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Cassileth Plastic Surgery

Breast surgery

Male Breast Reduction

Gynecomastia surgery removes excess breast tissue in men for a natural, confident result.

Male Breast Reduction

Overview

Gynecomastia — the development of excess breast tissue in men — is more common than most people realize. It can be caused by hormonal changes, weight fluctuations, or certain medications. Regardless of the cause, it often creates self-consciousness and discomfort.

Gynecomastia surgery removes the excess tissue (and fat, if needed) to create a flatter, more contoured chest. The procedure is straightforward, recovery is quick, and results are permanent.

Who it's for

The right candidate.

  • Men with excess breast tissue that doesn't respond to diet or exercise
  • Patients who feel self-conscious about their chest appearance
  • Men avoiding certain activities (swimming, gym) due to gynecomastia
  • Men with primarily excess fat (liposuction alone may be sufficient)
  • Patients whose gynecomastia is caused by an underlying condition that hasn't been addressed

Technique

How it's done.

Technique details for this procedure are documented during your consultation. Dr. Cassileth and her team walk through the surgical approach, expected outcomes, and recovery so you understand exactly what to expect before anything is scheduled.

What to expect

From consultation to recovery.

Before Surgery

  1. Consultation — Evaluate tissue type (gland vs. fat) and discuss goals.
  2. Medical review — Rule out underlying causes if not already done.

During Surgery

  1. Tissue removal — Glandular tissue removed through small incisions around the areola.
  2. Liposuction — If needed, excess fat is removed to contour the chest.

After Surgery

  1. Recovery — Compression garment worn for several weeks. Most patients return to work in a few days.
  2. Final results — Swelling resolves over 4–6 weeks. Results are permanent.

Gynecomastia surgery may be covered by insurance when medically documented. Our team can assist with authorization.

FAQ

Common questions.

Will I have scars after Gynecomastia surgery?

In most cases of gynecomastia, Dr. Cassileth is able to use tiny incisions that leave almost no noticeable scarring. In cases that require more extensive incisions, Dr. Cassileth will advise you on skincare to minimize the appearance of any scarring.

Can Gynecomastia surgery be combined with other procedures?

Many gynecomastia patients choose to combine

liposuction

with their breast reduction surgery. If you seek comprehensive rejuvenation, Dr. Cassielth has developed the

Man Plan

to give men cosmetic options that deliver customized results without requiring significant recovery time. Male-focused options include

BROTOX

for smoothing forehead lines and more,

hair restoration

, hair removal, and

microneedling

for skin rejuvenation.

What kind of results can I expect after gynecomastia surgery?

Dr. Cassileth will develop a treatment plan and discuss it with you before surgery to ensure your results are tailored to your goals. In general, you can expect a flatter, more masculine contour. Results are typically permanent as long as you maintain a healthy lifestyle and stable weight.

Sources

Cited research.

  1. 1Johnson RE, Murad MH. Gynecomastia: pathophysiology, evaluation, and management. Mayo Clin Proc. 2009;84(11):1010-1015. doi:10.1016/S0025-6196(11)60671-X
  2. 2Mayo Clinic. Gynecomastia. Available: https://www.mayoclinic.org/diseases-conditions/gynecomastia/symptoms-causes/syc-20351793 mayoclinic.org · Accessed September 3, 2021
  3. 3American Society of Plastic Surgeons. Gynecomastia Surgery. Available: https://www.plasticsurgery.org/cosmetic-procedures/gynecomastia-surgery/candidates plasticsurgery.org · Accessed September 3, 2021

Ready to discuss male breast reduction?

Schedule a consultation with Dr. Cassileth and her team to explore your options.

Request a consultation