Is There a Certain Weight That You Have to Be in Order to Have Gynecomastia Surgery?

I am 5"8 - 5"9 and weigh about 232 would I have to lose more weight in order to have the surgery?

Doctor Answers 18

Weight and gynecomastia

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It is certainly possible that, with weight loss, the gynecomastia will improve such that you might avoid surgery so I would encourage you to reach and remain at your ideal weight for six months before having surgery. If you had the surgery first and then lost a significant amount of weight, you could have skin sagging.

Gynecomastia Surgery and Weight Loss?

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Thank you for the question.

In general, I think would be your best interest to undergo  correction of gynecomastia surgery when you are as close to a “stable” weight as possible. I have found that gynecomastia is often best treated with  partial excision of the prominent glandular tissue  as well as liposuction surgery of the peripheral chest area. On the other hand, if the prominence of the chest wall is caused by adipose tissue, then liposculpture surgery alone may suffice.

Either way,  being closer to your ideal weight will allow the surgeon to treat any adipose tissue that is diet and exercise resistant in a more accurate fashion;  therefore, you will be more likely to achieve the best result possible.

Please make sure you're working with a well experienced board-certified plastic surgeon.

Best wishes.

Gynecomastia and being overweight are separate problems.

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Losing weight is very hard. I think you can have correction of gynecomastia anytime. You will still be overweight after wards, but your chest will be flat and you will look and feel better. It may motivate you to lose weight.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Ideal Weight to Consider Gynecomastia Surgery

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Three options exist for surgery. Smaller procedures can actually be done in the office with light oral sedation. Adolescents frequently do better with a light general #anaesthetic.Twilight or IV sedation are another great choice. All procedures are outpatient either in the office or a certified outpatients surgery facility.

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.

All surgical procedures carry some degree of #risk. Always discuss your issues and concerns with the Plastic Surgeon during and following your consultation. Information that you read online may not apply to your personal situation.
It is imperative you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

Weight Loss Prior to Surgery

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Hi 5633anon,

Thanks for the post. There is no specific weight that one must be prior to gynecomastia surgery. The main criterion is that your weight be stable.  Losing 30 lbs prior to surgery only to regain it afterwards could affect the results. Also, going strictly by BMI is not a good practice. I have treated bodybuilders and football players who are your height and weight and are clearly not overweight or obese. Every patient must be treated individually.


Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 51 reviews

Weight loss and surgery

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The optimal time for cosmetic surgery is when a patient loses their desired weight and remains at that weight for 6 months or more.  At your weight, I would like to see you see if you can shed some pounds before surgery.  While easier said than done, you will ultimately have a much better result with more definition to the chest wall (and probably even motivation to keep shedding).

Tim Neavin, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 54 reviews

What comes first weight loss or gynecomastia surgery?

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 Like all body surgery weight loss is definitely recommended, but is it essential before gynecomastia surgery? No. Overall body proportion will be better after weight loss. From the other point of view, once a patient will see an aesthetically improved chest, it is more likely that he will lose weight to improve the rest of his body. So the answer is up to the patient and it is different for every man. For more information you can go to wikipedia.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 89 reviews

At a BMI of 34/35 weight loss prior to gynecomastia surgery is recommended but not mandatory

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At 5'8" to 5'9" and at 232 pounds you are definitely overweight with a BMI of 34 - 35. Does this preclude you from having surgery? No.

However, if you could lose some weight prior to surgery - around 30 pounds - that would help provide you with the potential for a better result with less surgical and anesthesia risk and it would be prudent. The weight loss would not be a deal breaker, though.

Steven Turkeltaub, MD
Scottsdale Plastic Surgeon
4.7 out of 5 stars 33 reviews

Male breast reduction surgery and weight loss

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If you do lose weight prior to this surgery - you may be surprised that your chest may change as well.  Typically, breasts have a certain percentage of fatty tissue.  As you loose weight, the fatty tissue may decrease. 

Best weight for gynecomastia repair (male breast reduction)?

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Weight is not the main factor. The shape of your chest is the main issue. Is there a lot of loose skin? Or is it just diffusely large. So weight is less important than actual BMI and you should try to lower your BMI below 30 for best results. With the amount of excess weight you have I think your best bet would be achieve this by losing about 30 more pounds and then be evaluated.

Andrew Kaczynski, MD (retired)
Sacramento 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.