Gynecomastia surgery (male chest reduction)

Some men have enlarged breast tissue that does not go away with weight loss or exercise. Reduction mammoplasty for gynecomastia removes the glandular tissue and fat, and, if there is a lot of excess skin, some skin as well.

Liposuction can remove the fat, and the firmer gland tissue is taken out through a small incision, often at the edge of the areola. When the chest is larger or the skin is loose, a different incision may be needed. Your surgeon recommends the technique for you.

Expect swelling, bruising and soreness. A compression garment is usually worn for a few weeks to support the chest. Avoid heavy lifting and strenuous exercise until you are cleared. The chest keeps settling over several months.

Risks include bleeding, infection, a collection of fluid, uneven contour, changes in nipple sensation, visible scars and the need for a revision. Some causes of gynecomastia, such as medicines, are checked first. Results differ from person to person, and any procedure can need a touch-up or revision.

What is causing my gynecomastia, and is surgery the right step? Which technique do you recommend? Where will my scars be? When can I go back to the gym?