Gynecomastia: Male Breast Surgery

A 42-year-old male post gynecomastia repair.

Board Certified Plastic Surgeon, Arian Mowlavi is well regarded by the community for his artistic eye and expertise in performing Gynecomastia – male breast reduction surgery. He has developed Gynecomastia Natrelle™ to ensure that each patient attains their maximum potential. Gynecomastia Natrelle™ optimizes all aspects of your surgery experience including: the confidential consultation, anxiety-free operation, comfortable postoperative healing, speedy recovery, and long term results.

During your initial consultation, you will have the opportunity to convey exactly what your concerns are. In order to ensure optimum results, Dr. Mowlavi evaluates your chest contour (shape) prior to your procedure by breaking down your breast area into four to five independent regions. Moreover, separating each breast into several regions allows Dr. Mowlavi to accurately assess the degree of excess fat/fibrous tissue and skin to ensure optimal chest contouring results.

When the degree of fat/fibrous tissue excess is associated with minimal to moderate skin redundancy then you are an ideal candidate for the limited incision Gynecomastia repair. Infrequently, patients with severe breast skin redundancy will be recommended to undergo en-block resection of the breast skin.

To fully appreciate the amazing results of this surgery, please review our patient before and after photos, found below.

How Much Does Gynecomastia Surgery Cost?

Depending on the amount of excess fat, glandular tissue, and skin that a patient has, liposuction, direct excision, or both may be necessary. For patients with minimal sagging skin and glandular tissue, but excess fat, liposuction alone may be sufficient. Liposuction creates a small incision less than ½ a cm in length at the edge of the areola to insert a thin, hollow tube which breaks down and removes the excess fat. Gynecomastia surgery pricing depends on the anesthesia used (local or general) and typically ranges from $7,000 to $10,000.

For more information and to determine if you are a good candidate for this affordable procedure, please schedule a consultation with Dr. Mowlavi, Orange County’s top plastic surgeon.

SEE ALSO: Breast Surgery: Even Men Are Doing It


Book a Free Consultation for Gynecomastia

Each patient has unique goals. Some want just the glands removed, others want a more masculine chest appearance. The cost of gynecomastia is determined after you have a consultation and the doctor understands your goals.

When Dr. Mowlavi sees your chest, learns about your needs and desires, creates your surgical plan, he will determine the cost of your procedure.

Gynecomastia Before and After Images

A 28-year-old male before and after breast area reduction

37-year-old male, high definition liposuction for the removal of extra fat in the breast area.

Gynecomastia FAQs

If your chest contour is uneven following gynecomastia surgery, it is because the liposuction was not performed evenly. Patients that are seen for consideration of revision gynecomastia will often demonstrate dents and/or unevenness. Using ultrasound assisted liposuction with high definition contouring protocols will result in the smoothest contouring available.

If your chest contour is uneven following gynecomastia surgery, it is because the liposuction was not performed evenly. Patients that are seen for consideration of revision gynecomastia will often demonstrate dents and/or unevenness. Using ultrasound assisted liposuction with high definition contouring protocols will result in the smoothest contouring available.

Nipple prominence results from prominent glandular tissues. Gynecomastia surgery focuses on eliminating this prominence. When the glandular tissue is minimal to moderate, ultrasound assisted liposuction will reduce its prominence. When the glandular tissue is moderate to severe, then direct glandular excision is often required.

A radiated breast will always feel firmer and sit higher but this is not capsular contracture.  This is caused by fibrosis of your skin, underlying fatty, and fibro septal network. The capsule, in fact, might be absolutely normal assuming that you placed your implant after the radiation. Fat grafting has been recommended as a treatment to soften your breasts.

You have gynecomastia if your breasts look feminized. This means unnecessary fullness and rounded appearance. In contrast, a masculinized chest will appear flat but bold with strong chest borders and linear or pentagonal borders.

Using ultrasound assisted energy liposuction, the discoid tissue can usually be removed. On occasion, if the discoid tissue is prominent, it will require direct excision which is performed using a hidden incision on the undersurface of the areola. 

Although there is some reasonable swelling following any surgery, it is concerning that you don’t see any changes. Did you go to a high definition body contouring specialist?, I recommend that you consider VASER liposuction on your revision surgery and make sure that all of the discoid tissue has been removed.


Many boobs is another terminology for gynecomastia. Man boobs can be corrected with a combination of direct gland excision and liposuction of the periphery. If you wish to be considered for gynecomastia repair by making a consultation.

Although there is no dire medical necessity to perform gynecomastia surgery urgently, I would recommend you perform this surgery sooner rather than later.  The reason why early gynecomastia is to your benefit is that the increased soft tissue fullness can stretch out your breast when left untreated. The problem with stretching out your skin is that it will result in you potentially needing a skin reduction as well. Early removal of soft tissue fullness will result in you not needing more extensive skin reduction surgery.

Anything is possible but high definition sculpting requires removal of fat comprehensively, which means scraping the fat off of the skin and the muscle; it is this last bit of fat that separates high definition sculptors from the rest, but removal of this fat is very painful to the awake patient. As such, I feel that the best contouring can only be achieved with general anesthesia. If you need a minor revision of single spot, then local anesthesia is considered.

Revision gynecomastia surgery should be considered if your have chest contour irregularity either from uneven removal of fat or from skin redundancy. If you have residual fat, this can be best removed with ultrasound assisted liposuction. If you have redundant skin, then this can be removed with Renuvion J plasma skin tightening and rarely with a skin excision.

Uneven soft tissue size or shape is a concern following gynecomastia. If it occurs quickly in the early period, you should be concerned about a hematoma that is caused by a bleeding vessel. This is an emergency and requires you to contact your surgeon so the pool of blood can be evacuated. If the pooling of blood is not removed promptly it can cause compromise of your skin. If the unevenness develops gradually over weeks, then it is indicative of uneven contouring by your surgeon. This is definitely not an emergency and can be corrected when all of the swelling has resolved. Any gynecomastia revision surgery should be performed no earlier than 3 months following surgery.

Gynecomastia repair maneuvers are dependent on the severity of your gynecomastia. Gynecomastia severity is based on the degree of excess fat and skin redundancy. Gynecomastia surgery can involve liposuction only for mild cases, liposuction and gland excision for moderate cases, and liposuction, gland excision, and skin excision for severe gynecomastia.

Gynecomastia revision requires a high definition body contouring specialist who is accustomed to adding fat and removing fat strategically in order to achieve appropriate contour lines. High definition body contouring specialist use a number of tools including ultrasound liposuction, fat grafting, and scarless skin tightening using Renuvion.

You could benefit from male chest optimization with Renuvion to avoid incision lines. Renuvion J plasma is used to heat the collagen in the subcutaneous tissues using a process called subdermal coagulation. Subdermal coagulation results in tightening of the collagen molecules working almost like shrink wrap. Please consider a virtual consultation with a high definition male contouring provider to help you appreciate what is possible.

You should be cautious of anyone who uses drains during gynecomastia. If a provider is recommending drains, this means that they are performing the surgery blindly and by feel. Instead, we perform the gynecomastia under direct visualization with a mammary retractor so that drains are not required because any bleeders are cauterized instantly.

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