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Does Gynecomastia Surgery Leave Scars?

May 8, 2025

Gynecomastia surgery is the most effective and permanent solution for eliminating enlarged male breast tissue. While the results can be life-changing, many patients wonder, “Does gynecomastia surgery leave scars?” The short answer is yes—any procedure involving incisions will create some degree of scarring. However, when the surgery is performed by an experienced gynecomastia specialist, scars are small, strategically placed, and often barely visible after healing.

Understanding what to expect with scarring—and how to minimize it—can help you feel more confident as you move forward with treatment.

Why Scarring Occurs After Gynecomastia Surgery

Scars are a natural part of the healing process after surgery. When an incision is made, your body responds by generating collagen to close the wound. Over time, this healing tissue remodels and fades—but it does leave a mark.

In gynecomastia surgery, the extent of scarring depends on several factors:

  • The type and severity of gynecomastia
  • The surgical technique used (gland excision, liposuction, or both)
  • Your skin type and genetics
  • How well you follow post-op care instructions

Fortunately, the scars from male breast reduction are typically very discreet and fade significantly over time—especially when you’re under the care of a skilled, board-certified plastic surgeon.

Where Are the Scars Placed?

In most cases, incisions are made in areas where the scars can be easily concealed or will blend in naturally with the surrounding skin.

Periareolar Incision (Around the Nipple)

The most common incision is placed along the lower half of the areola, the pigmented skin around the nipple. This is where glandular tissue is removed. The natural color difference between the areola and the surrounding chest skin helps camouflage the incision line.

Liposuction Access Points

If excess fat is being removed via liposuction, tiny incisions (usually less than 5 mm) may be made under the armpit or along the side of the chest. These are extremely small and typically heal into faint marks.

Incisions for Skin Removal (Severe Cases)

In more advanced gynecomastia cases—especially when excess skin is present—additional incisions may be needed to tighten and recontour the chest. These incisions may be placed vertically or horizontally below the nipple. While more visible, they are necessary to achieve an optimal result in severe or sagging gynecomastia types.

How Noticeable Are the Scars After Healing?

For most patients, gynecomastia scars are faint and hard to see after full recovery. The initial redness and firmness soften over time, often becoming barely visible within 6–12 months. Factors that influence final scar appearance include:

  • Your body’s natural healing ability
  • Proper wound care during recovery
  • Use of scar treatments like silicone gel or sheeting
  • Avoiding sun exposure to the healing skin

In our practice, we provide patients with customized scar care protocols to support optimal healing and minimize long-term visibility.

Techniques to Reduce Scarring

While scarring can’t be avoided entirely, several strategies can dramatically reduce its appearance:

  • Use silicone-based products (gels or sheets) after incisions close
  • Keep incisions clean and moisturized during early healing
  • Avoid stretching or stressing the incision site
  • Stay out of direct sun exposure, or use a high-SPF sunscreen for at least 6 months
  • Do not smoke, as it impairs wound healing and can worsen scar formation
  • Follow all post-op care instructions closely from your surgeon

We also offer follow-up treatments, including laser therapy or microneedling, for patients who develop more visible scars and wish to improve them further.

Why Surgeon Skill Matters for Minimizing Scars

Not all gynecomastia surgeons are the same. The quality of your incisions and the extent of your scarring depend heavily on your surgeon’s expertise.

board-certified plastic surgeon who specializes in male chest surgery knows how to:

  • Make precise, clean incisions
  • Use scar-minimizing closure techniques
  • Place incisions in the most discreet locations
  • Tailor the approach based on your gynecomastia type and anatomy

At our clinic in Newport Beach, Dr. Joseph Cruise has performed thousands of gynecomastia procedures, making him one of the most sought-after surgeons in the United States for male breast reduction. His specialized techniques help ensure minimal scarring and maximum aesthetic improvement.

Is the Scarring Worth It?

For the vast majority of our patients, the answer is a clear yes. The confidence and relief that come from having a flat, masculine chest far outweigh the presence of a small, well-placed scar.

Scars fade, but gynecomastia can last a lifetime if left untreated. Many patients tell us they wish they had done the surgery years earlier—and that the scars are practically unnoticeable once healed.

Ready to Take the First Step?

If you’re considering gynecomastia surgery and want to learn more about scar outcomes, recovery, or pricing, we invite you to schedule a confidential gynecomastia consultation with Dr. Joseph Cruise. Whether you’re dealing with puffy nipples, glandular enlargement, or severe sagging, we’ll help you understand your options and develop a personalized plan that fits your goals.

We serve patients from Los Angeles, Orange County, and across the U.S. through both in-person and virtual consultations.

Plastic Surgeon | Website |  + posts

Dr. Joseph Cruise is a board-certified plastic surgeon with over 20 years of experience. Regarded as one of the top gynecomastia surgeons in the world, Dr. Cruise has gynecomastia-specific content that can be found at lagynecomastia.org. Dr. Cruise has dedicated his career to cosmetic surgery but has also had extensive training in General Surgery, Hand Surgery, and Microvascular Surgery. Dr. Joseph Cruise is also a member of the Rhinoplasty Society as well as the American Society of Plastic Surgeons.

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