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For men excess fat and sagging in the breast tissue can be an embarrassing condition. Over-developed male breasts, is also known as gynecomastia, and may occur in one or both breasts. This development of excess fat and tissue may be influenced by both genetics and lifestyle. Excess development in the glandular tissue brought on by hormone irregularities can create extra build up in the breasts, as can excess fat brought on by diet.

What is it?

Gynecomastia can be reduced through surgery and is highly effective in healthy men who do not smoke or use drugs, and who do not suffer from any diseases or other medical conditions. Male breast reduction surgery is a combination of liposuction and a surgical procedure, which removes excess tissue and fat from the around the breast. Most incisions made during the surgery are small and cut along natural curves in the skin, however a few subtle scars may remain after the surgery. Several weeks before the procedure is performed there are steps you can take to increase the effectiveness of the procedure and reduce the amount of discomfort felt after the procedure. If you are taking medications you doctor may advise you to avoid these medicines leading up to the surgery. You should also avoid taking aspirin or other anti-inflammatory drugs in the days leading up the procedure as they can decrease the blood’s ability to clot. If you are a smoker you should also avoid smoking for at least a week before the surgery.

How does it work?

Male breast reduction is performed in three steps: anesthesia administration, liposuction and excision. During the first step, the admission of anesthesia, the patient is prepared for the surgery. Both intravenous and orally administered anesthesia is effective for the treatment and the right type of anesthesia for you will be determined by your doctor, based upon your medical history and your personal preference. After anesthesia had been administered and has taken effect the doctor will begin liposuction. Liposuction involves the use of a cannula, a thin straw-like device and a vacuum. The vacuum is attached to the end of the cannula as it inserted into the breast through a small incision. The surgeon then moves the cannula back and forth with gentle motions to break apart excess fat tissue in the breast and then suck it up through the vacuum. After liposuction is performed than excision takes place. Excision is where the excess tissue that has built up in the breasts is removed. Sometimes the areola will also need to be reduced in size due to stretched tissue in the breast area. The areola may also need to be repositioned to more closely replicate the normal male contours after the breast has been resized and excess tissue has been removed.


In most cases the benefits achieved by male breast reduction are permanent. Right after the surgery it is normal to experience swelling, however after the swelling has subsided men should be able to see noticeable reductions in the size and shape of their breasts. If gynecomastia occurred as a side effects from certain medication that will continue to be taken after the procedure there is a slight chance that the gynecomastia may come back. Speak with doctor if you believe this may be a risk.