One of the most common concerns men have about male breast reduction is whether the procedure will leave noticeable scars. While gynecomastia surgery does involve incisions, an experienced surgeon can place them strategically so that gynecomastia surgery scars are minimal, well-concealed, and fade significantly over time.
We explain where surgeons place scars, how they heal, and how you can keep them as discreet as possible.
Most gynecomastia procedures involve a combination of gland removal and liposuction. The location and size of the scars depend on the technique used and the severity of the condition.
Periareolar incisionSurgeons most commonly place the scar around the lower half of the areola. This is where the surgeon removes the glandular tissue. The natural transition between the darker areola and lighter chest skin helps hide the scar.
Liposuction access pointsIf liposuction is used, small incisions (typically 3 to 5 mm) are made along the outer edge of the chest or near the armpit. These heal well and often become nearly invisible over time.
Extended incisionsFor men with more severe gynecomastia or excess skin, longer incisions may be required. These may be located beneath the breast fold or along the side of the chest. While more visible, they are necessary for cases involving sagging skin or massive weight loss.
Scars go through several healing phases:
Initially, the scars may look pink or red and feel slightly raisedOver the next several months, they begin to flatten and lighten in colorBy 6 to 12 months, most scars are flat, faint, and difficult to see at normal distance
Healing depends on several factors, including skin tone, age, genetics, and how well you follow aftercare instructions.
Choose a board-certified surgeonScarring is directly related to surgical technique. An experienced gynecomastia specialist will use precise incisions and closure methods that result in less visible scarring.
Follow post-op care instructionsKeep incisions clean and dry in the early stages of healingAvoid stretching or putting pressure on the incision siteWear your compression garment as directed to reduce swelling and support the skin
Use scar treatmentsSilicone sheets or silicone gel can help reduce redness and flatten the scar. Apply as recommended starting once the incision has fully closed
Avoid sun exposureUV rays can darken scars permanentlyUse SPF 30+ or keep the area covered for at least 6 months after surgery
Stay smoke-freeSmoking impairs blood flow and slows healing, which can worsen scar appearance
While scars can’t be removed entirely, most gynecomastia patients find their incisions heal into thin, nearly invisible lines. If a scar becomes raised, discolored, or bothersome, treatments like laser therapy or microneedling can improve the appearance further.
For most men, the minimal scars from gynecomastia surgery are well worth the permanent improvement in chest shape, comfort, and confidence. Choosing a skilled surgeon, caring for your skin, and staying consistent with scar care can result in excellent long-term results.
If you’re considering male breast reduction but concerned about scarring, we can help you understand what to expect and how to minimize it. Dr. Joseph Cruise is one of the most experienced gynecomastia surgeons in the country, with a focus on minimal-scarring techniques and natural-looking results.
Schedule a gynecomastia consultation today at our Newport Beach clinic or meet with us virtually. We’ll assess your case, show you real before-and-after photos, and answer all your questions about recovery, scars, and results.
