Is gynecomastia treatment really possible and appropriate by removal of glandular tissue?

Doctor Answers 6

About the Gynecomastia Surgical Techniques

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 excision technique is used on cases of #gynecomastia where excess skin and glandular breast tissue must be removed and the areola or nipple needs reduction and repositioning to create a natural looking appearance. The incision patterns are determined by the specific condition of the patient. The doctor will recommend this procedure which combines the liposuction technique and excision technique to create a natural look. Patients are given specific instructions for the recovery period. 

Men who suffer from large #areolas may notice that after breast surgery, the skin of the chest muscles will tighten, causing the areolas to tighten and diminish in size. This is a result of the removal of glandular and/or adipose tissue.

The most important decision to be made before performing any surgical procedure is determining whether you are an ideal #candidate.

Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Is gynecomastia treatment really possible and appropriate by removal of glandular tissue?

Is it will be important to make the correct diagnosis before determining the best course of treatment. Most patients who are concerned about tissue below the nipple/areola complexes present with gland tissue in the area, not adipose tissue. In these cases, direct excision of the glandular tissue plus/minus liposuction surgery is usually indicated. For the rare patient who presents with adipose tissue only, liposuction surgery only may be indicated. I would suggest in-person consultation with well experienced board-certified plastic surgeon for accurate diagnosis and appropriate/ethical treatment recommendations. Best wishes.

Is gynecomastia treatment really possible and appropriate by removal of glandular tissue?

Yes, surgery is ultimately the treatment of choice. Seek a plastic surgeon with specialty training in gynecomastia surgery.

Ron Hazani, MD, FACS
Beverly Hills General Surgeon
4.9 out of 5 stars 255 reviews


Thank you for your question.  Yes, gynecomastia can be treated by the removal of breast tissue.  A board certified plastic surgeon can perform this surgery.

All the best,


Gynecomastia surgery with an expert.

Yes ,treatment is possible,but you have to find the right surgeon.
How should I choose a surgeon?
Selecting a surgeon is as important a choice as the decision to undergo surgery. Choose carefully. The decision is yours. What follows is some advice to assist in making your selection.
1. Experience matters. Choosing a surgeon who has performed over one thousand gynecomastia cases increases the likelihood that they have seen a case similar to yours in the past. Selecting a surgeon whose practice is focused on gynecomastia exclusively is also an indicator of experience.
2. Results matter. The more before-and-after pictures a surgeon displays, the better. Pay attention not just to the number of pictures, but whether the surgeon is confident enough to show multiple angles of the same patient.
3. Reviews matter. Have patients reviewed your surgeon? Did those patients undergo the surgery you are considering?
4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Are they certified by the American Board of Plastic Surgery? Have they authored books or medical journal articles regarding your surgery?
We hope these guidelines are of assistance when you are selecting your surgeon. When undergoing surgery, it is very important to be realistic about your expectations. Past results are not a guarantee of future results. Also, revision surgery tends to be significantly more difficult than initial surgery.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 52 reviews


Gynecomastia correction is usually a combination of liposuction to reduce the fatty tissue done through two small incisions on each side and a partial glandular removal with a "smile" incision around the areola. Mild to moderate gynecomastia does very well with this. Severe may require a more complex procedure with additional scarring.

Donald W. Kress, MD, FACS
Frederick Plastic Surgeon
4.1 out of 5 stars 12 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.