How Is Male Breast Reduction Surgery Performed?

Are you curious about male breast reduction surgery? Wondering how the procedure is actually performed? Look no further, because in this article, we will walk you through the process step by step. From the initial consultation to the actual surgery, we will explain how this transformative surgery is performed to help men regain their confidence and achieve a more masculine chest. So, if you’re ready to learn more about male breast reduction surgery and how it is done, let’s dive right in!

Preparation for Male Breast Reduction Surgery

Medical evaluation

Before undergoing male breast reduction surgery, it is important to have a thorough medical evaluation. Your doctor will assess your overall health and any potential risk factors that may affect the surgery. This evaluation will help determine if you are a suitable candidate for the procedure.

Discussion with surgeon

Once you have been deemed eligible for male breast reduction surgery, it is crucial to have a detailed discussion with your surgeon. This conversation will allow you to ask any questions or voice any concerns you may have. Additionally, your surgeon will explain the procedure in detail, including the potential risks and benefits, as well as the expected outcomes.

Pre-surgical instructions

In the days leading up to your surgery, your surgeon will provide you with specific instructions to follow. These instructions may include restrictions on eating or drinking before the procedure, as well as guidelines on medication use. It is important to carefully adhere to these instructions to ensure a successful surgery.

Anesthesia Options

General anesthesia

Male breast reduction surgery can be performed under general anesthesia, which means you will be completely asleep during the procedure. This option is often preferred for more extensive surgeries or in cases where the patient may experience anxiety or discomfort.

Local anesthesia with sedation

Another option for male breast reduction surgery is using local anesthesia with sedation. In this method, the surgical area is numbed, and you will be given medication to help you relax. This option is often used for less invasive procedures or for patients who prefer to remain partially conscious during the surgery.

Incision Techniques

Liposuction-only technique

For patients with excess fatty tissue in the chest area, the liposuction-only technique may be used. This technique involves making small incisions through which a thin tube, called a cannula, is inserted to suction out the excess fat. The incisions are typically small and discreet, resulting in minimal scarring.

Excision technique

In cases where there is excess glandular tissue or sagging skin, the excision technique may be necessary. This technique involves making incisions to remove the excess tissue and reshape the chest. The incisions are strategically placed to minimize scarring and may be combined with liposuction for optimal results.

Combination technique

In some cases, a combination of liposuction and excision techniques may be used to achieve the desired results. This combination approach allows for the removal of excess fat and glandular tissue, as well as the repositioning of the nipples for a more natural appearance. Your surgeon will determine the most appropriate technique based on your specific needs.

Liposuction Technique

Tumescent liposuction

Tumescent liposuction is a commonly used technique in male breast reduction surgery. It involves injecting a solution containing saline, local anesthesia, and epinephrine into the treatment area. This solution helps to numb the area, reduce bleeding, and facilitate the removal of excess fat.

Ultrasound-assisted liposuction

Ultrasound-assisted liposuction utilizes high-frequency sound waves to liquefy the fat cells before they are removed. This technique allows for more precise fat removal and can be particularly beneficial for patients with denser breast tissue.

Power-assisted liposuction

Power-assisted liposuction utilizes a specialized cannula that moves back and forth rapidly to break up fat cells before suctioning them out. This technique allows for more efficient and effective fat removal, resulting in smoother and more even contours.

Excision Technique

Gynecomastia gland excision

Gynecomastia gland excision is a technique used to remove glandular tissue that is responsible for the enlargement of male breasts. During this procedure, incisions are made around the areola, and the excess glandular tissue is carefully excised.

Liposuction combined with gland excision

In certain cases, liposuction may be combined with gland excision for optimal results. This combination technique allows for the removal of both excess fat and glandular tissue, resulting in a flatter and more masculine chest contour.

Combination Technique

Reduction of excess glandular tissue

The combination technique may involve the reduction of excess glandular tissue that contributes to male breast enlargement. This is achieved through careful excision during the surgical procedure.

Removal of excess fat

In addition to reducing glandular tissue, the combination technique may also involve the removal of excess fat through liposuction. This helps to further sculpt the chest and create a more aesthetically pleasing contour.

Surgical repositioning of the nipples

In cases where the position of the nipples needs to be adjusted, the combination technique allows for surgical repositioning. This ensures that the nipples are proportionate to the new chest contour and result in a more natural appearance.

Tissue Sculpting and Contouring

Removal of excess skin and tissue

In some cases, male breast reduction surgery may involve the removal of excess skin and tissue. This is often necessary when there is significant sagging or loose skin present. By removing this excess skin and tissue, a more toned and youthful chest contour can be achieved.

Repositioning of the remaining tissue

After the removal of excess skin and tissue, the remaining tissue is carefully repositioned to create a more natural and aesthetically pleasing contour. This step is crucial in achieving a balanced and symmetrical chest appearance.

Nipple resizing and repositioning

As part of the tissue sculpting and contouring process, the resizing and repositioning of the nipples may be necessary. This step ensures that the nipples are proportionate to the new chest shape and are positioned correctly for a natural and masculine appearance.

Closing the Incisions

Sutures and skin adhesive

After the surgical procedure is complete, the incisions are carefully closed using sutures or skin adhesive. The choice of closure method will depend on the surgeon’s preference and the specific needs of the patient. Sutures and skin adhesive help to secure the incisions and promote proper healing.


In some cases, Steri-Strips may be used to further reinforce the incisions and aid in the healing process. These adhesive strips are applied over the incisions, providing additional support and reducing the risk of complications.


In certain situations, drains may be placed to collect any excess fluid or blood that may accumulate post-surgery. Drains are typically temporary and are removed after a few days, once the drainage has significantly decreased.

Dressing and bandages

After the incisions are closed, a dressing and bandages are applied to protect the surgical site and promote healing. These dressings and bandages will need to be kept clean and dry as instructed by your surgeon.

Recovery and Post-Surgical Care

Recovery room monitoring

Following male breast reduction surgery, you will be monitored in the recovery room to ensure your safety and well-being. This monitoring involves observing your vital signs, assessing your level of consciousness, and managing any post-operative pain or discomfort.

Medications and pain management

Your surgeon will prescribe appropriate medications to manage post-operative pain and discomfort. It is important to take these medications as directed and report any concerns or side effects to your healthcare provider.

Activity restrictions

After male breast reduction surgery, it is important to limit physical activity and avoid strenuous exercise for a period of time. Your surgeon will provide specific instructions regarding activity restrictions and when it is safe to resume normal activities.

Follow-up appointments

Regular follow-up appointments with your surgeon are essential for monitoring your progress and ensuring optimal healing. During these appointments, your surgeon will assess the surgical site, remove any sutures or drains if necessary, and address any concerns or questions you may have.

Results and Expectations

Improvement in chest contour

Male breast reduction surgery is highly effective in improving the contour and appearance of the chest. By addressing excess fat, glandular tissue, and sagging skin, it can create a more masculine and defined chest contour, restoring confidence and self-esteem.

Enhanced self-confidence

One of the biggest benefits of male breast reduction surgery is the enhanced self-confidence it can provide. Many individuals with enlarged breasts experience shame or embarrassment, and the surgery can greatly improve their quality of life and self-image.

Long-lasting results

When performed by a skilled and experienced surgeon, male breast reduction surgery can provide long-lasting results. However, it is important to maintain a healthy lifestyle and weight to ensure the best possible outcome. Regular exercise, a balanced diet, and avoiding hormonal imbalances can help maintain the results over time.

In conclusion, male breast reduction surgery offers an effective solution for individuals suffering from gynecomastia. By understanding the preparation, anesthesia options, incision techniques, tissue sculpting, and post-surgical care, you are equipped with the knowledge to make an informed decision. Remember, the procedure can provide an improved chest contour, enhanced self-confidence, and long-lasting results. Consult with a qualified surgeon to discuss your specific needs and expectations to determine if male breast reduction surgery is right for you.