Gynecomastia: Surgery to Reduce Male Breast Size

Surgery to reduce male breast size is a procedure indicated for men who experience excessive growth in the chest area, a condition known as gynecomastia.

This condition can affect self-esteem and overall well-being, leading many patients to seek a definitive solution, which, in this case, is surgery.

Continue reading to understand when this surgery is recommended, how it is performed, and what post-operative care is required.

Techniques

The surgical technique will depend on the underlying cause of breast enlargement.

When the increase is due to excess fat accumulation, liposuction is used. When the origin is glandular, the procedure involves the removal of the mammary glands.

For this purpose, a small incision is made around the nipples.

However, since in most cases there is a combination of both causes — excess fat and glandular tissue — it is common to associate the two techniques.

The results are usually very satisfactory, leaving the chest firm and flat.

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male breast size indicated?

When is surgery to reduce
male breast size indicated?

The surgery can be performed on one or both breasts, and the patient should be at their ideal weight to undergo the procedure. It can also be performed on adolescents, as long as breast development has stabilized.

Gynecomastia may occur at different stages of a man’s life and, in some cases, may resolve spontaneously. However, when breast enlargement persists and causes physical or emotional discomfort, surgery to reduce male breast size becomes a recommended option.

The main situations in which surgery is indicated include:

 

  • Impact on self-esteem: men who avoid social situations, such as going to the beach or swimming pool, due to the size of their breasts.
  • Physical discomfort: excess breast tissue may cause pain or discomfort, especially during physical activities.
  • Persistence of the condition: when gynecomastia does not resolve on its own after 12 to 18 months or does not respond to clinical treatments.

* Age considerations: ideally, the patient should have completed physical development, which generally occurs from the age of 18 onward.

How does male
breast reduction surgery work?

Male breast reduction surgery is a relatively straightforward procedure that involves removing excess glandular breast tissue and fat. In many cases, liposuction is also used to achieve a more natural chest contour.

Some of the main steps include:

 

  • The procedure is performed through small incisions around the areola;
  • The surgeon removes excess breast tissue and, when necessary, performs liposuction for improved contouring;
  • The surgery lasts approximately two hours;
  • Local anesthesia with sedation is commonly used, although other anesthetic methods may be applied in rare cases;
  • The patient may be discharged on the same day, depending on medical evaluation.

RECOVERY
POSTOPERATIVE CARE

To ensure a smooth and effective recovery after male breast reduction surgery, the guidelines below may be helpful. Initial results can be noticed within a few weeks, but the final outcome usually develops between six months and one year.

  • Avoid physical exertion during the first week. Intense physical activities should only be resumed after six weeks.

  • Sleep on your back during the first two weeks and always follow your surgeon’s instructions.

  • Light activities may be resumed after 15 to 20 days, with medical approval.

  • Wear the compression garment for the recommended period to reduce swelling and support proper healing.

Anesthesia, scarring, and recovery: what to expect?

Male breast reduction surgery can be performed under local anesthesia with sedation, although general anesthesia is most commonly used.

As for scarring, it is usually discreet and positioned around the areola, where the natural difference in skin tone helps conceal it. In cases with excess skin, additional incisions may be necessary.

During the first few days after the procedure, mild pain, swelling, and sensitivity may occur. Following all medical guidelines is essential to minimize these effects and ensure a proper recovery.

How much does male breast reduction surgery cost?

The cost of male breast reduction surgery varies depending on the complexity of the case, the hospital, the medical team, and any required exams.

To determine an accurate estimate, a consultation with a plastic surgeon is essential. During this appointment, the specialist will evaluate your condition and clarify all questions regarding the procedure.

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