Male Chest Contouring (Breast Reduction)

Gynecomastia (also known as "man-boobs") is a fairly common condition in men and adolescent boys where the breast tissue is abnormally large.  In the vast majority of cases, gynecomastia is not a serious problem and often associated with excess subcutaneous fat and skin.   However, it may be psychologically difficult to cope with and can affect self-esteem. Fortunately, this condition can be effectively treated by surgical removal of excess breast tissue, liposuction of excess subcutaneous fat, and occasional removal of excess skin.

What It Can Do for You: 

It can give you a firmer, flatter, more sculpted chest.

Good Candidates: 

Male breast reduction is a good choice for men with a prominent chest from excess breast tissue and fat,  [1] who are in good health and are at or close to a normal weight (it is not a weight reduction procedure).

What to Expect on Your First Visit: 

On your first visit, your surgeon will help you determine which techniques will benefit you and will discuss the surgery in detail during your consultation. Your options may include skin tightening, liposuction, and minimal scar approaches.

Booking Your First Appointment

Please call 604-589-6021
or
Book an appointment online
Male Chest Contouring (Breast Reduction) at a Glance
Procedure (point form): 

General anaesthetic

Hospital Stay: 

Day surgery time 1-2 hours
Recovery room up to 2 hours

Recovery (point form): 

May resume simple, non-strenuous activities in a couple days.
Return to full activity or work in 2 week to 1 month.

Procedure: 

The procedure involves day surgery with a general anaesthetic. You will be able to go home a couple of hours after the anaesthetic wears off but should have someone drive you home. Parts of this procedure may be covered by your health insurance; however, for many patients, this is considered a private or cosmetic procedure.

 

Surgical Techniques: 

The surgical techniques that are used depend on the specific anatomical concerns.

  • Recontouring Chest with Liposuction:
    If the breasts are enlarged because of excess fat, typically the fatty tissue can be removed with liposuction techniques alone. This involves inserting a thin, hollow tube under the skin and using it to loosen unwanted fat; then, removing the fat from the body with vacuum suction.
    To achieve a great result with liposuction alone, the chest skin must be resilient so it can contract over the smaller breasts after surgery. If the skin is loose, stretched out or wrinkled, liposuction alone will generally not provide the desired result.
  • Recontouring Chest with Surgical Excision:
    On the other hand, if the breasts are oversized due to excess glandular tissue and/or excess stretched skin, the tissue and/or skin must be excised (i.e., surgically removed). This is generally the case with more severe cases.  Surgical excision allows our plastic surgeons to eliminate a greater amount of tissue and/or skin that cannot be treated with liposuction alone.
  • Recontouring Chest with a Combined Approach:
    Commonly, surgical excision with liposuction is performed to address a combination of excess fat, glandular tissue and skin.
Incisions and Scarring: 

The incisions for male breast reduction vary in location and length, depending on the case. Our plastic surgeons always try to place incisions carefully so that resulting scars are as discreet as possible.

In cases where liposuction alone can provide the desired results, the liposuction cannulas can be inserted through tiny incisions along the edge of the areola (the pigmented skin surrounding the nipple) or discretely on the lateral chest. When surgical excision is necessary, our plastic surgeons create a slightly longer incision around the edge of the areola. The incisions are placed such that the resulting scars blend in with the natural transition from areola to chest skin; the scarring is usually quite inconspicuous.

 

Recovery: 

If you have a very physical job, we recommend taking 4 weeks off. If your job is fairly sedentary or you are a student, you may return to it as early as one week after surgery. You need to avoid activities that may increase your blood pressure, such as running or working out, until at least 4-6 weeks after surgery.

 

Possible Complications: 

There will be some post-operative bruising, swelling, and a burning sensation, as well as scarring around the nipple of the breast (areola), which will fade over time. Other (infrequent) complications could include anesthetic reaction, temporary numbness or lack of sensation that could last up to a year, infection, skin damage, fluid accumulation, bleeding, and scarring or pigment changes. Post-operative asymmetry, while rare, is possible; a second procedure may be needed to remove additional tissue.

Cost:

The cost varies based on whether there is glandular tissue, fat and/or skin excess. Surgery can vary from simple liposuction to complex recontouring of the chest involving liposuction, gland excision and redraping of the skin envelope.

Contact Us

If you believe that you may benefit from male body contouring for enlarged breast and would like to schedule a consultation with one of our plastic surgeons, please contact our Vancouver office today.