Updated : September 30, 2020

 Gynecomastia surgery is an aggressive but effective approach to address man boobs. This is why the procedure is sought after by many patients in Sydney who wish to see a dramatic improvement on their chest.

However, the procedure is not the be-all and end-all, and gynecomastia recurrence is a real concern. And if man-boobs could grow back even after surgery, what can be done to avoid it? We’re tackling these concerns to help you make an informed decision, so read on!

Defining the problem

Gynecomastia, or man boobs, is a condition where male breast tissues increase in size due to an imbalance of the hormones estrogen and testosterone.

Normally, males produce low quantities of estrogen in their bodies. However, this female hormone overpowers the amount of testosterone in the male system resulting in breast enlargement. It can affect boys in their infancy and puberty, but it can also affect male adults.

There are several reasons that could lead to gynecomastia. It could be a side effect of medications, drug abuse, or certain medical conditions such as hyperthyroidism, cirrhosis and chronic kidney failure. Any doctor would look into these reasons first before even considering gynecomastia surgery because most of these can be managed by other medical interventions.

True Gynecomastia and Pseudogynecomastia

Prior to any interventions are made, it is primarily important to identify if what you have is the real deal or if it is pseudogynecomastia. We have defined earlier what gynecomastia is, but there is also such a thing as “false man boobs”. They may look just as bad, but these are not made of actual breast tissue, but fat.

Most guys are not aware of the difference between the two, and that one of these can actually be managed with regular exercise and diet.

Pseudogynecomastia results when males gain excess fats grow in the breasts. As a result, some develop female breasts, which can be embarrassing. The good news about this type of gynecomastia is that it is easier to treat. A strict diet and regular exercise can help one get rid of excess fats and tone up the chest area.

True gynecomastia is caused mainly by excess glandular tissue, resulting in puffy nipples due to the protrusion of the nipple-areola complex. It is a benign form of breast enlargement that may affect one or both breasts.

Surgery is also an option for pseudogynecomastia. It can remove excess fats and it can also address significant skin sagging due to the extent of stretching it experienced.

It is best to get a consultation to point out the problem exactly. Medical tests and examinations would have to be done to accurately point out if it is indeed the real deal or pseudogynecomastia.

Braving the knife

Surgery is considered to be among the top three treatments for gynecomastia, with the other two being oral and topical solutions. Since it is an invasive treatment, several factors must be considered to ensure that the procedure is completed safely and successfully.

There are several approaches used for this procedure, mainly revolving around the removal of the breast tissue. Some approaches are more invasive as it involves incisions. It is either made around the areola or underneath the breast from which the breast tissues are excised, most especially in severe cases.

A less invasive treatment also referred to as “scarless” surgery involves the use of remote tiny incisions where a liposuction machine is inserted to the suction of the fats. Liposuction, along with tissue excision, allows patients to undergo total chest reshaping.

What to Expect After Gynecomastia Surgery

After surgery, you can’t expect your chest to be as “flat as a board”. While the main goal is to correct an unflattering breast shape, “flat as a board” actually gets complaints. The procedure doesn’t simply scrape all of the fats away.

Gynecomastia surgery is basically breast reduction and not breast removal. This means that the surgeons aim to sculpt a natural-looking chest. Generally, over 90% of the breast tissue is removed which leaves enough glandular tissue to support the nipple-areola area and prevent the area from caving in – another aesthetically objectionable outcome.

What if the fats have been suctioned off?

To prevent the chest from caving in after liposuction, there will be some fat tissues that are intentionally untouched.

While it is true that what was removed will not grow back, the fat cells that remained may balloon in size if you don’t watch your weight. Eventually, these will have the potential to develop into a case of pseudogynecomastia.

Gynecomastia Recurrence After Surgery

The concern that most patients have is if the problem returns after surgery. After all that risk, money, and maybe some amount of discomfort it is only right to ask these questions.

Once the firm breast tissues are removed, it will no longer grow back. However, there are certain factors that can lead to its recurrence. If the condition arose from the use of medications, anabolic steroids, or hormones, these could contribute to a possible recurrence of the condition.

Post-operative weight gain may also create chest growth, but this not because of breast tissue proliferation, but fat buildup. One research revealed that recurrence rates are significantly higher in patients with lipomatous gynecomastia (pseudogynecomastia) than in patients with glandular gynecomastia (true gynecomastia).

Recurrence of gynecomastia is actually quite rare for men with a stable problem. But it is also true that surgery cannot prevent new growth.

Patients who rush into surgery without first addressing an underlying problem that may trigger the enlargement of breast tissue also has a high risk of recurrence. Surgery doesn’t guarantee the prevention of fat build up in the chest area, and this can be a problem especially among adult men who tend to gain weight in these places. If it does recur, it may not be to the same extent as it was before surgery.

Gynecomastia surgery is a reliable solution, but you must also do your part to avoid risk factors that may lead to a recurrence.

If you want to talk to a surgeon and be properly guided with your gynecomastia surgery concerns, talk to us at the Dr. Daood Clinic. Let’s get straight to your aesthetic problems, and look for the right solution. Visit us and book your consultation now.