Male Breast Reduction
Male breast tissue can become enlarged when there is an imbalance of estrogen and testosterone in the body. While there typically is no medical reason to address swollen male breast tissue, referred to as gynecomastia, it can negatively effect the self esteem of the patient. Male breast reduction procedures surgically remove excess breast tissue for a smoother, more defined male chest contour.
Male Breast Reduction
- avg. recovery
About the Procedure
Gynecomastia occurs when an imbalance of estrogen and testosterone cause breast tissue to enlarge in men. This condition can affect men at many different times in life, especially during times that cause hormonal shifts. Gynecomastia can be observed in male babies caused by their mother’s estrogen (which fades within several months), during puberty, and again later in life between the ages of 50-69. Certain medications and drugs that have antiandrogen effects can also cause gynecomastia, with one of the most well known being anabolic steroids. Symptoms of gynecomastia typically resolve without intervention within a few months to 2 years, however if the condition does not improve, causes pain, or greatly effects self esteem, treatment may be necessary. For patients with true gynecomastia, glandular excision is required to reduce the size of the breast. An incision is made at the bottom border of the nipple in the shape of a crescent. The tissue will be excised and the incision closed. Depending on the severity of the gynecomastia, the nipple may be removed entirely for reposition if the patient has severely sagging skin. Incision patterns vary depending on the specific conditions and surgical preference. When male patients have enlarged breasts caused by fatty deposits and not breast tissue, the condition is referred to as pseudogynecomastia. A liposuction procedure can be performed to reduce the size of the breasts. A small incision will be made either at the border of the nipple or within the underarm crease. A cannula will be inserted and moved back and forth to dislodge and suction fat deposits. For some individuals liposuction and tissue removal is necessary to address enlarged male breasts or puffy nipples.
The goal of a male breast reduction is to remove overdeveloped breast tissue.
What to Expect
Male breast reduction procedures surgically remove excess breast tissue for a smoother, more defined male chest contour. Here is a quick guide for what to expect before, during, and after gynecomastia surgery.
- Stop taking blood thinning medications 2 weeks before a
- Refrain from all nicotine products 4 weeks before and after surgery
- No alcoholic beverages 1 week prior
- Stop using self tanner
- Crescent incision made on the bottom border of the areola
- Breast tissue excised
- Liposuction procedure may be performed for improved contour
- Sutures to close
Compression garments should be worn 24 hours daily for up to 3 months, or as instructed by the provider. Most patients are able to return to work within the first week after surgery. Sex is not recommended for 7-10 days. Jogging is permitted after 2 weeks and more extensive workouts can be resumed after 2-3 weeks as long as they do not strain the shoulder, arm, and chest muscles. Chest, abdominal, and back exercises are permitted after 4-5 weeks.
The ideal candidate for male breast reduction is bothered by the feeling that their breasts are too large, are physically healthy, are of relatively normal weight, and breast development has stabilized. Reduction surgery may be an option for those who have tried alternative medical treatments without success.
Not Recommended For
Male breast reduction surgery is not recommended for adolescents as the condition tends to resolve itself over time.
Side effects of male breast reduction can include unfavorable scarring, changes in nipple or breast sensation (which may be temporary or permanent), breast contour irregularities, skin discoloration, swelling and bruising, asymmetry, excessive firmness, and fat necrosis. Other potential side effects include loss of skin/tissue of breast where incisions meet each other, potential partial or total loss of nipple and areola, and possibility of revision surgery.