PLASTIC & COSMETIC SURGEON416.447.6176     1.855.447.6176


Male Breast Reduction Surgery
(Subcutaneous Mastectomy)

What Is It?

Men can be burdened with heavy breasts, which can be emotionally traumatizing. Some young men refuse to swim or do water sports. Some older men, particularly if they have gained weight, develop a similar problem.

Fortunately, this is a relatively straightforward problem to treat. In younger teens, the tissue is usually of a glandular nature and is managed with a combination of excision and liposuction. At an older age, when the tissue is primarily fat, liposuction alone is often sufficient. For some patients, loose saggy skin may require additional surgery.

For adolescents up to the age of 17, the surgery is typically paid for by OHIP.

Patient Examples

Click on any photo for larger version and more views of that patient.

Before Surgery Consultation

Dr. Neu will take a detailed history of the patient’s past health and look for contributing factors to large breasts. Hormone studies may be needed, but for the majority of patients, the results are completely normal. All males have a certain amount of estrogen but for some individuals, the growing breast tissue is very sensitive to the circulating estrogen, and this may cause the breast tissue to develop abnormally.

A careful examination of the tissue will determine what type of treatment will work best.

The Surgery

The surgery for enlarged male breasts is usually done under a general anesthetic as an outpatient procedure. Typically, the incision line is along the lower edge of the areola (the pigmented skin around the nipple) and this later becomes an almost invisible scar. Through this incision, thicker glandular tissue will be removed as this is not removed effectively by liposuction. Liposuction is still routinely done along the periphery to feather the edges of the excision and allow the contour change to be as imperceptible as possible. No effort is spared in making the breasts look as natural as possible.

In a few rare cases, where there is a significant amount of excess skin, additional surgery may be required to tighten the skin. Dr. Neu will discuss this with the patient in advance.

Resumption of Activity

Most patients can resume sedentary activities in three to four days and vigorous activities in three weeks.