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Treatment of Male Chest Asymmetry
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What is Revision Gynecomastia

What is Male Chest Asymmetry?

Oftentimes, a man will visit the office and request surgery for only one side of his chest. For a long time, his eyes have been focused on just the larger side and he frequently will not realize that there may be some excess tissue on the other side as well.

Often, Dr. Jacobs finds that one side is much larger than the other — but both sides frequently have excess tissue. In the past, surgeons treated only the larger side — and the patient then returned asking for treatment of the now-larger “normal” side as well. This would then require a second operation.

In our practice, both sides are carefully evaluated. If the two sides have varying amounts of excess tissue, then each side is treated to yield the best possible result. The outcome is a better and more symmetrical chest – but not always absolutely mirror-image identical. We see patients in West Palm Beach, Boca Raton, and beyond, for male chest asymmetry correction.

Operating On One Side Only: The Surgeon’s Perspective

In some cases, there may be residual, very solid breast tissue directly beneath the areola which the instrument cannot remove. In these cases, an additional incision around the edge of the areola will facilitate the direct removal of the excess breast tissue. Care is specifically taken at this point to remove sufficient breast tissue but ensure there is no “cratering.” If necessary, fat flaps are used to reinforce the support of the areola. The wound is then closed with dissolving sutures underneath the skin, so there are no external sutures to be removed.

It is very difficult to reduce a larger side so that it exactly matches the smaller side. During surgery, fluids are injected, tissues are removed by liposuction and/or excision, and all the remaining tissues actually continue to swell while the surgery progresses. In essence, during surgery, the breast is constantly changing – a moving target. Thus, providing an exact match with the “normal” side is very difficult to achieve.

Dr. Jacobs believes that the best course of action is to reduce each breast so that each side is as individually well contoured as possible. This may require any combination of liposuction and excision on either side. The result is usually a symmetric, pleasing outcome.

Absolute, mirror-image symmetry, however, is sometimes elusive.

Male breast, before Treatment of Male Chest Asymmetry, oblique view, patient 1
Male breast, after Treatment of Male Chest Asymmetry, oblique view, patient 1

What Are Some Underlying Causes Of Chest Asymmetry?

Male breast, before Treatment of Male Chest Asymmetry, front view, patient 2
Male breast, after Treatment of Male Chest Asymmetry, front view, patient 2

The breasts, which consist of both fat and breast tissue, rest on the foundation of the underlying muscles and skeleton. This foundation may itself be asymmetric.

Here are some causes of chest asymmetry:

  • There may be scoliosis (curvature) of the spine
  • There may be rib cage asymmetries
  • Your posture may be such that you naturally carry one shoulder lower than the other
  • One chest muscle may be larger than the other
  • One chest muscle may never have developed (Poland’s Syndrome)
  • The attachments of the chest muscle to the rib cage may differ for each side
  • There may be developmental abnormalities of the breast bone in which portions of it are caved in (pectus excavatum) or rarely just the opposite – jutting out (pectus carinatum)

In essence, one must determine if the foundation upon which your breast lies may be asymmetric, to begin with. Most of these conditions are not correctable during routine gynecomastia surgery. In fact, if severe, they may require surgery by a general or chest surgeon before any gynecomastia surgery can be performed.

Once the foundation is ascertained, then an examination of the breasts may reveal more tissue on one side, contour differences, nipple differences in size and location, and skin excess which naturally accompanies a larger breast. If there is skin excess on one side, then the anticipated skin tightening may not occur symmetrically, leaving the former larger side with a bit more lax skin.

Realistic Surgical Goals Are Important

Although the goal of gynecomastia surgery is a trim, contoured and symmetric chest – and this is often achieved — the surgical results may not provide absolutely perfect, mirror-image symmetry. This is due to the myriad of underlying potential sources of asymmetry as outlined above, all of which will impact the final results. Sometimes successful surgery to remove the overlying breast tissues will then reveal the asymmetries of the foundation of the chest, which were originally masked by the excess overlying tissues.

One additional and uncontrollable factor is Mother Nature. Once appropriate surgery is performed, the patient’s body sets about to heal – and it heals by producing scar tissue. Sometimes it produces more scar tissue on one side than the other. Usually, this does not require additional surgery but can be treated with injections of cortisone.

In sum, it is important for a patient to understand and accept that absolute, mirror-image chest symmetry may not be achievable in all cases. On the other hand, what is usually achievable is a normal-appearing, trim, contoured masculine chest. And normal, believe it or not, is not absolutely symmetric!

Male breast, before Treatment of Male Chest Asymmetry, front view, patient 3
Male breast, after Treatment of Male Chest Asymmetry, front view, patient 3

Ideal Candidates for Male Breast Asymmetry Surgery

Your suitability for gynecomastia surgery to correct chest asymmetry will be determined during a consultation with Dr. Jacobs. His considerations will include the following:


Are you in general good health?

Older men

Are you on any medications that may negatively impact surgery and recovery?

Patients affected

Do you smoke?


Do you have realistic expectations?

What to Expect from Recovery

Dr. Elliot Jacobs provides his patients with a specific set of instructions to follow during their recovery period. He encourages his patients to carefully adhere to these instructions to ensure optimal healing during their recovery to ensure desired results are achieved.

What to Expect from Recovery
Benefits of Gynecomastia Revision Surgery

Benefits of Chest Asymmetry Correction Surgery

Gynecomastia revision surgery is great for boys and men looking for:

  • Improved symmetry in the chest area
  • Increased confidence in your physical appearance
  • Improved posture
  • Restored self-esteem

Risks of Male Chest Asymmetry Correction Surgery

As with any invasive procedure, you can expect a degree of risks and side effects. These are however significantly minimized when working with a board-certified plastic surgeon. Possible risks and side effects of gynecomastia surgery include scarring, bleeding, pain, and infection.

Risks of Revision Male Breast Reduction Surgery
Why Choose Dr. Jacobs for Breast Reduction Surgery?

Why Choose Dr. Jacobs for Chest Asymmetry Correction?

Dr. Jacobs is a highly trained board-certified plastic surgeon with more than 35 years of experience in correcting chest asymmetry in men. He consistently achieves outstanding results for his gynecomastia patients.

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Frequently Asked Questions

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Is perfect symmetry possible?

Human beings are basically asymmetrical. If you study your face carefully, you may note that the ears are different, the eyes are different and even both sides of your smile may be different. Indeed, if you had a photo of your face in which one side was flipped and then duplicated on the other side, you would probably not recognize yourself! In fact, the only absolutely symmetric faces are on mannequins. It is, indeed, the subtle asymmetries of our faces (and our bodies) that make us look endearingly human.

The same holds true for the chest. Are the nipples the same diameter and located absolutely level with each other? Is there more tissue, and hence more stretched skin, on one side? Does one breast hang slightly lower than the other one? Are the breast contours different and are there adjacent pockets of fat that are different? Again, the minor asymmetries of the chest are what make us look human and not like mannequins.


Dr. Elliot William Jacobs is a board-certified aesthetic plastic surgeon who specializes in FTM top surgery, gynecomastia surgery, revision gynecomastia surgery and male breast reduction. He is a native of New York and has over 40 years of experience in his field. Dr. Jacobs is a highly respected and sought-after surgeon who is known for his skill, experience, and compassion. Whether you are interested in gynecomastia for the first time, or are looking to correct a gynecomastia you aren’t happy with, Dr. Jacobs can deliver amazing results.


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