Can Pectoralis Muscles Grow Again in Men if the Nipple and Aerola is Removed?

Doctor Answers 5

Reoccurence Possibilities Following Gynecomastia Surgery

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The #recurrence of breast enlargement is uncommon following #gynecomastia surgery.
However, it can occur. If this happens, you may require further surgery in the future.

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.
Therefore, weight gain, steroid use,recreational drug use and have hormonal conditions can contribute to a return of gynecomastia regardless of previous surgical removal and treatments.

Each patient is unique and previous #results are not a guarantee for individual outcomes. As with all cosmetic surgery, results will be rewarding if expectations are realistic.

Can gynecomastia re-occur?

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Familial gynecomastia where most of the male breast tissue is removed generally has long lasting results without recurrence as long as your weight remains the same. However, other causes of gynecomastia if still present can cause the residual breast tissue to grow again. For example THC (frequent use of marijuana), certain medications, hormonal imbalance, and other causes can make that happen

Chest regrowth after male breast reduction (gynaecomastia surgery)

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This is a good question that highlights some of the confusion about vocabulary that can come up when discussing gynaecomastia surgery!

The pectoralis muscles, the nipple and the areola are different things. In gynaecomastia surgery none of these tissues are removed - the aim is to leave all three intact. If any (or all) of them are removed they will not grow back, but nor will you look normal.

In gynaecomastia surgery the tissue that is removed is the fatty and/or glandular tissue that sits under the nipple and areola, on top of the pectoralis muscle.

It is possible for the fatty breast tissue to reaccumulate after gynaecomastia surgery if the patient undergoes significant weight gain. The breast glandular tissue does not regrow after excision.

Jill Tomlinson, MBBS, FRACS
Melbourne Plastic Surgeon

Pectoralis Muscle in Gynecomastia

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Gynecomastia is cased by increased tissue in the breast. The two types of tissue which may be present are adipose tissue,which is fat and glandular tissue which is breast gland. Gynecomastia is not caused by muscular tissue,so the pectorals does not cause gynecomastia and is not removed during the surgical correction

Man Breast Treatment

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Gynecomastia (Man boobs) vary widely in presentation and severity and therefore require different operations to correct them. But - no operation in surgery, no even cancer operations, currently routinely remove the pectoralis major muscle. Doing so as was done when surgeons preformed Radical Mastectomies permanently deforms the chest. 

In the vast majority of cases liposuction and removal of a small portion of the male breast gland under the nipple complex is all it takes to nicely flatten the enlarged male breast. 

Peter A. Aldea, MD
Memphis Plastic Surgeon

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.