people who suffer from real gynecomastia will need excision of the gland rather then liposuction of fatty tissue that they may not have. 

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 76 reviews

Which Gynecomastia Technique for a Thin Male?

In my practice, I often combine both direct excision to remove the thick subareolar gland and liposuction to help contour the chest.  Good luck and be safe.

John T. Nguyen, MD, FACS, FICS
Double Board Certified Plastic Surgeon

John Nguyen, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 83 reviews

Gynecomastia for a thin male...

Gynecomastia is a condition seen in many men.  There are different techniques that surgeons use to treat this condition.  Enlarged male breasts can be reduced by liposuction and/or cutting out excess glandular tissue.  Men of any age who are healthy, can be considered good candidates for this procedure.  Often liposuction is tried first, but if the breast tissue is not removed well as it sometimes occurs in thin people, then it will have to be excised directly.  The best way to really determine which technique would be best for you, is to have a scheduled appointment with a board certified plastic surgeon.




Shain A. Cuber, MD
Edison Plastic Surgeon
4.7 out of 5 stars 85 reviews

Surgical procedure for treatment of gynecomastia in a thin man

The appropriate treatment for gynecomastia is dependent on whether the tissue is fatty or glandular. Even if you are thin, the question is the composition of the breast tissue and it is possible for even a slender individual to have fatty deposits in the breasts. The technique needs to suit the diagnosis and this can be elucidated during a consultation.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Gland excision and liposuction

If you truly have gynecomastia then you have glandular tissue present.  Liposuction no matter what type will not remove this and direct excision is necessary Thirty-five percent of my gynecomastia practice is revision surgery.  Liposuction only is the most common reason.

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 76 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.