Q&A: With gynecomastia surgery, if the glands are removed, how is it possible for them to start growing again?

Ask A Doctor Question: 

I'm confused about gynocomastia surgery and the return of tissue after surgery. If the glands are removed and not due to excess fat why could it possibly return? I've read many articles stating things like: gyno can return if the underlying cause isn't fixed, such as steroids, opiates, hormones. This statement confuses me because in my thinking if the glands have been removed how is it possible for the glands to start growing again? Is this statement true when referring to gland removal and can anyone explain to me how glands work and are produced? If the gland is removed can a new one grow in it's place or is it gone forever, never to return? Thank you very much for anyone taking the time to answer me!!

- Ryan


Robert D. Wilcox, MD - LocateADoc.com

We never remove 100% of the glandular tissue for two reasons:  first, the tissue is so intimately adherent to the underside of the areolae that we would probably damage the circulation, if we tried to remove is all.  Second, we don’t want to leave a depression under the areolae.
Theoretically then if someone really juiced it up on anabolic steroids, it is theoretically possible to have a recurrence, though I will tell you I have never seen a recurrence in my practice.
I hope this has been helpful to you.

--Robert D. Wilcox, MD
Plano, TX

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