The scientific term gynecomastia refers to enlarged male breasts. This condition is one that can produce a feminine chest due to the increase of growing breast tissue. Treatment for gynecomastia involves removing unwanted fat deposits or glandular tissue that result in enlarged male breasts. The goal of gynecomastia surgery is to restore a normal male breast contour and to correct deformities of the breast, nipple, or areola.
Often, gynecomastia is related to an unknown hormonal problem. It may also be caused by certain medications, steroids, weight gain, or heredity. Men with this condition often feel embarrassed, most commonly in situations where the chest is exposed, such as at the beach, pool, or gym. Los Alamitos, CA triple board-certified plastic surgeon William P. Aiello performs surgical breast reduction for men who suffer from gynecomastia. This surgery does have a high success rate and is one of the more common surgical treatments for men at Ocean Plastic Surgery Center.
"Positive Experience - This will be my second time having breast augmentation done by Dr. Aiello. I first went to him over 15 years ago and now its time to have them replaced with a modified lift. My first experience was great and I've been very happy my breast augmentation but after three kids and 15+ years later its time for a redo. I wouldn't go to anyone else but Dr. Aiello :)"- J. / RealSelf / Apr 22, 2019
"I am a long time customer of Dr. Aiello’s because I truly believe he cares about his patients. He has a wonderful bedside manner and his staff is caring and attentive. My first time at his office was in the mid-90s and even as I have moved to different places around the country, I have found my way back to him. I’m returning to have my implants replaced after 30 years to treat myself for my 50th birthday and there’s no one else I could trust more for this."- S.M. / Yelp / Dec 12, 2022
"The entire staff at Ocean Plastic Surgery is professional, knowledgeable, & great at what they do! I had a breast lift with an augmentation. From the moment I walked in the office for my consultation, everyone was so welcoming and informative. During my consultation, I was asked what my expectations were and concerns or questions I may have. All were answered and I was never rushed. During my consultation, I was told what to expect on the big day and how the operation would be performed. For my pre-op visit & on the day of my operation, the doctor met with me and told me again exactly how he was going to go about the operation. On the day of everything went smoothly, the doctor, nurse, and patient consultant were spot on with how my operation and recovery would go. I did everything as outlined in the pre-op and post op instructions and absolutely everything went seemingly. I would and will definitely recommend Ocean Plastic Surgery to anyone looking for a great place to have a cosmetic surgery procedure done."- D.D. / Yelp / Nov 21, 2022
"Dr. Aiello and his staff are amazing. Dr. Aiello did a great aug for me in 2014 and I went back to him in 2022 for a tummy tuck because I knew I’d be in great hands. Highly recommend Dr. Aiello, he’s the best around!"- S.R. / Yelp / Nov 17, 2022
"I wanted to come back to say I love my results ! My surgery went great and Katie is the best ! Such a great nurse ! She made me feel very comfortable."- V.T. / Yelp / Oct 01, 2022
Ideal Candidates for a Gynecomastia
Male breast reduction treatment is reserved for men with oversized breasts that cannot be treated through medications or diet and exercise. If you are embarrassed by the size and shape of your chest (but you're healthy and at a good weight), you could possibly benefit from male breast reduction surgery at Ocean Plastic Surgery Center. Adolescent teens may also attain positive results from gynecomastia treatment; however, an additional procedure may be needed later as an adult if excess breast tissue continues to develop. In your initial consultation with Dr. Aiello, treatment considerations will be provided, including the chances of moving forward with surgery to correct the condition.
Surgical Technique for a Gynecomastia
This procedure is typically done under general anesthesia. Male breast reduction methods include liposuction, cutting out excess glandular tissue, or using a combination of liposuction and excision. Enlarged breasts may be excess fatty tissue rather than breast tissue, and in this case, can often be improved with liposuction alone. To treat puffy nipples or excess skin associated with gynecomastia, you will probably need liposuction combined with chest reduction using glandular excision. The choice of surgical technique depends on the likelihood of skin redundancy after surgery.
What To Expect from a Gynecomastia
At the conclusion of your gynecomastia surgery, the chest will be supported with a compression bandage to help minimize swelling, bleeding, and bruising. For complex cases where a more intricate approach was used, a small tube for draining may be properly positioned to help with fluid. The outcomes following this procedure are almost immediately visible, and most men are extremely excited with the cosmetic enhancement. Any incisions made during surgery take time to heal, and any scars left behind are barely seen. With your new, masculine-appearing chest, you may get medical clearance from Dr. Aiello to incorporate exercise and weight training, which will help accentuate the surgical results.
Frequently Asked Questions for a Gynecomastia
How much does male breast reduction cost?
Excessive male breast tissue (gynecomastia) is a medical problem that is best handled by an experienced surgeon. For this reason, Dr. Aiello suggests you focus on how to get your best results rather than on costs. To make male breast reduction surgery fit your budget, Ocean Plastic Surgery Center takes several payment methods, and we can also help you locate low-interest financing. While surgery for gynecomastia is generally not covered by insurance, it's worth contacting your insurer to check.
What causes gynecomastia?
Gynecomastia develops in men when there is an imbalance in the hormones. In most cases, gynecomastia is connected to the use of androgens and anabolic steroids. It may also be the result of using illegal drugs, including marijuana or heroin. Gynecomastia might also be triggered by some medical conditions (hyperthyroidism, hypogonadism, and tumors), plus some medications (highly active antiretroviral therapy for AIDS, chemotherapy, and anti-anxiety medications). It is very important to be honest with your surgeon about your lifestyle and any factors that may have contributed to your condition.
How can I tell if I have gynecomastia?
Gynecomastia occurs in men when there is an overgrowth of breast tissue in the chest, which can cause swelling, tenderness, and pain. Some patients might have pseudogynecomastia (false gynecomastia) so Dr. Aiello suggests that patients lose weight by following an exercise plan and a healthy diet before considering surgery. If you have excess breast tissue while you are at a healthy weight, Dr. Aiello will perform a physical exam and order diagnostic tests. This might include a mammogram, blood tests, or a biopsy to look for other causes, like an infection of the breast tissue (mastitis) or cancer.
Can gynecomastia be treated with exercise or pills?
Male breast reduction surgery is the most effective treatment for gynecomastia. Currently, the FDA (Food and Drug Administration) hasn't approved any medications for the treatment of gynecomastia. Although they aren't approved for gynecomastia, a few breast cancer medications (Raloxifene or Tamoxifen) might give you minimal improvements. Upper body weight training to increase the pectoral muscles will not reduce the excess breast tissue and could even make the breasts look bigger.
Will this fix puffy or pointy nipples?
Puffy or pointy nipples may be caused by glandular gynecomastia. If you are concerned about this, be sure to tell Dr. Aiello at your consultation. He will personalize your surgical plan to select the best incision pattern and technique to improve your nipples. Oversized areolas may also be corrected in surgery for gynecomastia. It is crucial to be honest with Dr. Aiello about all your concerns and goals during your initial consultation so that he can make sure you get the results you want.
What kind of scars will I have?
The level and placement of any scarring differs from patient to patient. For example, if you require glandular or skin excision, the length of your incision will be based on your anatomy. Also, scars resulting from gynecomastia surgery will vary, depending on the amount of breast tissue you have and the elasticity or laxity of your skin. Even those who have larger breasts and tend to get larger scars are usually quite satisfied with the results.
Plan Your Procedure
- Recovery Time
- 2 – 10 Days
- Average Procedure Time
- 1 – 2 Hours
- Procedure Recovery Location
a new, more masculine chest
If you are frustrated with the look and feel of male breast enlargement (gynecomastia), we invite you to call our office and schedule a one-on-one private consultation with Dr. Aiello at Ocean Plastic Surgery Center in Los Alamitos, CA. Once you've had treatment for gynecomastia (male breast enlargement), you won't have to keep hiding your chest when you go to the gym and beach. We have assisted many Orange County men and have enjoyed helping them reestablish their self-esteem.