Gynocomastia in my 50's

Question

still to this day thinking about fixing my gynecomastia I'm in my 50's is it still ok to do it, and one doctor told me because of my age i might have excess skin after its done, if that happens then what do i do

Tim Neavin, MD · Answer

Congrats!  Yes, 50 is fine.  You may have some skin redundancy but you may be surprised on how well that skin contracts in a few months.  If it doesn't you can live with this trade-off (no breasts, looser skin) or have the skin excised.  I do this all the time and men are very, very happy to have their breasts gone!

Miguel Delgado, MD · Answer

Many men have male breast reduction surgery at 50 or older. The skin does not have as much elasticity when we age, but many times it may retract. If not, usually a skin tightening procedure can be done in the office whereby a donut shaped piece of skin is removed around the areola and closed with a purse string type suture. Be sure to see a Board Certified Plastic Surgeon that specializes in gynecomastia. Good luck!

Vincent N. Zubowicz, MD · Answer

Decrease of testosterone in middle-aged sometimes is associated with the development of gynecomastia. Often times can be treated by liposuction alone. In most cases the skin response satisfactorily to the decrease in volume on the chest wall.

Elliot W. Jacobs, MD · Answer

Yes, it is certainly possible to treat your condition -- I have operated on many men in their 50's and 60's.The main concern is the elasticity of your skin.  Since the surgery is usually done with minimal incisions, we depend upon the skin's innate elasticity to tighten by itself.  That elasticity is diminished with age, smoking, exposure to the sun, prior overweight condition and your own genetic pre-disposition.Only an examination can properly evaluate your skin's elasticity.  If it is diminished, then some additional skin tightening may be needed, either at an initial operation or six months later when the skin has tightened as much as it can do on its own.Hope this has helped.Elliot Jacobs, MD, FACSNew York CityPractice sub-specialty in gynecomastia surgery

Steven Wallach, MD · Answer

Without seeing photos at a minimum it is impossible to suggest what procedures may be possible. It is best to be seen in perosn

Andrew Kornstein, MD, FACS · Answer

The issue of skin excess is a consideration; factors may include size of breast enlargement, number of weight swings(loss of elasticity), smoking, etc.  Fortunately, there are effective non-invasive skin reconditioning devices to help avoid scars in a significant majority of cases. Finally, fat grafting to help sculpt a male contoured chest will aid in "taking up" the skin excess.Hope this helps

Tal T. Roudner, MD, FACS · Answer

Seek advice of an experienced board certified plastic surgeon that performs this surgery often and can show you before and after pictures of the surgery. If you have sagging skin already you may need a breast lift at the same time of the gynecomastia surgery and that should be done at the same time.Good luck!

Gynocomastia in my 50's

Answers (7)

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