Male Breast Reduction

Gynaecomastia Surgery

It is estimated that nearly 60-70% of males globally experience gynecomastia to varying degrees at some stage in their lives. While many individuals observe the condition naturally resolve itself after reaching puberty, some may require medical intervention to address the persistent overdeveloped tissue.


The condition can be caused by a variety of factors, such as hormonal imbalances, certain medications, drug use, obesity, liver disease, or genetic factors.

Gynecomastia is defined as the enlargement of the male breast glandular tissue. It  is most often both sides and symmetrical, firm in consistency and sensitive to palpation. Range from barely noticeable to severe. In moderate and severe cases, the male breast can be noticed through clothing, that can significantly impact the emotional well-being of affected individuals. Gynecomastia should be differentiated from adipomastia as gynaecomastia  presents as a tender or painful mass beneath the nipple that may feel rubbery or firm while Adipomastia which is much more common and corresponds to a local accumulation of fat. Their consistency is soft, insensitive, bilaterally symmetrical with relation to body weight changing.

Adipo-gynecomastia is a combination of both.

Gynecomastia generally has no cause for its occurrence. However, can be caused by certain medications, imbalance between estrogen and testosterone horomones levels in male body, steroids, marijuana, weight gain, aging, genetic and various other health conditions.

Although it is generally not a serious medical condition but can cause emotional distress and self-consciousness in men.


Mild case
Moderate case
Severe case
Plastic surgeons play a crucial role in the management of gynecomastia by providing surgical interventions tailored to the patient’s needs. Understanding the aim of surgery and the different types of gynecomastia is vital to develop suitable treatment plans and achieve successful outcomes, both physically and psychologically, for patients with this condition.

Surgical Techniques:

Multiple techniques are used in male breast reduction including:

1- Liposuction-Assisted Mastectomy: This minimally invasive technique involves removing excess adipose tissue through small incisions and can be performed under local anesthesia. It is suitable for patients with a predominance of fatty tissue and minimal skin excess.

2- Combination Techniques: . cases might require a combination of liposuction-assisted mastectomy and open surgical excision for optimal aesthetic outcomes, depending on the individual patient’s characteristics. In these cases, a small incision at the margin of the areola can be used to directly remove the breast tissue and contour the chest with a wellhidden scar. Application of subdermal heating techniques like laser or radiofrequency-RF or energy deliver device known today by Renuvion® . The Renuvion RF Helium plasma device for subdermal skin tightening is a solution that can help cases with moderate to severe degree gynecomastia to avoid large, visible scars. And replace it with smaller scars measuring only a few millimeters in size.

3- Open Surgical Excision: This technique less commonly used and employed in more severe cases of male breast enlargement; excess skin is present that require skin removal. In such cases need and extensive talk between the surgeon and the patient to discuss different procedures to help removed excess skin. Expert plastic surgeon will take great care to conceal the scars for a natural result as possible. In some cases, the patients complain of large nipple-areola complex. This issue can be handled at the same time mastectomy and open surgical excision for optimal aesthetic

Important to Remember

For many men, male breast reduction surgery can be a life-changing experience. It can help them feel more comfortable and confident in their bodies, allowing them to enjoy activities and social situations that they may have avoided before. If you are struggling with gynecomastia and its impact on your quality of life, it may be worth considering male breast reduction surgery as a way to regain your confidence and improve your self-esteem.