Male breast reduction is considered to be permanent. The fat and breast tissue that is removed during the procedure is gone for good. However, additional factors can occasionally lead to the recurrence of gynecomastia symptoms. Patients who continue to use steroids and other drugs that affect the body’s hormone levels may be at risk for developing enlarged male breasts once again. This is why it is so important for patients to address the underlying cause of their male breasts before moving forward with surgical correction