Gynecomastia Surgery (Male Breast Reduction)
Restore a flatter, more masculine chest with male breast reduction by Henry F. Garazo, MD, FACS.
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What Is Gynecomastia
A commonly sought cosmetic procedure for men, male breast reduction corrects a condition called gynecomastia, a benign enlargement of male breasts caused by a number of factors. Some causes of gynecomastia include hormonal changes, heredity, disease, and the use of certain drugs. This condition, which can cause enlargement of one or both breasts, is a source of self-consciousness and embarrassment for many who suffer from it.
Though gynecomastia is a much more common condition than most men realize, it can be a great source of shame, causing many to shy away from the physical and intimate activities they enjoy. In some cases, non-surgical treatments prove effective for gynecomastia, but for others in West Virginia, Pennsylvania, and Maryland, plastic surgery can offer the positive change they seek. Dr. Henry Garazo, a plastic surgeon in Hagerstown, offers this procedure to our patients.
Types of Male Breast Reduction
Male breast reduction techniques are selected based on the underlying cause of gynecomastia and the degree of correction needed. Dr. Garazo offers two primary surgical approaches to address different presentations, each designed to restore a flatter, more masculine chest contour.
Liposuction
A surgical technique that removes excess fat from the body using a suction device, often used in male breast reduction when the enlargement is largely due to fatty tissue.
Excision Technique
A surgical method used in male breast reduction to remove excess glandular tissue and skin, necessary when gynecomastia is primarily caused by glandular issues rather than excess fatty tissue.
Overview of the Procedure
Understanding each phase of the male breast reduction process helps you feel confident and prepared from your first consultation through your full recovery.
Consultation
During your consultation, Dr. Garazo will discuss your goals, perform a physical evaluation, and review your gynecomastia treatment options.
The Procedure
Dr. Garazo makes incisions around the areola or under the armpits to remove excess glandular tissue, fat, and skin. Liposuction may also be used. The process typically lasts one to three hours.
Recovery
Patients wear a compression garment to reduce swelling and support their new chest contour. Most patients return to work within a week and avoid strenuous activities for three to four weeks.
Follow-Up Appointments
Post-operative visits allow Dr. Garazo to monitor your healing, remove sutures, and address any concerns as you progress through recovery.
Results
Final results are usually visible within several months once swelling subsides. Most patients enjoy a more masculine chest appearance and improved body proportions well before that point.
Ideal CandidatesFor Male Breast Reduction
Male breast reduction is sought by men of all ages who are bothered by enlarged or overdeveloped chest tissue caused by gynecomastia. The best candidates are in good physical health, have a stabilized breast size, and have realistic expectations about surgical results.
Male breast reduction may be right for you if you are:
- Men of all ages who are bothered by the size of their breasts
- Good physical health with a stabilized breast size
- Realistic expectations for surgical results
- Adolescents may qualify, though a second procedure may be needed later
Why ChooseDr. Garazo for Male Breast Reduction
Henry F. Garazo, MD, FACS is a board-certified plastic surgeon with over 25 years of experience performing male breast reduction, specializing in techniques that deliver natural-looking, discreet results for gynecomastia patients.
Experience, Recognition, and Patient-Centered Care
Dr. Garazo is known for his meticulous surgical approach, thorough consultations, and commitment to patient safety. He has been recognized six times as "Best Plastic Surgeon" in the Herald-Mail Tri-State Community Choice Awards and personally meets with every patient to ensure realistic goals and individualized treatment planning.
Personalized Technique and Natural-Looking Results
His extensive experience with male anatomy and advanced surgical techniques allows him to tailor each male breast reduction to the patient's unique presentation, degree of gynecomastia, and aesthetic goals — delivering natural-looking results that look and feel masculine.
CombineYour Male Breast Reduction
Many patients achieve more comprehensive body contouring by combining male breast reduction with complementary procedures for a balanced, masculine outcome.
Liposuction
Male breast reduction can be combined with liposuction in other areas to sculpt masculine contours beyond the chest for improved overall proportions.
Body Contouring
Body contouring procedures complement male breast reduction by addressing excess fat or skin in additional areas for a more defined masculine physique.
Male Breast ReductionFAQs
Does male breast reduction use anesthesia?
Yes. Male breast reduction involves the use of anesthesia to ensure comfort during the procedure. Either general anesthesia or local anesthesia combined with sedation may be used. Dr. Garazo will determine which type is best for you during your consultation.
When can I return to work?
Most patients can return to non-strenuous work within 5–7 days, but this varies depending on the nature of your job and your individual recovery. Dr. Garazo will advise you on how long to take off work.
When can I work out again?
Light cardio can resume as soon as 2–3 weeks after your procedure. Heavy lifting, intense workouts, and contact sports should generally be avoided for at least 4–6 weeks.
How much tissue will be removed?
The amount of tissue removed depends on how much excess tissue you have and the amount Dr. Garazo can safely remove while keeping your chest looking natural and firm.
Will there be visible scars?
Male breast reduction scars are minimal and are typically placed in inconspicuous areas, such as around the areola or in the natural creases of the chest.
How do I choose the right surgeon?
Choose a board-certified plastic surgeon with experience in male breast reduction. Dr. Garazo is trained in preserving and highlighting masculine contours so you feel confident with or without a shirt.
What post-operative care is required?
Aftercare typically includes wearing a compression garment, caring for your incisions, avoiding strenuous activities, and attending follow-up appointments to monitor your progress and lift activity restrictions.
Will surgery affect nipple sensation?
Temporary changes in nipple sensation are common, but permanent changes can occur. Dr. Garazo will discuss what to expect during your consultation.
Can it be combined with other procedures?
Yes. Male breast reduction can be combined with procedures like liposuction in other areas or body contouring to sculpt masculine contours.
How long do results last?
For most patients, results are typically long-lasting, but factors like significant weight gain, hormonal changes, or certain medications can affect the outcome over time.
Can gynecomastia return after surgery?
While the removed tissue does not typically grow back, gynecomastia can recur if the underlying cause is not addressed, such as hormonal imbalances or weight gain.
What is pseudogynecomastia?
Gynecomastia is the enlargement of male breast tissue due to hormonal imbalance, while pseudogynecomastia is due to excess fat without glandular tissue enlargement.
Written by Henry F. Garazo, MD, FACS
Board-certified plastic surgeon specializing in male breast reduction and gynecomastia surgery. Henry F. Garazo, MD, FACS brings over 25 years of surgical experience and a commitment to natural-looking, personalized results.
LEARN MOREMale Breast ReductionConsult
Discuss your gynecomastia treatment options with Dr. Garazo and receive a personalized plan to restore a masculine chest contour in Hagerstown.