Loose Skin and Male Breast Reduction?

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.According to official statistics, 36% of adult young men and 57% of older #adult men in the United States have this medical condition in one of the four grades. About 200,000 to 3 million cases of #gynecomastia are being reported every single year. So if you have #breast #enlargement and you feel you're an exception, please understand that 1 in 3 young adult #men and 1 in 2 older adult men are just like you and have breast enlargement. There are three types of surgical treatment options available that treat gynecomastia. Your board-certified plastic surgeon will recommend the type best suited for you. The most important decision to be made before performing any surgical procedure is determining whether you are an ideal candidate. Weight, and more specifically body mass index (BMI), need to be considered when deciding.Consulting with a board-certified plastic surgeon is highly suggested in order to determine if you are a surgery candidate and what treatments are best for you.

First of all, congrats on the weight loss!  I'd wait 6 months from weight loss and remove skin along with the gland.  The trade off is a scar.  There are different approaches to do this type of surgery and much of it depends on how much skin there is and how elastic the properties of the skin are.  Generally, in massive weight loss patients the skin has poor elastic properties and won't contract. However, I'd have to see the skin.  Because, it would be nice to excise the gland through a well camouflaged incision around the areola if this could be done. 

Excess skin can be removed with a body lift, and it's achieved great results for my patients. The only tradeoff is scarring.

Great job on the weight reduction.  Loose skin will not get better on its own.  Male breast reduction will help re-contour the chest.  In my practice, patients are very happy after this surgery.  Good luck and be safe.John T.
Nguyen, MD, FACS, FICSDouble Board
Certified Plastic Surgeon

Congradulation for lossing so much weight.

There are many types of breast reduction that are used in the situation.  It depends on the specific situation.  Consultations these days are often free. The price will very from8 to 15 thousand.  This depends on the extent of the breast skin and tissue, but also what is required to blend it into the surrounding tissue.

Men are happy if a good job is done and the accomplish their realistic goals. However, there is incision scars that one has to live with.

Usually male breast reduction surgery is performed with liposuction.  When there is excess skin liposuction only will not correct the situation and removal of skin is necessary.  The scars are reasonable in all honesty.  The trade off is that in clothes (closer fitting shirts) the person looks better for some more noticeable incisions.  The majority of men are thrill to make the trade because of the great source of embarassment their chest has caused them in the past.

Congratulations on your weight loss! Yes, gynecomastia surgery can address excess skin. In some cases when men have excess skin, I may suggest a staged approach in order to avoid incisions on the skin of the chest. In some cases, an initial surgery to remove fat and or glandular tissue can create the skin to contract or shrink incisions on the chest. Then, a second surgery can provide the final result without the need for incisions on the chest. Other times, a man may elect to have a single surgery only, with the understanding that incisions will be made on the chest. 

  Based on your husband's history and your description, I think that your husband is likely dealing with redundancy of skin as well as residual adipose tissue. Liposuction surgery alone will likely leave him with significant skin contour irregularities and/or excess skin especially when you lean over (as in the photograph).My best suggestion: seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes, starting at the same "starting point", that he will be pleased with. You may find the attached link, helpful to you as you learn more. Best wishes.

Hi,Thanks for the post and congratulations to your husband for the weight loss. If the skin has lost its tone and looks or feels loose then the only way to correct the to excise it. Male breast reduction surgery in these cases not only involve removing of any excess tissue but also removing the excess skin, and if necessary repositioning the nipple and areola. I highly recommend your husband to be evaluated by a plastic surgeon who has experience with this type of gynecomastia surgery. Men are typically very happy with the results.Sincerely,Dr. Dadvand

A surgical excision, akin to a mastopexy would reduce the loose skin. A very important part of patient satisfaction is related to having a surgeon who is knowledgeable about different methods for gynecomastia treatment and applies the right one or combination to your case. Liposuction, which may be commonly performed by various physicians, is not always the correct surgical treatment method and in your husband's case, with a significant weight loss, would worsen the sagging and skin laxity. He would require a circumareolar approach and excision of the redudant skin to achieve an acceptable result. Congratulate him on the weight loss! I would also counsel waiting until he has reached his desired weight prior to having surgery although, if he isn't there yet, this would be an excellent time to seek consultations and select a plastic surgeon with whom you are both comfortable.