Can my "gynecomastia" be fixed with exercise? (Photo)

Hello,thank you for your attention! I'm post weight loss down to 190(lb) from approx. ~310. My determined nature had pushed me into a track where I focused all my attention on cardio as opposed to weight training, as a result, my chest has this appearance. I plan on starting a fairly rigorous muscle building routine this week, from which I expect to build plentiful amounts of muscle, and am wondering if I can fix my enlarged and lax breasts with this regimen as opposed to surgical intervention.

Doctor Answers 14

Gynecomastia surgery

Congratulations on your weight loss. Building muscle is a very healthy thing to do following weight loss. Muscles will not eliminate excess skin, but it could help you look and feel even better.

To correct the excess skin, a surgical procedure to removal  excess skin is required. A consultation with a plastic surgeon could help to determine exactly what the surgical plan could be to provide you with the results that would provide the best results for you.

Look for a plastic surgeon who has performed many, many gynecomastia procedures who can demonstrate with photographs results that you would hope to achieve.

Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 118 reviews

Addressing Gynecomastia with Surgery

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. 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.

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. For instance, studies have shown that patients with BMI > 30kg/m sq (placing them in the obese category) have a higher complication rate. Therefore, it is important for patients to be as close as possible to their normal body weight prior to surgery. Not only will this decrease risks of complications, but will also enhance the aesthetic results. Further, normal body weight is different from one patient to another.

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

Plastic Surgery Necessary for Gynecomastia

Your gynecomastia is from excess breast tissue and redundant skin so surgery is your only answer for correction.
Exercise will strenthen and elarge the muscle under breast but not the breast tissue itself. Prominence of the male nipple and areola can be reduced by removing some of the breast tissue below the areola in conjunction with gynecomastia reduction.

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


you need surgery, anything else will be a waste of your time, money and energy. the surgery will give you the best result

Joseph A. Russo, MD
Newton Plastic Surgeon
4.4 out of 5 stars 27 reviews


Only a skin excision combined with aggressive lipo will help you. No amount of exercise will get rid of skin.

William B. Rosenblatt, MD
New York Plastic Surgeon
4.2 out of 5 stars 12 reviews


Dear Anthony965,

Congratulations on your significant weight loss! Unfortunately, as the other surgeons have said, the skin laxity can only be repaired with surgery.  You should consult with a Board Certified Plastic Surgeon who has experience with gynecomastia repair. Best of luck!

Richard A. Bartlett, MD
Brookline Plastic Surgeon
5.0 out of 5 stars 11 reviews

Can my "gynecomastia" be fixed with exercise?

Sorry no, only aggressive excisional surgery can improve your appearance. Seek IN PERSON opinions only... 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Will exercise improve gynecomastia?

Sorry but with this degree of skin and breast tissue, the only viable treatment for you would be surgery.  This will require a circumareolar approach to correct the problem.  Muscular development may actually leave you with the appearance of larger breasts.  I would recommend that you undergo surgery first and then build your musculature.  Congratulations on that weight loss!

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

Gynecomastia gone with exercise?

Hello and thank you for your question.
Congratulation on the weight loss. Like many people that have lost a significant amount of weight, you are left with excess skin that has lost it's elasticity. Unfortunately the only way to get rid of that is with surgery. Exercise will not do it. I recommend that you see a board certified plastic surgeon in consultation to get more specific answers to your questions which can best be addressed after a thorough history and examination is performed.
Best of luck to you!

David L. Cangello, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 14 reviews


Congratulations on your success! But unfortunately weight training will not treat the sagging skin. To improve that you will need skin excision.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 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.