It is very uncomfortable for men to have large saggy breasts. This condition is referred to as gynecomastia and can occur for males of any age. The large shape of the breasts strongly impacts men’s self-esteem which also causes them to avoid participating in physical activities and physical contact in general. Swimming, going to the beach, changing clothes in a public locker, trying on clothes, and similar situations are all activities which men with gynecomastia are ashamed of doing because of their large breasts. Therefore, the male breast reduction surgery is a suitable way for them to feel liberated and regain their confidence.

What causes gynecomastia or enlarged breasts in men?

There are several reasons underlying this condition. The abnormal growth of the mammary glands during puberty is usually the cause of a man’s breast looking feminine. Gynecomastia could also be due to different medical treatments such as hormone therapy. Other factors contributing to gynecomastia include:

  • Increased localized fat
  • increased glandular tissue growth
  • An increase in both localized fat and glandular tissue growth
  • Being extremely overweight

Before and after gynecomastia surgery



View the male breast reduction surgery in 3D



What are the characteristics of a suitable candidate for male breast reduction surgery?

Determining whether or not you need this surgery is a personal choice, meaning that this surgeon is done if the patient wants it. Some men are quite comfortable with how their breasts look and it doesn’t affect their confidence, but others might feel extremely disheartened by this condition. Patients need to meet the following criteria:

  • General physical health and well being
  • Stable and normal weight
  • owning realistic expectations
  • Halted breast growth
  • Discontent with how their breasts look
  • Asymmetry between the breasts

What is an appropriate age for male breast reduction surgery?

In order to undergo gynecomastia surgery, the patient’s breasts must have been fully developed. Generally, individuals above 18 can undergo this surgery.

Before a male breast reduction surgery:

At Estetikcentrum beauty clinic, you can book a consultation with your surgeon and discuss your expectations of the surgery with them. During this consultation, your needs and condition will be examined and all the necessary information will be given to you. There will also be some tests to ensure your total physical health. These tests are carried out in order to identify the cause of the breasts growing bigger.

We usually recommend that patients look at some before and after pictures of the results of male breast reduction surgery and talk about their expectations with those pictures in mind.

The surgeon will examine the patient’s breast tissue and take the proper measurements, such as size, shape, skin quality, position of the nipples, and areola. The methods used for a male breast reduction surgery depend on the cause of gynecomastia in the patient. Therefore, irregular breast growth and fat accumulation are treated differently. Still, if the condition is due to medical reasons, the possible hormonal imbalance needs to be further examined.

During consultation, you’ll be asked several questions regarding your use of medications, vitamins, herbal supplements, alcohol, smoking, steroids, illegal drugs and the likes and finally your surgeon will talk to you about the potential final results.
You will also be photographed in order to complete your medical file.

Preparation before a male breast reduction surgery:

  • Doing hormonal tests and other related tests
  • No smoking or drinking alcohol
  • No use of aspirin, anti-inflammatory drugs, and herbal supplements for at least two weeks before the surgery

How is a male breast reduction surgery performed?

Depending on the scope of the gynecomastia surgery, it will be done under total IV sedation or general anesthesia. If the gynecomastia is related to the breast tissue growing bigger then an incision is made under areola. Through this process, you’ll have smaller breasts and a flat and attractive chest. In severe gynecomastia cases, the excess weight of the tissue might cause the breasts to sag and the areola to stretch. In these cases, the position and size of the areola will be corrected through surgery and the excess skin will be removed.

In case the breast grew larger due to fat accumulation, then liposuction would be a proper solution for the patient. In order to do this, a cannula (think hollow medical tube) is inserted in several small incisions on the breasts. The cannula is moved back and forth in a controlled manner to loosen the excess fat. Afterwards, the fat is extracted by vacuum suction. There are several different methods to do this, all which will be explained to you before surgery.

Does male breast reduction surgery leave a permanent scar?

Several incisions are needed to do this surgery. At Estetikcentrum, we use invisible sutures and try out hardest to make the incisions on the natural lines of the breast. Still, some incisions might be a little visible. Luckily, you can cover those unwanted scars by wearing clothes.

What are the risks and complications of male breast reduction surgery?

The risks and complications associated with gynecomastia surgery will be discussed with you in length during the consultation session. Since undergoing this surgery is a personal choice and solely dependent upon the patient’s decision, therefore, consenting to this surgery implies that you also consent that the responsibility of all the possible complications falls onto you. At Estetikcentrum beauty clinic, we follow the highest standards and utilize the most skilled surgeon to prevent any complications from occurring. With that said, here are some of the possible complications and risks involved with male breast reduction surgery:

  • An undesirable scar
  • Infection
  • Change of sensation in the breast and its nipple
  • Anesthesia risks
  • Hematoma (bleeding)
  • Blood clots
  • Delayed and poor wound healing
  • Uneven, wrinkled, discolored, and asymmetrical breasts and excess skin (In case liposuction surgery is utilized)
  • Swelling
  • Bruising
  • Damage to the nerves and blood vessels
  • Liquid accumulation
  • Cardiovascular risks
  • Fat necrosis (fatty tissue in the breasts might die)
  • Need for a revision surgery to correct the results

Recovery care steps after the male breast reduction surgery:

During convalescence, the surgical incisions must not be subjected to pressure, abrasion, or movement.

You will experience inflammation and bruising for two weeks after the surgery which is natural and will fade away gradually.
After the surgery, you will have to use elastic bandages or wear a special support garment that help support your new chest contour. Wear the support garment according to your surgeon’s instructions.

Make sure to use the prescribed medication (oral and topical) according to the instruction and complete the full prescription. These medications are prescribed in order to reduce the chances of infection or to help relieve pain.

A few months after the male breast reduction surgery, the patient must refrain from participating in heavy physical activities. Avoid playing contact sports for about a month after the surgery; these sports include football, basketball and the likes.
In case you experience symptoms, such as short breath, pain in the chest area, or heart palpitations then make sure to visit your doctor immediately.

When will the result of gynecomastia surgery be visible and how long will it last?

Every individual’s body recovers at a different pace but for most people the results of the surgery are visible after a week or two. Still, it might take months for the skin around the breast to become compatible. As the inflammation and swelling go down and your sutures begin to fade, you’ll become more content with the results of your surgery.

In some cases, the results of this surgery are permanent. However, if your gynecomastia is due to the use of a certain medication, steroids, or being overweight then you need to refrain from using these medications and stay at a stable weight to maintain the results of the surgery.

Follow the tips below to maintain the results of male breast reduction surgery:

  • Consume a lot of fruits and vegetables
  • Reduce the consumption of sugar and fat
  • No more alcoholic beverages
  • Doing daily aerobics exercises at least for half an hour
  • Avoid using hormone medications and sports supplements

You can book a consultation session with our professionals online. You can also call us at 040 – 65 66 660.

We look forward to seeing you at Estetikcentrum.

This article is intended to promote understanding of and knowledge about professional plastic surgeries. It is not intended to be a substitute for professional advice, diagnosis or treatment. Always seek the advice of your surgeon or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment.