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.
"This was a great, professional experience - Dr. Gray was very knowledgeable and thorough when we came in for the consultation. He explained all of the different breast implant types and what they would look like depending on what was the desired outcome. Great bedside manner an he gave great advice, made us feel very comfortable and we love the results."- A. / RealSelf / Apr 08, 2017
"I was referred to Dr. Leonard Gray by a friend who has had work done and he was the second I went to see for consultation. I booked my surgery day a few days after that day. I'm so glad that I find Dr. Leonard practice! I absolutely love his staff. They are extremely nice, patient and helpful! I'm so thankful and satisfied with his work."- S.Z. / Yelp / Mar 21, 2017
"AMAZING!! Dr. Gray and staff are the best! I had a revision breast augmentation that required the best surgeon to repair. Dr. Gray is that surgeon. The results have exceeded my expectations. Not one bruise...proof that Dr. Gray is meticulous during surgery. The staff is very caring and accommodating, I could not have asked for more. Thank you for taking such great care of me."- D.M. / Yelp / Mar 18, 2017
"INCREDIBLE DOCTOR AND STAFF! Highly recommended! - Incredible. AMAZING. I cannot say enough good things about this doctor. I wrote a review about my procedure (and am in the process of finishing it, since I am only 6 days post-op), so I won't be repetitive here. But I HIGHLY recommend Dr. Gray and his staff! I had a breast implant removal. His bedside manner was incredible, I felt like i knew these people forever. The RN's are wonderful and so sweet, and the anesthesiologist is out of this world. I would honestly do my procedure ALL OVER AGAIN! :)"- S. / RealSelf / Feb 26, 2017
"575 Cc Sientra Moderate Profile - Dr. Gray came highly recommended to me by a work colleague. I ended up making an appointment with him and knew he was going to be the doctor for me. He was extremely patient, knowledgeable, and no pressure. After he explained the procedure to me and answered all my questions, I got to try on various implant sizes. He carries Allergan, Mentor, and Sientra. He never made me feel rushed while trying on the different implants and never pushed me in any particular direction. It was important to him that I liked what I saw in the mirror. I can't say enough good things about Dr. Gray and his staff."- S. / RealSelf / Feb 13, 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@headingTag>
Is This Gynecomastia?@headingTag>
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?@headingTag>
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?@headingTag>
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?@headingTag>
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