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Gynecomastia (Male Breast Reduction)


Male breast reduction also referred to as gynecomastia repair, is a popular cosmetic procedure. Many men have enlarged breasts which are a source of embarrassment, restricting clothing choices and activities that are shirtless. The condition occurs mainly in the teenage years and later in life. The teen version is usually caused by hormones, hereditary conditions, marijuana use, or obesity. A young male with gynecomastia should be screened by their pediatrician for a hormonal abnormality. The condition in the teenage years often resolves as the young man grows into adulthood. Sometimes surgery is required. Gynecomastia that has developed later in life is often associated with weight gain or the use of certain medications, like hormonal therapy for prostate cancer. Despite these etiologies, gynecomastia surgery is not covered by insurance companies.

No matter the cause, surgery for gynecomastia can be quite effective. Excess breast tissue is removed by direct excision or liposuction, leaving a more natural body contour and flatter chest. In extreme cases, as seen with massive weight loss and breasts that are B cup and larger, excess skin may be removed as well. Dr. Coan is an expert in gynecomastia repair.  If you are concerned about the appearance of your chest, come see us at CARE for a consultation.

Frequently Asked Questions

What causes gynecomastia in males?

Gynecomastia can be attributed to several factors, including genetics, hormonal imbalances, and even certain medications.

What is gynecomastia?

Gynecomastia is the development of abnormally enlarged breast tissue in males. While every male has breast tissue, the defining feature of gynecomastia is the amount of fatty tissue present.

How long till swelling goes down after gynecomastia surgery?

Peak swelling takes place about 3-5 days after surgery and can persist throughout the first week after surgery. Swelling typically begins to resolve between 2-3 weeks after the procedure, but this is subject to vary depending on patient’s activity level and fluid intake. Some patients may experience mild swelling up until 6 weeks after surgery. Oftentimes, patients find they have more swelling at the end of the day. This is a normal and expected response during recovery.

Can male breasts be reduced?

Yes, men can undergo breast reduction to correct overdeveloped or enlarged breast tissue/gland. This surgery addresses what is referred to as gynecomastia.

How can I reduce my chest gynecomastia?

Chest gynecomastia, or male breast enlargement, is a condition in which men develop excess chest tissue that is more breast-like in nature. Although diet and exercise may help in some cases, gynecomastia is usually treated with surgery to reduce the mass of the tissue in the breasts. This will provide an immediate solution and eliminate the breast tissue.

Can losing weight remove gynecomastia?

Gynecomastia is comprised of both breast and fat tissue. As you lose weight, your fat cells will decrease in size, but the breast tissue will remain the same. Therefore, your breast size will decrease overall, but the excess breast tissue will not disappear with exercise.

Does surgery get rid of gynecomastia?

Surgery is a permanent option to address gynecomastia by removing the excess breast tissue in the chest.

Can man boobs be reduced without surgery?

While diet and exercise can reduce the overall amount of fat tissue in your chest, nonsurgical options cannot remove the excess breast tissue.

Is gynecomastia surgery painful?

Many patients report mild to moderate soreness and discomfort during the first few days after surgery to reduce gynecomastia. Most patients typically only take narcotic pain medication for the first few days or week after surgery. The discomfort and tenderness improves within the first week or so. Within 1-2 weeks, patients are typically back at work, and patients can resume exercise at 6 weeks after surgery.

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