Gynecomastia (Male Breast Reduction)  by Dr. Majid Nadaf Kermani

Gynecomastia (Male Breast Reduction) by Dr. Majid Nadaf Kermani

Dr. Majid Nadaf Kermani

Dr. Majid Nadaf Kermani
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Brief info about Dr. Majid Nadaf Kermani :

Dr. Majid Nadaf Kermani is subspecialty in plastic surgery with many years of experiences. He has accepted experience in all fields of plastic surgery by performing various surgeries in the fields of face, breast and slimming surgeries.

How this Procedure is Done

Why Iran?

Before having any cosmetic surgery, you should consult with a knowledgeable specialist to ensure you have made a rational decision. In this case, you will have the opportunity to express your expectations and goals as well. To go through this critical stage, you should look for an expert who understands your concerns and can propose a satisfactory solution. Iranian cosmetic surgeons are the ones you can easily trust to ask any question you have. They have extensive knowledge and invaluable experience specially in this field. They perform many cosmetic surgeries successfully every year and can help you meet your needs. You can make sure they will choose the most suitable procedure that enhances your appearance considerably, inform you of the whole operation, and clarify the healing process. Additionally, if you decide to get these surgeries in Iran's specialized clinics, you will be offered the most up-to-date services with a low cost. Thus, you can save a considerable amount of money while traveling to this beautiful country for enhancing your appearance.


What is Gynecomastia?

The weight of excessive breast tissue may stretch the areola and cause the breasts to droop. In these cases, a surgery named Gynecomastia can improve the position of the areola and reduce the excess skin. Gynecomastia is a condition of overdeveloped or enlarged breasts in men that can happen at any age. This problem can be the result of hormonal changes, heredity, obesity, or the use of some special drugs.

 If you are suffering from Gynecomastia for a long period of time and you have lost your self-confidence, having diets or exercising on a regular basis are the major options suggested to you. However, if the problem is still annoying you and such treatments are not effective anymore, surgery will be the last choice.

Male breast reduction, also called reduction mammoplasty, can easily remove breast gland tissue along with excess fat, reduce the volume of breasts, and re-contour them for a more masculine and smooth appearance.


Who Can Benefit From Gynecomastia?

Adult men who are in good overall health but suffer from their enlarged breasts can think of this surgery as an effective solution. Men who smoke are recommended to quit for a while before the operation. In addition, those individuals who drink so much alcohol do not meet the requirements of this operation since some drugs along with anabolic steroids are usually the reasons of Gynecomastia. Discontinuing their use mostly reduces breast development. Thus, surgery will not be necessary.

Generally, candidates should have the following conditions:

  • Cannot get rid of their large breasts through other medical treatments
  • Have breasts which are no longer developing in size
  • Have a normal stable weight
  • Have skin that is elastic enough to respond to breast reduction
  • Have realistic expectations about the outcomes of the procedure

Before having this operation, men who are dealing with obesity should try their best to lose weight with the help of a specialist.



Depending on the volume of breasts and the complexity of the procedure determined by the surgeon, the surgery usually takes about an hour or two to complete. For majority of men, liposuction, which is performed through small incisions can easily solve the problem.

In Gynecomastia, specialists make an incision around the nipple to remove fat from the breasts. If the surgeon decides to remove excess skin as well, additional incisions are needed. Your doctor may recommend conducting liposuction along with Gynecomastia to help you achieve your favorable goals.



After the operation, it's better to ask someone to take care of you for a few days. The initial part of the recovery process usually takes about one week or two. During this time, patients should wear a compression vest to help the skin retract and avoid doing strenuous exercises to facilitate healing and prevent complications. You don't need to worry about probable swelling or bruising since they will fade gradually. After two weeks, patients can go back to work and do their daily routine activities. It's very important to follow your plastic surgeon's instructions carefully to accelerate the recovery process.


The Results

You can notice the changes made by Gynecomastia surgery immediately after the operation. As time passes, swelling will disappear, and incision lines will fade away. At that time, you will be able to truly enjoy your new masculine appearance. The final results of your surgery may take three to six months to reveal. Fortunately, they are permanent in most cases. Nonetheless, if Gynecomastia has been caused by certain medications, drugs, including steroids or weight gain, you should try your best to stop using them and keep your weight stable to maintain your desired results.

Considering all the above-mentioned points, there is one issue which should be highlighted. Despite the fact that good results are expected from all plastic surgeries, there is no guarantee. In some situations, depending on your preferences, doctors may have to employ a variety of techniques to treat Gynecomastia.

Pre-Operative Considerations
Before having this operation, you should talk to your doctor about your goals and expectations, medical conditions such as drug allergies, and current medications like vitamins, herbal supplements, alcohol, tobacco and recreational drug use including steroids. Then, your surgeon will: • Review your medical history • Ask you about previous surgeries • Evaluate your overall health • Examine your breasts and measure their size and shape, skin quality, and placement of your nipples • Order some diagnostic testing to determine the underlying cause of Gynecomastia • Take photos for your medical record • Ask you to stop smoking since tobacco will promote wrinkling of the skin and slows both recovery and healing process. • Ask you to avoid taking some medications like aspirin, anti-inflammatory drugs, and herbal supplements for a while before and after the operation since they can increase bleeding and bruising • Discuss the available options • Determine the best kind of treatment

The most common cause of male breast development is the collection of excessive fat in the chest. However, the effects of a man's hormones or hormone medications, genetics in some cases, prescription medication, steroids which are mostly used by bodybuilders or athletes, or excessive alcohol intake might complicate this problem as well.

In this surgery, specialists remove the excess skin and extra fat that have led to male breast development. The removed tissue does not usually come back, and in this case, the results are permanent. Nevertheless, patients need to live a healthy lifestyle and avoid taking certain medications to maintain their desired outcomes.
If they continue their previous habits, which have caused this problem, they should not expect their doctor to help them. Weight gain also plays a significant role in worsening the situation if excess fat collects in the chest area.

In fact, all products which are said to be aimed at reducing the volume of men's breasts are a kind of advertising ploy and just a waste of time and money. At this time, the only successful treatment for Gynecomastia is a surgery performed by an experienced plastic surgeon.

Many people are shocked to hear that doing chest exercises for making Gynecomastia less noticeable makes the problem worse. The reason is that Gynecomastia has not been caused by the chest muscles. Strengthening these muscles can increase the volume of the breasts that are already overdeveloped because of unwanted tissue, fat, and skin. However, men who build their chest muscles through exercising after the surgery can enjoy their nice, masculine appearance.

The major goal of male breast reduction is achieving a natural appearance and giving a masculine contour to the chest. Through this surgery, specialists remove only the excessive breast tissue. Removing additional tissue would worsen the problem, affect the chest contours in a negative way, and make the result appear unnatural. If you ask a skilled plastic surgeon to perform this surgery, you can make sure that male breast reduction results will be very symmetrical and natural-looking breasts.

Gynecomastia patients are usually nervous to go back to gym immediately after the surgery. However, it may increase the length of the recovery process. It's important to rest for a while and allow your body to heal before getting back to routine daily activities specially exercises like weight training that influences the chest and pectoral muscles. After about two weeks, light activity is usually permitted by your doctor but strenuous exercise is restricted for at least four to six weeks. Depending on your preferences and the nature of the technique adopted in your operation, your specialist will give you specific instructions to follow.

The breast enlargement of Gynecomastia is typically symmetrical in location regarding the nipple and has a firm feel. While both sides are usually affected, sometimes Gynecomastia can develop on only one of the breasts. In addition, the enlargement may be greater on one of them even when both breasts are involved.

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