Gynecomastia surgery after weight loss requires the expertise of a board certified gynecomastia specialist. There can be a large amount of skin, fat, and tissue after weight loss that requires special skills for reduction beyond the traditional male breast reduction surgery.
For some men, the 2 stage procedure is an excellent solution to remaining tissue and skin after weight loss. The first stage reduces the amount of skin and tissue by an excision in a doughnut shape around the areola and then closed with purse string type sutures. The second stage can be done as an office procedure under local anesthesia. See our blog on April 16, 2012, for more details on the 2 Stage Procedure.