Overview of Having Male Breast Reduction (Gynecomastia) Surgery in Newport Beach

Male breast reduction surgery effectively reduces the size of glandular breast tissue in men, treating a condition known as gynecomastia. This procedure offers significant physical and emotional benefits by removing excess tissue and restoring a more typical male chest contour.

What Is a Male Breast Reduction (Gynecomastia)?

Gynecomastia refers to the male breast enlargement. This condition can affect one or both breasts and often results in physical discomfort and self-consciousness.

While gynecomastia is a benign condition, it can be experienced at various stages of life, including infancy, adolescence, and later adulthood. It’s especially common during puberty, affecting approximately 60–65% of teenage boys. For most, the issue resolves naturally by the end of adolescence; however, about 10–20% of males will continue to experience persistent breast enlargement into adulthood. For these individuals, the physical changes can be distressing and may impact both self-esteem and daily activities, leading many to seek effective treatment options. Male breast reduction surgery involves the excess breast tissue removed including fat and sometimes skin.

The surgery may use liposuction or direct excision techniques. Liposuction is typically used to remove fatty tissue, while direct excision targets glandular tissue. This dual approach ensures a flatter and more masculine chest appearance.

For men whose gynecomastia is primarily due to excess fatty tissue, sometimes referred to as pseudo-gynecomastia, liposuction alone can be an effective option. Advanced methods like power-assisted liposuction are especially helpful in treating the more fibrous fatty tissue common in male patients.

In cases where both glandular and fatty tissues are present, a combination of techniques is often recommended. Power-assisted liposuction can address the fatty component, while specialized instruments, such as an endoscopic shaver, may be used to carefully remove glandular tissue. These methods often utilize small, strategically placed incisions to minimize scarring and provide a more natural chest contour.

This tailored approach allows surgeons to address each patient’s unique needs, resulting in a more sculpted and confident appearance.

Will Gynecomastia Go Away on Its Own?

Whether gynecomastia resolves without treatment depends largely on the underlying cause. In some cases, especially when excess breast fullness is due primarily to fatty tissue (often called “pseudogynecomastia”), losing weight may reduce the chest size. However, true gynecomastia involves an increase in glandular tissue, which typically does not disappear on its own, even with diet or exercise.

Hormonal imbalances, certain medications (such as spironolactone, cimetidine, and some anti-seizure drugs), or substance use (including anabolic steroids, marijuana, or excessive alcohol) can also lead to persistent enlargement. If the condition is persistent and the extra tissue is glandular in nature, surgical intervention is often recommended for a long-term solution.

While the risk of male breast cancer is low, any one-sided breast enlargement, especially if there’s a family history of breast cancer, should be evaluated by a healthcare provider to rule out other causes.

In summary, if your gynecomastia is related to extra fat, lifestyle changes might help. But if you have persistent glandular tissue, surgery is usually the most effective way to achieve a flatter, more masculine chest.

What Is Pseudogynecomastia and How Is It Different from True Gynecomastia?

While true gynecomastia is caused by an overgrowth of glandular breast tissue, often related to hormonal changes like increased estrogen or decreased testosterone, pseudogynecomastia looks similar but has a different cause. In pseudogynecomastia, the visible chest fullness results mainly from excess fatty tissue deposited beneath the areola rather than enlarged breast glands.

Recognizing the distinction is important:

• True gynecomastia: Enlargement is due to glandular breast tissue.
• Pseudogynecomastia: Enlargement is due to fat accumulation.

A qualified plastic surgeon can help differentiate between these two conditions and determine the best approach for achieving a flatter, more defined chest shape.

Should You Consider Male Breast Cancer With Unilateral Gynecomastia?

While gynecomastia is most often benign, it’s important to keep in mind that breast cancer, although rare in men, can sometimes present as swelling or enlargement in just one breast. If you notice a lump, asymmetrical swelling, or changes in only one side, especially if you have a family history of breast cancer, your surgeon may recommend further evaluation to rule out any underlying issues. This extra caution ensures your safety and gives a clearer understanding of the condition before planning surgery.

Why Have Male Breast Reduction (Gynecomastia) Surgery Done in Newport Beach?

Many opt for this cosmetic surgery in Newport Beach due to the region’s high-quality healthcare facilities and experienced surgeons. Newport Beach plastic surgery providers often use advanced techniques to achieve optimal results.

Patients benefit from the area’s comfortable recovery environments and support services. Additionally, the high standards of care reduce the risk of complications and enhance patient outcomes.

Who Is a Good Candidate for Male Breast Reduction (Gynecomastia) Surgery?

Ideal candidates are men experiencing persistent gynecomastia after attempting non-surgical treatments. Candidates should be in good general health, with no underlying conditions that could impair healing.

Non-smokers and individuals with a stable weight see the best results. Candidates should also have realistic expectations and understand that while the surgery can improve physical appearance, it may also boost confidence and emotional well-being. Patients looking for natural-looking results and long-term satisfaction are often the best suited for this surgery.

At What Age Is Male Breast Reduction (Gynecomastia) Surgery Recommended?

While male breast reduction surgery can be performed for teens and adults alike, it is generally best to wait until the chest has fully developed before considering the procedure. This typically means waiting until late adolescence or early adulthood, usually around age 18 or older. Performing surgery too early, while the body is still undergoing natural hormonal changes, increases the chance that gynecomastia may recur.

However, exceptions are sometimes made for younger patients with severe, persistent gynecomastia that causes significant discomfort or emotional distress. As with any surgical procedure, having a thorough consultation with a qualified plastic surgeon is essential to determine the right timing for your individual needs and development.

Choosing a Gynecomastia Surgeon in Newport Beach

Selecting the right plastic surgeon in Newport Beach, California (CA) for gynecomastia surgery is essential for a successful outcome. Focus on finding a qualified and experienced plastic surgeon who specializes in this procedure.

How Do I Choose a Plastic Surgeon for Gynecomastia Surgery in Newport Beach?

Ensure the plastic surgeon is board-certified. This certification indicates advanced training and expertise. Certification from the American Board of Plastic Surgery is a key indicator of a surgeon’s qualifications and professionalism.

Look for a plastic surgeon with specific experience in gynecomastia surgery. Specialized surgeons better understand the unique aspects of this procedure.

Choose a surgeon with several years of experience and a strong portfolio of past gynecomastia surgeries. Reviewing before-and-after photos gives insights into their skill and results.

Consultation Process

During a consultation for male breast reduction surgery, several important elements come into play. Patients can expect to meet with a board-certified plastic surgeon to discuss their specific needs and personal goals.

What Questions Should I Ask My Plastic Surgeon About Male Breast Reduction Surgery?

When preparing for a consultation, it is crucial to ask the right questions to fully understand the surgical treatment procedure. Some essential questions include:

• What is your experience with gynecomastia surgery?
• Can I see before and after photos of previous patients?
• What are the potential risks and complications?
• What is the recovery process like and how long will it take?
• Are there any pre-surgery preparations I should be aware of?

These questions help ensure that the patient is informed and comfortable with the surgeon’s expertise and the specifics of the procedure.

What Should I Expect During A Consultation for Male Breast Reduction (Gynecomastia) Surgery?

The consultation process typically involves an in-depth discussion about the patient’s medical history, the extent of their gynecomastia, and their desired outcomes. The plastic surgeon will examine the patient’s chest to assess the glandular tissue and excess fat.

The surgeon may also explain the surgical techniques that could be used, such as liposuction or excision. This is also an opportunity to discuss realistic expectations and potential results.

Can Other Procedures Be Performed at the Same Time as Gynecomastia Surgery?

Yes, combining gynecomastia surgery with other procedures is often possible and, for many patients, convenient. It is quite common to address additional areas of concern during the same operation. For example, some choose to have liposuction on the abdomen or flanks (“love handles”) at the same time as their male breast reduction. Others might opt for additional body contouring procedures, depending on their individual goals and overall health.

During your consultation, be sure to discuss your aesthetic interests and any areas you’d like to enhance further. Your plastic surgeon can advise on the safety, feasibility, and potential benefits of combining treatments to achieve comprehensive, natural-looking results. This way, you can optimize both your outcome and your recovery time.

Understanding the Male Breast Reduction Procedure

Male breast reduction surgery, also known as gynecomastia surgery, targets the reduction of enlarged breasts tissue in men. The procedure involves various techniques, including liposuction and glandular tissue excision, to achieve a flatter chest contour.

Can Nipple Reduction Be Performed During Male Breast Reduction Surgery?

Yes, nipple reduction can often be incorporated into male breast reduction (gynecomastia) surgery. If you are concerned about enlarged or protruding nipples, your surgeon can address this as part of your overall treatment plan.

The reduction can involve decreasing the size or projection of the nipple to achieve a more proportionate, natural appearance. In cases where a significant amount of tissue is removed, repositioning the nipple to a higher, more anatomically ideal location on the chest may also be recommended. Discuss your aesthetic goals with your board-certified plastic surgeon during your consultation to ensure the surgical approach aligns with your expectations.

What Medical Terms Should I Know About Gynecomastia Surgery?

Understanding key medical terms helps in comprehending the process and what to expect.

• Gynecomastia: Enlargement of male breast tissue due to hormonal imbalances.
• Anesthesia: Medication used to numb the area or put the patient to sleep during surgery.
• Liposuction: A technique to remove excess fat using a suction device.
• Excision: Surgical removal of glandular tissue and skin to flatten the chest.
• Glandular Tissue: Tissue that forms the majority of the breast and is often overdeveloped in gynecomastia cases.

What is Power-Assisted Liposuction and How Is It Used in Male Breast Reduction?

Power-assisted liposuction (PAL) is an advanced technique often used in male breast reduction, especially for patients with excess fatty tissue, known as pseudogynecomastia. This approach utilizes a specialized cannula that vibrates rapidly, making it more effective at breaking up and removing dense or fibrous fat deposits that are common in male chests.

For individuals with both excess fat and glandular tissue, surgeons may combine power-assisted liposuction with minimally invasive surgical tools to address the glandular component. This allows for a thorough treatment with only a small incision, helping to minimize scarring while achieving a natural, contoured chest appearance.

These state-of-the-art techniques provide targeted results and often lead to faster recovery times, making them a popular choice for men seeking a smoother, flatter chest with minimal visible scarring.

What Types of Gynecomastia Surgeries are There?

There are two main surgical techniques for addressing gynecomastia.

1. Liposuction: Effective for fatty breast tissue. A small incision is made, and a cannula removes excess fat.
2. Excision: Required when glandular tissue or excess skin needs removal. This is common in severe cases where liposuction alone isn’t sufficient.

What are the Surgical Steps of a Male Breast Reduction Procedure?

The procedure generally involves several critical steps.

1. Anesthesia: Administered to ensure comfort. Options include local anesthesia with sedation or general anesthesia.
2. Incision: Depending on the technique, incisions are made around the areola or in the armpit.
3. Liposuction: A cannula is inserted to remove excess fatty tissue.
4. Excision: Removes glandular tissue and extra skin, and is stitched up for healing.

Understanding these aspects ensures you know what to expect from each step and how each technique is applied to achieve desired results.

How Long Does Gynecomastia Surgery Take?

Male breast reduction surgery is generally a straightforward outpatient procedure. The duration of the surgery typically ranges from 1 to 2 hours, depending on the complexity of the case and the specific surgical techniques used. Most patients experience minimal bruising and discomfort after the operation. Since this is an outpatient procedure, you can expect to return home on the same day, with drains rarely required during the recovery process.

What Are the Benefits of Using a Small Incision for Gynecomastia Surgery?

Opting for a small incision during gynecomastia surgery offers several important benefits, particularly when it comes to both the physical outcome and overall patient satisfaction.

Key advantages include:

• Minimal Scarring: A smaller incision, often placed discreetly along the lower portion of the areola or in a natural crease, helps minimize visible scarring. This can lead to a more natural-looking chest after healing.
• Targeted Correction: Small incisions allow the surgeon to precisely remove either fatty tissue, glandular tissue, or both, depending on your individual needs, while protecting surrounding structures.
• Less Invasive Recovery: By limiting the size and number of incisions, this approach typically results in less tissue trauma. Patients often experience reduced swelling, less discomfort, and a quicker return to normal activities.
• Improved Cosmetic Results: For many men, one of the main concerns is maintaining the natural contour of the chest. Smaller, well-placed incisions allow for effective fat and tissue removal without compromising the overall appearance.

This combination of effective correction with an emphasis on cosmetic discretion makes small incisions a preferred choice for many individuals undergoing male breast reduction surgery.

Cost of Newport Beach Male Breast Reduction (Gynecomastia) Surgery in California

Male breast reduction surgery costs can vary widely. Key factors influencing the cost include fees for the surgeon, anesthesia, and operating room facilities.

How Much Does a Gynecomastia Cost?

Gynecomastia surgery cost in Newport Beach, CA is around $4,822, according to the American Society of Plastic Surgeons. This amount refers only to the surgeon’s fee.

Total costs can range from $5,000 to over $10,000 when including additional fees for anesthesia and operating room facilities.

Payment options often include financing plans through providers or third-party companies. Discuss these options with your surgeon to understand what works best for your financial situation.

Insurance Coverage

Navigating insurance for gynecomastia surgery can be tricky. Each insurer has specific criteria for what qualifies as medically necessary, affecting coverage.

Is a Male Breast Reduction Covered by Insurance?

Most health insurance plans classify gynecomastia surgery as cosmetic, which means it typically isn’t covered. It’s crucial to check your specific policy and understand the terms.

Some insurers provide coverage if gynecomastia causes physical pain or emotional distress. Documentation from a physician outlining the medical necessity can support the claim.

Non-Surgical Alternatives

For those seeking to address gynecomastia without surgery, there are several non-surgical methods. These alternatives can involve changes in lifestyle, dietary modifications, and medical treatments to manage and potentially reduce the symptoms.

What Non-Surgical Alternatives are There to a Gynecomastia?

Adjusting diet and incorporating regular exercise are the most accessible non-surgical options. Reducing overall body fat through a balanced diet and consistent workout routine helps decrease fat tissue in the chest area. It may not eliminate excess glandular tissue, but it can reduce its prominence. Patients with excess fatty tissue or pseudogynecomastia may see improvement with weight loss, as shedding extra pounds can specifically target the fatty component of enlarged male breasts. For many, these lifestyle changes can make a noticeable difference over time, especially when combined with other healthy habits.

Though there is no FDA-approved medication specifically for gynecomastia, some medications can help balance hormones. Anti-estrogens and testosterone replacement therapy may be prescribed under medical supervision.

Avoiding certain substances can also be beneficial. Stopping the use of steroids and drugs known to trigger gynecomastia can prevent further tissue growth.

Implementing these non-surgical alternatives may not offer immediate results, but they can significantly impact the management and reduction of gynecomastia over time.

Pros and Cons

Male breast reduction surgery offers several benefits but also has potential drawbacks. It is crucial to weigh these factors before deciding whether the procedure is suitable for you.

What are the Pros and Cons of Gynecomastia Surgery?

Benefits:

One of the primary benefits is increased confidence. Many men feel self-conscious about their appearance due to enlarged breast tissue. Reducing this tissue can significantly improve self-esteem.

Another advantage is the physical comfort. Excess breast tissue can cause discomfort, especially during physical activities. Surgery helps alleviate this discomfort, allowing men to engage freely in various activities without pain.

Improved posture is also a benefit. Heavy breast tissue can affect posture, leading to back and neck pain. Reducing this load can help correct posture and alleviate pain.

Drawbacks:

One considerable drawback is the surgical risks. As with any surgery, risks include infection, scarring, and anesthesia complications. It is essential to discuss these potential risks with your surgeon.

Cost is another concern. Male breast reduction surgery can be expensive, and insurance may not always cover it.

Recovery time can be lengthy. Post-surgery, men may experience swelling, bruising, and pain, which can take weeks to subside. This period requires rest and may disrupt daily activities.

Despite these drawbacks, many find the benefits to outweigh the risks, leading to a more confident and comfortable life.

Side Effects, Risks, and Complications

Gynecomastia surgery can help reduce enlarged male breast tissue. While the procedure is considered safe, it’s important to be aware of potential side effects, risks, and complications.

Are There Side Effects, Risks, or Complications of Gynecomastia Surgery?

Scarring is an inevitable part of any surgical procedure, and gynecomastia surgery is no exception. The extent of scarring depends on the individual, the technique used, and how the body heals. Proper wound care and following the surgeon’s aftercare instructions can help minimize scarring.

Post-surgery swelling is a common side effect. It generally subsides within a few weeks. Swelling can be managed with compression garments and by avoiding strenuous activities during recovery.

Patients might experience soreness and discomfort around the surgical area. This can usually be controlled with pain medication prescribed by the surgeon.

Being well-informed about the side effects, risks, and complications helps individuals to have realistic expectations and better prepare for the procedure and recovery process.

Preparation for Surgery

Proper preparation is crucial for a successful male breast reduction surgery. Following medical advice and maintaining a healthy lifestyle can significantly improve outcomes and recovery.

How Should I Prepare for a Male Breast Reduction?

Balanced Diet: Eating a nutritious diet to keep the body in optimal condition.

Exercise: Regular physical activity to maintain overall wellness.

Stop Smoking: Cease smoking well before surgery as smoking can impair healing and increase complications.

Adjusting Medications: Follow your doctor’s recommendations about which medications to continue or stop.

Lab Tests and Medical Evaluation: Complete any required tests or evaluations to ensure you are fit for surgery.

Day of Surgery: Follow specific instructions about eating, drinking, and arrival time on the day of the operation.

Gynecomastia Recovery Process

After undergoing gynecomastia surgery, the recovery process is crucial for optimal healing. Managing post-operative care effectively, including wearing compression garments and limiting physical activity, can significantly impact recovery outcomes.

How Long Does It Take to Recover From a Gynecomastia?

Recovery time can vary, but generally, it spans 4-6 weeks. Initially, dressings or bandages are applied to the incisions, and patients usually wear an elastic bandage or compression garment to reduce swelling and support the chest.

During the first week, activities should be minimal. Patients are advised to avoid strenuous physical activities for at least 2-4 weeks to ensure proper healing. A small, thin tube may be temporarily placed under the skin to drain excess blood or fluid.

Regular follow-up appointments are necessary to monitor healing. By adhering to the surgeon’s recommendations, patients can expect a smoother recovery, allowing them to enjoy the benefits of the procedure fully.

Duration of Gynecomastia Results

Most people who undergo male breast reduction surgery experience long-lasting results. The permanence of these results largely depends on individual factors such as weight maintenance and hormone levels.

How Long Does a Male Breast Reduction Last?

Results from gynecomastia surgery are typically permanent. The surgical removal of excess breast tissue and fat reshapes the chest for a more masculine contour. In most cases, results last indefinitely provided the individual maintains a stable weight and avoids factors that could lead to a recurrence.

Weight fluctuations can significantly impact the chest’s appearance. Weight gain may lead to the growth of new fat cells in the chest area, impacting the surgical results. Likewise, maintaining a healthy lifestyle and stable weight helps preserve the post-surgery chest contour.

Hormonal changes can also influence long-term results. Since gynecomastia can be influenced by hormone levels, it’s important to manage conditions that could lead to hormonal imbalances. This includes avoiding certain medications and substances that can cause hormonal fluctuations.

Expected Results

Gynecomastia surgery can significantly improve chest contour and boost self-confidence. People who undergo this procedure often see a notable reduction in breast tissue, leading to a more masculine appearance.

What Results Can I Expect After I Have Male Breast Reduction Surgery?

Following gynecomastia surgery, patients typically observe a flatter and firmer chest. The primary goal is to remove excess tissue and reshape the chest to a more masculine contour. This transformation can greatly enhance one’s confidence and self-image.

Most people experience immediate results post-surgery. Initial swelling and bruising are common but subside within a few weeks. As healing progresses, the chest’s final shape will become evident. Regular follow-ups with the surgeon ensure proper healing and optimal outcomes.

Before & After Photos

Male breast reduction surgery can significantly improve the chest’s appearance in men suffering from gynecomastia.

Gynecomastia Before & After (B&A) Photos

Before and after photos provide valuable insights into the impact of gynecomastia surgery. These images typically showcase various angles to highlight improvements in chest contour and symmetry.

Evaluating these photos helps potential patients set realistic expectations. Patients should look for photos from different time frames post-surgery to see how results evolve. It is also useful to compare results for patients with similar body types.

Photos should be taken in similar lighting and poses for accurate comparisons. This consistency helps in understanding the surgeon’s skill and the surgery’s effectiveness.

Looking at a wide range of patient photos from different surgeons can provide a better overall understanding of what to expect.

About the Author

Dr. Brandon Richland, MD is one of the best, most respected, top Board Certified Plastic Surgeons in Newport Beach, California specializing in cosmetic and reconstructive surgeries.

Driven by his passion for medicine, Dr. Richland obtained his Doctor of Medicine (M.D.) degree from the prestigious program at Saint Louis University (SLU) School of Medicine in 2013. His exceptional skills were recognized when he received the McGraw Hill / Lange Medical Student Academic Achievement Award, and graduated top of his class with Honors. For his undergraduate degree, he attended University of California, Los Angeles (UCLA) and graduated with Honors in 2009.

To further enhance his surgical expertise, Dr. Richland completed his Residency in Plastic Surgery at the University of California, Irvine (UCI) from 2013 to 2019 earning the Academic Achievement Award twice during this period. A total of 14 years in dedicated schooling and medical residency.

Dr. Richland is actively involved with healthcare and medical societies, as a Diplomate of the American Board of Plastic Surgery, a member of the American Society of Plastic Surgeons, American Society of Aesthetic Plastic Surgeons, and the California Society of Plastic Surgeons.

Contact Dr. Richland’s Newport Beach Plastic Surgery office today by calling 949-867-6005, or visit RichlandMD.com to schedule your personalized plastic surgery consultation in Newport Beach.

Cover Image Credit: Neonshot / 123RF.com (Licensed). Photo Illustration by: Dr. Brandon Richland, MD.