Male Breast Reduction Surgery

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The symptoms, causes and types of gynecomastia in connection with the male breast reduction surgery are included in this article.

We wish you a good reading. After reading this article, you can decide for yourself whether you are a true or pseudogynecomastia patient.

Male Breast Reduction Surgery - Zty Health Istanbul - Turkey

Symptoms of Gynecomastia

Obvious symptoms may appear in a man with gynecomastia. Abnormal breast size is the primary symptom. In addition, some minor age-related symptoms are observed. These are:

  • Tenderness  in breast tissue
  • Minor pain around the areola (not always). )
  • Pain from touch
  • Prominent nipple when you wear a shirt
  • Enlargement in one breast only

Abnormal breast enlargement in men

If a man has a visible enlargement in breast size, this should be evaluated because the male breast does not enlarge like a woman’s breast. This may result from two reasons: Fat deposition associated with losing weight or gynecomastia due to hormonal and genetic factors. In both cases, the patient should be examined and necessary action should be taken.

Causes of Gynecomastia

Gynecomastia is usually a genetic problem. But of course, some other factors also trigger gynecomastia. These are:

  • Hormonal imbalance
  • Obesity
  • Infant boy
  • Puberty
  • Aging
  • Side effects of medications (anti-ulcer drugs or drugs used for cardiac patients)
  • Illegal drugs (cannabis or anabolic steroids)
  • Excessive alcohol consumption
  • Renal failure or hepatic disease
  • Klinefelter syndrome
  • Lumps or infection in the testicles


Gynecomastia is caused by hormonal disorders and is seen in infants, adolescents and the elderly. True gynecomastia occurs in the breast when mammary glands swell and the breast appears large. In this treatment, a surgical intervention is made to the mammary gland, which is very different from the other.

Pseudogynecomia is the fat deposition due to excessive weight gain, obesity and some temporary drugs. This fat deposition is similar to the accumulation of fat in the abdomen and limbs. Liposuction is the preferred method of treatment. Glandular tissue is left alone. Treatment is completed by removing excess oils.

A true or pseudogynecomastia?

You cannot tell one from the other because both are similar conditions. The specialists who have performed gynecomastia surgeries frequently and are good at their jobs can distinguish them without any examination. Apart from this, it can be easily identified with some radiological examinations whether the problem arises from mammary gland or fat accumulation.

Common mistake

Generally, in both cases, liposuction is used to reduce the breast in gynecomastia surgeries. This procedure is actually incomplete. If the condition requires the removal of mammary gland, liposuction will not be enough. If the breast is large post-operatively, it may not satisfy the patient. Therefore, the problem should be diagnosed clearly and the treatment plan should be determined accordingly.

Adolescent gynecomastia

Adolescent gynecomastia is defined as a benign glandular proliferation. It is thought to be caused by hormonal imbalances to a large extent. It can be observed in either single breast or both breasts. Pain from touch is the most evident sign.

Excessive fat accumulation can be observed in obese men due to weight gain, which we refer to as pseudogynecomastia. In this case, exercise and diet may work. But in the case of true gynecomastia, the surgery seems to be the only solution.

The problem in men of this age may lead to shame and emotional breakdown. In social life, it causes serious problems for men, especially in activities involving sea and pools. The same goes for businessmen. It can always be annoying if you have large breasts. The age of occurrence is 12-14. It should be determined through medical examination whether the condition is temporary or permanent.

Infant gynecomastia

Breast enlargement in infants, on the other hand, it is caused by hormones from the mother. Even if it is mostly a temporary situation, it should be checked if the breast does not return to its normal after 2 months.

Obese male gynecomastia

As it can be understood from this title, it may be related to excessive loss of weight because when the body starts to accumulate fat, fat accumulation can be observed in every part of the body. This also includes the breast area. Losing weight is the first thing that comes to mind.

If you have trouble losing weight, fat removal by liposuction may be a good option. Breast sagging may occur in the chest area after you lose weight with your own efforts. Although this is an expected situation, it causes discomfort. It is not possible to get rid of excess skin by losing weight. In this case as well, surgical intervention may be considered.

In case of obesity-related gynecomastia, fat removal will be adequate unless you have a true gynecomastia problem. If there is no swelling in the mammary glands, only liposuction and then, if any, excess skin is removed and the operation is completed. Of course, these are simply some scenarios because it is not possible to decide without examination. More than half of the job is to identify the problem.

I have gynecomastia and I want to get treatment.

If you are a resident of Istanbul or it is easy for you to travel to Istanbul, you should first get a medical examination. Then, the treatment is planned and the process is completed. However, if you come from outside of Istanbul:

  • Entering adolescence
  • Sending to us photos of the breast area via WhatsApp
  • Determining the level of gynecomastia based on these photos
  • Reporting any medication used all the time, if any
  • Whether you have had gynecomastia surgery before
  • Reporting permanent disorders (such as diabetes, rheumatism, etc.)
  • Scheduling the day of surgery
  • Arriving at least 1 hour before the surgery and completing the necessary examinations

Removal of breast skin in men

The breast may swell for both reasons. The treatment is made by various methods as discussed earlier. However, the size of breast is so large in some men that when fats are removed, excess skin may be obtained, just like in the abdomen.

In this case, it may not be suggested that gynecomastia is successfully eliminated. Surgical removal of the excess skin will make the surgery perfect. For the removal of excess skin, an incision is made around areola and the excess skin is excised.

Will there be any scar after male breast reduction surgery?

All men are curious about this answer because any scar will be an aesthetics problem for them. Therefore, some techniques have been developed to avoid such scars. For example, incision around the area where the brown part of the breast ends will result in an almost invisible scar.

In other words, the area around the nipple will be incised. Even if this is the most common method, it is not the only method. Opening a small incision under the breast (3-4) and removing the mammary gland from that duct is a procedure without scars in the breast area. These preferences are entirely up to the doctor and the doctor will choose the most comfortable method for him.

Surgery scorecard

Let’s list the pre- and post-male breast reduction surgery events.


  • Fasting starting from the midnight
  • Undergoing necessary tests in the hospital before the surgery
  • It is recommended that you come to the hospital with an attendant.
  • Reporting medications that are used all the time, if any
  • Reporting chronic diseases, if any


  • Wearing medical corset for a month
  • Post-operative overnight stay in the hospital
  • Taking post-operatively prescribed medications
  • Avoiding from lifting heavy objects for a month
  • Undergoing a follow-up examination  after 2-3 days
  • Choosing a qualified aesthetics plastic surgeon

Although theoretically, every plastic surgeon can perform this surgery, choosing a qualified doctor is still important. He can give concise answers to your questions and earn your trust.

It may give you an idea to see his other patients pre- and post- gynecomastia surgery. Which school he graduated from and how many male breast surgeries he performed are also important factors. The frequency of performing this surgery on a monthly basis can also give you an idea.

Male breast size that cannot be resolved through surgery

In some men, the feminine breast is so large that it may be difficult to achieve a firm and flat breast even if you undergo surgery. In some major cases, improvement and reduction of breast size may also satisfy you, although it is not theoretically possible.

In conclusion, surgery enables breast reduction. However, it may not always be possible to achieve a flat breast.

Male breast reduction with tissue excision

In advanced and more severe gynecomastia cases, surgery may require tissue excision to achieve the best results. This may be required in cases where excess tissue around the breast should be excised.

It allows the removal of larger amounts of glandular tissue and/or skin that cannot be successfully treated with liposuction alone. Male breast reduction by tissue excision can typically occur as an outpatient procedure using general anesthesia or local anesthesia with sedation. As a precaution, general anesthesia is preferred more frequently.

After Male Breast Reduction

A visible improvement is achieved with gynecomastia surgery. Mild pain is natural and expected in the first week. Some painkillers prescribed by your doctor will help. It will be very useful to wear the gynecomastia corset regularly.

Even if the recovery times vary from patient to patient, you can return to work after 2-3 days unless an extraordinary circumstance arises. However, you should avoid from lifting heavy objects.

The result of gynecomastia surgery will be permanent. It will not require a new surgery or revision in the future. This does not include gynecomastia surgeries with unsuccessful results.

Can gynecomastia recur?

It will not recur under normal conditions. The breast may enlarge again if the condition is triggered by other diseases.

  1. Rapid weight loss or gain
  2. Use of steroids
  3. medications affecting testosterone levels