If you experience enlarged male breasts or gynecomastia, you may want to consider a Male Breast Reduction Surgery.
This life-changing surgical procedure reduces male boobs or moobs, relieves anxiety and reduced self-esteem that you may be experiencing in your daily life. Dr Patrick Briggs and Dr Richard Sackelariou are specialised plastic surgeons at Coco Ruby Plastic Surgery with much experience in male breast reduction and thousands of satisfied patients. These two experts will help remove your moobs and restore your confidence while giving you an athletic look that you can be proud of.
Male Breast Reduction Guide
Visit the Gynecomastia Surgery Information page.
What Is Male Breast Reduction FAQs
What Is Male Breast Reduction?
- Male breast reduction or gynecomastia surgery is a surgical procedure that removes enlarged male breasts.
- If your breasts are enlarged, and you do not feel comfortable showing your body on the beach or at a pool party, you may want to consider male breast reduction.
- This procedure removes fatty deposits and glandular tissue, giving you a strong, masculine chest.
Does male gynecomastia go away?
- Male gynecomastia may go away but only if it is the result of weight gain.
- When you gain weight, your fat deposits enlarge in volume all over your body, and your man breasts grow.
- The fat deposits go away when you lose weight, and your chest returns to a desirable size. However, if the growth in your breasts is due to glandular tissue (the breast tissue) growth, your breasts will not get smaller. In this case, you may need gynecomastia surgery to reduce your chest.
- Your specialised plastic surgeon may also suggest liposuction in the area to tone your chest and give them a well-defined look.
Do I need gynecomastia surgery?
- You may need gynecomastia surgery if you have large male breasts.
- Typically, man breasts may get bigger during puberty due to hormonal changes and hormonal imbalance, or they may appear later in life, when you gain weight, due to hormonal disbalance, medication you may be taking or even testicular cancer.
- Always consult a specialised plastic surgeon with any concerns you may have about your breast size. Your experienced plastic surgeon will assess your situation properly and suggest the best solution for your problem.
What happens if gynecomastia is not treated?
- In young men, such as teenagers and adolescents, untreated gynecomastia can go away in some cases. However, this rarely happens, and young boys are often teased or bullied for their large ‘moobs’ or ‘man boobs’.
- In older patients, gynecomastia usually does not go away and may slightly increase the chance of male breast cancer development.
- Even with gynecomastia, the possibilities of developing breast cancer are very slim. However, most surgeons would suggest that you have a male breast reduction to minimise chances of any complications further and restore your self-esteem.
What are the stages of gynecomastia?
- There are four stages of gynecomastia, stage:
- 1 – small enlargement of the glandular tissue,
- 2 – moderate enlargement of glandular tissue,
- 3 – moderate enlargement of glandular tissue with some stretching of the skin,
- 4 – very pronounced enlargement of glandular tissue with significant skin stretching – the breasts look like female breasts.
If you have a stage 1 gyno, it does not mean that your man boobs will keep growing. Sometimes they just stay that small size. Occasionally, as the hormones fluctuate, the gyno can grow further, and you can progress through different stages. Operating very early on makes the male breast reduction a quick and relatively safe procedure, and the scar is small, sometimes even invisible. This is why most surgeons recommend having a gyno very early on.
How do you confirm gynecomastia?
Gynecomastia can be confirmed by a simple visit to your plastic surgeon. Your surgeon will examine your breasts and do a pressure test to see if the growth is due to fat deposits or enlarged glandular tissue. If your surgeon suspects gynecomastia, they will suggest blood work to understand better where the breast size changes may come from.
What are the disadvantages of gynecomastia?
- Gynecomastia procedure is relatively safe. It is becoming more common as the awareness of gyno spreads.
- The most prominent disadvantage of gynecomastia is the scar that is left. The scar can be made smaller by the timely intervention of your plastic surgeon.
- The second disadvantage of gyno is the downtime or the time off work. However, with gynecomastia, this time is relatively short and depending on the nature of your job, you can take as little as 3-5 days off.
- The third disadvantage of the gyno is that some men end up with an inverted nipple, where the nipple is dipped into the surrounding tissue. This is usually a consequence of removing too much tissue.
- Choosing the right board-certified specialised plastic surgeon will minimise these disadvantages and yield much better results than an inexperienced, non-certified surgeon could offer.
What Can I Expect After Male Breast Reduction?
- After gynecomastia, you can expect to have a more masculine chest and a more athletic figure.
- The initial recovery takes some 7-14 days, and in this time, you will be able to see a significant reduction in swelling, as well as your first results.
- It usually takes a few months for the last swelling to disappear. Still, during this final stage in recovery, we are talking more about the final definition of what your chest will look like and not some significant changes in the shape or size of your chest.
What Should I Do Before Male Breast Reduction?
- Before a male breast reduction, you should:
- Schedule the initial screening with your specialised plastic surgeon,
- Quit smoking at least six weeks before the procedure,
- Focus on a healthy diet and mild physical activity,
- Lose extra weight you may have. Being as close to your ideal weight as possible will help your surgeon assess your situation better and make it easier to achieve better-looking results. See Best Ways to Lose Weight Before Surgery.
Am I The Right Candidate / Gynecomastia Surgery Prerequisites FAQs
How Do I Know If I Need A Male Breast Reduction?
- You may need a male breast reduction if you:
- Have enlarged male breasts,
- Have lost weight, but your chest did not significantly reduce in size,
- Avoid social events that may require you to take your shirt off, such as pool parties, visits to the beach or water parks.
- Have significantly protruding nipples and areola and feel uncomfortable wearing a T-shirt or thin-material tops
- Feel embarrassment in front of your partner and discomfort in the bedroom.
What Is A Good Age For Male Breast Reduction?
- You should be 18 years or older for any elective surgery. However, you may have a male breast reduction or gynecomastia surgery if you are younger, with your parents’ consent.
- There is no upper age limit to when you can get gynecomastia surgery.
- Most patients that opt for a male breast reduction are either teenagers and adolescents or men 35+ years old.
What is the best BMI for Gynecomastia?
- There is no best BMI for gynecomastia surgery, but you should be as close as possible to your ideal weight.
- If you are overweight and intend to reduce male breasts, you may consider dropping a few kilos first.
- Your specialised plastic surgeon will not say no to you if you are overweight, the answer will be ‘yes, but a part of the preparation for your male breast reduction will be losing weight if you are overweight.
- Ideally, your BMI should not be over 30, but again, no two patients are the same.
- Your specialised plastic surgeon will be able to examine you and give you the appropriate opinion.
Who Is A Good Candidate For Male Breast Reduction?
- You may be a good candidate for male breast reduction if you:
- Have issues with the size and/or asymmetry of your breasts,
- Have lost weight, but the breasts are still there,
- Are healthy and in good condition,
- Do not smoke or are willing to quit for the sake of the gynecomastia procedure,
- Feel embarrassment, or you feel that your large breasts impact your social and intimate life,
- Have realistic expectations of what your specialised plastic surgeon will be able to achieve during a gynecomastia procedure.
Always consult the best-specialised plastic surgeon. Never let an uncertified plastic or cosmetic surgeon operate on you. The results of the gynecomastia procedure are irreversible.
Male Breast Reduction Preparation FAQs
How do I prepare for gynecomastia consultation?
- To prepare for your gynecomastia consultation, you should:
- Self-evaluate your current state, the way you feel about your looks and what your desired results are,
- Revise your and your family medical history,
- Think about any chronic conditions you may have, such as diabetes or hypertension,
- Make a list of all medication you may be taking, previous surgeries, allergies, etc.
- Inform yourself about the procedure and think about any concerns you may have.
- Your gynecomastia consultation will be the perfect time to share these concerns with your specialised plastic surgeon,
- Be aware that the result you desire maybe be unachievable using surgery, although you may still achieve a significant improvement.
How do I prepare for man breast reduction?
- To best prepare for a man breast reduction:
- Run all the tests your surgeon has advised you to take,
- Adjust your medication as necessary,
- Take good care of your body: a healthy diet and plenty of sleep do wonders for gyno recovery, even when done pre-op,
- Quit smoking at least six weeks before your plastic surgery,
- Plan well ahead and run all your errands before the surgery.
Do I need to lose weight before gynecomastia?
- Yes, you should lose weight before gynecomastia. This way, your specialised plastic surgeon will be able to assess your situation with higher precision and suggest the right procedure for you.
- There is no point in having gynecomastia surgery before weight loss, as you may need a male breast lift or excess skin excision after you lose weight.
- In any case, your experienced plastic surgeon can examine you and propose the appropriate course of the procedure for you.
What is the man breast reduction checklist?
- There are several things to take care of before your man breast reduction. Here is a checklist of the things to take care of before your gynecomastia:
- Several weeks before your procedure:
- Start a healthy diet,
- Start mild exercises, such as stretching and jogging,
- Quit smoking,
- Take vitamin and mineral supplements,
- Start adjusting your medication if your specialised plastic surgeon told you to do so,
- Days before the gynecomastia:
- Run all your errands, pay the bills and make sure you have no reason to leave the house at least several days before the surgery,
- Stock up your fridge and the pantry,
- Thoroughly clean the room you will be spending time in during the initial few days post-op,
- The day before your male breast reduction:
- Change the sheets on the bed,
- Have a good shower and use antibacterial soap,
- Have no food and water some 12 hours before the surgery. This includes small sips of water. Your surgeon may suggest a different time; please follow your specialised plastic surgeon’s advice.
- The day of the surgery:
- No coffee, tea, food or water before the surgery,
- Bring all your paperwork, blood work, etc.
- Drive to the clinic early enough, plan for the traffic,
- Show up at the clinic at the agreed time (a few minutes early is still good).
- Several weeks before your procedure:
What should I wear to gynecomastia surgery?
- You should wear loose, comfortable clothes for your gynecomastia surgery.
- You will change both before and after your male breast reduction, so the clothes should be easy to take off and put back on. The clothes should be thin and easily let the air through since excessive sweating can cause complications post-op.
Can I drive alone to the gynecomastia procedure?
- No, you should not drive alone to gynecomastia surgery.
- Bring a friend or a family member since you will not be able to drive back home alone.
- You will be taking pain relievers and may still have a residual anaesthetic in your system.
- These two medicines may severely impact your ability to drive safely.
Gynecomastia Surgery FAQs
Are you awake during gynecomastia surgery?
No, we use general anaesthetic for our patients comfort.
Does Male Breast Reduction Require Anaesthesia?
Yes, male breast reduction requires anaesthesia.
Are You Awake During Male Breast Reduction?
No, Male Breast Reduction is performed under general anaesthetic.
Are You Put To Sleep For Male Breast Reduction?
- If you are given general anaesthesia, you will be asleep throughout the procedure.
What Other Surgeries Are Combined With Male Breast Reduction?
- There are many surgeries that you combine with male breast reduction.
- You can choose to have liposuction (of the abdomen, the flanks, the thigs, the chest and the chin), you can have a beltopectomy, especially after a massive weight loss.
- You can also choose to have a facelift or other surgical procedure involving your face.
- By combining procedures, you can use the recovery time better since you will be recovering from two procedures simultaneously.
What does Male Breast Reduction look like?
- During a male breast reduction, your surgeon will put you under anaesthesia. They will make incisions on the skin through which to pull out the glandular tissue. If needed, they will also perform liposuction in the area. The surgeon will then proceed to suture the incisions, and you will be brought back from the anaesthesia. You will be released the same day. You may choose to stay overnight in hospital for an additional cost. Male gynecomastia procedure is not an easy procedure. It is major surgery, and you should choose only a board-certified specialised plastic surgeon to operate on you.
Male Breast Reduction Recovery FAQs
How Long Does An Male Breast Reduction Last?
- A male breast reduction can last anywhere between one and three hours. The length of the surgery depends on many details, such as the nature of your gynecomastia, the severity of your case as well as your age and other factors related to your health. Choosing an experienced plastic surgeon may shorten the procedure time somewhat and result in a faster recovery time.
Can Male Breast Reduction Be Done Twice?
- Your specialised plastic surgeon will remove all glandular tissue from your breasts.
- This is a permanent procedure.
- However, with significant weight gain and loss, you may be left with some stubborn fat deposits in the area that may need to be addressed. In this case, you can have a male breast reduction liposuction in the area.
- Alternatively, if you’ve had liposuction in the chest area before and experience glandular tissue growth later in life, you may need a second male breast reduction.
- You may also need a repeated male gynecomastia surgery if the first one was unilateral or if it operated on one breast only to correct asymmetry.
How Long Does It Take To Heal After Male Breast Reduction?
Healing after a male breast reduction is quick, and you will be able to go back to work in approximately five to seven days. You may choose to stay off work for longer to be on the safe side. The swelling and bruising are usually quick to fade away. You should wear a compression garment for some 4-6 weeks after your male breast reduction to maximise the results and help the tissue heal faster.
How Long Does It Take To Recover From Male Breast Reduction?
- The initial recovery may take some 5-7 days. These days, your incisions will be healing.
- In the upcoming week, your bruising and swelling will be diminishing.
- After the second week, it may take some 3-6 months for a full recovery, and then you will be able to see your final results.
How Do You Sleep After Gynecomastia?
- After gynecomastia, you should sleep on your back in a reclined position.
- This position will ensure that any swelling is quick to fade and that the body reabsorbs the liquid that may accumulate under the skin.
- Sleeping on your side or the stomach may cause discomfort and compromise your results.
- Always follow your surgeon’s advice on good gynecomastia aftercare.
Can You Sleep On Your Side After Male Breast Reduction?
- No, you should not sleep on your side after male breast reduction.
- Sleeping on the side after gynecomastia can compromise your results. It puts extra pressure on the tissues that your specialised plastic surgeon operated on, and it may promote swelling.
- Always sleep on your back after gynecomastia and wear your compression garment even when sleeping.
Can You Watch TV After Male Breast Reduction?
Yes, you can watch TV after male breast reduction. However, you should not overdo it: instead, try resting in a semi-dark room and catching up on your sleep. Plenty of rest will speed up the healing process and shorten the recovery.
How long do I have to wear a compression garment after gynecomastia surgery?
- You should wear your compression garment for approximately 4-6 weeks after your gynecomastia. This is when your breasts will be recovering and not wearing a compression garment may prevent the skin from reattaching itself for the muscles fully. Wearing a compression garment for as long as your specialised plastic surgeon advises you to can significantly improve the results of gynecomastia and shorten the recovery time.
How much time does it take to recover from male breast reduction surgery?
- The initial stage of the recovery, when you should be taking extra rest, is about 3-5 days long.
- Most of the swelling and bruising will last two weeks and be gone by the end of the second week.
- This is the time when you will be able to pick up most of the activities and when the recovery is over. However, you should keep wearing your compression garment between 4 and 6 weeks after the surgery.
- About three to six months after the procedure, you will be able to see the final results.
What Is The Fastest Way To Recover From Male Breast Reduction?
- The fastest way to recover from male breast reduction is:
- Wearing your compression garment,
- Eating a healthy diet full of vitamins and fibres,
- Having light physical activity,
- Avoiding stress,
- Having plenty of rest,
- Not lifting your arms above your head for the first few weeks,
- Following any other specific advice, your surgeon may have given to you.
Is there noticeable scarring after surgery?
- Depending on the severity of your case and the methods your specialist plastic surgeon deems the best for your gynecomastia, you may be left with some noticeable scars.
- Most scars will be hidden in the body’s natural contours, while some may be more visible.
- If you are concerned about the looks of your car, speak with your specialised plastic surgeon about scar management treatments, such as Healite II, Fraxer Laser or DermaPen.
How Long Before You Can Drive After Male Breast Reduction?
You can drive as soon as you are off the pain relievers and as soon as you regain full range of motion in your torso and your arms. If you notice discomfort while bending down or to the sides or while turning your head around, please do not drive. The pain may slow down your reaction time.
What Can You Not Do After Male Breast Reduction?
- After gynecomastia, do NOT:
- Touch or irritate the incisions,
- Remove the compression garment,
- Smoke and drink alcohol,
- Forget to take your medication as prescribed by the surgeon,
- Forget to show up for your follow-up,
- Do strenuous activities until your specialised plastic surgeon says it is OK to do so,
- Take long hot showers, visit swimming pools, hot tubs or swim,
And make sure to follow any other advice given to you by your specialised plastic surgeon.
When Can I Wash My Hair After Male Breast Reduction?
You can wash your hair and have a shower 48 hours after a male breast reduction. During this time, your incisions will heal enough to withstand short periods of humidity, and you will be able to shower without much discomfort. If you have difficulties raising your arms to wash your hair, you may ask a friend or a family member for help.
Gynecomastia Surgery Longer-Term Results FAQs
Does Male Breast Reduction last forever?
- Yes, male breast reduction lasts forever. Your specialised plastic surgeon will completely remove your glandular tissue to prevent it from growing. Depending on your case, your surgeon may also decide to do liposuction of the area. You should understand that significant weight gain can increase the size of your man breasts even after gynecomastia and that your body can form new fat cells many years after you’ve had your liposuction for men.
How much scarring is after that Gynecomastia?
- Depending on the severity of your case and the method used by your surgeon, there may be a little scarring or much of it. If you need simple liposuction of the breasts, your surgeon will make just very small incisions on your chest. The incisions will be less than 1cm long and will heal quickly. If your specialised plastic surgeon needs to remove some glandular tissue, a small incision will be made along the lower third of the areola border. The natural line of the areola will hide the scar, so it will not be visible. If you have large-scale gynecomastia and breast ptosis or skin laxity, your surgeon may have to make a large incision to remove the excess skin as well. This is usually not the case, so you may want to speak with your specialised plastic surgeon and see what method they suggest.
How to minimise scars after Gynecomastia?
- Scars after gynecomastia for men can be visible. If this is the case, here are some tips on how to minimise scars after male breast reduction:
- Make sure to follow tips for fast recovery after plastic surgery,
- Do not force yourself into making arm and torso movements you’re not comfortable with – this may pull on the scar while it is forming and enlarge it,
- Do not expose the scar to direct sunlight,
- Apply moisturiser daily,
- Apply SPF whenever heading out,
- Have plenty of rest and practice a healthy diet for fast recovery.
How long for the scars to fade after Gynecomastia?
- Scars after gynecomastia may take up to a year to fade. You should understand that not all men who do gynecomastia have visible scars and that your surgeon can hide some scars in the natural crevices and lines of the body. Speak with your specialised plastic surgeon to learn more about where your scars would go.
Can I get man boobs after male breast reduction?
- Yes, you can get man boobs or moobs after male breast reduction, especially if you gain a significant amount of weight.
- This weight has to go somewhere, and some of it will be deposited on your chest, making them look bigger and fuller.
- To prevent this from happening, try to keep your weight stable after a male breast reduction.
How to keep moobs away after gynecomastia?
- To keep moobs away after gynecomastia, you should ensure that your weight does not fluctuate as you age. Any weight gain will be noticeable on your chest or breasts as well, and significant weight gain and weight loss may even stretch your skin, so that you may even need a surgical procedure to remove the extra skin.
Gynecomastia Surgery Risks And Complications FAQs
Does Male Breast Reduction Hurt?
- You will not feel any pain during your male breast reduction. Your specialised plastic surgeon will put you under anaesthesia and give you pain relievers after the surgery. You may experience some discomfort and mild pain while performing certain activities in the initial few days. If this is the case, please refrain from doing strenuous activities for a few more days.
Does Male Breast Reduction Leave Scars?
- Yes, male breast reduction will leave scars depending on what needs to be done and what method your surgeon deems the best for your case. However, scars can be hidden in the natural contours and lines of the body so that you may not have any visible scars after all.
Is A Male Breast Reduction Painful?
- During a male breast reduction procedure, your surgeon will put you under anaesthesia. You will feel no pain. After the surgery, you will be taking pain medication to take care of any pain you may experience during the recovery period.
- The recovery after gynecomastia is short, and any pain should be gone within days.
What Can Go Wrong With Male Breast Reduction?
- Male breast reduction is a commonplace surgery. As with most plastic surgery procedures, there are always possible risks and complications.
- These include;
- Seroma or fluid collection
- Breast asymmetry
- Nipple tissue loss
- Overt scarring
- And reactions to the anaesthetic.
- To minimise any risks, always choose the best possible plastic surgeon to operate on you.
- Beware of suspiciously low prices and cosmetic surgeons who operate in their own offices and clinics. Most of the time, they lack credentials that would let them operate in good hospitals.
- Remember that some damage done by non-certified surgeons cannot be repaired.
Is gynecomastia surgery risky?
- Every plastic surgery has some risks, and your male breast reduction is no exception here. Before the surgery, you may discuss all the possible risks and complications of the gynecomastia procedure with your specialised plastic surgeon. Always choose the best board-certified plastic surgeon to do your gynecomastia since they will be able, based on their experience, to minimise any risks and complications. Never choose an inexperienced surgeon or a non-specialised plastic surgeon to operate on you.
Can gynecomastia grow back after surgery?
- In some cases, the moobs may come back. This is usually fat deposits that have grown during a weight gain period. Your specialised plastic surgeon will remove the entire glandular tissue from your breasts during your initial gynecomastia so that this tissue cannot cause new growth.
Is liposuction safe for gynecomastia?
- Yes, liposuction is generally added to gynecomastia to increase the definition of your chest area and give you that sharp, masculine look.
- The procedure gives very satisfying results, and you may be surprised by the difference it can make.
Male Breast Reduction Financing FAQs
Does Health Insurance Pay For Male Breast Reduction?
Insurance will not pay for your male breast reduction if it is done for purely cosmetic reasons. However, if your male breast reduction is prescribed and you have the item numbers, you may receive a refund or coverage for your gyno procedure.
Does Medicare Cover Male Breast Reduction?
Medicare may cover the cost of your male breast reduction as a medically necessary procedure. In this case, you will need a valid GP referral and you will need to meet the medical criteria for the item number.
In general, if the male breast reduction is a life-changing surgery for you, which would improve your social and intimate life or is a part of a massive weight loss and a return to healthier ways of life, you may be eligible for cover.
Is It Worth Getting Male Breast Reduction?
- Yes, it is worth getting a male breast reduction. This procedure is a life-changing procedure that will alleviate any discomfort or embarrassment you may feel because of how your breasts look and how big they are. The gynecomastia procedure reduces the size of your breast and improves your self-image. The recovery period is short, and gynecomastia pain is mild so that you will be able to be back to work in no time.