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Male Breast Reduction

Gynecomastia is a condition that causes an increase in male breast tissue. It can cause a great deal of embarrassment for men. Often, it deters a man from taking off his shirt or even wearing a t-shirt because of the appearance. There are ways to manage this problem and rid men of the unwanted extra tissue on the chest. Once a definable medical reason is ruled out, the board-certified plastic surgeons at The Center for Cosmetic Surgery may suggest male breast reduction to help Denver patients remove the breast fullness.

Male Breast Reduction (Gynecomastia)
 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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Male Breast Reduction (Gynecomastia) Case 477 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 1 of 12

Case #477

This is a 40-year-old man who underwent a gynecomastia reduction.  Although very fit, he had an overgrowth of breast tissue that bothered him. He is shown before and 7 months after his procedure, with a significant reduction in the glandular tissue of his chest and an improvement in the definition of the bottom of his pectoralis muscles. Read More
Surgeon: Andrew Wolfe
Male Breast Reduction (Gynecomastia) Case 499 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (4 mo)
Case: 2 of 12

Case #499

This 24 year old male presented with concerns about persistent fullness of his chest area, which lent a somewhat embarrassing feminized effect.  Termed “gynecomastia”, this condition usually briefly happens during puberty (and is self-limited), but when it persists into adulthood, it can be due to hormonal imbalances (a relative... Read More
Surgeon: Paul Steinwald
Male Breast Reduction (Gynecomastia) Case 452 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 3 of 12

Case #452

This is a 32 year old, 6'1", 180 lb. man who wanted his chest flatter. He had idiopathic gynecomastia, a condition where male breast tissue develops during puberty. Gynecomastia is very common and easily treatable with a gynecomastia excision procedure which removed that tissue through small incisions beneath the areolae. Post-operative... Read More
Surgeon: Steven Vath
Liposuction Case 301 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 4 of 12

Case #301

This 37-year-old man underwent gynecomastia correction with a combination of power-assisted liposuction (PAL) and excision of excess breast tissue.  He is shown before and 1 year after his procedure.
Surgeon: Andrew Wolfe
Male Breast Reduction (Gynecomastia) Case 451 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 5 of 12

Case #451

This is a 22 year old, 6'1", 200 lb. man who complained of a chest fullness that he found unattractive. He had a condition known as gynecomastia which is male breast tissue which had been present since puberty. He underwent a gynecomastia excision procedure to remove the tissue through a very small incision around the bottom of his areolae... Read More
Surgeon: Steven Vath
Male Breast Reduction (Gynecomastia) Case 711 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (1 month)
Case: 6 of 12

Case #711

\t34 year-old Middle-Eastern male who had fairly severe gynecomastia with significant skin excess (and inflammation).  He was embarrassed to take his shirt off and even avoided tight clothing.  I advised that liposuction alone would not lead to an acceptable results, and that therefore he should be treated with skin excisional... Read More
Surgeon: Paul Steinwald
Male Breast Reduction (Gynecomastia) Case 258 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 7 of 12

Case #258

This is a 21 year old man who complained about fullness beneath his nipples that had been present since puberty.  He had idiopathic gynecomastia, a very common cause of fullness in male chests. This can be treated with either liposuction or direct excision (cutting out the tissue). In this patient's situation, the breast fullness... Read More
Surgeon: Steven Vath
Male Breast Reduction (Gynecomastia) Case 895 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (2 months)
Case: 8 of 12

Case #895

Surgeon: Paul Steinwald
Male Breast Reduction (Gynecomastia) Case 456 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 9 of 12

Case #456

This 34-year-old man presented with a significant enlargement of the right breast that had troubled him for several years.  He underwent liposuction of both sides of his chest with a nipple-repositioning breast reduction of the right.  He is shown 3 weeks after his procedure.  The incisions are pink and there is some residual swelling... Read More
Surgeon: Andrew Wolfe
Male Breast Reduction (Gynecomastia) Case 635 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
BEFORE / AFTER (4 mo)
Case: 10 of 12

Case #635

\t58 year-old male with moderate gynecomastia due to general aging/weight gain., He disliked his appearance in tighter clothing, and wished to correct the progressively feminized appearance of his chest.   He underwent a fairly aggressive direct excision of excess breast tissue and skin (approximately 300-400 gm a side),... Read More
Surgeon: Paul Steinwald
Male Breast Reduction (Gynecomastia) Case 896 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After (6 months)
Case: 11 of 12

Case #896

Surgeon: Paul Steinwald
Male Breast Reduction (Gynecomastia) Case 288 Before & After View #1 | Golden, CO | The Center for Cosmetic Surgery
Before / After
Case: 12 of 12

Case #288

This 27-year-old man presented with complaints of excess breast tissue, or gynecomastia.  He underwent Power Assisted Liposuction of the chest, combined with excision of excess breast tissue through a small areolar incision.  His photos were taken 10 months after his surgery, and show a much more masculine chest shape with imperceptible... Read More
Surgeon: Andrew Wolfe

Keep in mind that each patient is unique and your results may vary.

What causes gynecomastia?

There are dozens of known contributing factors to the development of gynecomastia. Commonly, obesity is a major influence upon the development of excess breast tissue. Many prescribed medications cause gynecomastia. Alcohol, marijuana, or steroid abuse may create the problem. Many medical illnesses such as thyroid disease, renal failure, and even several tumors may be the etiology of gynecomastia. It is important that you are evaluated by your primary care physician prior to considering a surgical removal of the unwanted tissue.

Should gynecomastia be treated surgically in adolescents?

No. Once a treatable illness or medication is ruled out as the cause, the adolescent should be observed as it will usually resolve on its own as he matures.

Meet Our Surgeons

Board-certified plastic surgeons Dr. Steven Vath, Dr. Andrew Wolfe, and Dr. Paul Steinwald lead our patient-centered practice with warmth, honesty, and respect. Their combined expertise and credentials have placed us among Colorado's premier aesthetic centers.

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What techniques are used to remove the breast tissue?

The techniques employed to treat gynecomastia depend upon the quality and quantity of excess tissue and skin. When excess chest fullness is mostly fatty, power-assisted liposuction can be used to flatten it. The power-assisted liposuction technology is helpful in removing the fibrous type of fat that is typical in the male chest. More often, when prominence is due to breast tissue, it is too dense and firm for successful removal with liposuction. In these cases, a small incision hidden around the areola is necessary in order to remove it. In a minority of cases, when the skin is very loose and thin and will not likely tighten up after tissue removal, an excisional skin procedure may be necessary.

What is the recovery period?

This depends upon the procedure performed. In the case of liposuction, a compression garment is worn at all times for two weeks followed by another two weeks while active. Discomfort will gradually dissipate over several days, but cyclic swelling and lumpiness persist for many months. You will be off pain medication and back to non-strenuous work after a few days. Within a couple of weeks, normal activity is resumed.

What kind of anesthesia is used for the procedure?

General anesthesia is the preferred method of achieving adequate pain control and sedation. In healthy patients, general anesthesia is extremely safe with very low complication rates. You will be entirely asleep for the duration of the procedure and awaken in recovery before you know it. Anesthesia is delivered by a board-certified anesthesiologist who cares for you before, during, and after surgery so that you have a comfortable and safe experience.

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