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.
"I had a procedure done over 13 years ago. I still feel and look great! He is sensitive professional and knows what he’s doing. Will go back and refer him to as many people as I know."- J.F. / Google / May 05, 2018
"This review is about Lalena and her very smart assistance. I had Body Tite done by another doctor and was left with 4 noticeable scars. Lalena was the ONLY person who knew how to address these scars. Thank you Lalena for being so smart, kind, and taking the time to listen to my concerns."- E.M. / Yelp / Sep 04, 2020
"This review is about Lalena, the Medical Assistant/aesthetician, and her very smart assistance. I had Body Tite done by another doctor and was left with 4 noticeable scars. Lalena was the ONLY person who knew how to address these scars. Thank you Lalena for being so smart, kind, and taking the time to listen to my concerns."- E.M. / Yelp / Sep 04, 2020
"I don’t even know where to begin. Doing breast augmentation with Dr. Gray is the best decision I have ever made. The confidence I have gained was unimaginable.Dr. Gray is extremely intelligent and goes through all of your options with great detail. He is thorough and takes the time to answer questions. I am 5’5" 120lbs and was a 32A. I wanted big enough boobs so people noticed, but not too big and end up looking top-heavy. Dr. Gray did 475cc (Mentor HP) and now I am a 34D and I am in love with the results!!! The consent was for anywhere from 400cc-500cc and he could not have done a better job at selecting the appropriate size for me. Of course he will go over all of this with you and explain why he leaves wiggle room on the consent. (Like I said, he is extremely intelligent and there’s a reason why he does the things the way he does, just listen to him!) It’s not like he’s just trying to pump you with as much as he can.. My boobs are totally proportionate with the rest of my body and they are the perfect size for me. The facility itself is beautiful. His office, pre-op, OR, and recovery room are all in the same suite, making it convenient and easy. The view from the OR is incredible and relaxing. Dr. Gray offers FREE consultations, unlike most plastic surgeons offices, but I believe it’s because he is so confident in his work that you will feel it too and book your surgery with him. I booked my surgery immediately after my consultation, and my biggest regret is not getting it done sooner!! Thank you so so so so much Dr. Gray and Cherisse!"- D.H. / Yelp / Sep 02, 2020
"I loved my experience with Dr. Gray and his staff, I Highly recommend going here. Doctor Gray is very knowledgeable and will answer any questions or concerns you may have... coming from someone who has major anxiety, the whole staff was understanding and helpful throughout my surgery and recovery process. I will definitely be coming back for any other procedures I am interested in doing. Thanks again Team!"- J.K. / Yelp / Sep 01, 2020
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