Gynecomastia is a condition where a male has an appearance of abnormally large breasts. Although it has many causes, it is sometimes the result of a hormonal imbalance, i.e. too much estrogen compared to testosterone. After gynecomastia surgery, you might be worried about whether the results are permanent. Here’s what you need to know.

Gynecomastia Surgery Procedure

Gynecomastia surgery can be performed under local or general anesthesia, depending on the extent of the condition. A surgeon goes through a process of tissue excision to remove the breast tissue and/or liposuction to eliminate excess fat cells. Some breast tissue will be left behind to prevent a crater deformity and improve the natural appearance of the chest. A good surgeon will know how to identify and determine the problem’s extent correctly so that the right amount of fat and tissue is removed.

Can Gynecomastia Return After Surgery?

In most cases, gynecomastia will not return after surgery since all or most of the breast tissue is removed. However, in rare cases, the condition can return if too much breast tissue was left behind. Likewise, fat cells that are removed cannot grow back but untreated fat cells in the surrounding areas can grow with weight gain after surgery. This would also cause your enlarged breasts to return.

Will Medications Cause Gynecomastia to Return?

Gynecomastia can return if you take drugs or medications that interfere with your body’s hormonal balance. Some drugs, such as steroids, have been proven to cause gynecomastia. It is advisable to stop taking these drugs as soon as you learn about the risks of gynecomastia. If necessary, talk to your doctor about possible alternative treatment options. Your doctor can advise you on the best course of action.

Will Gaining Weight Make Gynecomastia Come Back?

Gaining weight can cause your breasts to swell. Enlarged breasts caused by weight gain are called pseudogynecomastia, a different type of condition caused by fat buildup, not excess glandular tissue. Psedugynecomastia or fatty breasts look very similar to “true” gynecomastia and has the same damaging effects on self-esteem and the appearance of a masculine chest.

Schedule a Consultation with Dr. John M. Trupiano

If you have a gynecomastia condition, schedule a consultation with board-certified plastic surgeon Dr. John M. Trupiano to learn more about gynecomastia surgery and whether you are a candidate. With Dr. Trupiano’s years of experience and excellent knowledge, you can soon enjoy a more sculpted chest and enhanced body confidence!


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