What is Gynecomastia Surgery?

Don’t let gynecomastia hold you back. Gynecomastia surgery, also known as male breast reduction, is a surgical procedure designed to reduce the size of enlarged breasts in men. This enlargement can result from an imbalance of hormones, certain medications, or other causes. The surgery aims to give men a flatter, firmer, and more masculine contour to the chest by removing excess fat, glandular tissue, and in some cases, skin.

Gynecomastia Real Results

Is Gynecomastia Surgery Permanent?

Gynecomastia surgery is a permanent solution for men seeking a flatter and more masculine chest. Once the glandular tissue is surgically removed, it doesn’t grow back. However, there are factors to consider:

Fat Accumulation:

This is the basic way where a thin tube sucks out fat from around the waist area, covering the belly, sides, and sometimes the back. It’s great for people who want an all-around slimmer look.

Hormonal Changes:

Gynecomastia can be influenced by hormonal imbalances. If the condition was initially caused by an ongoing hormonal imbalance that remains untreated, there’s potential for breast tissue to redevelop.

Medications and Drugs:

Some medications, steroids, and drugs are known to cause gynecomastia. If a patient continues to use or starts using such substances post-surgery, there’s a risk of recurrence.


The natural aging process can lead to changes in the body, including the chest area. While this doesn’t equate to a return of gynecomastia, it can bring about some sagging or changes in chest appearance.
For the best and most lasting results, it’s essential to maintain a stable weight, address and monitor any potential hormonal imbalances, and be aware of the medications and substances you’re taking. Regular check-ins with a medical professional can also ensure any concerns are addressed promptly.

Why Plano Plastic Surgery?

At Plano Plastic Surgery, excellence is our standard. Both Dr. Haidenberg, with his 16 years of experience in cosmetic surgery, and Dr. Yaker, the celebrated force behind Plano Plastic Surgery, have dedicated years to perfecting aesthetic surgeries—from breast augmentations to rhinoplasties and liposuctions. With them, you’re not just opting for transformative results but also genuine care and understanding. Our approach is personal—tailored to every patient’s concerns and desires.

How It’s Done

Gynecomastia surgery, also known as male breast reduction, is typically performed under general anesthesia. The procedure begins with the surgeon making incisions, often around the areola or within natural chest creases to minimize visible scarring. Depending on the patient’s needs, the surgeon will remove excess glandular tissue, fat, and occasionally skin. 

In cases where there’s more fatty tissue than glandular tissue, liposuction can be employed. This involves inserting a thin tube called a cannula through small incisions to suction out fat. Once the desired amount of tissue has been removed, the remaining tissue is reshaped to provide a natural-looking, more masculine chest contour. The incisions are then sutured and dressed.

Who is a Good Candidate?

Candidates for gynecomastia surgery are typically:

  • Men who feel self-conscious about their enlarged breasts.
  • Those in good overall health, without any medical conditions that could hinder healing.
  • Individuals with stable body weight.
  • Non-smokers or those willing to quit prior to and after the surgery.
  • Men with realistic expectations about the outcome.

Gynecomastia Surgery Recovery and What to Expect

Recovery from gynecomastia surgery varies among patients, but certain milestones and guidelines are generally consistent:

Immediate Post-Operative Phase:

After the surgery, it's typical for patients to experience some discomfort, swelling, and bruising. These symptoms can be managed with prescribed pain medications. The chest will be bandaged, and patients might also have drain tubes temporarily placed at the surgical sites to remove any accumulating fluids.

Compression Garment:

A crucial aspect of the initial recovery phase is the use of a compression garment. This snug-fitting vest helps reduce swelling, supports the chest as it heals, and aids in achieving optimal surgical outcomes. Typically, it's worn continuously for several weeks.

Activity Limitations:

It's advised to avoid rigorous activities and heavy lifting for about 4-6 weeks post-surgery. Gentle movements and short walks are encouraged to boost circulation and prevent blood clots.

Incision Care:

Proper care of the surgical site is paramount. This involves keeping the area clean, dry, and periodically inspecting for signs of infection. Detailed care instructions will be provided by the surgical team.

Long-Term Recovery:

Around the 6-8 week mark, most patients can gradually reintroduce more strenuous activities. Scars, initially red or pink, will mature and fade over several months. Protecting them from the sun is crucial, as sunlight can cause them to darken.

Follow-Up Appointments:

Periodic check-ins with the surgeon are necessary to monitor healing and address any concerns. During these sessions, the surgeon will provide guidance on scar care, resuming exercises, and other post-operative considerations.

Final Results:

As swelling fully subsides and the chest tissues settle, the final results become more evident. By 3-6 months post-surgery, patients can generally appreciate the full benefits of their procedure. The outcomes are long-lasting, but maintaining a stable weight and healthy lifestyle will ensure the results endure.