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 21

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 32 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
5.0 out of 5 stars 35 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.Ā 

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 108 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
5.0 out of 5 stars 29 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
5.0 out of 5 stars 98 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
4.5 out of 5 stars 62 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
4.5 out of 5 stars 32 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.

Result after 3 weeks

I would say that every patient is different,and there are many degrees of Gynecomastia's severity,and many components which cause this problem. In general,if there is no seroma or hematoma,there should be a good improvement after 3 weeks.The final results will be apparent after a few months.There are exceptions when it may takes longer.   

Mordcai Blau, MD
New York Plastic Surgeon
4.5 out of 5 stars 46 reviews

When to see results

Typically gynecomastia is a combination of fat cells and glandular  (breast ) tissue. The fat responds to liposuction the glandular tissue does not. In cases with substantial glandular tissue there will be minimal improvement after liposuction the tissue needs to be surgically removed. Results are apparent at 72 hours although that is not the final result but certainly a change would be noted.

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