Gynecomastia Surgery : The ultimate guide
This is the ultimate guide to Gyno Surgery that you will find on the web today. I have made sure that all my research and countless hours of fact finding doesn't end up with only me benefiting from it, and that's how this resource was born.
Gynecomastia or the enlargement of the male breast affects up to 65% of men. While the condition is not alarming and does not pose any threat, it can become quite uncomfortable and can definitely affect one’s confidence and self-esteem. After all, having large breasts isn’t very masculine.(1)
Treating gynecomastia will vary on a case-to-case basis, and not all conditions would require surgery. However, for many of those suffering from the condition, gynecomastia surgery is the most effective treatment. If you have a highly skilled and professional surgeon on your side, bringing back the firmer and more masculine contour to your chest becomes easier.(2)
Top 10 Gynecomastia Surgeons in the USA
This list has been compiled with the patient in mind. In no way is this a reflection on any of the surgeons that have not made the list, but our list has a nice spread across the country. Please still do your own research and make sure when you chose a surgeon, you are happy with your choice.
Okay here we go!!
Dr. Mordcai Blau, M.D., P.C.
Westchester, New York
Dr. Blau is arguably one of the experts when it comes to gynecomastia surgery. With over 25 years of experience in cosmetic surgery, Dr. Blau is recognized both domestically and abroad for his expertise and competence. Dr. Blau’s practice profile will definitely give you confidence, considering that he has 1,100 new patients per year and treats approximately 20 patients per day, 5 days a week.
Dr. Blau opened his private practice in White Plains, Westchester County, just north of New York City, and that’s where you’ll find him today. This is a fully equipped facility that has been accredited by the Joint Commission on Accreditation of Healthcare Organizations.
As a surgeon, Dr. Blau himself is accredited by the American Society of Plastic Surgeons, and we was awarded America’s Top Plastic Surgeon by Consumers’ Research Council of America.
Dr. Joseph T. Cruise, M.D.
Los Angeles, California
Board certified plastic surgeon Dr. Joseph T. Cruise is a gynecomastia specialist with a deep understanding of the condition. He created The Cruise Classification System to help educate men about the different types of gynecomastia and how to treat each one.
Committed to excellence, Dr. Cruise says that every patient of his is an autograph of his work. This is why he wants to give them the very best that plastic surgery has to offer. Because of his deep understanding of the condition, professional experience, and the expertise that he has built for years, you can expect that you’ll get only best service.
Dr. Cruise is a highly recommended and reputable gynecomastia plastic surgeon in Los Angeles, Beverly Hills, Newport Beach, and throughout the entire Los Angeles County. Many of his patients come from around the area, where a premium and importance is really given to physical appearance. He has also been featured in the California Business Journal among other publications, raising awareness about gynecomastia in general.
Dr. Adrian K. Lo, MD, FACS, FRCS (C)
With over 20 years of experience, board-certified plastic surgeon and gynecomastia specialist Dr. Adrian Lo has been named the ‘Top Doc’ by Philadelphia Magazine for multiple years. He has a number of plastic surgery board certifications (including but not limited to the American Board of Plastic Surgery) and professional affiliations.
Recognized nationally and internationally for his plastic surgery expertise, Dr. o has appeared in TV, radio, and print media on a number of occasions.
Dr. George H. Sanders, M.D.
With 25 years of experience in using gynecomastia surgery to help men achieve a more masculine appearance, Dr. George H. Sanders has a winning reputation that reverberates throughout Southern California and beyond.
When he was Chief Resident at Cedars-Sinai Medical Center and completing his general surgery training, he was given the Leo Rigler Award for excellence in surgery. He then went on to complete his plastic surgery residency at UCLA. With certifications from the American Board of Plastic Surgery, the American Society of Plastic Surgeons, and the American Society of Aesthetic Plastic Surgery, Dr. Sanders definitely knows what he’s doing.
Dr. Sanders also believes that treating gynecomastia is really dependent on a lot of individual factors, and this is why he provides a number of techniques. His procedures include gynecomastia excision with microsurgical shaver, gynecomastia excision with areolar microincision, and even tumescent liposuction via SAFE liposuction, PAL, and UAL techniques.
Dr. George H. Pope, MD, FACS
Dr. George H. Pope is a board-certified plastic surgeon who performs a variety of surgeries, but gynecomastia surgery has been the top surgical procedure in his practice for the last couple of years.
Certified by the American Society of Plastic Surgeons, the American Society for Aesthetic Plastic Surgery Inc, and the American Board of Plastic Surgery, it’s clear that Dr. Pope has a lot of credentials under his belt.
Dr. Pope has an entire team at the Orlando Plastic Surgery Center, and they are committed to providing the best service possible for patients within and beyond the Florida area.
His philosophy is that gynecomastia is a condition that can cause embarrassment as well as emotional stress in men, which is why he’s committed to help correct it through the only effective way possible, and that’s gynecomastia surgery.
Dr. Jonathan Hall, MD, FACS
Dr. Jonathan Hall is well-known in the world of plastic surgery. He is a double board certified plastic surgeon by the American Board of Plastic Surgeons and the American Board of Facial Plastic and Reconstructive Surgery. He is also associated with the American College of Surgeons, the American Society of Aesthetic Plastic Surgery, the American Society of Plastic Surgeons, among others.
The Chief of Plastic Surgery at Winchester Hospital, Dr. Jonathan Hall has had a storied medical career. He even won the Best Resident Presentation Award when he was completing his residency at the General Surgery and Plastic & Reconstructive Surgery at the University of Michigan Medical Center.
Dr. Jonathan Hall has a private practice in Massachusetts but he puts emphasis on gynecomastia surgery as well as breast augmentation surgery and abdominoplasty.
Dr. Shaun D. Parson
Dr. Shaun D. Parson of the Dr. Shaun Parson Plastic Surgery & Skin Center is the one you want to go to if you need gynecomastia surgery in the Arizona area.
Truly an expert in this field, Dr. Parson is a Diplomate of the American Board of Plastic Surgery and The American Board of Surgery. He has served as Chairman of the Plastic Surgery and Chief of Surgery at Scottsdale Healthcare Shea Hospital, and he has been doing gynecomastia surgery for more than a decade.
While there are a number of different types of surgeries available at his center, male breast reduction surgery is one of the most important ones that he’s offering.
In addition to his certifications, Dr. Parson has been honored so many times as one of Phoenix Magazine’s Top Docs. He is also an Associate Professor of Surgery at the University of Arizona, as well as a clinic instructor for The Phoenix Integrated Surgical Residency and The Mayo Clinic.
Dr. Otto J. Placik, MD, FACS
Board-certified plastic surgeon Dr. Otto J. Placik is an active member of the American Society of Plastic Surgeons and is certified with a number of other organizations: The American Board of Plastic Surgery, the American Academy of Facial Plastic Surgeons, the American Medical Association, the Chicago Society of Plastic Surgery, among others.
Dr. Placik is qualified in a variety of plastic surgery procedures, sculpting bodies and leaving patients amazed at the results. In his more than 13 years of doing the gynecomastia surgery, he has helped improve the appearance of thousands of men who are encountering problems with their enlarged chests.
Knowing that cosmetic surgery doesn’t come cheap, Dr. Placik also offers patients with excellent financing options to help them out.
Dr. Ronald H. Schuster, MD
The Chief of the plastic Surgery Division at Northwest Hospital Center, board-certified Dr. Ronald H. Schuster has had many years of training and experience in various aspects of cosmetic surgery. His certifications include the American Board of Plastic Surgery, the American Societyo f Aesthetic Plastic Surgeons, and the American Society of Plastic and Reconstructive Surgeons.
He has also received a number of accolades, including being rated a top Baltimore Plastic Surgeon for 2015 and receiving an award for patient satisfaction from the American Institute of Plastic Surgeons. He is also a clinical instructor in the Johns Hopkins Hospital and has done a number of research appointments, continuing to improve his technique and competency as the years go by.
Dr. Robert D. Wilcox, MD
Founder and Director of the Plastic & Cosmetic Surgery Center of Texas, Dr. Robert D. Wilcox has been featured as a top plastic surgeon in the Top10MD for the Dallas and Fort Worth Area. His name is well-known in Texas, and his dedication to his profession and practice can definitely be seen from the number of recognitions he has received as well as the number of happy patients he has.
Board-certified Dr. Wilcox has also been featured in a number of magazines, including Vogue, Cosmopolitan, Allure, and Glamour. Gynecomastia is only one of the procedures that he is highly qualified and happy to do for patients who need his expertise.
Techniques and Surgery Options for your Moobs
There are many techniques and options that surgeons could employ when it comes to breast reduction surgery. Your surgeon can tell you what technique is most appropriate, and this will also depend on the type of gynecomastia you have. Basically, the surgery techniques used fall under two main buckets:
Liposuction male breast reducing surgery
The first choice is to complete the breast reduction surgery through a liposuction. In this procedure, the surgeon will remove or suction out the fat in the breast, but not the tissue of the breast gland itself.
Liposuction is ideal when the patient has good skin elasticity, which is more common in younger males.
This outpatient procedure is done using either a local anesthesia, intravenous sedation, or a general anesthesia. The surgeon then makes small incisions on each side of the chest. The location of the incision will depend on the preferred technique of your surgeon as well as your specific situation. The incisions could be done either near the armpit or the areola.
Similar to how other liposuction procedures are done, a cannula that’s attached to a vacuum pump will then be inserted into the incision, moving around through the different layers of fat underneath the skin. This slowly breaks up the fat, preparing it to be suctioned out.
Aside from removing the excess fat, the surgeon also sculpts a new chest contour that looks more natural and more masculine, thereby eliminating the creases and the roundedness in the male breast.
With liposuction, patients often spend the first few weeks following the surgery wearing a compression garment. This is because after the surgery, one will experience some swelling and one needs the compression garment to completely support the tissues that are healing, and prevent bruising.(3)
The recovery process after any liposuction procedure is tolerable, and many patients can return to their day-to-day tasks at work or at school after several days. However, vigorous exercise should be avoided for 3 weeks or more. Also, you have to remember that healing is a case-to-case basis and you may not heal as fast as another patient. Your surgeon will give you guidance and instructions on how to go about your personal recovery process.
Depending on your case, the surgeon can perform one of many liposuction options. There’s conventional liposuction, but there’s also cross-chest liposuction where the incisions are done on the edge of the areola and the fat is suctioned out without additional scars. Other procedures include laser-assisted liposuction, tumescent liposuction, ultrasound-assisted liposuction, and power-assisted liposuction.
As the price for the surgery is very high and can’t be afforded by all classes of the society. The estimate cost of liposuction breast reducing surgery is around $800 to $2000 depending upon the tools required and the fees of the operating hospital. Thus the decision of carrying out a breast reduction surgery is to be a very wise one. If someone is able to get the desired amount of size reduction through medication, it is better to go for it than to go for surgery which may not be affordable for masses.
Direct Excisional surgery for male breast reduction
When the underlying tissue in the enlarged male breast is not composed of fatty tissue then excisional surgery is to be done to remove the glandular tissue. This process involves the cutting out of the excess glandular tissue within the male breasts and then to stich the remaining male breast together.
This leaves scars behind and is not cosmetically preferred procedure. Then plastic surgery may be done in order to maintain the shape of the breast. Excisional surgery is mostly carried out on one of the breasts as enlarged breast is found most of the time at one side. The median age for this is 13 years and 85% of the children obtain enlarged breasts.(4)
The procedure is done mostly under general anesthesia and the total removal of the tissue is not a surety and some tissue can be left inside even after thorough removal of the tissue. This is an invasive procedure with many long lasting effects as mentioned above. This is equivalent to mastectomy in females in which the female breasts are removed. Many tools are used in this procedure for cutting and cautering the breast tissue. The side effects of the procedure include those of the anesthesia as well as the presence of major scars at the site of operation along with the increased chance of recurrence.
The cost of this direct excisional surgery for male breast reduction varies between $3000 to $5500 depending upon the expertise of the surgeon as well as the hospital charges. This procedure requires at least minimum 3 days of hospitalization and the person is unable to carry out his daily routine work immediately.
Male Mastectomy Surgery
The second option is to do a mastectomy, which involves removing the breast tissue that can be found under the skin. This procedure is usually chosen when the patient’s skin is less elastic, has already stretched and sagged around the breasts, or when the gynecomastia is more severe.
Liposuction will not be able to remove the amount of excess skin or glandular tissue, and in cases like this, surgical tissue excision is needed to get the best results.(5)
Also performed as an outpatient procedure, the surgeon usually makes an incision around the areola, then the excess glandular tissue will be excised or cut out using a scalpel.
The subcutaneous mastectomy surgery technique normally takes around 1 or 2 hours to complete, depending on the situation. It’s also done using a general anesthesia, or a local anesthesia with sedation.
For the recovery process, it’s similar to liposuction. Patients are likely to experience some swelling as well as soreness, but after a week or so they can definitely return to work. Return to strenuous and regular exercise however will have to be done after a few weeks and not immediately.
Mastectomy can be done in many ways, and there are less invasive procedures that result to less scarring and a shorter recovery time. Mastectomy using endoscopy for instance is done using tiny incisions. Other procedures that can be done aside from subcutaneous mastectomy include liposuction-assisted mastectomy, which is a combination of the two procedures.
The cost for male mastectomy surgery can varies between different parts of the USA but you can expect to pay between $5000 to $10000 for this specific procedure.
Preparing for the Surgery
Finding the best way to treat gynecomastia will depend on the case, as well as on what procedure the surgeon recommends doing. However, you have to remember that while gynecomastia surgery is an outpatient procedure that many males go through, it’s not something you should just brush off.
It’s still a surgery and a major decision, and there are certain things you should remember in order to prepare for it:
1. Choose a good surgeon.
In a procedure like this, the credibility of your surgeon cannot be stressed enough. There have been many horror stories of botched operations every time cosmetic surgery is brought to the picture, and that’s not something you want to happen to you.
The above list of top gynecomastia surgeons is a good place to start, because these are the surgeons that have been tried and tested in this field. When choosing a surgeon, you should definitely do your research and check on his or her reputation. For instance, you can search if your surgeon is certified by the American Board of Plastic Surgery (ABPS), a plastic surgery board that is recognized by the American Board of Medical Specialties. Another place you can check for board-certified surgeons is the American Board of Cosmetic Surgery (ABCS).
Choosing a good surgeon is important because cosmetic surgery is an investment. Picking an accredited facility is also of high importance. Remember that you will be shelling out money for this surgery, so you deserve state of the art equipment, a highly qualified professional, and a safe operative environment. The credibility of your surgeon and facility will dictate the credibility and effectiveness of the procedure.
2. Disclose all information during the consultation process.
Once you’ve chosen a surgeon, you’ll have to go through a consultation process. It’s not enough to choose your surgeon from a list and then operate the following day, because your surgeon will want to inquire about your specific situation, medical history, allergies, current medications, past procedures, any concerns, and of course, what is motivating you to seek out plastic surgery.
Depending on your unique case, your surgeon will explain all the options you have before you, with the specific advantages and disadvantages for each. Your surgeon will involve you as much as possible in order to achieve the final appearance that you desire, so you will discuss this in length.
Deciding on gynecomastia surgery is definitely something that takes a lot of thinking and some time. When visiting the surgeon, you can also choose to take a significant other, family member, or friend with you. This gives you additional support.
3. Consider the costs.
The decision to undergo gynecomastia surgery is very important, and aside from the surgeon, there are other factors that can affect this decision, such as cost. You have to remember that while cosmetic surgeries cost a lot of money, the final product or appearance after the surgery is something patients are often willing to invest in.
For gynecomastia surgery, you should expect to spend something between $5,000 to $10,000. Breast reduction for men is an elective surgery and not a critical one, so this is typically not covered by any health insurance. The final cost will be a combination of many things:
- Surgeon’s fee
- Fee for anesthesia and anesthesiologist
- Lab tests
- Pain medication
- Compression vest
- Post-operative care
Of all these, the surgeon’s fee will be the most expensive, but it will also matter what hospital or clinic you choose to do the surgery in, because that will dictate the fees for the anesthesia and the lab tests. Gynecomastia surgery is expensive because the equipment required for it is expensive, and you’ll need staff and other resources for the procedure.
It’s also worth noting, in advance, that it’s not just about the surgery. After the operation, you’ll need to prepare to pay post-operative care expenses, which could also balloon. The compression vest that you’ll need after the surgery can cost as much as $500, depending on the size, the brand, as well as the quality and comfort level. You will also need to medication, whether for pain or for infection prevention.
4. Prepare for your operation.
Weeks before, you should already take steps to ensure that you’re at your healthiest during the surgery. Taking multivitamins will load your body with nutrients and keep you healthy and safe from diseases. This speeds up your healing process and ensures that your body is not too affected. It would also be good to exercise regularly and get your body in shape, even if it’s just brisk walking or jogging.
Surgeons will also typically require you to stop taking any prescription medications two weeks before the surgery, but it’s best if you clear this out with your surgeon beforehand. Some medications will interfere with your blood’s ability to clot, adversely affect your blood pressure, and even interfere with the anesthetics. This includes prescription meds and even herbal supplements.
You should also avoid alcohol as this can interfere with the effectiveness of anesthesia and blood clotting. Arrange for your transportation as well as for someone to be with you during the surgery. Don’t think you can do it alone, because while it is a standard operation, it’s still a surgery.
Before the surgery, do not apply any lotions, hair gels, deodorants, make-up, sprays, or any such things to your hair, skin, or face. Take a shower and clean yourself thoroughly with germ-inhibiting soap, and wear comfortable and loose clothes. Clear with your doctor if you can eat a light breakfast before your surgery.
At this point, your surgeon may have already discussed with you the options you have when it comes to the types of anesthesia available. General anesthesia is typically not needed for this type of procedure, and you can opt for intravenous sedation, local anesthesia, or other new types.
Some surgeons will want to prevent post-operative nausea and vomiting, making your overall experience better especially after the surgery. Because of this, some surgeons will give you intravenous medication before the surgery.
5. Be conscious of what you need to do after the procedure.
It’s not enough to prepare for the surgery, because you should also be aware of what you need to do once the operation is done. You should expect to be sore or in some minimal pain for the first few days after the surgery. To prepare for this, you should already make sure your schedule allows you to rest and that you won’t be involved with strenuous activities.
Pain medication will also help you with the recovery process, and your surgeon can direct you to the most appropriate one to take. A compression garment will also help support the area and make the healing process faster.
To maintain the chest contour that has been achieved by the surgery, you should also make sure you maintain a healthy diet and lifestyle. Surgery is meant to be permanent, and while it’s highly unlikely that your chest will go back to what it looked like before the gynecomastia surgery, significant weight gain can make the masculine contour less obvious.
Gynecomastia Surgery Side Effects
Whatever option your surgeon chooses and eventually performs on you, gynecomastia surgery leads to instantaneous breast reduction, and this is why patients are really willing to invest in it. You can finally say goodbye to enlarged male breasts, and the difference from before will really be apparent. It also leads to a reduced recurrence of the condition, because with surgery, the effect is more or less permanent.
Having said this, you should also be prepared for the possible side effects from the surgery. Soreness, swelling, and discomfort are normal side effects that you should really expect as with any other surgery, but there are others that you may not be as aware of:
- Pain – The amount of pain experienced once the anesthesia fades will depend on the patient’s pain threshold, but you shouldn’t underestimate this. The pain levels could really be significant, and this is why having your pain medication ready is a must.
- Risk of infection – Wound infection is a possibility with any surgery, because it involves the cutting of the flesh. After the surgery, patients are encouraged to stay in a clean environment, so as to prevent infection. This is also where post-operative care becomes important.
- Scarring – As with any cosmetic surgery, some scarring is to be expected. There are certain techniques that surgeons can do to minimize scarring, but it’s unlikely that this will be completely eliminated. Just level your expectations and be prepared for the fact that there could be
- Breast asymmetry – While your surgeon will do his or her best to give you the contoured masculine chest that you want, you should also not discount the possibility of breast asymmetry and contour deformities.
- Hematoma and Necrosis – There are other possible complications. Hematoma for instance will involve the swelling of clotted blood within tissues. Another one is necrosis (the premature death of cells in the living tissues), especially in the area of the areola or nipple.
Here you can see a published paper on complications and outcomes of surgery to remove breast tissue.
The Bottom Line
At the end of the day, going for gynecomastia surgery is a choice you have to make. The important thing is that it has to be an informed decision, and you should be aware of all the possible drawbacks and side effects as much as you are aware of the effectiveness of the surgery.
If you’ve decided to do the surgery after reviewing all the options and risks, and if you’re willing to pay for the high cost, then by all means go for it. You should make sure you’re well-prepared for the surgery – emotionally, mentally, and physically. More importantly, pick one of the top surgeons to make sure that you’re getting the best of the best, depending on where you’re located.