Gynecomastia: Male Breast Reduction for a More Masculine Chest
What is Gynecomastia?
Gynecomastia is a condition that causes enlarged male breasts, commonly referred to as man boobs or moobs. It occurs due to excessive glandular tissue growth and is not always linked to weight gain. Gynecomastia affects up to 60% of men at some point in their lives and can lead to self-consciousness, social discomfort, and reduced confidence.
Many men struggle with gynecomastia despite maintaining a healthy diet and active lifestyle. Unlike excess fat, which can be reduced through exercise, gynecomastia involves the enlargement of glandular tissue, making it difficult to treat without medical intervention.
Table of Contents
Gynecomastia: Before & After
Why Patients Trust Dr. Wiser
Chief of Plastic Surgery at Mount Sinai Elmhurst
Advanced techniques for natural-looking results
Thousands of successful
procedures
Am I a Candidate for Gynecomastia Surgery?
You may be a good candidate if you:
- Have enlarged male breasts that don’t improve with diet and exercise
- Are in good health and at a stable weight
- Experience emotional discomfort due to your chest appearance
- Have realistic expectations about the procedure
Causes of Gynecomastia
There are several reasons why men develop gynecomastia, including:
Hormonal Imbalance – An imbalance of estrogen and testosterone can cause breast tissue growth. Elevated estrogen levels or reduced testosterone can lead to glandular development in men.
Steroid Use – Gynecomastia from steroids is common among bodybuilders using anabolic steroids and testosterone replacement therapy (TRT), as these can disrupt hormone levels.
Weight Gain and Obesity – Excess fat in the chest area can contribute to pseudo gynecomastia, a condition where fat accumulation mimics gynecomastia but does not involve glandular tissue.
Medications and Drugs – Certain drugs, including spironolactone, antidepressants, anti-androgens, and heart medications, may trigger gynecomastia.
Medical Conditions – Liver disease, kidney disease, and tumors affecting hormone levels can lead to male breast enlargement.
Puberty and Aging – Gynecomastia in puberty often resolves on its own, while older men may develop it due to low testosterone levels or hormonal changes with age.
What Can I Expect During My Consultation?
During your consultation for gynecomastia surgery, Dr. Itay Wiser will conduct a comprehensive evaluation to determine the best approach for your treatment. Here’s what you can expect:
Medical History Review – Dr. Itay Wiser will discuss any medications, medical conditions, or lifestyle factors that may contribute to your gynecomastia.
Physical Examination – Your chest will be examined to determine whether the enlargement is due to glandular tissue, fat, or both.
Diagnostic Tests – In some cases, imaging tests such as ultrasound or mammography may be required to rule out other conditions.
Discussion of Treatment Options – Dr. Itay Wiser will explain the available gynecomastia surgery techniques, including liposuction, glandular tissue excision, and skin tightening if necessary.
Personalized Surgical Plan – You will receive a customized surgical plan tailored to your needs, including details about anesthesia, recovery, and expected results.
This consultation is your opportunity to ask questions and discuss any concerns you may have about the procedure.
How is the Gynecomastia Surgery Performed?
Gynecomastia removal surgery is typically performed using one or both of the following techniques:
Liposuction – Used to remove excess fat from the chest, particularly in cases of pseudo gynecomastia.
Glandular Tissue Excision – Required for severe cases where glandular tissue must be surgically removed.
Skin Tightening (if needed) – In cases of extreme gynecomastia with loose skin, skin removal may be necessary.
The procedure is typically performed under local anesthesia with sedation or general anesthesia, depending on the severity of the condition.
Small incisions are made around the areola or under the chest, through which the excess fat and glandular tissue are carefully removed. The chest is then sculpted to create a flatter, firmer, and more masculine appearance.
Gynecomastia Recovery Timeline & Aftercare
First 24-48 Hours
First Week
Two to Four Weeks
Six Weeks and Beyond
Benefits of Male Breast Reduction Surgery
Permanent solution
Boosts confidence
More masculine physique
Minimal scarring
Improved posture
Enhanced physical performance
How Much Does Gynecomastia Surgery Cost?
The cost of gynecomastia surgery varies based on several key factors, including the severity of the condition.
During your initial consultation, Dr. Itay Wiser will assess your specific condition, discuss your aesthetic goals, and determine the best surgical approach. Factors such as whether liposuction alone is sufficient or if glandular tissue excision is necessary will influence the overall cost.
Financing options may be available to help make treatment more accessible. To get an accurate estimate tailored to your needs, it’s best to schedule a personal consultation with Dr. Itay Wiser.
Gynecomastia (Male breast Reduction) FAQs
Can I Get Rid of Gynecomastia Without Surgery?
In mild cases, exercise and weight loss may help reduce chest fat. However, surgical removal is the only permanent solution for true gynecomastia.
How Long Does Gynecomastia Surgery Take?
The procedure typically takes 1-2 hours under general or local anesthesia.
Will Gynecomastia Return After Surgery?
As long as you maintain a stable weight and avoid medications that trigger gynecomastia, the results are permanent.
Does Gynecomastia Surgery Leave Scars?
Scars are minimal and discreet, often hidden around the nipple
What Should I Expect After Gynecomastia Surgery?
You will need to wear a compression garment for several weeks to help reduce swelling and support the new chest contour. Most patients can return to normal activities within one week.
Can Gynecomastia Affect Only One Side?
Yes, unilateral gynecomastia is when one breast is larger than the other due to excessive glandular tissue growth.
How Soon Can I See Results After Gynecomastia Surgery?
Most patients notice a difference immediately after surgery, but final results take 3-6 months as swelling subsides.
Is Gynecomastia Surgery Safe?
Gynecomastia surgery is considered safe and effective with minimal risks.