Gynecomastia (Male Breast Reduction)

Men living with excess breast or fatty tissue in the chest can obtain male breast reduction from one of the leaders in surgical and non-surgical treatments. Board-Certified New York City plastic surgeon, Dr. Shridharani, trained at Johns Hopkins University and is considered a pioneer in the innovative treatment of pseudogynecomastia using Kybella.

Male breast reduction is a personalized treatment plan that is based on the findings of an in-depth consultation and examination. Male breasts may develop for a number of reasons, and the treatment for this condition must revolve around the originating cause.

What Is Gynecomastia?

Gynecomastia is a term used to describe when the male chest becomes enlarged and takes on a feminine or breast-like appearance because of excessive breast or glandular tissue. Everyone, including men, has a certain amount of breast tissue. In some men, genetics or environmental factors such as medications or other reasons can cause this breast tissue to become larger than normal and result in the chest having a breast-like appearance. This tissue will have a firm or rubbery feel, and sometimes might be slightly uncomfortable to touch. Dr. Shridharani, top NYC-based plastic surgeon, will listen to your concerns and provide you with your treatment options.

What Causes Gynecomastia?

Lots of things can cause gynecomastia from medications such as steroids or certain anti-depressants to various medical conditions and even recreational drugs like marijuana. Sometimes gynecomastia is a normal part of aging, like in adolescence. In this case, it usually resolves on its own and as long as it isn’t psychologically distressing, watchful waiting is the best course of action. Consulting with Dr. Shridharani, a board-certified plastic surgeon in Manhattan, will be the best way to determine if you have gynecomastia and what might be causing it.

What Causes Breast Development in Men?

Who Is a Candidate for Male Breast Reduction?

Men who are self-conscious about their appearance or utilize strategies such as wearing loose clothing or chest binders to disguise the appearance of enlarged breasts may consider male breast reduction as an optimal treatment option. The best candidates are in good general health and committed to ongoing maintenance in the form of proper nutrition and exercise habits.

Can Children/Young Adults Undergo Surgery for Gynecomastia?

Male breast reduction surgery is typically not considered a viable treatment option until a young man has reached adulthood. Although treatment for gynecomastia may be categorized more so as corrective or reconstructive than cosmetic, it is important that surgery or non-surgical treatment is performed after the breasts have fully developed, which usually does not occur until after age 18. Waiting until this time reduces the chance that breasts will continue to grow after treatment.

How Is Gynecomastia Treated?

Gynecomastia may be treated in a number of ways, including liposuction alone, liposuction with excisional surgery, or using Kybella, a fat-reducing injectable drug.

Treating Male Breast Reduction with Liposuction

When gynecomastia is related only to excess fatty tissue and does not involve the breast gland, liposuction may be performed to reduce breast size. This surgical technique involves small incisions and the insertion of a tiny cannula, or hollow tube, through which fatty tissue can be extracted. Liposuction techniques may include vibrational or ultrasound energy or traditional, gentle suction.

Male Breast Reduction Surgery

Because glandular breast tissue is firm and rubbery, it isn’t easy to remove without undergoing a surgical procedure to remove it. Breast reduction surgery may involve a small cut around the nipple/areola or sometimes involves a larger incision at the base of the chest. Both of these scars typically heal well, and results from breast gland excision may last indefinitely because glandular tissue does not grow back.

Non-Surgical Male Breast Reduction with Kybella

Gynecomastia that is caused by an excess of fatty tissue only may respond well to injectable fat-reducing treatment. Kybella is the brand name for a powerful deoxycholic acid substance. When introduced to localized areas of fat, this acid causes fat cells to gradually disintegrate. A series of injections is typically needed to achieve optimal chest definition.

Are There Any Side Effects After Male Breast Reduction?

The most common side effects of male breast reduction are temporary soreness and swelling related to the surgical procedure. Even when injectable treatment is conducted to dissolve excess fatty tissue, a degree of swelling should be expected. The side effects that occur after male breast reduction are temporary and manageable with proper medication and compression therapy.

Will There Be Visible Scarring?

When breast glands are removed, visible scars will be noticed around the areolas and possible at the breast crease. Usually, scars fade over time to a point where they are barely perceptible. However, there is no way to predict exactly how every incision will heal.

Will Gynecomastia Return After Male Breast Reduction Surgery?

True gynecomastia related to genetics and enlarged breast glands typically does not recur after appropriate treatment. Removing enlarged glands achieves permanent reduction. However, contributing factors such as weight and hormone imbalance could affect the amount of fatty tissue that resides on the chest as a man ages.

What If My Doctor Says I Have Pseudogynecomastia?

Pseudogynecomastia is an enlargement of the male chest, however, the underlying cause is a collection of FATTY tissue rather than actual breast tissue. This may be caused by weight gain or, unfortunately, genetics. The treatment for this condition, however, can include more non-invasive or minimally invasive techniques such as injectable treatments or liposuction. Dr. Shridharani has performed thousands of injections to treat unwanted fat deposits in the body and is an international leader in pioneering this non-invasive treatment. He has also performed thousands of plastic surgery procedures and has vast experience in male chest and body contouring. Schedule a consultation today to determine if you’re a candidate for these treatment options and have the chest you’ve always wanted!

Schedule a Consultation

Ready to learn more about Male Breast Reduction and find out if you are a good candidate? Call (212) 508-0000 to schedule a consultation with board-certified NYC Plastic Surgeon, Dr. Shridharani.