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.
"Fantastic - Highly Recommend - So happy!!! My experience with Dr. Gray and staff has been phenomenal - very personable, professional, informative and attentive. I felt like I was in good hands throughout the entire process, and went into my surgery with utmost confidence. It has been approximately two weeks since my procedure, and I am absolutely thrilled with my results. Thank you, Dr. Gray!"- A. / RealSelf / Jan 02, 2018
"50 Shades of Grey - I went in for a breast revision to avoid any future complications. I switched from my 12 year old Saline implants to Silicone. I was very happy with my Saline implants plus there were no visible scars. In 2005 my Doctor was the first to innovative the nipple incision (not to be confused by the periareolar incision). Very pleased with my previous results without any hesitation I knew that Dr...."- X. / RealSelf / Dec 27, 2017
"BEST PLASTIC SURGEON EVER!!!!!! - There are no words that suffice to commend Dr. Gray's unbelievable work - truly impeccable and a work of artistry. I am incredibly hard to please, as I am a complete perfectionist myself. My family always teases me, as I never seem content with anything. I interviewed countless plastic surgeons and spent weeks on end researching doctors on the internet. Even though I am a mother of three..."- D. / RealSelf / Dec 25, 2017
"I would give 10stars if i could! Had my first set of implants about 10years ago that were utterly amazing by him. Always had comments how natural they were and best job anyone had seen. Fast forward, time to change and upgrade the girls. They are even more amazing than the first set. Went for the gummy bears high profile. So beautiful in everyway! Dr Gray knows what he is doing. I told him exactly what i Wanted in regards to size and cleavage and he made it happen!! I wanted to wait to write this review till i was a few months out and everything settled. I am not a big yelper but MUST give credit where it is due. My experience this go round was nothing short of stellar. I had breast aug and labiaplasty and everything looks amazing! I felt and feel so comfortable and confident in this man. Also i must share that I had a major medical emergency thru my healing process that had nothing to do with dr. Gray or plastic surgery. Was a female issue, that left me in critical condition. Had I not followed Dr Grays advise at a follow up and got directly to my ob/gyn it would have ended badly. I ended up in emergency surgery wich solved the issue that would have ended in devastation had i not gone to emergency on Dr Gs advice. I also wold like to mention, when i got the news i had to have emergency surgery i called Karen at the front desk, cuz no one knew of my private situation but Dr Grays office. I am BEYOND GREATFUL for the professionalism of this woman. I felt like i had a best friend who was a 911 operator on the phone. I was hysterical and she calmed me down as i drove myself to emergency surgery. It was one of the scariest experiences of my life, no family knew as i kept it private and she was like a guardian angel. Also Cherrise is like a breath of fresh air! Helped me with so much during this process and has such good energy and i know her word is GOLD! Anything i asked advice on was always on the money! Also Lalanya who i rmbr from 10 years ago is frgn awesome! i called panicking once about questions from healing and she soothed everything and everything she said was true.Shes been in the scene for a long time and KNOWS HER STUFF! STAFF IS BEYOND EXCEPTIONAL! energy is amazing. Dr Gray is IT in my eyes. He also is A MAGICIAN with ingectables! no one ever has been so thuro with botox or cheek fillers. and my lips! ARE GORGOUS! had disastorous results with lips and botox and this man lays you down like he is doing surgery for your ingectables and gets it perfect! He is a master at his craft. i will not go anywhere else for ingectables. Breasts and labiaplasty are GORGOUS! Thank you Dr Gray. YOU ALL ARE A GOD SEND! p.s. i feel Dr G is more than authentic. He spent so much time with me after my emergency surgery and i truly feel he cares. He was looking me in the eye and we had a long discussion, his concern was more than genuine .Also he overcame my fear with injectables so patient and he KNEW exactly what i wanted and delivered, this place will always hold a special place in my heart! THANK YOU! THIS MAN IS ON POINT!!!!"- K.B. / Yelp / Dec 11, 2017
"I would give 10stars if i could! Had my first set of implants about 10years ago that were utterly amazing by him. Always had comments how natural they were and best job anyone had seen. Fast..."- K.B. / Yahoo / Dec 11, 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