Is Gynecomastia Surgery (Male Breast Reduction) Permanent?

Gynecomastia surgery is a permanent solution for men seeking a flatter and more masculine chest, but factors like weight gain, skin laxity, and medical conditions may alter results over time.

Men struggle with body image just as much as women and one of the most common concerns that can be a real blow to a man’s confidence is gynecomastia – the enlargement of male breasts. It’s not just about aesthetics; it can be embarrassing, isolating, and even lead to depression. Thankfully, there’s a solution: gynecomastia surgery, a procedure that helps men reclaim their chest and their confidence.

Why Do Male Breasts Get Bigger?

Gynecomastia, or enlarged breasts in men, can be caused by many things. It might happen because of hormone changes during teenage years, too much estrogen which could be due to some medicines or health issues, using steroids, drinking a lot of alcohol, or liver problems. No matter why it happens, having enlarged breasts can make you feel uncomfortable both physically and mentally, and it can make you feel bad about yourself.

What is Gynecomastia Surgery?

A gynecomastia surgery or male breast reduction is a minimally invasive procedure that aims to reshape the male chest by removing excess tissue and fat. During the surgery, depending on the severity of the case, your surgeon may opt for liposuction to eliminate fatty deposits, tissue excision to remove glandular tissue, or a combination of both. The goal is to achieve a flatter, more contoured chest that aligns with your natural physique.

Who Should Consider Gynecomastia Surgery?

If you’re struggling with enlarged breasts that:

  • Significantly impact your confidence and daily life
  • Cause physical discomfort, such as breast tenderness or pain
  • Haven’t improved with medication or lifestyle changes
  • Are causing emotional distress or embarrassment

If you’re considering gynecomastia surgery, it’s really important to talk to a well-qualified and board-certified plastic surgeon. They will check your specific case closely and talk with you about it. They will help you understand the whole process, what you can expect realistically, and the possible pros and cons of the surgery.

What to Expect Before, During, and After the Surgery

Gynecomastia surgery is generally considered a minor to moderate outpatient surgical procedure and there are several steps involved. Your surgeon will help understand every step of the procedure. 


Before gynecomastia surgery, you’ll have important meetings with your surgeon to discuss your health, goals for the surgery, and any concerns you might have. Being clear and honest in these discussions is essential. 

You’ll also undergo some pre-operative tests, like blood work, to ensure you’re ready for the surgery and to identify any health issues that might affect it. Your surgeon will give you detailed instructions on how to prepare, which could include dietary restrictions, changes to your medications, and rules about smoking and alcohol consumption.


During the surgery, you’ll be under general anesthesia, so you’ll be asleep and won’t feel any pain. The procedure typically lasts between one to two hours, depending on how complex your case is. The surgeon may remove fat and glandular tissue from your chest to reduce its size and improve its shape, using methods tailored to your specific needs.


Post-surgery, you’ll be in a recovery area where medical staff will monitor your health as you wake up from the anesthesia. It’s normal to experience swelling, bruising, and discomfort, but these symptoms should gradually improve over a few weeks. Following your surgeon’s instructions carefully is very important. This includes wearing special garments, taking prescribed medications, and attending follow-up appointments. 

You’ll need to avoid strenuous activities and heavy lifting for a period recommended by your surgeon to help with healing. The full results of the surgery may take several months to become completely visible as your body heals and adjusts to the changes.

Will Your Chest Stay Flat?

The good news is: gynecomastia surgery offers long-lasting results. Once the excess tissue and fat are removed, they won’t regenerate. However, there are some factors that may influence your results:

Weight fluctuation: Gaining a lot of weight after surgery can change the shape of your chest even after surgery. While the removed tissue won’t return, remaining fat cells can expand, potentially leading to the appearance of ‘man boobs.’  It’s important to keep a healthy weight after surgery to keep the best results.

Aging: As you age, the skin on your chest, like everywhere else, can stretch and become less firm. This might change how your chest looks, but usually, it will still look much better than before the surgery.

How Much Does Gynecomastia Surgery Cost? 

The cost of gynecomastia surgery changes based on things like how experienced your surgeon is, where the surgery is done, and how complicated your case is. Think of this surgery as an investment in feeling good about yourself. It might not be paid for by insurance, but there are many payment plans and options that can make it easier to afford.

Don’t Let Gynecomastia Hurt Your Confidence. 

Gynecomastia surgery isn’t just about achieving a flatter chest; it’s about reclaiming your life so you can wear what you want, participate in activities you enjoy, and live life to the fullest. To learn more about gynecomastia surgery, call Plano Plastic Surgery to schedule a consultation with our board-certified plastic surgeons. We serve patients in and around Plano, Texas including Richardson, Allen, Dallas, Garland, Arlington, and more. 

Male Breast Reduction Before and After

Before the surgery, this patient lived with the weight of gynecomastia. The ‘Before’ image captures the silent struggle he had to endure. Fast forward to the ‘After’ photo, and we see a chest transformed. It really shows the amazing change he went through after deciding to make a big change for himself. Now, you can see he looks and feels confident, thanks to the great work of his surgeons at Plano Plastic Surgery.