Solution for Male Breast Reduction After Bariatric Surgery?

I am a 26 yr old male. After bariatric surgery, I have sagging breasts. I do 100 push-ups but It does not help.

What is the answer and cost? I had Tummy Tuck but now have excess skin all around waist. I am so embarrassed to undress. Please help me.

Doctor Answers 24

Gynecomastia after Bariatric Surgery

Thank you for your question. 

According to the American Society of Plastic Surgeons the average #cost of #gynecomastia #surgery can vary widely. Surgery quotes should include the #procedure itself, operating room facilities, #anesthesia fees, surgeon’s fees,# medical tests, #post-surgery garments, prescription medication and other related costs. Most #plastic surgery offices offer convenient finance plans that allow #patients to pay a low monthly payment.
#Costs will also vary with geographic location. Estimated costs can be found on , or

Unfortunately, exercise will not do anything to help your condition.  It sounds like surgery will be necessary.  Of course, without photos it is difficult to tell.  You will need to make an in-person #consultation with a #BoardCertified #PlasticSurgeon.

Best of luck.

Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews


Hi Wayne,
Congratulations on your massive weight loss. Thank you very much for your question regarding male breast reduction for gynecomastia after massive weight loss. This is a very common problem after massive weight loss.
The surgical treatment depends on your physical examination. If you have excess male breast fat, you may only need breast liposuction. If you have male glandular tissue, you may require surgical excision of this glandular tissue. If you have severe excess male breast fat, tissue, and skin, you may require surgical excision of male breast skin and fat. The placement of the male breast reduction, depends on the severity of your breasts. If you only have minimal excess skin, an incision can be placed around the areola. If you have more excessive skin, an incision may need to be placed vertically.  In the vertical male breast reduction surgery, an incision is made from the armpit towards the mid rib cage.  If you have severe excess male breast skin and fat, an incision is placed underneath the male breast in inframammary fold. The inframammary fold is where the breast meets the chest wall.
Gynecomastia breast reduction surgery takes approximately 1 to 3 hours to perform. The length of time depends on severity. Gynecomastia or male breast reduction surgery is performed under general anesthesia and is usually an outpatient procedure.  Recovery after gynecomastia or breast reduction surgery takes approximately 7 to 10 days.
If you have any questions regarding gynecomastia or male breast reduction, please not hesitate to contact my office. Sincerely Dr. Katzen.

J. Timothy Katzen, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 194 reviews

Gynecomastia Surgery After Weight Loss

Hi Wayne,

Thanks for the post. A photo would have been helpful to advise more precisely. Typically after bariatric surgery with massive weight loss the skin becomes loose and the breast areas can look deflated.  In general men who have lost significant weight will need some form of skin tightening and possibly nipple repositioning. Exercise will not help tighten the skin to any appreciable extent.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 44 reviews

Body lift

You probably have a lot of loose skin following your bariatric surgery, and this can be addressed with a body lift. This procedure would remove the loose skin on your chest, around your stomach and thighs if necessary. However, it's strange that the skin around your waist wasn't addressed with your tummy tuck.

Michael Constantin Gartner, DO
Paramus Plastic Surgeon
4.7 out of 5 stars 137 reviews

Solution for Male Breast Reduction After Bariatric Surgery?

Photos would be helpful to evaluate the type of surgery you would need to contour your chest.  You likely have significant sagging skin of the chest requiring skin resection and liposuction to improve the contour.  Consult with a board certified plastic 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

Male breast reduction after bariatric surgery

It sounds like you may need a circumferential body lift, which would tighten loose skin around your waist and a male breast reduction to tighten the sagging skin in your chest.

The price of your procedures depends on several factors, including the following:

surgeon fees
surgical facility
anesthetist fees

In Toronto, Ontario, the cost of the procedure ranges from $4000-$6000 for your chest and $9000-$11000 for your circumferential body lift. Financing options are available.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Sagging breasts after a gastric bypass

There are several options such as just liposuction or some skin tightening which would depend on what you have and what you are trying to achieve. I normally discuss all the options available with their limitations and try to come up with a plan to meet the patients goals with least amount of expenditure on their part.

Edward J. Domanskis, MD
Newport Beach Plastic Surgeon
4.4 out of 5 stars 27 reviews

Male Breast Reduction after Bariatric Surgery Explained


For males with very large breasts following bariatric Surgery - staged procedures (more than one procedure) most often be required. The first procedure is usually liposuction then several weeks to months later after skin contraction has occurred, a separate procedure is done to remove excess skin. By doing a staged procedure, often the final scars are less.

Oftentimes, specific types of liposuction cannulas are used and often in conjunction with direct removal of excess breast glandular tissue through small incisions for mild to moderate gynecomastia. Other specific techniques can reduce the areola when needed or reposition the nipple to create the appearance of a more natural contour.

In Southern California Male Breast Reduction -Typical Prices Vary on a lot of factors but averages between $5000-$10,000.
Gynecomastia prices vary greatly because the procedure itself encompasses a wide range of techniques that can be performed to different extents.
My recommendation is to first find qualified surgeons   that are board certified by the American Board of Plastic Surgery you trust, then compare prices between them.

Factors that influence the price include:
1. Number of procedures - One procedure or two?
2. Location - Will it be performed in a hospital with an overnight stay, an independent out- patient facility or a doctors office?

3. Type of Anesthesia - local, IV sedation or General Anesthesia? Will a board certified anesthesiologist or a nurse anesthetist be used, or an RN?
4. Experience and training of your surgeon. The best trained (and longest) would be a surgeon board certified by the American Board of Plastic Surgery
5. Length and Complexity of Surgery - how much will be removed, how long is the procedure, etc. In Southern California the range is usually between $5000 and $10,000.

Your comment about the Tummy Tuck that left you with an excess skin apron about your waist is unfortunate and should have been addressed by the abdominoplasty

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

Difficult Problem

Firstly, cogradulations for the weight loss.

If you chest has excessive skin, poor quality skin and a low position nipple, then skin excision will be required. You must go to a very experienced plastic surgeon for advice and treatment.

The waist skin sometimes need be excised, also known as a body lift.

good luck

Miguel Delgado, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 75 reviews

Gynecomastia after weight loss

First, it's great that you lost the weight. You are raising two issues-dissatisfaction with the extra skin in the midline and the sagging of your breasts. You should return to the surgeon who performed the tummy tuck and ask about revision. If your skin is lax, even though you had an abdominoplasty, additional resection may be required. For the breast sagging, this would require an operation to excise the excess skin and, if necessary, elevate the nipple areolar complex. Nipple grafting may or may not be involved. A board certified plastic surgeon will be able to examine you and present a proposal for surgical treatment. Best of luck!

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 40 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.