Skip to main content
Menu Gallery Map Contact
American Board of Plastic Surgery - ABPS American Society for Surgery of the Hand - ASSH American Society of Plastic Surgeons - ASPS


Enlarged Breasts in Men: Causes and Effective Treatment Options for Gynecomastia

Posted November 29, 2023 in Male Breast Reduction (Gynecomastia)

A significant number of men worldwide are plagued by enlarged male breast tissue. This condition, known formally as gynecomastia, is often a source of embarrassment and self-consciousness. But it’s important to know that effective treatments are available. Here are some of the main causes of gynecomastia as well as the most effective treatment options. Treatment can get rid of male breast tissue and restore a masculine chest contour.

Causes of Gynecomastia

Gynecomastia can have a range of causes. The most common cause is a hormonal imbalance, particularly an increase in estrogen levels relative to testosterone. A hormonal imbalance can be triggered by puberty, aging, or certain medical conditions affecting the endocrine system. Other common causes of gynecomastia include certain medications, obesity, and underlying medical conditions.

Treatment for Gynecomastia

When it comes to treating gynecomastia, plastic surgery is considered most effective. Gynecomastia surgery, or male breast reduction, aims to remove excess breast tissue and restore a more masculine chest contour. Surgery may involve liposuction, excision, or often a combination of the two in order to flatten the chest.

  1. Liposuction for Gynecomastia: If your gynecomastia is primarily a case of excess fatty tissue in the chest area, liposuction may be the recommended approach. This technique involves making small incisions through which a thin tube, called a cannula, is inserted to suction out the excess fat. Liposuction is a minimally invasive procedure that can provide excellent results with minimal scarring.
  2. Excision for Gynecomastia: If your gynecomastia involves excess skin and/or breast glandular tissue, surgical excision is recommended. This technique involves making discreet incisions around the areola or in the natural creases of the chest. Through these incisions, the surgeon can remove the excess tissue and sculpt a more masculine chest contour.

It is important to recognize that without determining the cause of gynecomastia, there is no guarantee that surgery will prevent its return. To minimize the risk of recurrence, special care should be taken to identify and treat the cause of your gynecomastia in addition to treating the symptoms.

Post-operative Recovery from Gynecomastia Surgery

Whether you get a male breast reduction with liposuction, surgical excision, or both, afterward you can expect some swelling, bruising, and discomfort. Medications will be prescribed for your comfort. You will be instructed to wear a compression vest (thin and easily hidden under clothing) at all times for 3 weeks, then part-time for an additional 3 weeks. Most patients return to light activities and work within 3-7 days, and full strenuous activities within 2-3 weeks. Your recovery may take slightly longer if skin was removed as well in order to address sagging.

If you are a male with enlarged breasts, there is a way to reclaim a flat chest. Treating the cause and getting gynecomastia surgery can give you the masculine chest shape you desire, and as long as you maintain a healthy lifestyle, your results should be long lasting. Don’t put off taking care of this sensitive issue – talk to a plastic surgeon today to find out how you could benefit from male breast reduction.

Dr. Andres Taleisnik is a board-certified plastic surgeon who has performed many male breast reductions over the years. To schedule a personal consultation with Dr. Taleisnik, call (657) 294-8375 or contact us online today.