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What is Gynecomastia?

Gynecomastia is characterized by enlarged, bulging, or overdeveloped breasts in men. While usually medically harmless, gynecomastia can negatively affect men on a social, interpersonal, and psychological level. Enlarged breast tissue often resolves for many men throughout their teenage years, and may simply result from hormonal changes that occur during puberty. However, factors like genetics, obesity, steroid and medication use can cause some men to experience magnified breast tissue into adulthood. Whether you are a teenager or an adult, our plastic surgeons understand that the ability to comfortably take off your shirt without the fear of embarrassment can be essential to reclaiming your self-confidence. Dr. Gryskiewicz and Dr. Chopra can reduce male breasts using advanced techniques designed to leave little to no evidence of surgery.

Learn about Gynecomastia (Male Breast Reduction) with Dr. Joe: Play Video

Who is a Candidate for Male Breast Reduction?

Treatment for gynecomastia can benefit any male patient bothered by overdeveloped breast tissue. The surgery is for individuals self-conscious about their appearance as a result of their gynecomastia. Certain behaviors — such as avoiding locker rooms, gyms, intimate situations, or removing your shirt in public — may signify that you can greatly benefit from male breast reduction. Ideal candidates for surgery are in good overall health (with no medical conditions that may inhibit the healing process), and have realistic expectations for the outcome. The best results are also seen in men who have good skin elasticity, which enables the skin to contract around your more masculine chest contours.

Signs of Gynecomastia

Indications of gynecomastia are often physically evident. If you suspect you have overdeveloped breast tissue, your doctor may ask you about your medical history and any medication use, as well as conduct a physical exam to evaluate your concerns. Gynecomastia doesn’t typically require treatment from a medical standpoint, but you may consider a male breast reduction procedure if the appearance of your chest is interfering with your ability to live fully and confidently. Common signs of gynecomastia typically include:

  • Visible or overly developed breasts
  • Pain or tenderness
  • Swelling in the breasts
  • Puffy or sensitive nipples

In some cases, patients may exhibit a form of the condition known as “pseudogynecomastia” — this means the appearance of overly large breasts is caused more by fatty tissue in the chest rather than glandular breast tissue. In these situations, your concerns may be resolved by performing power-assisted liposuction (PAL) in the targeted areas, often allowing a brief recovery period compared to surgical excision. In either case, our plastic surgeons can help you develop the right treatment plan to restore flatter chest contours according to your needs.

How is Male Breast Reduction Performed?

Dr. Gryskiewicz and Dr. Chopra have developed an innovative approach to male breast reduction that does not require any incisions on the nipples or breasts, therefore leaving no telltale indications of surgery when you take off your shirt! Through one small incision placed on the ribcage, our plastic surgeons first use power-assisted liposuction to remove fatty tissue contributing to an enlarged breast appearance. This involves suctioning out fat through a vibrating cannula to restore a sleeker, more masculine contour in the chest. By using the power-assisted technique, fat is broken down and extracted more easily when compared to a traditional liposuction procedure. Next, custom-designed surgical instruments are utilized to remove all of the glandular tissue in the chest area. The result should be a smoother, flatter look that appears natural and masculine with your body contours. Male breast reduction is typically performed under general anesthesia as an outpatient procedure.
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What is Recovery for Male Breast Reduction Like?

Patients who have undergone male breast reduction can return to full physical activity two to three weeks after their procedure. For men treated with CoolSculpting®, there is virtually no downtime following the in-office procedure, and you can make an immediate return to normal activities. Those who have undergone surgical operation can expect some degree of temporary bruising and swelling. Strenuous exercise or taxing labor should be avoided until cleared by our plastic surgeons. They may recommend that you wear a pressure garment for three to six weeks to avoid sun exposure and allow the skin to adjust to its new contours.

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How Long Do Results From Male Breast Reduction Last?

The outcome of male breast reduction lasts forever, allowing men to live fully and openly without the burdens of visible breast tissue. For this reason, surgical gynecomastia treatment is often considered a life-changing procedure. While your masculine contours are permanent, weight gain after the procedure may redistribute excess fat to the chest. To help preserve the results of male breast reduction, Dr. Gryskiewicz and Dr. Chopra recommend living an active, healthy lifestyle to help maintain a stable weight. We encourage you to take a look at our before-and-after photos from male breast reduction so you can get an idea of the types of results you can expect after the procedure.

Will I Have Noticeable Scars From Male Breast Reduction?

Dr. Gryskiewicz and Dr. Chopra prioritize a masculine aesthetic with as little evidence of surgery as possible when performing male breast reduction. For this reason, incisions are placed in discreet locations that blend into the natural contours of the chest. This allows any scarring to look inconspicuous and undetectable to outside observers. Dr. Gryskiewicz and Dr. Chopra also do not make incisions around the nipple because they are easily visible when patients take their shirt off. This is a completely unique approach, not available elsewhere. Our plastic surgeons will be able to show you where you can expect your scars to appear during your consultation. In many cases, visible scarring fades and lightens over time — especially if patients closely follow post-operative instructions and take good care of their incisions after surgery.

How Much Does Male Breast Reduction Cost?

The costs associated with male breast reduction are determined according to the technique utilized, the complexity of the procedure, and the unique details of your treatment plan. Following a consultation with one of our plastic surgeons, a member of our team will provide you with a personalized quote detailing the expenses of your gynecomastia treatment. Plastic surgery financing from CareCredit® or ALPHAEON™ Credit can be very helpful in providing qualified patients with a more manageable way to pay for their male breast reduction. Please don’t hesitate to contact our office for additional information about the cost of gynecomastia treatment, or to schedule a consultation with Dr. Gryskiewicz or Dr. Chopra.

Is Non-Surgical Gynecomastia Treatment Possible?

Non-surgical techniques are usually not enough to make a meaningful difference in reducing male breasts. If your gynecomastia mostly consists of excess fat, CoolSculpting® — which uses controlled cooling to “freeze” and destroy fat cells — may be able to provide somewhat of an improvement; however, this typically requires multiple treatment sessions to obtain the desired result, and a plastic surgeon’s control over the aesthetic outcome is often limited. Furthermore, most cases of gynecomastia are caused by glandular tissue in addition to excess fat, which cannot be extracted without surgery. Our plastic surgeons’ unique male breast reduction technique remains the most effective and powerful way to correct enlarged breasts in men. The results achieved should last for a lifetime provided your weight remains stable.

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