What is the best way to get rid of man boobs?

Tags:man age 25-34 chest breasts too large overweight

I’m a pretty in shape 28 year old guy but I used to be overweight. I think that along with my genetics have left me with some pretty unattractive man boobs. What are my best options to get rid of them and make sure they don’t come back?

RoninO2

M, 29, Virginia

Congratulations on your weight loss. It sounds as if you may be affected by gynecomastia, a medical condition where the male breasts are enlarged due to a combination of excess fat combined with excess glandular tissue. Gynecomastia can be caused by a range of factors: certain medications, steroids used for bodybuilding, recreational drugs such as marijuana, and imbalanced hormone levels.

Because the condition is hormonal in nature, it cannot be completely corrected with further weight loss or exercise; in fact, chest workouts, like a dumbbell press, weight lifting or push-ups, may actually make your chest look worse. As the muscle mass in the upper body increases, the glandular tissue can be pushed out, exacerbating the feminine appearance.

Gynecomastia can only be treated through surgical reduction involving liposuction of adipose deposits and glandular tissue removal through small incisions made in the chest. Depending on the severity of the patient's case, excision of excess skin may also be required.

There is also a condition called pseudogynecomastia where enlarged male breasts occur as a result of excess body weight. In pseudogynecomastia, there is not an excess of glandular breast tissue but excess adipose tissue beneath the breasts instead. For men who suffer from this condition, the first-line treatment is weight loss. A combination of dietary changes and increased exercise results in general fat loss all over the body, as well as a subsequent loss of chest fat. A leaner and flatter chest results, without the need for surgery. That being said, however, some men still have residual fatty tissue and loose skin once they reach their ideal weight. Liposuction may be used to remove stubborn fat deposits, while surgical excision may be required to remove excess skin.

I recommend that you schedule an appointment with an experienced board-certified plastic surgeon to determine whether you are affected by gynecomastia or pseudogynecomastia. They will be able to offer advice about the most effective way to treat your case and can decide whether or not surgical intervention is required.

Dr. Jonathan Heistein has 2 Gynecomastia Reduction before & afters:

Gynecomastia Reduction before image performed by Dr. Jonathan HeisteinGynecomastia Reduction after image performed by Dr. Jonathan HeisteinGynecomastia Reduction before image performed by Dr. Jonathan HeisteinGynecomastia Reduction after image performed by Dr. Jonathan Heistein

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While a certain amount of breast tissue is normal for men, there should not be as much as there is for women. Gynecomastia refers to an abnormal amount of glandular breast tissue growth in men. The condition can occur as a result of obesity, hormonal imbalances such as low testosterone levels, steroids, drugs, environmental toxins, the onset of puberty, and certain illnesses or medications. Unfortunately, while exercise can help to strengthen the chest muscles, it will not treat the condition. A workout routine featuring chest exercises or bench presses will render little change to male breasts.

You mentioned that you had been overweight and that there may be a history of gynecomastia in your family. Both are feasible explanations, but there may also be additional factors that are responsible for your excess breast tissue. It is vital to schedule a consultation with an expert to determine the underlying cause, because you may be able to medically treat the excess breast tissue without surgery.

In some cases, however, surgery is necessary. If you have undergone significant weight loss and the skin is lacking tone or tautness, then excision of the excess skin is the only way to achieve a firmer chest. Gynecomastia reduction, or male breast reduction, is performed by plastic surgeons to remove excess breast tissue and excess skin, and restore the chest to a flatter and more masculine shape. In some cases, the nipple and areola may need to be repositioned as well.

Gynecomastia is separated into four categories, with surgery and treatment plans specifically tailored to meet the needs of each category. The four categories are puffy nipple where there is excess tissue under the nipple, classic gynecomastia where there is excess breast tissue and fat, fatty gynecomastia where there is excess fatty tissue, and sagging gynecomastia where there is excess skin on the breasts. A combination of liposuction and skin excision can be used to sculpt a more masculine chest. Following surgery, patients generally have a high satisfaction rate and many patients report enhanced feelings of self-confidence and increased comfort with their bodies as well.

Hello Ronin, it is hard to give you an accurate advice without looking at your pictures or even better an in person consultation. It could be extra sagging skin, breast tissue, fat or a combination of those. 

Please make sure that you and your surgeon are on the same page. Don't forget to discuss all your concerns, options and expectations thoroughly. Have a safe and pleasant PS Journey!
Respectfully,
Dr. Jaime Campos-Leon
Board Certified Plastic Surgeon
Tijuana, BC Mexico

Gynecomastia surgery is a terrific option.  Depending on the grade (they come from 1 through 3), options will differ, but some can be done minimally invasively even.  Check our web page with photos: http://www.plasticsurgerysmg.com/procedure/gynecomastia-breast-reduction-men/ 

You may benefit from gynecomastia surgery.  This may include liposuction, excision of tissue or a combination of the two.  Consult with an experienced board certified plastic surgeon for an individual evaluation.  Best of Luck.

Dr. Peter Hyans

www.plasticsurgerysmg.com

You would most likely require surgery to remove your breasts.  Best option is to seek out a plastic surgeon who has considerable experience in treating gynecomastia.  I have treated gynecomastia patients (thousands) from across the globe.


For further information, please visit my website which is specifically devoted to gynecomastia:  www.gynecomastianewyork.com   


Elliot W. Jacobs, MD, FACS

New York City

Dr. Elliot Jacobs has 3 Gynecomastia reduction before & afters:

Gynecomastia reduction before image performed by Dr. Elliot Jacobs Gynecomastia reduction after image performed by Dr. Elliot Jacobs Gynecomastia reduction before image performed by Dr. Elliot Jacobs Gynecomastia reduction after image performed by Dr. Elliot Jacobs Gynecomastia reduction before image performed by Dr. Elliot Jacobs Gynecomastia reduction after image performed by Dr. Elliot Jacobs

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