Gynecomastia is the enlargement of the male breasts. It most often occurs with puberty and can sometimes resolve over time. Some drugs, such as steroids, can cause it, and some medical problems that affect a man’s hormone levels can also be the cause of gynecomastia. If drug and medical hormonal abnormalities are ruled out as the cause, and time has been given for the gynecomastia to resolve on its own without improvement, then surgery by board-certified plastic surgeon, Dr. Leonard Gray, can be considered at Bay Area Plastic Surgery in San Francisco. The surgery has become increasingly popular over the years.
Until recently, there have only been the options of liposuction and direct excision through a relatively large incision at the nipple/areola area. However, Dr. Gray is very excited to bring to his practice an exciting new technique using liposuction and excision of the gland through small liposuction incisions only that are placed laterally on the side of the chest. There is no large scar at the nipple/areola area. The self-consciousness of having large male breasts is not replaced with self-consciousness regarding scarring. Therefore, there is no reason for a man not to take his shirt off following male breast reduction surgery.
Before surgery is recommended, the surgeon will perform a variety of tests and possibly prescribe medications to see if any improvement occurs. If the breast enlargement persists, surgery is an option. Mild cases of gynecomastia are corrected with liposuction. Small incisions are made surrounding the areola where suction tubes (cannulas) are inserted to extract fat and breast tissues. When the enlargement is severe, a longer incision is done to excise breast tissues and loose skin. Skin tightening may also be incorporated and the nipples repositioned so that they are proportional to the new chest shape.
"Second Time Around - Dr Gray performed my surgery 18 years ago and back then I knew he was the best . My results were incredible and his office was so welcoming and kind. I have moved out of the country to Europe but knew I would only trust him once again . Almost 20 years later the office staff still remains the best Cherisse his nurse is one of a kind and makes the whole process seamless even from out of town. I felt like I knew her for years. I did all my communication through emails until the surgery. So anyone who is considering from out of town it can be done. And Dr Gray is the best out there im sure of it, on a scale of 1-10 I give him a 11! I would very confidentially say he's probably the Picasso of plastic surgery and a real perfectionist."- K. / RealSelf / Aug 27, 2017
"This review is for my consultation only. The women who worked the front desk were so kind and welcoming. Made me feel really comfortable. Reading through the other reviews, it makes it very hard for me to believe that these people had a bad experience. Dr. Gray walked through his office like it was his home and treating everyone in it like they were part of his family. My consultation with him went above and beyond my expectations. He was very thorough and had very kind bedside manner. Sometimes when I read bad reviews, I will look at those people's profile to see what else they have reviewed and more times than not I will see that that person just can't be happy no matter what...anyways, this was for a consultation only, and mine was amazing."- L.N. / Yelp / Jun 29, 2017
"Amazing perfectionist plastic surgeon - I am so happy I found Dr. Gray! He is amazing and so is everyone at his office. One of my implants broke (it was 10 year old). I had a consultation and decided to remove them and then go back after I am done having kids for new implants and more work if need it. I am very happy with my results. Dr. Gray is a perfectionist. You can barely see the scar - it's been 3 weeks! The prices were..."- C. / RealSelf / May 27, 2017
"Amazing! - Ive had a few surgeries with Dr. Gray for breast implants. Going smaller then larger and small again. Dr. Gray and his nurse Cherrisse are wonderful. He is a talented surgeon and I have several friends who have had surgery with Dr. Gray all with perfect results. I trust him because I know I will be safe and have a beautiful outcome. He is also my go to for botox."- B. / RealSelf / May 21, 2017
"Dr Gray did my surgery in 2010 and I am still extremely happy with the results, he was patient and available for several follow up appointments and his skills are incomparable, no scars and a very natural feeling. I definitely recommend him!"- V.B. / Google / May 21, 2017
Male breast reduction surgery uses general anesthesia and is performed in an accredited surgical facility. The operation lasts up to an hour. It is normal to have bruising and swelling around the chest area for the first couple of weeks. A compression garment must be worn for about 2 weeks to help with reshaping and healing. Most patients are able to return to their normal routine after a few days but must avoid any strenuous physical activities, especially ones that will put pressure on the chest. Results are generally satisfactory with patients regaining their confidence in situations where their chests are bared.
Male Breast Reduction FAQs
Is This Gynecomastia?
This condition must not be confused with a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. The plastic surgeon will be able to determine this by physical examinations or lab tests during the initial consultation. If it is a case of excessive fat tissues on the chest, the approach in treatment is the same when removing excess fat tissues in any part of the body. Proper diet and exercises are initially recommended before considering any surgical treatment. However, if the issue persists, a liposuction – sometimes even combined with a lift – may be performed to reshape the chest.
Will My Pecs Show?
Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue. For those who have severe gynecomastia, it is even possible that the overgrowth of breast tissue has developed into internal scarring. With a breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will be spared so that they can become more visible. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to regain the chest’s natural form.
Is Lipo A Must?
Liposuction is the primary approach in extracting fat or any soft tissues. Because it uses a small cannula to vacuum the fat out, it is a less invasive approach compared to excising the tissue, which requires longer incisions. There are liposuction options that are even less invasive. These options will be provided with more details prior to the surgical plan so the patient can consider all factors and ultimately decide which technique is preferred.
Will There Be Scars?
If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed around or near the areola. The plastic surgeon will make every effort when it comes to making the incisions and suturing to minimize the effects of scarring.
Plan Your Procedure
- Average Cost
- $7,000 - $9,000
- Recovery Time
- 6 Weeks
- Average Procedure Time
- 3-4 hours
- Post-op Follow-up
- 4 Months
- Procedure Recovery Location