Male Breast Reduction

Farbod Esmailian | Plastic Surgery


Male Breast Reduction Orange CountyGynecomastia is the medical term for the growth of abnormally large breasts in males, and may be present unilaterally (one breast) or bilaterally (both breasts). In most cases, this condition cannot be rectified through diet and exercise alone, because it generally results from the production of excess glandular breast tissue, in addition to excess fatty tissue.  The American Society of Plastic Surgeons (ASPS) stated that gynecomastia accounts for more than 65 percent of all male breast disorders.  The causes of gynecomastia include: genetic conditions, disease, the use of certain drugs and medications, and hormonal shifts and changes.

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While gynecomastia is not considered a dangerous medical problem, it can be a source of embarrassment and emotional trauma for men afflicted with it. Fortunately, gynecomastia can be corrected through male breast reduction surgery. As the fifth most common plastic surgery procedure performed on men in the United States, male breast reduction can be a lift-changing and confidence-restoring procedure. At our plastic surgery practice, located in Orange County, CA, Dr. Farbod Esmailian, M.D., is a skillful, board certified plastic surgeon, who has many years of experience successfully resolving the problematic condition of gynecomastia for his male patients.


Reduction mammaplasty is the technical term for male breast reduction surgery, which is performed to flatten and improve the chest contours, while reducing the overall size of the breast(s). The exact male breast reduction procedure varies from patient to patient, and is dependent upon whether the cause of the gynecomastia is excess glandular tissue, excess fatty tissue, or a combination of both. If excess glandular tissue is the primary source of the gynecomastia, or if the size of the areola needs to be reduced, or the nipple repositioned, incisions will be made in the breast region, and surgical excision techniques will be utilized.  If excess fatty tissue is the primary source of the gynecomastia, liposuction techniques may be used during the surgery—either alone, or in conjunction with excision techniques.

Your male breast reduction surgery will be performed under either intravenous sedation or general anesthesia, and following your surgery, dressings or bandages will be placed over your incisions. A support garment or elastic bandage will be utilized to minimize swelling, while a small drain may be placed under the skin to drain excess fluid or blood. In general, male breast reduction surgery results are permanent; however, if a patient continues to take a medication or drug that was the primary cause of the gynecomastia, the symptoms may reoccur. Similarly, if excess adipose (fatty) tissue was the primary cause and the patient gains a significant amount of weight, the symptoms could flare up again. According to the ASPS, there is a rate of 10-35% recurrence of gynecomastia symptoms after male breast reduction surgery using only liposuction; however, when excision techniques are utilized, there is only a 10% recurrence rate.


Increased awareness about the condition of gynecomastia among both the public and plastic surgery community has empowered many men to actively seek out treatment, and to find an effective solution to their symptoms with male breast reduction surgery.  At our office, you will find that Dr. Esmailian is a skillful and compassionate surgeon, who believes strongly in helping his patients make truly informed decisions about their surgery. Dr. Esmailian will take the time to thoroughly discuss your male breast reduction surgery, helping you to select the best procedural choices to bring your surgical goals to fruition. If you would like more information about male breast reduction surgery or women breast reduction surgery, please contact our practice. We are happy to answer any and all of your questions, and to schedule an initial consultation with Dr. Esmailian.