Cosmetic breast surgery is not only reserved for women. Many men will opt to have breast reduction surgery, or chest reshaping, for the treatment of gynecomastia. This is a condition that affects men, creating the look of having larger breasts. Researchers believe that this additional tissue in the breast wall is caused by a hormonal imbalance when estrogen levels become out of proportion to the testosterone levels. Patients with gynecomastia may be embarrassed when chests are exposed. A male breast reduction surgery can correct gynecomastia, and Pittsburgh plastic surgeon, Dr. James Fernau, can reshape the chest to a more masculine appearance.
"Gynecomastia Surgery Abdominal Etching - Robinson, PA - 10 STAR THE BEST IN PA MAYBE THE COUNTRY!!!! M.TAYLOR"- T. / RealSelf / Nov 06, 2015
"Dr Fernau is all about excellence and genuinely the nicest doctor I have ever met! He is so knowledgeable, kind ,caring and approachable. He and his staff are the finest. From my first phone call to my very last visit I was treated with so much genuine kindness and everyone was helpful. I was never rushed. He spent over one hour with me during my first consult. Other doctors topped out at 20 minutes. I got to review his photo gallery from facelifts to liposuction and his results are incredible . I had surgery for gynecomastia and my results are perfect. I can take my shirt off at the beach . I was impressed at his genuine passion for his work and he took a lot of time encouraging an organic lifestyle of nutrition and exercise. He really wants me to retain my result. In short, he is the greatest doctor I have ever met!"- Anonymous / RateMDs / Jan 22, 2015
"I just finished day seven of my post-surgery checkup with Dr Fernau, and here’s my personal experience. Upon arrival of my consultation, I was greeted by the friendliest staff. Every one of them helped in my progression, aided in my treatments, calmed my anxiety, and exceeded my expectations. Scheduling surgery and getting the medications for the operation were straightforward. As for the surgery, the instructions were clear, the procedure explained, and questions answered. The results were beyond what I expected. Dr Fernau is exceptionally passionate about his work and cares for his patients. The open communication that Dr Fernau has with his staff is what creates such a successful business model and positive outcomes for his patients. After surgery I had difficulty walking, and one of the staff members helped my wife with taking me home. The compassion, dedication, and excellence that I experienced with Dr Fernau and his staff give me the pleasure of providing the highest of recommendations."- C.M. / Google / Nov 24, 2019
Gynecomastia Surgical Technique
Before surgery is recommended, the surgeon will perform a variety of tests and possibly prescribe medications to see if any improvement occurs. If the breast enlargement persists, surgery is an option. Mild cases of gynecomastia are corrected with liposuction. Small incisions are made surrounding the areola where suction tubes (cannulas) are inserted to extract fat and breast tissues. When the enlargement is severe, a longer incision is done to excise breast tissues and loose skin. Skin tightening may also be incorporated and the nipples repositioned so that they are proportional to the new chest shape.
Gynecomastia During/After Surgery
Male breast reduction surgery uses general anesthesia and is performed in an accredited surgical facility. The operation lasts up to an hour. It is normal to have bruising and swelling around the chest area for the first couple of weeks. A compression garment must be worn for about 2 weeks to help with reshaping and healing. Most patients are able to return to their normal routine after a few days but must avoid any strenuous physical activities, especially ones that will put pressure on the chest. Results are generally satisfactory with patients regaining their confidence in situations where their chests are bared.
Gynecomastia Expected Cost
The surgical fee for male breast reduction surgery can average between $6500 - $9000 depending on the complexity of the surgical case. If liposuction is all that is required, the fee will be on the lower end. Cases, where skin tightening and nipple re-positioning are required, will cost more. Dr. Fernau's treatment for male gynecomastia is completed with precision feathering into the surrounding tissues to obtain optimal results. According to www.realself.com the average cost is $5,525.
Plan Your Procedure
- Average Cost
- $6,500 - $9,000
- Recovery Time
- 1-2 Weeks
- Average Procedure Time
- 1-2 Hours
- Post-op Follow-up
- 5-7 Days
- Procedure Recovery Location
Male Breast Reduction FAQs
Is This Gynecomastia?
This condition must not be confused with a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. The plastic surgeon will be able to determine this by physical examinations or lab tests during the initial consultation. If it is a case of excessive fat tissues on the chest, the approach in treatment is the same when removing excess fat tissues in any part of the body. Proper diet and exercises are initially recommended before considering any surgical treatment. However, if the issue persists, a liposuction – sometimes even combined with a lift – may be performed to reshape the chest.
Will My Pecs Show?
Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue. For those who have severe gynecomastia, it is even possible that the overgrowth of breast tissue has developed into internal scarring. With a breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will be spared so that they can become more visible. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to regain the chest’s natural form.
Is Lipo A Must?
Liposuction is the primary approach in extracting fat or any soft tissues. Because it uses a small cannula to vacuum the fat out, it is a less invasive approach compared to excising the tissue, which requires longer incisions. There are liposuction options that are even less invasive. These options will be provided with more details prior to the surgical plan so the patient can consider all factors and ultimately decide which technique is preferred.
Will There Be Scars?
If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed around or near the areola. The plastic surgeon will make every effort when it comes to making the incisions and suturing to minimize the effects of scarring.