Male Breast Reduction Guide: Signs, Symptoms, And Surgical Solutions For Gynecomastia

Gynecomastia is a medical condition that involves the enlargement or overdevelopment of glandular breast tissue in boys and men. The condition can be genetic, but it is most often the result of a shift or imbalance in hormones during or after puberty.

While gynecomastia may be difficult to combat with traditional weight loss methods like diet or exercise, Dr. Andrew Lofman in Bloomfield Hills, Michigan provides a permanent, surgical solution for removing this excess tissue with the male breast reduction procedure.

Male breast reduction, or gynecomastia surgery, is a relatively simple procedure often performed with liposuction and the removal of glandular tissue. Dr. Lofman uses these techniques to sculpt a more toned and tightened appearance to the male chest.

Before we learn more about this corrective surgical procedure, let’s take a closer look at the signs, symptoms, and causes of gynecomastia.

Signs and symptoms of gynecomastia

The most obvious symptom of gynecomastia is a noticeable enlargement of the chest area beginning in adolescence or early adulthood. Often this is the only symptom men experience.

Other symptoms include:

  • Pain (particularly in adolescence)
  • Swollen chest tissue
  • Tenderness in the chest area
  • Uneven chest size (one breast area is larger than the other)
  • Increased nipple sensitivity

If you continually experience pain, tenderness, sensitivity, swelling, or nipple discharge, schedule some time to see a doctor.


Pseudo gynecomastia is a similar condition that can be easily confused with gynecomastia. The difference is that pseudo gynecomastia refers to an increase in fat in the breast area, but not the presence of glandular tissue.

Pseudo gynecomastia is an aesthetic concern that is most often treatable with changes in diet and an increase in exercise; however, men with pseudo gynecomastia may still be a candidate for male breast reduction.

What causes gynecomastia?

The main cause of gynecomastia is hormone changes or imbalance. This can be either an increase in the activity level of estrogen to androgen or a decrease in testosterone.

While several things can upset hormonal balance, it’s important to note that most of them are naturally occurring or unavoidable. There is likely nothing someone did or didn’t do to cause gynecomastia. Below are some potential causes:


Most people assume that estrogen is an exclusively female hormone, but this is not the case. All men produce estrogen naturally, but in smaller quantities and a specific ratio to testosterone and androgen. Changes to these amounts or ratios are the most common cause of gynecomastia.


Several medications can contribute to gynecomastia when taken for long periods or against their recommended dosages. Illicit drugs can also cause many different health conditions, including gynecomastia.

Medications and illicit drugs related to gynecomastia include:

  • Anti-androgens (used to treat prostate conditions)
  • Anabolic steroids (when abused)
  • HIV medications
  • ADHD medications
  • Some anti-anxiety medications
  • Certain antidepressants
  • Antibiotics (when taken in excess)
  • Ulcer medications
  • Chemotherapy
  • Heart medications
  • Stomach-emptying medications (when abused)
  • Amphetamines
  • Marijuana
  • Heroin


Some health conditions can cause gynecomastia by affecting the balance of hormones in the body, including:

  • Hypergonadism
  • Aging
  • Tumors
  • Hyperthyroidism
  • Kidney failure
  • Liver failure
  • Malnutrition

Complications from gynecomastia

There are most often no physical complications related to gynecomastia specifically; it will likely not affect someone’s overall physical health unless in tandem with other conditions.

Emotional or psychological influences are much more common. Gynecomastia can be a source of insecurity for many men and contribute to a lack of confidence and lasting body-image issues. Male breast reduction is not simply for aesthetic concerns; it can positively impact many men’s self-esteem, as well as their relationship to their body and physical health.

Gynecomastia surgery

While there is no definitive way to prevent gynecomastia, there is a surgical solution. Dr. Lofman is a seasoned expert in male breast reduction. He uses the latest FDA-approved surgical techniques to bring gynecomastia patients impactful, natural-looking, and lasting results.

Here is a step-by-step guide to male breast reduction with Dr. Lofman


If you’re interested to find out if you’re a candidate for male breast reduction, request a consultation with Dr. Lofman today to discuss your body goals and build a custom treatment plan that addresses your concerns.

Everybody is different, and Dr. Lofman’s ability to understand his patients’ wants and needs has made him a trusted name in the community. Gynecomastia can be a source of insecurity for many afflicted men, and Dr. Lofman is passionate about helping you feel your best.


Gynecomastia surgery, or male breast reduction, is often a combination of surgical tissue excision and liposuction. Most commonly, Dr. Lofman will make a small incision along the bottom edge of the areola. From this incision, Dr. Lofman will remove all excess glandular and fat tissue in your chest.

When using liposuction, a cannula—or tube—is inserted into the incision, and used to suction out the fat deposit. Glandular tissue, on the other hand, requires surgical excision.

The male breast reduction procedure usually takes 2 hours or less and will require the patient to be under anesthesia for maximum comfort.


Male breast reduction is an outpatient procedure, so patients can return home the same day as their surgery. Immediately following the procedure, patients can expect swelling and minor bruising near the incision. This should subside after a week or so.

Most patients can return to normal activities after just a few days, and this is encouraged for healthy recovery. However, it’s important to refrain from heavy activity and exercise for 6-8 weeks to allow the incisions time to heal and prevent bleeding. Below are some more recovery tips.

Compression vest

We also advise that patients wear a compression vest for up to 6 weeks following their gynecomastia surgery. After surgery, the skin and tissue of the treatment area will begin to contract and settle. Our compression vest’s design works to help the body adjust by controlling swelling, providing support, and facilitating skin retraction. A vest is a critical tool in achieving the desired shape of the chest area following surgery.

Healthy diet

Hydration and healthy eating are essential steps to any surgical recovery. Before and after the procedure, avoid heavily processed foods or heavy carbohydrates, as they could cause inflammation. Instead, look for whole foods like fresh vegetables, fruits, fish, eggs, beans, avocados, nuts, and whole grains.

Tissue massage

Massaging the chest area for just 20 minutes a day around 3 weeks into recovery can greatly impact results. After surgery, the skin and tissue in the chest area are more malleable than normal. Gentle massage with the hands or a roller device helps to decrease the formation of scar tissue, helping the chest to settle more nicely and evenly.


Male breast reduction results in a more defined, sculpted chest area. Removing the excess tissue and fat better reveals the pectoral muscles underneath, helping patients appear more toned and tighter, and feel more masculine.

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Dr. Lofman’s expert surgical technique ensures you will experience minimal scarring. The small mark at the edge of the areola blends in very naturally and is often barely noticeable after it heals.

Many gynecomastia patients feel more comfortable in their bodies after surgery; they’re more excited to go to the gym, enjoy activities like swimming, and are less self-conscious in front of others. Male breast reduction can greatly improve confidence and self-esteem for many men.

Non-surgical ways to enhance your male breast reduction results

For patients interested in enhancing their male breast reduction results with increased muscle tone and fat loss, Dr. Lofman’s aesthetics center offers non-surgical body contouring options for men and women.


Emsculpt is a localized device that works to build and tone muscle mass in many different areas of the body, including the thighs and abdomen. The device causes muscle contractions equivalent to 20,000 reps in a single treatment. It’s the perfect solution for people who want to enhance their weight loss goals and achieve a more toned and tightened appearance without surgery.

How it works

During treatment, the device’s paddles will be placed on the targeted muscle area and secured with bands. The device will stimulate three separate phases of contractions, increasing intensity based on tolerance.

While powered on, the device emits vibrations, causing muscle contractions that release free fatty acids within the body and burn fat cells (adipose). Emsculpt cannot only break down superficial fat cells but strengthen and contour the deeper muscle tissue, resulting in maximum muscle tone.

Because Emsculpt treatments are completely non-invasive, they require no downtime. Patients can return to their daily activities immediately following each session as if they just went to the gym.

A series of Emsculpt sessions produce the best results. We recommend scheduling at least 4 treatments spaced apart weekly. Many patients return for additional maintenance sessions as well.

Schedule a consultation online or contact us today for gynecomastia surgery near you with Dr. Lofman, MD!

Use our virtual consultation tool to find out more about how a gynecomastia surgery in Bloomfield Hills, Michigan could impact you, or contact us to set up a consultation with Dr. Lofman today.