It is actually quite similar—breast tissue/glandular tissue is removed to reduce fullness.

Published on Jul 11, 2012

No, not usually. Men (most of the time, always depending on the severity) can have liposuction and excision of the breast bud with a small incision at the areola rather than large incisions along the chest. Women (again, most the time and depending on the severity) still want to keep the breast shape and thus require more incisions.

Published on Jul 11, 2012

No. In breast reduction performed for men, we really strive to eliminate the vertical incision. In women, the incision can be explained, whereas men really do not want to have a breast lift/reduction incision. Also, in men, preservation of nipple sensation is less important, we use liposuction liberally, and try to confine the incision to the crease underneath the breasts.

Published on Jul 11, 2012

Pretty much surgically, although men can have liposuction and breast bud excision with no skin removal if there is not hanging skin.

Published on Jul 11, 2012

Each case is slightly different, but for men it is usually called gynecomastia, a procedure to remove breast tissue. In the case of a female, it is called a mastectomy, which is a procedure to remove the breast tissue. Each case is different.

Published on Jul 11, 2012

No, it is not. Breast reduction for men generally uses liposuction and, sometimes, limited surgery under the nipple.

Published on Jul 11, 2012

The two surgeries are different. Men require fat and breast tissue removal and usually no skin removed. Women require tissue and skin removal. Many of my male patients have liposuction combined with a small incision around the areola to remove any breast tissue. Women most of the time require skin as well as tissue removed during their surgery.

Published on Jul 11, 2012

Breast reduction (males)

After making a small cut, a plastic surgeon removes any extra breast tissue. Because your breast will then become smaller and flatter, you may also need to reposition the nipple or areola (the dark area around it). Some guys get liposuction, too. That’s where the doctor suctions out extra fat under the skin. Surgery can also restore the shape of your chest and improve your self-image.

Breast reduction: (women)

Breast reduction, also known as reduction mammaplasty, is a procedure to remove excess breast fat, glandular tissue, and skin to achieve a breast size in proportion with her body and to alleviate the discomfort associated with overly large breasts.

Published on Jul 11, 2012

Dear reader,

Thank you for your question. You should first schedule your consultation with a board-certified cosmetic surgeon. Each case varies from person to person, an in-office examination is required. Most men that come to my practice for gynocomastia, known also as breast reduction, will have liposculpture/liposuction to the chest. If there is a breast bud behind the nipple/areola complex, then that will be surgically removed. An incision will be discretely placed along the edge of the lower half of the areola.

If only liposculpture/liposuction is required, most times the puncture sites are well hidden in the armpits and sometimes through the bottom edge of the areola.

I have had cases where excess skin needs to be removed and that does require incisions on the chest, there are different levels of skin reduction so again an examination would be needed to determine the best result. At the time of the consultation I do show the patient where the incisions can be placed.

Published on Jul 11, 2012

No, breast reduction surgery for men is very different than it is for women. In women, you are reducing the volume of the breasts but also reshaping the remaining breast tissue to a nicely contoured smaller shape, and this includes a lift of the nipple areola complex and excision of excess skin. In men, you are removing nearly all of the breast tissue as well as fat (you leave a small amount behind under the nipple so it does not scar down onto the pectoralis muscle and cause deformity), and you do not have to reposition and lift and contour the breast tissue since you are not leaving any behind. Some men need skin excision or nipple repositioning as well, and some don't. In the men who do need skin excision and nipple repositioning, we try to use only the incision in the chest crease (inframammary fold) and around the areola. But if the skin excess is large, the incisions will be the same as those used in women (who need more skin excised typically than men).

Published on Jul 11, 2012

Generally not, but it depends on how large your chest is and how much extra skin is present. In some cases, particularly in massive weight loss patients, the incisions are the same as would be seen in a woman having a reduction because so much skin needs to be removed. If you only have a small amount of breast tissue below the nipple/areola, then you may only need a small incision beneath the areola to remove. Some men only need liposuction. In a man, we do not want to leave very much breast tissue behind, whereas in a woman we do want to leave tissue behind so that the breasts have a feminine shape.

Published on Jul 11, 2012

I try to really limit the scars in everything I do. Since men do not usually have a lot of excess skin, the need for larger incisions is less and I can usually remove the fat or breast tissue with liposuction or liposcultpure alone. Each case is individualized. I do this as an outpatient. If a person wants everything removed, then I do remove the breast tissue but still through a small cut.

Published on Jul 11, 2012

Breast reduction is the same for both but, in women, usually their breasts are much larger and the skin incisions are more involved. Reduction of male breast tissue (gynecomastia) usually is done with liposuction and sometimes direct excision.

Published on Jul 11, 2012