Saturday, November 19, 2016

Recurrence of Gynecomastia after Male Reduction Surgery

Can Male Breasts Return After Gynecomastia Surgery?

Before and After Gynecomastia Surgery


A frequent question Dr. Miguel Delgado, M.D. is asked by his gynecomastia patients is “can male breasts grow back after surgery?” This is a reasonable question, for what man wants to face a recurrence. Fortunately, for most men the results are permanent; however, there are some exceptions. Understanding these exceptions can help prevent regrowth of breast tissue.

If a man has “true gynecomastia,” the surgical procedure for male breast reduction will include removal of most of the breast tissue and fat, but what remains is necessary for sculpting the chest and supporting the areola. It is this remaining tissue and fat that might cause a future problem.

Determining the cause of development of male breasts can help the patient avoid a repeat of growth. Some of the known causes are:

·      Excessive weight gain
·      Testosterone and estrogen levels out of balance
·      Decrease in production of testosterone, usually in older men
·      Some prescription drugs
·      Recreational drugs, including marijuana
·      Psychological stress
·      Scar tissue build up (uncommon but possible)
·      Puberty
·      Use of anabolic steroids

Puberty is one of the most common causes for gynecomastia for the young male. For most youth, the breasts return to normal after puberty. Some young men are so traumatized by their breast growth that they opt to have surgery before the end of puberty. There is a small chance that these boys may have male breasts return because the hormone levels are still fluctuating. However, it never returns to the original state, and Dr. Delgado has never had to re-operate.

Dr. Delgado will try to determine the source of a man’s gynecomastia during the initial consultation. If the cause can be established, Dr. Delgado will make recommendations to the patient to help avoid possible regrowth in the future. Most of the time, the reason for male breasts cannot be verified, this is called idiopathic gynecomastia.

As mentioned, regrowth is rare. Dr. Delgado has done thousands of male breast reduction surgeries through the years and has only seen a handful of cases where there was a recurrence.

Schedule a consultation today with Dr. Delgado (415) 898-4161 to find solutions to your gynecomastia concerns.

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