Gynecomastia – Male Breast Reduction Surgery

Gynecomastia Surgery

About Gynecomastia

Gynecomastia surgery is also known as male breast reduction. The procedure removes excess fat and glandular tissue to create a flatter, firmer and masculine looking chest contour.

Enlarged breasts in men can be due to age, genetics, obesity, hormones, certain medications or drugs like steroids or marijuana. There can sometimes be sagging breast tissue due to the weight of the enlarged breasts, as well as an increased size of the areola.

Gynecomastia can be emotionally distressing for men and cause them to avoid physical activities or hinder their personal intimate relationships. They may also find it challenging to find clothing that can adequately hide their enlarged breasts.

Candidates for Male Breast Reduction

Ideal candidates for male breast reduction surgery are patients who want to reduce the size of their breasts. They have a stable body weight, overall good health, non-smoker, non-drug or anabolic steroid user, and have realistic expectations of what the surgery can achieve.

Men often consider gynecomastia surgery if they have:

  • Excess fat in the breast
  • Excess skin of the breast
  • Hanging breast tissue
  • Asymmetry of breasts
  • Excess firm glandular tissue of the breast
  • Enlarged areolas

Gynecomastia Consultation

During the initial consultation for gynecomastia surgery, Dr. Mahmood reviews medical history, family history, current medications, surgical history, and smoking and drug status. She next discusses expectations, concerns, and surgical goals, and measures the breast and areola and notes any asymmetries.

After a thorough evaluation and discussion of patient goals, Dr. Mahmood introduces the types gynecomastia surgery and recommends the optimal treatment to achieve the patient’s desired result.

Gynecomastia Surgery

For patients who are appropriate candidates for male breast reduction surgery, several surgical options are available.

Types of Gynecomastia Surgery


For those whose gynecomastia is mainly due to excess fatty tissue, liposuction alone may be used. This involves a small incision on each side of the chest. Excess fat is removed through the incisions and Dr. Mahmood sculpts a new. natural-looking chest contour.

Excision of Excess Glandular Tissue  Liposuction:

Cases in which gynecomastia is due to both excess fatty tissue and excess firm glandular breast tissue require removal of the glandular tissue as well as liposuction in order to achieve the best possible outcome. A small incision is made on each side of the chest for the liposuction part of the procedure, and a small incision is made around the areola from the 3 o’clock to 9 o’clock position to access and remove the firm glandular tissue.

Excision of Excess Skin and Breast Tissue

Some patients have hanging breast skin and tissue and enlarged areolas that may require larger incisions to remove the sagging breast tissue. The nipples may need to be moved to a more natural place for a male chest.

Dr. Mahmood will discuss the various surgical options in detail and tailor the treatment plan to your body and your desired goals. She takes great care when deciding where to make incisions so that the resulting scars are as inconspicuous as possible, so that you can feel comfortable in settings in which your shirt is off, such as at the beach, in the locker room, or in intimate situations.

Many cases of gynecomastia regress on their own without intervention, particularly when caused by a medication or weight gain. If the underlying condition is due to a medical condition such as hypogonadism, liver disease, or malnutrition, the underlying condition will need to be addressed.

Recovery and After Care

After male breast reduction, patients should wear a compression garment for 1 to 2 months and to avoid vigorous exercise or heavy lifting for 1 month after surgery.

Dr. Mahmood sees patients at her Union Square office at one day after surgery, one week, one month, three months, and as needed. At each post-operative visit Dr. Mahmood will provide step-by-step guidance regarding when to increase physical activity, optimal scar treatment, and steps to take to ensure a beautiful final result.


Gynecomastia results are noticed immediately after surgery, but the final outcome is appreciated approximately three months after surgery when the swelling has resolved.  Results are permanent, and it is important that patients maintain a healthy weight and refrain from any drugs or unnecessary medications that can cause or worsen breast enlargement.

Gynecomastia Cost NYC

The cost of gynecomastia surgery varies on a patient-by-patient basis. Dr. Mahmood is committed to helping her Union Square, New York patients achieve the best possible surgical outcomes, so every case begins with a comprehensive consultation where Dr. Mahmood examines the patient and outlines surgery costs and considerations.

Contact us today to book your consolation with Dr. Mahmood – a Board Certified, double Ivy League-trained, Plastic and Reconstructive surgeon practicing in Union Square, NY.

Gynecomastia Before & After Photos