Lipo for Male Breast Reduction - How Long Until Results Are Noticeable?

I am a 37-year-old male that had Smart Lipo with tumescent liposuction done on my abdomen and breasts 23 days ago. I immediately have noticed a difference in my abdomen but I am worried that my breasts are not going to be flat enough. Is it still too early for me to judge my results? Does it take the breast longer to go down than the immediate results I see in my stomach? My Doctor told me that I did not have much granular breast tissue.

Doctor Answers 23

Results After Liposuction of the Chest

Hi ms8172,

Thanks for the post.  Typically liposuction of any area should at least start to show improvement at three weeks. Final results typically take months.  There may be residual swelling present or perhaps there may be more glandular tissue than initially appreciated.


Dr. Dadvand

Los Angeles Plastic Surgeon
5.0 out of 5 stars 45 reviews

It is too early to tell

At 3-4 weeks you can see a significant difference in most areas except very fibrous areas. The fibrous or glandular tissue of the chest requires extra effort to remove the fat and tissue so as a result you have more trauma to the area which causes more prolonged swelling. In a month from now you should see a bigger difference and the final result at about 4-6 months. Be patient and trust what your doc tells you along the way.

David Hansen,MD

David Hansen, MD
Beverly Hills Dermatologic Surgeon
4.7 out of 5 stars 42 reviews

Gynecomastia Surgery

Dear MS 8172,

If you had enough gynecomastia to have surgery then you should notice a difference in the first week. True gynecomastia includes glandular tissue not just fat. That glandular tissue must be cut out. It is like tough hard scar tissue in his consistency and does not respond to liposuction alone. If the condition could be corrected liposuction only then it is actually pseudo-gynecomastia or “fake gynecomastia.” I have developed a technique where gynecomastia can be treated with no incision on the front of the chest nor drainage tubes and is all done through a small incision in the armpit. It has become the most common procedure I do in my practice. Patients notice complete flattening of the chest consistently in the first week after surgery. You should be ready to go to the beach in six weeks.

I hope this is been helpful to you


Robert D. Wilcox, MD
Dallas Plastic Surgeon
4.0 out of 5 stars 20 reviews

When are Results Notceable after a Male Breast Reduction

Following surgery, your incisions will go through a maturation process. For the first few months they will be red and possibly raised and/or firm. As the scar matures, after 6-12 months, it becomes soft, pale, flat, and much less noticeable. You may experience numbness, tingling, burning, “crawling”, or other peculiar sensations around the surgical area. This is a result of the healing of tiny fibers which are trapped in the incision site. These symptoms will disappear. Some people are prone to keloids, which is an abnormal scar that becomes prominent. If you or a blood relative has a tendency to keloid formation, please inform the doctor.

Bruising and #swelling are normal and usually increase slightly after the removal of any tape or foam. The bruising will decrease over 3-4 weeks, but may last as long as 6 weeks. The majority of the swelling will be gone within the first 3-4 weeks. However, it may take 6-9 weeks to disappear completely.

Also, as you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. The #compression garment helps reduce the swelling, and the longer it is worn, the more quickly you will #heal. It can also assist in the retraction of the skin. If you have any concerns about #healing, its best to ask questions of your surgeon or their nursing staff.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews

Give it some time.

It is too early to tell. It is recommended to wait 6-9 months before considering a revision. Please give it some more time. 

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Lipo is inadequate for true gynecomastia

Standard liposuction will remove FAT not breast.  The results are suboptimal correction because breast still remains.  I always combine aggressive chest wall liposuction with glandular excision.  A small incision is made (camouflaged around arealo) to remove the actual breast.  Without excision, you will have breasts after lipo.

Tim Neavin, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 42 reviews

GYnecomastia surgery - View Many Photos

Results should be evident soon after surgery. There may be swelling, but the results, not final results will be evident soon after surgery. Check before and after images to see what results look  ike weeks and months after surgery.

If you are unhappy with results, revision surgery can be accomplished. I try to remove as much unwanted fat in a single surgery as required for an ideal result. On rare occasions, and I discuss these situations with patients prior to surgery, a surgery might be staged if both excess skin and fat are present and a staged procedure might minimize or eliminate unwanted scarring. 

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Lipo for Male Breast Reduction - How Long Until Results Are Noticeable?

You are very early in the recovery period after liposuction and gynecomastia reduction.  Give it more time before evaluating the outcome of your surgery.  Communicate your concerns with your surgeon.  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 82 reviews

Gynecomastia results

Depending on the severity of the gynecomastia, you can generally notice improvement 3 weeks after surgery.  Based on your question, it sounds like you have had improvement but you are desiring more. It will take 4 to 6 months to see the final result. Discuss your concerns with the surgeon, and he can advise you accordingly.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.4 out of 5 stars 41 reviews

Liposuction for gynecomastia

I have found that liposuction alone only works completely in about 20% of cases. Most of the time a good portion of the excess breast tissue is glandular and is not easily removed with liposuction techniques. i use Ultrasonic Assisted liposuction which helps a great deal more but in a majority of cases the stubborn tough tissue needs to be directly excised. i am usually able to do this with a small scar placed off to the side of the chest. Others frequently use a scar placed along the lower border of the areola. You should see the results right away though it takes a good 3 months to see the final results.

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 77 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.