
Gynecomastia, often called “man boobs,” is a common condition where men develop excess breast tissue due to hormonal imbalances, genetics, certain medications, or health issues. It affects millions of men often causing self-consciousness, discomfort, and a reluctance to participate in activities like swimming or sports. Fortunately gynecomastia surgery offers an effective solution to create a flatter and more masculine chest.
What Is Gynecomastia?
Gynecomastia occurs when male breast tissue enlarges typically due to elevated estrogen levels or a reduction in testosterone. Though not harmful physically, it can significantly impact a man’s self-esteem and quality of life. While lifestyle changes and medications sometimes help, many men find the most reliable solution in gynecomastia surgery especially when exercise and diet prove ineffective.
What Is Gynecomastia Surgery?
Gynecomastia surgery, also known as male breast reduction, is a surgical procedure designed to remove excess breast tissue and in some cases excess skin. The procedure typically combines liposuction to remove fatty tissue with excision techniques for glandular tissue and skin tightening if needed. This combination approach helps create a more natural and masculine chest appearance and helps improve a man’s self-esteem, confidence, and comfort.
Who Is a Candidate for Male Breast Reduction?
Ideal candidates for male breast reduction are men who:
- Are physically healthy
- Can maintain a stable weight
- Have unresolved gynecomastia
- Have stabilized breast development
- Have good skin elasticity
- Have realistic expectations for the procedure
Additionally, candidates should not smoke or use recreational drugs as these can interfere with the healing process. It’s important to rule out underlying medical conditions that might be contributing to breast enlargement before considering surgery. Consulting with a plastic surgeon will help determine whether you’re a suitable candidate for male breast reduction.


What Are the Benefits of Male Breast Reduction?
Male breast reduction surgery offers several benefits, both physical and psychological, including:
- Improved self-confidence
- Better body proportions
- Freedom in clothing choices
- Relief from discomfort
- Long-lasting results
For those struggling with the emotional and physical impact of gynecomastia, male breast reduction provides an effective, confidence-restoring solution.
What Are My Gynecomastia Surgery Options?
There are several techniques for male breast reduction, and the choice of method depends on the cause of the gynecomastia and the patient’s anatomy. These options include:
- Liposuction: Best for patients with excess fatty tissue but minimal glandular tissue.
- Excision: Appropriate for patients with a significant amount of glandular tissue, excess skin, or drooping of the breasts.
- Combination Approach: In many cases, a plastic surgeon can combine liposuction and excision techniques to remove both excess fat and glandular tissue.
Dr. Bartow will recommend the most suitable approach based on your individual condition and goals.

How Is Male Breast Reduction Performed?
Male breast reduction is typically an outpatient procedure, meaning you can go home the same day. The surgery usually involves liposuction, excision, or a combination of both, depending on the severity of the gynecomastia and the patient’s goals.
- Liposuction: Dr. Bartow will make small incisions through which a thin tube, also known as a cannula, is inserted. The cannula is used to break up and suction out the excess fat, resulting in a flatter chest contour.
- Excision: Dr. Bartow will remove excess glandular tissue and may also reposition the nipple and areola to create a more natural appearance.
Initial Consultation
Your journey towards male breast reduction begins with an initial consultation. During this consultation Dr. Bartow will evaluate your chest area, review your medical history, and discuss your aesthetic goals. This is the time to address concerns and ask questions about the procedure. Dr. Bartow may also order medical tests or imaging studies to ensure no underlying conditions are contributing to your gynecomastia. Additionally, photographs will be taken for your medical records and to help plan your procedure. Once you are determined to be a good candidate for gynecomastia surgery, Dr. Bartow will develop an individualized plan based on your unique anatomy and desired aesthetic goals.
Preoperative Instructions
To help you prepare for your male breast reduction surgery Dr. Bartow will provide specific preoperative instructions. These typically include discontinuing certain medications such as blood thinners like aspirin or non-steroidal anti-inflammatory drugs (NSAIDs), as they can increase the risk of bleeding during surgery. Additionally it is crucial to avoid smoking as smoking impairs the body’s ability to heal and may lead to complications before and after the procedure. Quitting smoking at least a few weeks before surgery is recommended. Since the surgery involves anesthesia, you’ll need to arrange transportation so someone can drive you home afterward. Fasting is also usually required, with instructions to refrain from eating or drinking for about 12 hours before the surgery to minimize risks associated with anesthesia. Following these preoperative guidelines is essential for achieving the best results and ensuring a smoother recovery.
During the Procedure
On the day of your surgery you will be placed under general anesthesia or intravenous sedation based on Dr. Bartow’s recommendation and your comfort level. Once sedated Dr. Bartow will begin the procedure using either liposuction, excision, or a combination of both techniques. In the liposuction technique small incisions are made in discrete areas and a thin cannula breaks up and removes excess fat from the chest. In the excision technique Dr. Bartow removes glandular tissue and, if necessary, excess skin. The nipple and areola may also be repositioned. The surgery typically takes one to three hours to complete depending on the complexity. Once completed the incisions are closed with sutures and dressings are applied to protect the treated area.
What Can I Expect During Recovery From Gynecomastia Surgery?
During recovery from male breast reduction you can expect a few distinct stages of healing. Understanding these stages can help you prepare for what’s ahead.
First Few Days
In the initial days following surgery you will likely experience swelling, bruising, and mild to moderate discomfort in the chest area. Dr. Bartow may prescribe pain medication to manage this. You’ll also need to wear a compression garment to help reduce swelling and support the chest. Resting is crucial during this period and most patients can return to light activities such as walking within a few days.
First Few Weeks
During the first few weeks the swelling will gradually subside though some swelling and tightness may persist. You’ll need to continue wearing the compression garment as instructed by Dr. Bartow, typically for several weeks. Most people can return to non-strenuous work and daily activities within one to two weeks. Still you should avoid heavy lifting, vigorous exercise, or any activities that could strain the chest area. Dr. Bartow will likely schedule a follow-up appointment to monitor your healing progress.
Long-term Recovery
Over the next several months the swelling will continue to diminish and your final chest contour will become more visible. Any scars from the incisions will begin to fade, although they may take several months to fully mature. During this time it’s important to maintain a healthy lifestyle and avoid significant weight fluctuations to preserve your results. Full recovery, including the ability to resume all normal activities and exercise routines, typically takes around three to six months. Following Dr. Bartow’s instructions throughout the recovery process will ensure the best possible results.
When Will I See My Male Breast Reduction Results?
You’ll notice an immediate improvement in the shape and size of your chest following male breast reduction surgery. However, swelling and bruising can obscure the final results initially. As the swelling subsides over the course of several weeks, your new chest contours will become more visible.
Most patients see their final results around three to six months after surgery. The results of male breast reduction are long-lasting, provided you maintain a stable weight and avoid factors that could lead to breast tissue regrowth, such as steroid use or hormonal imbalances.
How Much Does Gynecomastia Surgery Cost?
The cost of male breast reduction surgery varies depending on the surgeon’s experience, the complexity of the procedure, and the geographic location. Typically, male breast reduction can range from $3,000 to $8,000. The average cost of surgeon fees for male breast reduction reported by the American Society of Plastic Surgeons in 2023 was $5,587. It is important to note that this number just accounts for the surgeon’s fee and does not include additional costs such as anesthesia fees, surgical facility costs, compression garments, post-surgery medications, and medical tests.
Gynecomastia Surgery FAQ
What other procedures can be combined with male breast reduction?
Male breast reduction can be combined with other body contouring procedures such as liposuction of the abdomen or flanks to enhance overall body proportions. Some men also opt for abdominoplasty (tummy tuck) or pectoral implants for a more defined chest.
Is male breast reduction painful?
While some discomfort is expected during the recovery period, pain is generally manageable with prescribed pain medications. Most patients report that the discomfort subsides significantly within the first few days post-surgery.
Does male breast reduction leave scars?
The procedure may result in some scarring, but Dr. Bartow takes care to place incisions in inconspicuous areas, such as around the areola or along natural chest contours. These scars typically fade and become less noticeable over time.
What are the risks associated with male breast reduction?
As with any surgery male breast reduction carries risks including infection, bleeding, scarring, and changes in nipple sensation. It is important to discuss these risks with Dr. Bartow during your surgical consultation.
How long do male breast reduction results last?
The results of male breast reduction are long-lasting. However, weight gain, hormonal imbalances, or certain medications can cause breast tissue to re-develop. Maintaining a stable weight and healthy lifestyle helps preserve the results.
