Breast cosmetic surgery gynecomastia or men breast reduction

Gynecomastia is the term used when one wants to designate a benign enlargement of breasts in men.

What are the causes of a gynecomastia ?

The causes of gynecomastia in a patient are not always known but are often due to body hormonal imbalance,the use of illegal drugs or medications.

Here is a list of some pathological causes of the diseases at the base of gynecomastia :

  • Obesity
  • Hormonal disease
  • Tymor of the testes, adrenal, pituitary, lung
  • A breast tumor
  • Kidney disease, thyroid dysfunction


Before establishing a prognosis, a complex evaluation researching the causes of the excessive development of mammary glands and understanding better their growth process should be performed.

The most advised specialist as to answer these questions is an endocrinologist, a doctor who specializes in evaluating complex relationships between the different hormones in the body.

Most causes of gynecomastia are benign. Waiting for your endocrinologist confirmation remains prudent before undergoing cosmetic surgery.

There are 3 periods in which man is subject to an enlargement of his mammary glands :

  • at birth : due to maternal hormones (temporary state)
  • at puberty : due the flood of hormones (temporary state for 90% of cases)
  • at maturity : due to the aging process (in the fifties).


What are the motivations for men breast reduction ?

Si le traitement de la cause ne peut ou n’a pu être efficace, la chirurgie esthétique vous permettra de corriger l’aspect inesthétique du développement excessif de vos glandes mammaires.

What are the objectives of cosmetic surgery ?

If treating the cause can not or could not be effective, cosmetic surgery will allow you to correct the unsightly appearance of the excessive development of your mammary glands.

The gynecomastia corrective surgery

.You will see an anesthesiologist during a consultation and you will receive pre-operative instructions to follow before surgery.

+ What happens during the surgery ?

In most cases, the mammary gland is removed through lipoaspiration combined with a short incision at the areola.
In cases where gynecomastia is pronounced, the incision will be longer to remove remaining excess skin.
Drainage of serous fluid is introduced and a compression dressing specially tailored according to your anatomy.

+ And the scar ?

When gynecomastia is moderate, which is the majority of cases, the scar is very small and discreet, on the edge of the areola.
When gynecomastia is more pronounced and a significant excess of skin must be removed, the scars will be longer but will however remain discreet.

What is the expected result ?

At its completion, the purpose of this intervention is to make your breast look masculine and symmetrical. To appreciate this result in a definitive way, it takes between one to three months.
The cure for gynecomastia is an effective intervention and the result is generally very satisfactory, both aesthetically and psychologically.

What are the possible complications ?

Following any operation whatsoever , certain complications can occur, the first ones related to the medical activity and the others to anesthesia.

Although possible complications only represent a small percentage, it is necessary to know them.

+ What are the specific risks of anesthesia ?

During your obligatory talk with the anesthetist, he will inform you in detail of the risks of anesthesia.

It is useful to know besides that during the last twenty years, the risks have not been eradicated but remain almost insignificant.

+ What are the specific risks of the surgery ?

During the consultations with your surgeon all the possible complications will be detailed to you.
To inform you previously, here are the possible risks:

  • Hematoma : if heavy bleeding occurs, the blood should be evacuated.
  • Unfavorable evolution of the scars : it will require a special treatment.
  • Infection : it will require antibiotic treatment.
  • Alteration of nipple sensation : it is possible the first weeks but you will quickly recover your sensitivity.

These informations given by Dr. Philippe Letertre should only be a help or a supplement to your surgeon’s consultations
Our space "Questions / Answers" is also available for you.

Feel free to contact Dr. Letertre
so that he could meet your expectations.