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Gynecomastia Surgery

Gynecomastia surgery is also known as male breast reduction surgery or male breast tissue excision. It is a procedure for men who have over-developed or enlarged breasts. For that reason, male breast reduction surgery is done to reduce the appearance of unusually large male breasts. This type of procedure is normally performed on an outpatient basis for cosmetic reasons.

The Gynecomastia procedure normally involves the excision of glandular tissue with or without liposuction to remove excess fatty tissue when present.

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Gland Removal: This procedure involves the placement of an incision on the lower side of the areola and involves the removal of glandular tissue in order to reduce the size of the breast.


VASER-Assisted Liposuction: In a lot of patients, gynecomastia is purely a fatty issue, meaning that the glandular tissue is not the source of breast enlargement, but rather, excess chest fat is. In these cases the solution is purely to do liposuction. This procedure involves the placement of a small incision of 2-3 mm in the chest skin and is conducted to remove the excess fatty tissues around the breast to reduce their size. The use of VASER ( or ultrasound ) is used in conjunction with the liposuction because it creates superior soft-tissue and skin tightening following the liposuction. Additionally, VASER is very useful in ironing out the dents or depressions which may be left after removing the breast tissue.

Gland Removal & VASER-Assisted Liposuction

In some patients, there is a need to remove both glandular tissue as well as fatty tissue from the chest. In these clinical scenarios, the glandular tissue is primarily removed, and then liposuction is performed in the chest region to create a revitalized and more youthful chest contour.

Gland Removal with VASER-Assisted Liposuction

Depending on the amount of excess skin, which can be significant in patients with Grade IV gynecomastia, the procedure of removing excess skin may involve the placement of an incision around the entire areola to remove the excess skin that is left after the removal of the glandular and fatty tissues. If the breast is sagging and requires a lift, some patients may even require “anchor scar” incisions much like are performed in breast lift surgery ( aka mastopexy ) for women in order to attain optimal aesthetic results.

Skin Removal

What is Gynecomastia?

Gynecomastia (also referred to as “man boobs” or “male breasts”) is a condition that is much more common than the average person would believe. Gynecomastia causes the breast area to swell to a larger than normal size and can happen in both boys and men. Though it is more common in teenage boys throughout puberty, it is a condition that can also affect adult men (and in fact, is a growing concern for such men).

I see a lot of confusion from patients around exactly what is Gynecomastia, and what isn’t. If you’ve ever wondered whether you have Gynecomastia or if it’s just fat, I’ve written a short article on the topic to enlighten you.

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Symptoms of Gynecomastia

Although the most obvious sign, which is clearly visible to the eyes, in a patient suffering from Gynecomastia is the enlarging of the male breast to an unusual size. However, there are many other symptoms associated with this disorder that may be experienced by the patient. These include:

  • The breast tissue may feel irregular to the touch, with the nipple having a rubbery texture.

  • The patient may experience pain on touching the enlarged breast or its nipple.

  • In the boys around the age of puberty, breast buds may be felt in one or both the breast and can last up to 2 years.

It is important to talk about these symptoms, because the patient may often confuse Gynecomastia with several other related disorders affecting the male breast, and untimely treatment of which can prove significantly harmful for the patient. This includes:

  • Cancer of the Breast: This may affect only one breast and unlike Gynecomastia the breast will not have a hard consistency.

  • Breast Abscess: This may be associated with fever and chills and the affected breast may have swelled with a reddish tinge and very hot to touch.

Grades of Gynecomastia

Gynecomastia is classified into four types, based on the severity of the condition. We term them as Grade 1 – 4. 

In moderate to severe cases, Gynecomastia surgery is a good option for improving the shape of the chest. Generally, Grade 1 Gynecomastia will not require surgery, and in most cases neither will Grade 2. That being said, if for cosmetic reasons you wish to remove even mild Gynecomastia, surgery is an option. When we reach Grade 3 and 4 is where surgery is recommended for the vast majority of patients.

If you’re wondering what grade your Gynecomastia is, check out my in-depth look at the 4 Grades in this article, where I go through a deeper analysis of what each type looks like, and how to identify which one you are suffering from.

Grade I

Small enlargement with no loose skin

Grade II (A)

Moderate enlargement with no loose skin

Grade II (B)

Moderate enlargement with extra skin

Grade III

Marked enlargement with extra skin

Grade IV

Marked enlargement with substantial skin excess

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