Gynecomastia is a male condition that affects the chest, often occurring during puberty and lasting into adulthood. It creates the look of having larger breasts, and is believed to be caused by hormonal imbalances. This imbalance may root from medications or substance use, liver or thyroid problems, or just a natural teen occurrence that may or may not go away on its own. Patients with gynecomastia may be embarrassed when their chests are exposed. A male breast reduction surgery can correct gynecomastia, and Newport Beach plastic surgeon, Dr. Ed Domanskis, can reshape the chest to a more masculine appearance. Surgery may include liposuction alone, or liposuction with excision.
While gynecomastia is a medical condition that many men wish to correct, some will also choose to cosmetically improve the overall shape and physique of the chest with the help of pectoral implants. Pec implants can be used to add size and shape to the chest, while creating a stronger more masculine appearance. Dr. Domanskis places the implant under the pectoral muscle so that the results look natural. There are many sizes and shapes to consider depending on how filled out you would like for your chest to be. This can be discussed during the initial consultation with Dr. Domanskis.
"Excellent experience with Dr. Domanskis! I had abdominalplasty and liposuction. He explained the procedures very thoroughly as well as what to expect immediately following my surgery. He was in contact with me by phone as well during the first week post op I felt very safe in his hands. My results are absolutely phenomenal I couldn't be more pleased!"- W.P. / Yelp / Aug 29, 2015
"He knows what he is doing - Dr. Domanskis is very intuitive without alot of explaining he was in tune with what I wanted and gave me the hips to balance out my shape! I always had stubborn belly fat and back fat as well as a narrow waistline and flabby arms. After this liposuction my waist has drastically changed into the hour glass shape I wanted and I am happy with the results :)."- D. / RealSelf / Dec 27, 2018
"Happy BBL Patient!! - Dr. Domanskis performed my BBL procedure in October and I could not be happier with the results. I highly recommend Dr. Domamakis if you are thinking of having a BBL (or other procedure-I am a return patient). He listens to what you want, offers his professional recommendations, and delivers excellent results."- H.B. / RealSelf / Dec 20, 2018
"I could not imagine having a better experience! I have had nearly 10 surgeries in my life (never plastic surgery before) and have never been treated so well and been taken care of so competently before. I am a medical student, so I have very high standards for care, and I can tell you that you will not find a better surgeon! Not only did he perform superior work and completely exceed my expectations, but he was also very accommodating and thorough. He changed his schedule to fit my school schedule, he gave me his personal cell number for questions since I am from out of town, he called and texted me to make sure I made it home okay and was feeling better, and he made the experience very enjoyable. His office administrator, Rachelle, was SO kind and helpful! She was such a joy in the entire process and seemed genuinely happy to help every time I called-such a breath of fresh air from so many other doctors' offices. There really aren't enough good things I could say about his health care team and I would 100% recommend trusting them with your care."- L.B. / Google / Aug 26, 2018
"I feel so bad, thought I had left a review. Couple things first, my review has value, the reason is that I'm rarely satisfied, and have had many things done over the years, what I received was unexpected and why I came back for more. I have psoriasis, for years I put Clobetesol on my face, which thinned it out and gave me a lovely TURKEY NECK, yikes, nothing I could do, but I had a friend who had a neck lift and it was awful, that is he had pain, weird scary looking wraps, so while things like that rarely bothered me I just wanted him to pull it up or put in fillers to tighten it. I finally ceded to neck lift, and what I got I did not expect. Not only did I get a PERFECT NECK, but I got back my best feature, my chin, I have a long, manly chin, that had been obscured with fat and loose skin, now you have to understand I went from a single guy with no prospects to back to how I was in my 20's, what is that worth?? Hock the house, seriously, to get young, hot girls again? And then the love of my life who I'm still with, all because, yes appearance, it matters people don't let anyone lie to you, I basically got to go back in time. Second, I had got used to "man boobs", and fat over my stomach, I'm athletic so figured I could handle it, but after seeing a side picture of myself, I went for it. At first he thought I'd need a tummy tuck, we avoided that, and I got what every man should get, ETCHING, first he removed all of the fat on my chest, then ETCHED the stomach, if you've never heard of it neither had I, he makes a indentation around your abs so you have them whether you work out or not!! Result? I was in seeing my dermatologist, female with her assistant, she asked me to remove my shirt, something I used to dread, I took it off and she looked at her assistant and said "What do you do", "What do you mean", "You have a great body", this all without working out, though I'm motivated and doing that now. What can I say? I have the mind and experience of an older guy, with the face and body of a much younger guy, say what you will, judge all you like, BUT I LOVE LOOKING GREAT AGAIN, getting a compliment "You have a great body", you can't imagine how often I hear "Handsome", oh that word I hadn't heard for such a long, wasted period. I had stated I was important to listen to because of experience, I've had IPL's, fillers because of my thin skin, lasers, must be over 25 doctors I've seen over the years and what do they have in common? They talk FAST AND OVER YOU, they charge to for a consult!! What nerve. Dr. Domaskis though a amazing doctor ACTUALLY LISTENS AND RESPONDS TO WHAT YOU SAY, it's why I'll NEVER pay for a consult, what arrogance what if we don't like the doctor? I want to end with this, I was staying at a hotel when I had my procedure, that is neck lift, though his directions were right on, I made a mistake and was uncomfortable, well I can be quite a nuisance, that is complainer, so I got angry, what did Doc do? HE CAME TO MY HOTEL AND FIXED IT HIMSELF!!! Tell me what plastic surgeon have you heard of doing that? Trust me the guy cares, I screwed up, he gets in his car, drives to my hotel and fixes MY MISTAKE. Thanks Doc!!!"- M.H. / Yelp / Jul 21, 2018
Breast reduction surgery for men is done through a special liposuction technique. Some men with milder cases of gynecomastia may only require liposuction to attain good results. This is performed to remove the fatty tissue residing under the skin. During this approach, a small incision is made around the areola (intra-areolar). This allows access for a suction device to move through the chest and remove fat and tissue. In severe gynecomastia cases, an en bloc resection of excessive breast tissue and tightening of loose skin may be necessary. This includes nipple grafting and may require a staged surgery.
All male breast reduction procedures are performed under general anesthesia as an outpatient procedure at an accredited surgical facility. The surgery typically lasts about an hour. Following surgery, there will be some swelling,ll not. and a compression garment should be worn for 1-2 weeks. Most patients are able to resume normal work schedules within a few days, and incorporate exercise within 4 weeks. This surgery allows men to feel more confident when exposing their chest due to a firmer, flatter chest. In most cases, scarring is inconspicuous.
The cost of male breast reduction varies based on the extent of the surgery. The average cost for gynecomastia surgery is roughly $3,000.
Plan Your Procedure
- Average Cost
- $4,000 - $7,000
- Recovery Time
- 5-14 Days
- Average Procedure Time
- 1-3 Hours
- Post-op Follow-up
- 2 Months
- Procedure Recovery Location
Male Breast Reduction FAQs
Will This Help My Pecs?
Every man is born with some soft tissue covering his pectoralis muscles. When this breast tissue overgrows into larger breasts, the pecs are often hidden. Through male breast reduction surgery, the excessive tissue is removed so the natural contour and shape of the chest wall can be seen. Men who wish to tone and strengthen their chest muscles will have equal opportunity to do so. Strength training will help lead to optimal results once this tissue has been removed.
Is Liposuction Always Needed?
In most cases, yes. The soft tissue and fat that collects in excess will need to be removed using liposuction. There are many liposuction techniques to consider. Some are less invasive and can help the skin become tighter on the chest wall. These methods can be discussed during your consultation.
What About Scarring?
Incisions for this surgery are well concealed. They are usually placed around or near the areola and are typically small enough that scarring is minimized. Over time, the incision lines will fade and become almost nonexistent for most men.