How to Get Rid of Man Boobs: Your Complete Guide to Gynecomastia Surgery

How to Get Rid of Man Boobs: Your Complete Guide to Gynecomastia Surgery

Dr. Delgado with a patient discussing his gynecomastia.

Dr. Delgado with a patient discussing his gynecomastia.

Dealing with enlarged male breasts affects millions of men worldwide, with studies showing that up to 65% of adolescent boys and 35% of adult men experience some degree of breast enlargement at some point in their lives. While this condition, medically known as gynecomastia, is far more common than most people realize, it can significantly impact self-confidence and mental health. Most often, gynecomastia isn’t a serious problem, but it can be tough to cope with the condition. Gynecomastia is associated with significant psychological distress, social stigma, and dysphoria, further emphasizing the importance of effectively addressing the condition.

If you’ve been struggling with man boobs and wondering how to get rid of them permanently, you’re in the right place. This comprehensive guide will guide you through everything you need to know about gynecomastia surgery, from understanding the underlying causes to choosing the right surgeon and managing your recovery.

For many men, exercise and diet changes simply aren’t enough to address the underlying glandular breast tissue that characterizes true gynecomastia. When non-surgical treatments fall short, male breast reduction surgery offers a definitive solution with excellent long-term results and high patient satisfaction rates.

Key Takeaways

  • Gynecomastia surgery is the most effective permanent solution for man boobs, with success rates over 95% when performed by qualified surgeons.
  • Two main surgical techniques exist: liposuction for the removal of fatty tissue, excision for the removal of glandular tissue, and excess skin removal.
  • Most patients return to work within 3 to 7 days and resume normal activities within 2 to 3 weeks after surgery.
  • Non-surgical methods, such as exercise and diet, can help with pseudogynecomastia (fat-based), but cannot eliminate true glandular tissue.
  • Surgery costs typically range from $8,000 to $10,000 and are rarely covered by insurance, as it’s considered a cosmetic procedure. However, this does not include anesthesia or surgical facility fee. The medication and tissue pathology is usually covered with health insurance.

 

In the image, a doctor is seated across from a male patient in a medical office, discussing the patient's concerns about enlarged male breast tissue, possibly related to gynecomastia. The patient appears attentive, as they talk about treatment options such as male breast reduction surgery to remove excess breast tissue and address self-esteem issues.

A doctor explaining the characteristics and treatment for gynecomastia.

Introduction to Gynecomastia

Gynecomastia is a medical condition that causes the enlargement of breast tissue in males, affecting up to 65% of men at some point in their lives. The condition can affect one or both breasts, and the enlargement may be uneven (asymmetrical) or symmetrical. While often referred to as “man boobs” or “moobs,” it’s important to recognize that gynecomastia is a genuine health concern that can cause significant emotional distress and self-consciousness. Many men who develop enlarged breasts find the condition impacts their self-esteem and quality of life, prompting them to seek effective treatment options. Male breast reduction surgery is one of the most reliable solutions for those struggling with persistent breast enlargement. Various factors can trigger gynecomastia, including hormonal changes, certain medications, underlying health conditions, and certain medical conditions. Male breast reduction can be performed safely on both teenagers and adult men. Lower testosterone levels, often due to certain health conditions, can disrupt the hormonal balance and contribute to the development of gynecomastia. Identifying the underlying cause is essential for developing a personalized treatment plan, whether that involves surgery or other approaches. By understanding the nature of gynecomastia and the available treatments, men can take proactive steps to restore their confidence and achieve a more masculine chest contour.

Understanding Gynecomastia vs Pseudogynecomastia

A patient of Dr. Delgado with excellent skin elasticity : Before and after photo of gynecomastia surgery

A patient of Dr. Delgado with excellent skin elasticity : Before and after photo of gynecomastia surgery

Before exploring surgical options, it’s crucial to understand what type of breast enlargement you’re dealing with. The term gynecomastia specifically refers to the enlargement of glandular breast tissue in males, while pseudogynecomastia describes enlarged male breasts caused primarily by excess fat tissue without significant glandular involvement.

True gynecomastia involves the proliferation of actual breast tissue behind the nipple area, creating a firm, sometimes tender mass that cannot be eliminated through diet and exercise alone. This glandular tissue develops due to hormonal imbalances, medications, medical conditions, or genetic factors that affect the levels of testosterone and estrogen in the body. Genetic conditions such as Klinefelter syndrome can also lead to gynecomastia by altering hormone ratios and increasing estrogen. Additionally, thyroid disease can disrupt hormonal balance and is linked to gynecomastia, further complicating the condition.

Pseudogynecomastia, on the other hand, results from excess body fat accumulation in the chest area and typically affects overweight men. Unlike true gynecomastia, pseudogynecomastia can often be improved if you lose weight and focus on targeted exercise. However, losing weight may not address true glandular tissue, so some men may still require surgical intervention for optimal results.

During a physical examination, healthcare providers can distinguish between these conditions by palpating the breast area. Gynecomastia typically presents as a firm, disc-like mass of glandular breast tissue directly beneath the nipple and areola, while pseudogynecomastia feels softer and more diffuse throughout the chest. Most occurrences of gynecomastia do not require diagnostic tests.

The hormonal causes of gynecomastia are complex and can involve several factors. Declining testosterone levels, increased estrogen production, certain medications including anabolic steroids, medical conditions affecting the liver or kidneys, and even tumors of the pituitary gland or adrenal glands can contribute to hormone changes that trigger excess glandular tissue growth.

Age-related statistics reveal interesting patterns in the prevalence of gynecomastia. While approximately 70% of adolescent boys experience some degree of breast enlargement during puberty, this often resolves naturally as hormone levels stabilize. Even male babies can develop gynecomastia due to exposure to maternal hormones, but this usually resolves on its own. However, 35% of adult men continue to struggle with enlarged breasts, with peak incidence occurring between 50 and 69, when testosterone levels naturally decline.

Non-surgical and surgical options are available for treating gynecomastia. However, other treatments, such as medication or addressing underlying causes, may be considered case-by-case.

Causes of Enlarged Breasts in Men

Handsome male with medication induced gynecomastia.

Young man with enlarged breast due to medication induced gynecomastia.

Enlarged breasts in men, medically known as gynecomastia, can develop for various reasons. One of the most common causes is hormonal imbalance—specifically, an increase in estrogen levels or a decrease in testosterone levels. Testosterone usually prevents breast tissue from expanding in males. Estrogen stimulates the growth of breast tissue, and when its effects outweigh testosterone, men may notice breast enlargement. The use of anabolic steroids, certain medications (such as antidepressants, antibiotics, or drugs for heart conditions), and some medical conditions can also disrupt hormone levels and contribute to gynecomastia. Conditions affecting the liver, kidneys, or endocrine system may play a role, as can tumors that alter hormone production. In some cases, gynecomastia is a symptom of an underlying medical condition that requires further investigation. Because the causes of gynecomastia are so varied, it’s important to consult a healthcare provider to determine the underlying cause and develop an effective treatment plan tailored to each individual’s needs.

Understanding Breast Tissue

Diagram of normal male breast tissue and one with gynecomastia

Diagram of normal male breast tissue and one with gynecomastia.

Male breast tissue is composed of both glandular tissue and fat, and understanding this composition is crucial for addressing gynecomastia. In cases of true gynecomastia, there is an overgrowth of glandular tissue, which is particularly sensitive to hormone levels changes—especially the balance between estrogen and testosterone. This excess glandular tissue can cause the breasts to feel firm or rubbery, and sometimes lead to symptoms such as breast tenderness, nipple discharge, or other changes in the breast area. These symptoms can be distressing and may prompt men to seek medical advice. Male breast reduction surgery targets this glandular tissue, removing the excess to restore a flatter, more masculine chest. By understanding how breast tissue responds to hormonal changes and other factors, patients and their doctors can select the most effective treatments — whether surgical or non-surgical — to address both the physical and emotional aspects of gynecomastia.

When Non-Surgical Methods Fall Short

Many men spend years attempting to address their enlarged male breasts through diet, exercise, and lifestyle modifications, before considering surgical options. While these approaches can be effective for pseudogynecomastia caused by excess fat, they have significant limitations when dealing with true glandular tissue. Weight loss achieved through cardiovascular exercise and dietary changes can help reduce excess body fat and diminish the appearance of enlarged male breasts in cases of pseudogynecomastia.

Cardiovascular exercise and chest-focused workouts can certainly help build muscle mass in the pectoral muscles and reduce body fat, but they cannot eliminate the glandular breast tissue that characterizes true gynecomastia. In fact, some men find that building chest muscles actually makes their breast enlargement more prominent by pushing the glandular tissue forward.

Compression garments and specific clothing modifications can provide temporary cosmetic improvement by flattening the chest appearance. However, these solutions don’t address the underlying tissue and can be uncomfortable or impractical for daily wear, especially in warm weather or during physical activities.

Several medication options exist for treating gynecomastia, including selective estrogen receptor modulators like tamoxifen and aromatase inhibitors that block estrogen production. However, these medical treatments typically show success rates of only 20-40% and are most effective when started early in the course of the condition. They’re also associated with potential side effects and require ongoing monitoring by healthcare providers.

Most medical experts recommend considering surgical options when gynecomastia has been present for more than two years without improvement, as the likelihood of spontaneous resolution decreases significantly after this timeframe. For men whose condition persists beyond this point or causes significant psychological distress, male breast reduction surgery offers the most reliable path to permanent improvement.

The decision to pursue gynecomastia surgery often comes after men have exhausted other treatment options and recognize that non-surgical approaches cannot address their specific type of breast tissue enlargement. Understanding these limitations helps set realistic expectations and guides patients toward the most appropriate treatment for their individual situation.

Images depicting the stages of gynecomastia, from Grade 1 with puffy nipples to Grade 4 with excess skin.

Images depicting the stages of gynecomastia, from Grade 1 with puffy nipples to Grade 4 with excess skin.

Types of Gynecomastia Surgery for Excess Breast Tissue

Male breast reduction surgery encompasses several techniques, each designed to address specific types of tissue excess and varying degrees of enlargement. For example, liposuction is often performed through small incisions, allowing the surgeon to remove excess fat tissue with minimal scarring. This minimally invasive approach is particularly effective when the enlarged breast tissue is primarily composed of fat rather than glandular tissue. The choice of surgical procedure depends on the grade of gynecomastia, the composition of excess tissue (fat versus glandular), and the amount of excess skin present.

Plastic surgeons typically use a grading system to classify the severity of gynecomastia and guide surgical planning. Grade I involves small enlargement without excess skin, Grade II includes moderate enlargement with (IIb) or without (IIa) excess skin, and Grade III presents marked enlargement with significant excess skin requiring more extensive surgical intervention.

Liposuction for Gynecomastia

Liposuction techniques have evolved significantly, offering excellent options for removing excess fat tissue while minimizing scarring. VASER liposuction technology uses ultrasonic energy to selectively target fat cells while preserving surrounding tissues, resulting in smoother contours and reduced recovery time.

Power-assisted liposuction (PAL) represents another advanced technique that uses mechanical vibration to break up fat deposits more efficiently. This approach allows surgeons to remove larger volumes of tissue through smaller incisions, while maintaining precise control over the contouring process.

The liposuction procedure typically begins with tumescent fluid injection, a solution containing local anesthetic and epinephrine that helps reduce bleeding and post-operative pain. Surgeons then insert small cannulas through tiny incisions, usually measuring just 3-4mm, strategically placed to minimize visible scarring.

Expected fat removal volumes vary based on individual anatomy, but typically range from 200-800ml per side. The minimal scarring associated with liposuction-only approaches makes this technique attractive for men with primarily fatty tissue excess and good skin elasticity.

Surgical Excision Techniques

Patient with grade 3 gynecomastia after gynecomastia surgery with skin excision at 3 months.

Patient with grade 3 gynecomastia after gynecomastia surgery with skin excision at 3 months.

When significant glandular tissue or excess skin is present, surgical excision becomes necessary to achieve optimal results. The most common approach involves periareolar incisions placed along the natural border between the areola and surrounding skin, which heal with minimal visible scarring.

Glandular tissue removal typically involves excising 50-200g of tissue per side, depending on the severity of enlargement. Surgeons must carefully preserve adequate tissue to maintain natural chest contours, while removing enough material to eliminate the feminine appearance.

For cases involving enlarged or malpositioned nipple-areola complexes, repositioning procedures can restore more masculine proportions. This may involve reducing areola size, lifting the nipple position, or both, depending on individual anatomy and aesthetic goals.

More extensive skin excision patterns become necessary in severe cases where significant skin redundancy exists. These procedures may involve larger incisions, but are essential for achieving tight, masculine chest contours in patients with Grade III gynecomastia.

Advanced tissue preservation techniques enable surgeons to achieve natural-looking results while removing sufficient tissue to effectively treat the condition. This requires careful attention to maintaining the appropriate thickness of remaining tissue and preserving the blood supply to the nipple-areola complex.

Pre-Surgery Preparation

Preparing for gynecomastia surgery, or male breast reduction surgery, involves several important steps to ensure the best possible outcome. The surgical procedure is designed to remove excess breast tissue—both glandular tissue and fat—to create a more masculine chest shape. Before surgery, patients should provide a complete medical history and undergo a thorough physical examination to identify any underlying medical conditions that could affect the procedure or recovery. It’s essential to stop taking certain medications, such as blood thinners, and to avoid smoking and alcohol in the weeks leading up to surgery, as these can interfere with healing. The surgeon will explain the details of the surgical procedure, including the location of incisions and what to expect during recovery. Patients should also be aware of potential risks and complications, such as infection, scarring, or changes in nipple sensation, and discuss any concerns with their surgeon. With careful preparation and clear communication, male breast reduction surgery can be a highly effective treatment for gynecomastia, helping men regain confidence and comfort in their appearance.

The Complete Surgical Process

Understanding the entire surgical journey helps patients prepare mentally and physically for their male breast reduction surgery. The process begins weeks before the actual procedure, and continues through several months of recovery and follow-up care.

The initial consultation includes a comprehensive physical examination, a review of your medical history, and a discussion of your treatment goals and expectations. Surgeons evaluate the type and extent of breast tissue enlargement, assess the quality and elasticity of the skin, and determine the most appropriate surgical approach for each individual case.

Preoperative testing requirements may include a complete blood count (CBC), comprehensive metabolic panel, hormone level assessments, and occasionally mammography or ultrasound imaging to rule out underlying pathology. Screening for male breast cancer is an important part of the evaluation process to rule out malignancy before surgery. These tests help ensure patient safety and identify any medical conditions that might affect surgical outcomes.

Medication adjustments begin approximately two weeks before surgery, with patients typically required to stop blood-thinning medications, anti-inflammatory drugs, and certain supplements that might increase bleeding risk. Patients must also address any underlying medical conditions and optimize their general health status.

Smoking cessation is one of the most critical pre-operative requirements, with surgeons typically requiring patients to stop all tobacco and nicotine use for at least four weeks before and after surgery. Nicotine significantly impairs wound healing and increases the risk of complications, making this requirement non-negotiable for most surgeons.

During Surgery

A patient after minimal invasive gynecomastia surgery.

A patient after minimal invasive gynecomastia surgery.

The day of surgery typically begins with arrival at the surgical facility 1 to 2 hours before the scheduled procedure time. Patients undergo final pre-operative assessments, meet with the anesthesia team, and have surgical sites marked while standing upright to ensure optimal symmetry.

Anesthesia options include local anesthesia with intravenous sedation for less extensive procedures, or general anesthesia for more complex cases involving significant tissue removal or skin excision. The choice depends on the planned surgical technique, patient preferences, and surgeon recommendations.

Surgical duration varies considerably depending on the complexity of the case, ranging from 1-3 hours for most procedures. Simple liposuction-only cases may require just 60-90 minutes, while combined approaches with excision and skin removal can take 2-3 hours to complete safely.

Throughout the surgical procedure, careful attention is paid to achieving symmetric results, maintaining natural chest contours, and preserving blood supply to the nipple-areola complex. Surgeons use various measurement techniques and frequent assessment to ensure optimal outcomes.

Immediate post-operative care includes the application of compression dressings or specialized garments, administration of pain medication, and assessment of initial results. Most patients are discharged the same day as their outpatient procedure, provided they meet specific recovery criteria and have the supervision of a responsible adult. Surgery for male breast reduction is usually an outpatient procedure, allowing patients to go home the same day.

Recovery Timeline and Expectations

The first 48 hours after surgery represent the most critical period for pain management and initial healing. Most patients experience moderate discomfort that responds well to prescribed pain medications, with pain levels typically rating 4-6 out of 10 during this initial period. Patients may also experience soreness in the chest area for several days after surgery, but this typically improves with medication and time. It is normal to feel sore after gynecomastia surgery, and this soreness usually subsides within a few days to weeks as part of the normal healing process. Moderate pain, swelling, and bruising are common after surgery. Recovery after gynecomastia surgery typically involves wearing a supportive garment to reduce swelling. They gradually subside over the following weeks, marking steady progress in recovery.

Week one involves continuously wearing compression garments, limiting arm movement to avoid stress on healing incisions, and focusing on rest and gentle movement. Patients can usually shower after 24-48 hours, but must keep incision sites dry and follow specific wound care instructions.

Weeks 2-3 mark the beginning of a gradual return to normal activities, with most patients able to return to desk work and light activities. Compression garment wear continues, but patients typically experience significant improvement in comfort and mobility during this period. Recovery typically lasts between four and six weeks, with final results fully visible over several months as swelling subsides and tissues settle into their new position.

The 4-6 week timeframe allows for resumption of exercise and heavy lifting activities, though surgeons provide specific guidelines based on individual healing progress. Most swelling subsides during this period, revealing more accurate representations of final results.

Final results become fully apparent 3-6 months after surgery, as all swelling resolves completely and tissues settle into their new position. During this time, patients can assess the final outcome and determine if minor revisions might be beneficial.

Choosing the Right Surgeon

Dr. Delgado, a board certified plastic surgeon and gynecomastia specialist.

Dr. Delgado, a board certified plastic surgeon and gynecomastia specialist.

Selecting a qualified surgeon is one of the most important decisions in the gynecomastia surgery process. The expertise and experience of your chosen surgeon directly impact both the safety of your procedure and the quality of your results.

Board certification in plastic surgery or cosmetic surgery provides the foundation for a surgeon’s qualification. These certifications require extensive training, ongoing education, and demonstrated competency in surgical techniques specific to aesthetic and reconstructive procedures.

Specific experience with male breast reduction procedures is crucial, as gynecomastia surgery requires specialized knowledge of male chest anatomy and aesthetic ideals. Look for surgeons who perform at least 50+ gynecomastia procedures annually, as this volume ensures ongoing refinement of technique and familiarity with various case complexities.

A comprehensive before-and-after photo portfolio allows potential patients to assess the surgeon’s aesthetic judgment and technical skill. Review multiple cases similar to your own condition, paying attention to symmetry, natural-looking results, and the quality of scar placement.

Hospital privileges and surgery in accredited facilities provide additional assurance of safety. Surgeons with hospital privileges have undergone credentialing processes that verify their training and competency, while accredited surgical facilities meet strict safety and equipment standards.

Patient testimonials and online reviews provide valuable insights into the patient experience, including the quality of communication, staff professionalism, and satisfaction with the results. Look for patterns in feedback and pay attention to how surgeons respond to negative reviews or concerns.

During consultation appointments, assess the surgeon’s communication style, willingness to answer questions thoroughly, and ability to explain procedures in understandable terms. A qualified surgeon should provide realistic expectations, discuss potential risks openly and honestly, and demonstrate genuine interest in achieving your specific goals.

Costs and Insurance Considerations

Understanding the financial aspects of gynecomastia surgery enables patients to plan effectively and make informed decisions about their treatment options. Costs vary significantly based on geographic location, surgeon experience, facility type, and complexity of the required surgical procedure.

Average surgery costs typically break down into several components: surgeon fees ranging from $8,000 to $10,000, surgical facility fees of $500 to $1,500, and anesthesia costs of $1,000 to $1,300. Additional expenses may include lab test if needed, pathology, post-operative medications, and compression garments. Medications and tissue pathology is often covered by health insurance.

Geographic cost variations across major U.S. cities can be substantial, with procedures in metropolitan areas like New York, Los Angeles, and Miami typically cost more than those in smaller cities or rural areas. However, patients should prioritize surgeon qualification and experience over cost considerations when making their selection.

Insurance coverage for gynecomastia surgery remains limited, as most insurance companies classify the procedure as cosmetic rather than medically necessary. Coverage criteria, when they exist, typically require documentation of significant psychological distress, failed medical therapy, and sometimes evidence of breast cancer risk factors.

To qualify for potential insurance coverage, patients typically require extensive documentation, including medical history records, photographs, psychological evaluations, and letters from multiple healthcare providers, that support the medical necessity of the surgical treatment. Even with this documentation, approval rates remain low.

Financing options and payment plans have become increasingly available through specialized medical financing companies and some surgical practices. These options enable patients to spread the cost of surgery over 12-60 months, with varying interest rates and qualification requirements.

When comparing costs with non-surgical alternatives, surgery often proves more cost-effective over time. While the initial investment is significant, the permanent nature of surgical results eliminates ongoing expenses, such as compression garments, medications, or repeated non-surgical treatments that may only provide temporary improvement.

Risks and Complications

Like any surgical procedure, gynecomastia surgery carries certain risks and potential complications that patients must understand before making treatment decisions. While serious complications are rare when qualified surgeons perform surgery in appropriate facilities, being informed about possible issues helps patients make educated choices and recognize signs that require medical attention. Complications can include excessive bleeding, infection, and visible scarring, which may require realistic expectations based on the patient’s specific situation.

Common temporary side effects affect most patients to some extent, and typically resolve within 2-6 months. These include swelling, bruising, temporary numbness of the chest and nipple area, and mild asymmetry during the healing process. Most patients find these effects manageable and accept them as normal parts of the recovery process.

More significant but still relatively common issues include seroma formation (fluid accumulation), minor wound healing problems, and temporary changes in nipple sensation. These complications occur in approximately 5-15% of cases, but usually resolve with appropriate treatment and don’t affect final results.

Rare but serious complications require immediate medical attention and can impact both safety and outcomes. Infection occurs in less than 1% of cases when proper surgical protocols are followed, while hematoma (blood accumulation) affects 2-3% of patients and may require drainage procedures.

Asymmetry requiring revision surgery affects 5-10% of patients. However, minor asymmetries are common and often improve over time. Factors contributing to asymmetry include differences in tissue composition between the sides, variations in healing, and occasionally technical factors during surgery.

Scarring expectations vary based on surgical technique, with periareolar incisions typically healing well with minimal visibility. However, some patients may develop thicker scars or keloid formation, particularly those with genetic predispositions to abnormal scar formation.

Signs requiring immediate medical attention include excessive bleeding, signs of infection (such as fever, increased redness, warmth, or drainage), severe or worsening pain, and any concerns about wound healing. Patients should have clear instructions on how to contact their surgeon and access emergency care if needed.

According to recent studies, long-term satisfaction rates exceed 95%, with most patients reporting significant improvements in self-confidence, body image, and quality of life. These high satisfaction rates reflect both the effectiveness of modern surgical techniques and appropriate patient selection by experienced surgeons.

Maintaining Long-Term Results

Achieving excellent results from gynecomastia surgery is only the beginning of the journey. Maintaining those results over the long term requires ongoing attention to lifestyle factors, medical monitoring, and general health maintenance.

Weight management plays a crucial role in preserving surgical outcomes, as significant weight gain can lead to the accumulation of new fat in the chest area. While the removed glandular tissue cannot regenerate, gaining more than 20 pounds above post-surgical weight may compromise the improved chest contour achieved through surgery.

Regular hormone monitoring and medical follow-ups help identify and address any underlying conditions that could contribute to breast tissue enlargement. Men with persistent hormonal imbalances, certain medical conditions, or those taking medications that affect hormone levels may require ongoing medical management to prevent recurrence.

Exercise recommendations focus on maintaining overall fitness while building and preserving chest muscle mass. Regular strength training that targets the pectoral muscles helps maintain chest definition and enhances the masculine appearance achieved through surgery. However, patients should avoid overdeveloping their chest muscles, as this could create an unnatural appearance.

Medication avoidance becomes particularly important for men who have undergone gynecomastia surgery. Anabolic steroids, certain antidepressants, anti-anxiety medications, and some blood pressure medications can contribute to breast tissue enlargement. They should be avoided when possible, or used only under careful medical supervision.

Avoiding substances that can contribute to gynecomastia includes limiting alcohol consumption, avoiding marijuana use, and steering clear of anabolic steroids or other performance-enhancing substances. These substances can disrupt hormone balance and potentially contribute to the growth of new tissue.

Annual check-ups with your surgeon or primary care physician help monitor results and address any concerns early. During these appointments, healthcare providers can assess the chest contour, check for any signs of tissue regrowth, and discuss lifestyle factors that may affect long-term outcomes.

Patients should contact their surgeon if they notice significant changes in their chest appearance, the development of new lumps or masses, persistent pain or tenderness, or other concerning symptoms. Early intervention can often address minor issues before they become more significant problems.

Understanding that some natural aging changes will occur over time helps set realistic long-term expectations. While surgical results are generally permanent, factors such as skin aging, weight fluctuations, and natural tissue changes may cause minor alterations in chest appearance over time.

A fit man is exercising with weights, showcasing well-defined chest muscles after undergoing gynecomastia surgery to remove excess breast tissue. His maintained chest definition highlights the effectiveness of male breast reduction surgery in treating enlarged male breasts.

Ready to take the next step toward permanently getting rid of your man boobs? Don’t let gynecomastia continue to affect your self-confidence and quality of life. Contact Dr. Delgado’s office today at gynecomastia.org to schedule your consultation and explore your surgical options. With his extensive experience in male breast reduction surgery, Dr. Delgado can help you achieve the masculine chest contour you’ve been seeking.

Why chose Dr. Delgado for your surgery?

Dr. Miguel Delgado is a renowned expert in gynecomastia surgery with decades of experience specializing exclusively in male breast reduction. His deep understanding of the unique anatomical and psychological aspects of gynecomastia allows him to tailor surgical plans precisely to each patient’s needs. Dr. Delgado’s approach emphasizes natural-looking results that restore a masculine chest contour while minimizing visible scarring.

Patients consistently praise Dr. Delgado for his compassionate bedside manner and thorough consultations, where he ensures all questions are answered and realistic expectations are set. His commitment to patient education empowers men to make informed decisions about their treatment options.

Utilizing the latest surgical techniques, including advanced liposuction technologies and refined excision methods, Dr. Delgado achieves high success rates with minimal complications. His meticulous attention to detail during surgery helps preserve nipple sensation and symmetry, which are critical for patient satisfaction.

Dr. Delgado’s surgical center is equipped with state-of-the-art facilities, ensuring the highest standards of safety and comfort. He and his experienced team provide comprehensive preoperative and postoperative care, guiding patients through every step of their recovery to optimize healing and outcomes.

Whether you are a teenager experiencing persistent adolescent gynecomastia or an adult seeking a permanent solution to enlarged male breast tissue, Dr. Delgado’s expertise offers the confidence and results you deserve. His personalized approach ensures that each patient achieves a chest contour that enhances self-esteem and quality of life.

Call Today!

Dr. Delgado welcomes you for a complimentary consultation or call 415-898-4161.

Conclusion

Gynecomastia, or enlarged male breast tissue, is a condition that affects more than half of all men at some point in their lives. It results from hormone changes—specifically, an imbalance between estrogen and testosterone—that lead to excess breast tissue. This can be triggered by natural life stages, certain medications, underlying health conditions, or lifestyle factors. Symptoms such as swollen breast tissue, breast tenderness, and even nipple discharge can cause significant discomfort and concern.

For many people with gynecomastia, the impact goes beyond physical symptoms. The presence of excess glandular tissue can make men feel embarrassed, self-conscious, and anxious about their appearance, often affecting their self-esteem and mental health. Addressing gynecomastia is not just about improving the look of the chest—it’s about restoring confidence and quality of life.

Male breast reduction surgery, also known as gynecomastia surgery, is a highly effective treatment for those struggling with persistent or severe cases of enlarged male breast tissue. This surgical procedure removes excess glandular tissue and fat, helping create a flatter, more masculine chest contour. With the expertise of a qualified plastic surgeon, men can achieve lasting results and regain their self-assurance.

While surgery is the most effective treatment for significant or stubborn cases, other treatments may be appropriate for milder forms of gynecomastia. These can include hormone therapy, lifestyle changes, and addressing the underlying cause—such as switching certain medications or managing health conditions that contribute to hormone imbalance. Losing weight and building muscle, especially in the chest area, can also help reduce the appearance of excess breast tissue in some cases.

Preventing gynecomastia involves maintaining a healthy lifestyle, being mindful of medications and substances that can affect hormone levels, and seeking prompt medical attention for any new symptoms. Early intervention can help manage symptoms and prevent progression to more severe cases that may require surgery.

Ultimately, gynecomastia is a common and treatable condition. By understanding the causes, recognizing the symptoms, and exploring the full range of treatment options—including male breast reduction surgery—men can take control of their health and well-being. Consulting with a qualified healthcare professional is the first step toward finding the most effective treatment and achieving a more confident, masculine body image.

FAQ’s

Will gynecomastia surgery leave visible scars? Most scars fade significantly within 12-18 months and become barely noticeable, especially with periareolar incisions that follow the natural border of the areola. The final scar appearance depends on factors such as skin type, healing ability, and post-operative care. However, experienced surgeons employ techniques designed to minimize scarring.

Can gynecomastia return after surgery? Recurrence is rare (less than 5%) when glandular tissue is completely removed, though significant weight gain or hormonal imbalances can cause new fat accumulation. The removed glandular breast tissue cannot regenerate, making surgical results generally permanent when underlying causes are controlled.

What’s the minimum age for gynecomastia surgery? Most surgeons recommend waiting until at least 18 years old, or when breast development has been stable for 2+ years, as adolescent gynecomastia often resolves naturally. Surgery in younger patients is only considered in severe cases, causing significant psychological distress after thorough evaluation.

How long will it take before I can see the final results? Initial improvement is immediate, but the final results become apparent after 3-6 months, once all swelling subsides and the tissues have settled into their new position. Some minor improvements in contour and scar appearance may continue for up to 12-18 months after surgery.

Is the surgery painful? Most patients rate their pain as 4-6/10 for the first few days, which is easily managed with prescribed pain medication, and discomfort typically resolves within one week. Modern pain management techniques and surgical approaches have significantly reduced post-operative discomfort compared to older methods. Some men experience temporary sensation loss in the treated areas after surgery, which usually returns over time.

Managing Gynecomastia Through Lifestyle Changes and Exercise

Managing Gynecomastia Through Lifestyle Changes and Exercise

Gynecomastia is a condition where male breast tissue becomes enlarged, causing the appearance of male breasts. Enlarged breast tissue can be extremely embarrassing for men, especially in social situations like the beach or pool. If you’re experiencing mental distress because of gynecomastia or are considering gynecomastia surgery, you’re not alone. Although many men opt for gynecomastia surgery (or male breast reduction surgery) as a way to manage and remove excess breast tissue, lifestyle modifications for gynecomastia can also be an ideal solution. However, knowing more about gynecomastia and the specific changes that can produce noticeable results is key. Here’s what to know about managing gynecomastia symptoms and how an experienced plastic surgeon such as Dr. Miguel Delgado can help you explore your treatment options.

Healthy Diet Recommendations

Gynecomastia is often tied to a variety of health factors like diet and hormones. In fact, eating a balanced diet can have many different health benefits, including treating gynecomastia. It can be helpful to consider switching to a gynecomastia diet to maintain the results of your procedure or help reduce symptoms. As with any dietary changes, however, make changes slowly and don’t try to overhaul your diet all at once. Adjust the following accordingly:

Reduce Estrogenic Foods

Certain foods have higher levels of estrogen-rich compounds which can contribute to male breast development through misbalancing hormone levels. These tend to include foods rich in soy (such as soy milk), saturated fats, and flaxseeds. Instead, incorporate more lean proteins, fruits, vegetables, and whole grains into your nutritious diet. Additionally, processed foods are notorious for containing high levels of estrogen-rich compounds, so try to enjoy these in moderation.

Increase Fiber

Fiber is key for digestion and also plays a role in hormonal imbalances (one of the common causes of gynecomastia). Try to find sources of fiber that you enjoy and can incorporate daily. Good sources of fiber include whole grains, legumes, and leafy greens, as well as certain fruits and vegetables.

Exercise Recommendations

Exercise is key when it comes to gynecomastia because it can help reduce body fat and the appearance of male breast development. Focus especially on toning the chest muscles and incorporate exercises that bring you to a healthy weight, if you’re not already. Keep in mind that body changes can occur slowly when it comes to exercise, so consistency is key. Whether or not you already exercise regularly, consider the following changes to your schedule:

Cardiovascular Exercises

Cardio exercises are designed to increase your cardiovascular health as well as burn excess fat as energy. Some of the most effective cardiovascular exercises for losing weight include swimming, running, or cycling. It’s recommended to get at least 150 minutes of cardiovascular exercise of moderate intensity per week, or at least 20 minutes per day.

Chest Exercises

An important accompaniment to any exercise regimen is weight training. Focus on exercises that target the chest muscles to increase muscle mass and reduce fat. These exercises include push-ups, chest presses, and dumbbell flys. Make sure to incorporate good sources of protein into your diet to support muscle growth.

Lifestyle Changes for Gynecomastia

Gynecomastia may be tied to health changes, but there are a variety of causes including lifestyle factors. In fact, other lifestyle changes can help reduce the appearance of gynecomastia and glandular tissue. These include:

Weight Management

If your gynecomastia is related to fat, then it may be helpful to lose weight. Make sure to focus on a healthy lifestyle and sustainable changes to your diet and exercise regimen. By losing fat tissue, you may also reduce hormonal fluctuations that can contribute to breast development. With a little long-term dedication, you can achieve more average breasts and better confidence – and prevent weight gain that may cause male breast enlargement to come back.

Clothing and Outfits

Your choice of clothing can exaggerate the appearance of gynecomastia, meaning taking stock of your wardrobe can help. Look for well-fitting clothing and consider having your wardrobe tailored to minimize the appearance of breasts. Additionally, look for shirts with thicker fabrics, layers, or patterns to better conceal your chest and create a more masculine chest contour.

Medications and Drugs

Certain medications can produce enlarged breasts (sometimes by affecting estrogen levels) meaning that switching medications can sometimes produce results. Make sure to consult your physician before making any changes. Secondly, illicit drugs can also produce gynecomastia symptoms – as can alcohol consumption. Stopping these lifestyle choices can often treat gynecomastia without the need for surgery.

Underlying Health Conditions

There may be an underlying cause that is unknown to you, meaning treating underlying health conditions can sometimes produce results. Hormone imbalance may cause excess estrogen and thus enlarged breast gland tissue, meaning you may be able to resolve gynecomastia through hormone therapy. Testing your testosterone levels and whether it may be playing a role in developing gynecomastia can be a good first step in your treatment plan.

Schedule a Consultation

There are many causes of gynecomastia and a board-certified plastic surgeon is often the best place to start. During a consultation, you can discuss your many treatment options and learn more about the impact that gynecomastia has on many men. To meet with Dr. Delgado, San Francisco’s leading gynecomastia expert, contact us today through our online form.

What Are Non-Surgical Gynecomastia Treatments, and Do They Work?

What Are Non-Surgical Gynecomastia Treatments, and Do They Work?

worried man sat down

Gynecomastia is also referred to as man boobs or moobs and is a complex physiological condition. The most effective and permanent solution is gynecomastia surgery to remove the excess glandular tissue and subcutaneous fat from the chest. On occasion, non-surgical options and medications may offer a solution. However, medication will normally only provide a temporary fix and gynecomastia will usually return if treatment is discontinued.

For a large percentage of men, non-surgical gynecomastia treatments will not provide an effective enough solution. If you want to try non-surgical treatment for gynecomastia, keep reading for a breakdown of which treatments might help.

Types of Gynecomastia

Non-surgical treatment options may work for a small percentage of men. The most appropriate method will depend on the type of gynecomastia that has been diagnosed.  

Gynecomastia is typically classified into three types:

  1. True gynecomastia, caused by glandular parenchyma — excess glandular tissue. 
  2. Pseudogynecomastia, caused by hypertrophy of fat.
  3. Mixed gynecomastia, a combination of glandular parenchyma and hypertrophy of fat.

Before considering a surgical approach to male chest reduction, a correct diagnosis of the cause of gynecomastia is essential. 

Non-Surgical Treatments for True Gynecomastia

True gynecomastia, also referred to as real gynecomastia, results from excess glandular tissue. This tissue gives the chest a feminine appearance, resulting in what is often called man boobs. Enlargement of glandular tissue is the most challenging type of gynecomastia to treat without surgery.

Currently, no medications are approved by the FDA to treat gynecomastia. When the FDA has not approved a medication for a specific use, it is usually due to a lack of proven results from evidence-based research and comprehensive data. However, the use of this type of medication is still permitted and is referred to as “off-label” use.

The below medications can be used for the treatment of gynecomastia, although in most cases, gynecomastia will return within six months following discontinuation of the medication.

Gynecomastia Treatment Medication Summary

Clomiphene (Clomid)

Clomiphene is a synthetic chemical taken orally that has been shown to partially reduce glandular tissue for approximately 50% of patients. Complications such as nausea, skin irritation, nipple tenderness, visual disturbances, decline in sperm count, and testicular atrophy (shrinkage) may occur using clomiphene.

Tamoxifen (Nolvadex) 

Tamoxifen is another oral medication and a type of selective estrogen receptor modulator (SERM). Research has shown that treatment with tamoxifen only resulted in a marginal decrease in glandular tissue. Complications recorded during the use of tamoxifen include nausea, fatigue, headaches, skin rash, weight gain, hair loss, and erectile dysfunction.

Anastrozole (Arimidex)

Anastrozole is an aromatase inhibitor that can treat gynecomastia in puberty; when used later, the reduction of glandular tissue is significantly decreased. Another use of anastrozole is for gynecomastia caused by anabolic steroid useCommon complications include reduced bone density, chronic joint pain, nausea, vomiting, and fatigue.

Testosterone Replacement Therapy

Testosterone replacement therapy (TRT) can be taken in various ways, including intramuscular injections, gel, and in a stick form that is applied to underarms. There is limited research into the effectiveness, and it is not suitable for men who have prostate or breast cancer, persistent urinary tract problems, or sleep apnea. 

Before starting testosterone replacement therapy, men should have screening for prostate cancer. Complications associated with testosterone replacement therapy include elevated risk of heart attack, stroke, prostate-specific antigen (PSA), and blood clots. Other complications include mood swings and heightened aggression, decline in sperm count, and testicular atrophy (shrinkage).

Anabolic Steroids and Gynecomastia

Bodybuilders that use anabolic steroids will often find that one of the side effects is the development of gynecomastia. This is true gynecomastia and a result of the growth of glandular tissue. Often nipples will point down, and in extreme cases, the pecs will look more like female breasts. Clearly, this is distressing when the goal is to achieve a muscular-looking chest with defined pecs. 

Discontinuing the use of steroids may help to prevent further growth of glandular tissue. To remove glandular tissue that has already developed surgical procedures for anabolic steroid-induced gynecomastia is the only real option. 

Non-Surgical Ways to Reduce Symptoms of Pseudogynecomastia

Pseudogynecomastia is when hypertrophy of fat in the chest area gives the appearance of breast tissue or man boobs. This occurs in men that are overweight and can be reduced with a corrective diet and exercise to burn calories and decrease subcutaneous fat. When hormone levels are not balanced, some men find that avoiding certain foods could change estrogen levels and may also impact the growth of glandular tissue,

Cardiovascular aerobic activity is one of the fastest ways to burn calories and involves any exercise that elevates the heart rate. A balanced diet, exercise, and reaching a healthy BMI are important for both physical and mental health. Unfortunately, even after weight loss, many men do not notice any real visible difference in the amount of fat on their chest or the overall shape of their chest area.

Non-Surgical Ways to Treat Mixed Gynecomastia

Mixed gynecomastia may be treated with a combination of medication to reduce glandular tissue and weight loss to decrease fat. Often mixed gynecomastia causes a lack of motivation to exercise and stick with a balanced diet, as there is a reliance on the medication used. 

Due to the limited reduction in the chest area due to weight loss, it can also be difficult to measure the effectiveness of treatment with medication. When weight loss does not result in a significant loss of chest fat, even if the medication reduces glandular tissue, there is unlikely to be a significant change in the shape of the chest. 

Do Estrogen Blockers and Nutritional Supplements Reduce Gynecomastia?

There are numerous claims online made by nutritional supplement companies. One of the most common myths is that estrogen blockers will reduce gynecomastia. High estrogen levels in men have been linked to insulin resistance and weight gain. Insulin resistance is not resolved by taking estrogen blockers which is why they do not reduce gynecomastia.

Gynecomastia Surgery

Surgical solutions currently provide the most reliable, fastest, and permanent solution for gynecomastia. With advanced techniques and minimal scarring, there is no need to be afraid of surgery.

 

For personalized information about gynecomastia plastic surgery procedures, please complete Dr. Delgado’s inquiry form

 

Miguel Delgado, M.D., F.A.C.S is a world-renowned Board-Certified Plastic Surgeon granted by the American Board of Plastic and Reconstructive Surgery and a member of the American Society of Plastic Surgery and Aesthetic Society.  Dr. Delgado has a surgical practice solely dedicated to cosmetic plastic surgery. He specializes in gynecomastia surgery and is the medical director of Gynecomastia.org, the oldest and largest gynecomastia forum dedicated to supporting, educating, and providing solutions for men with breast enlargement.  Dr. Delgado celebrates 30 years of practice in San Francisco, California. He was voted the “Best Plastic Surgeon of 2017-2020.”

How to Get Rid of Man-Boobs Fast: Best Exercises for Moobs

How to Get Rid of Man-Boobs Fast: Best Exercises for Moobs

Upper Chest Exercise That Will Help You Get Rid of Man Boobs for Good

Men are increasingly deciding on surgical options to get rid of man boobs, fast and permanently. According to the Plastic Surgery Statistic Report  by the American Society of Plastic Surgeons, male breast reduction surgery is in the top 10  most popular plastic surgery procedures for men in 2020. Men with gynecomastia often feel uncomfortable and, regardless of weight or fitness, look out of shape due to the feminizing appearance of excess breast tissue. 

Prominent breasts in men, also known as man boobs or “moobs,” are a significant source of anxiety for men when changing in locker rooms, at the beach or pool, or anywhere they might take off their shirt. This mental anguish results in men wearing loose-fitting clothes and never taking off their shirts in public. For many men, gynecomastia symptoms also cause embarrassment and impact intimate relationships and their overall wellbeing. 

It is estimated 30 % of men will develop gynecomastia at some point in their lives. This development occurs when testosterone levels are off-balanced with estrogen levels. The hormonal imbalance is most likely to occur during puberty or between 50 to 69. However, male breast cancer is rare and occurs in less than 1% of men.

One of the best ways to get rid of man boobs and look fit is with high-intensity cardio exercises for weight loss, combined with intense upper chest workouts. This means concentrating on a pectoral muscle workout plan. Gynecomastia exercises to get rid of man boobs and grow muscle will not work for every man with puffy nipples because gynecomastia’s main cause is male breast tissue. More often than not, gynecomastia surgery is eventually needed for a permanent solution.

Cardio Exercise for Fat Loss

Cardio exercise for weight loss and to burn fat results in fat loss to the entire body and will significantly reduce the excess body fat component of the chest, which causes man boobs and belly fat. To achieve the best from your overall chest workout plan, you will need to lose fat on your chest, and your workout plan should include aerobic exercise. You may even find that you have pseudogynecomastia, which is caused by excess fat rather than true gynecomastia. 

The other component to lose man boobs fast is with a proper diet. In addition to a balanced diet, the type of food you eat may help to reduce gynecomastia symptoms.

The Five Best Chest Exercises to Build Muscle

The primary chest muscles are:

  1. Pectoralis major
  2. Pectoralis minor
  3. Serratus anterior.

Upper Chest Workout Plan

Exercises that isolate your upper chest, mainly the pectoralis major muscle, in strength and bulk, will give you pecs that display chest development and defined chest muscles. This can help to give you bigger muscles and reduce gynecomastia. For any chest workout plan to build bigger muscles, chest exercises need to be performed at least twice a week, although if you can fit in three or even four, you will more than likely see much faster results.

For maximum benefit and more success with these exercises and to build upper body strength fast, the proper position for chest exercises is at a 25-45 degree incline. The five exercises below can be done alone, as a weight lifting day or after a cardio workout.

The key is to perform six to eight reps with heavier weights rather than ten or more reps with lighter ones. Although you will need to pace yourself,  lifting too much weight will pull muscles, so work your way up to lifting heavier weights. The exercises below require a barbell rack. If you don’t have one or space for one, it is time to hit the gym. Joining a gym will also give you access to a wide variety of gym equipment, which can help to build muscle fast.  

In addition to these chest area-specific workouts, which focus on the pectoral muscles, another way to help build muscle and definition is with push-ups, which you can do anywhere. 

1. Incline Dumbbell Press

This is a basic barbell exercise to build up the entire pec area and upper arms.

  • Sit back on a bench inclined at 35-45 degrees.
  • Holding a dumbbell in both hands, bend your elbows and place your hands at your chest
  • Inhale, then exhale as you raise dumbbells over your chest, arms straight
  • Inhale and lower to your chest.

The broad pec muscle group affected is shown in the image below.

How to Do an Incline Dumbbell Press | Openfit

The Incline Dumbbell Fly 101 | How to Exercise Your Upper Chest!

 

2. Low Cable Crossovers

The exercise can be done one arm at a time or using both arms to build the lower pectoralis muscle. 

  • Position the cable pulleys about the ankle height 
  • Position yourself about 3-4 feet in front of the machine with feet apart
  • Keep the arm straight and raise the right arm diagonally in front of your body
  • Allow the arm to cross the midline.

The lower pectoralis muscle affected is shown in the image below.

Best Chest Fly Exercise (Dumbbell Flys Vs. Cable Flys)

The Best "Push Pull Legs" Routine For Muscle Growth (Based On Science)

 

3. Reverse Grip Barbell Bench Press

The reverse grip barbell bench press arm exercise helps to build muscle in the shoulders and upper chest.  

  • Sit on a flat bench or a bench inclined at 35-45 degrees
  • Grasp the barbells about chest level with the palms facing toward your face, about shoulder with apart  
  • Elevate the bar directly above the chest area with the arms straight and palms facing toward your front
  • Finally, lower the barbell slowly.

The upper pectoralis muscle affected is shown in the image below.

Chest Builder: Reverse Grip Bench Press (Plus Workout) - American Grit

How To Do Incline Reverse-Grip Barbell Bench Press (Chest) – Fitness Volt

4. Landmine Chest Press

This bar weight chest press can also be done on your knees and builds all the upper chest muscles.

  • Place the end of the bar in a safety box or at the bottom edge of the wall
  • The top bar end should be positioned at the shoulder as the starting position, with the elbow bent
  • Use both hands, raise the bar in the air until your arms are straight
  • Lower and begin again (repeat for four to six reps).

How To: Landmine Chest Press | Muscular Strength

Landmine Two Arm Chest Press

5. Incline Dumbbell Flyes

Dumbbell flyes performed in the incline position are another excellent way to tone all of the upper chest muscles at once.

  • Sit back on a bench inclined at 30 degrees
  • Hold the barbells in both hands and are raise with straight arms above the chest
  • Lowered, keeping a bend in the elbow, dropping the arms at the side but keeping them at shoulder height. 
  • Feel the tension across the chest, then raise the weight directly above the chest.

Dumbbell fly exercise. Studio shot over white.

 

FAQs About Gynecomastia

What Can I Do to Lose “moobs”?

A combination of gynecomastia exercises and the correct diet to help reduce gynecomastia symptoms and overall body fat; is the most effective way to reduce “moob”  without surgery.

How Can I Get Rid of Puffy Nipples if I Have a Lean Body and Work out Regularly?

A lean body means that you have low-fat stores. Puffy nipples are due to breast glandular tissue, which defines gynecomastia. This symptom is likely to require male breast reduction gynecomastia surgery.

Can Exercise Target Chest Fat?

Intensity cardio exercise can reduce chest fat, but no specific exercise will target “only” chest fat. The bonus is that cardio exercise reduces your total body fat percentage, helping to improve your entire body shape. As described in the exercises above,  you can target muscle development in the chest, which will build muscles and increase weight loss. 

What Should I Eat to Lose “Moobs”?

There are many diets for weight loss and reducing chest fat. One of the essential articles regarding weight-loss strategies is from the Mayo Clinic.

What Are Man Boobs?

The clinical term for Man Boobs or Moobs is gynecomastia. Gynecomastia is defined as the benign growth of the male breast glandular tissue. This is caused by increased estrogen levels and decreased testosterone levels. Gynecomastia symptoms can also be due to health conditions, medications, or steroid use.

Pseudogynecomastia is male breast enlargement caused by excess fat and can be drastically improved with the proper diet, weight loss, exercise, and liposuction. Many men who have concerns with “man boobs” or “moobs” are in this group. The amounts of testosterone are average, and hormone levels are balanced.

For personalized information about gynecomastia plastic surgery procedures, please complete Dr. Delgado’s inquiry form

 

 

Miguel Delgado, M.D., F.A.C.S is a world-renowned Board-Certified Plastic Surgeon granted by the American Board of Plastic and Reconstructive Surgery and a member of the American Society of Plastic Surgery and Aesthetic Society.  Dr. Delgado has a surgical practice solely dedicated to cosmetic plastic surgery. He specializes in gynecomastia surgery and is the medical director of Gynecomastia.org. This is the oldest and largest gynecomastia forum dedicated to supporting, educating, and providing solutions for men with breast enlargement.  Dr. Delgado celebrates 30 years of practice in San Francisco, California. He was voted the “Best Plastic Surgeon of 2017-2020.” 

Alternative Gynecomastia Treatments

Alternative Gynecomastia Treatments

Many men suffer from gynecomastia. And It’s no secret that the increased emphasis today’s pop culture places on the male physique has created a correlating effect with gynecomastia awareness. As gynecomastia becomes more well-known, various treatments for it are brought to the forefront. The most common form of treatment for this disorder is through surgery. But alternative gynecomastia treatments, such as medication or the right lifestyle are known to help as well.

Medication

When it comes to using alternative gynecomastia treatments, some medicines are used in place of surgery. Three of the most popular include Gynexin, Gynectrol, and GyneMax. These supplements are designed to reduce male breast size, but they have different ways of doing it. Gynexin is an herbal based supplement with the intention of eliminating the fat that results from gynecomastia. This supplement is able to stand apart from the other because of its 99% success rate. This is due to its possession of the natural fat burner, Guggulsterone.

Gynectrol is another supplement that has found success. But it doesn’t tackle gynecomastia by eliminating the fat like Gynexin. Instead, Gynectrol reduces estrogen amounts that might be causing gynecomastia. Like Gynexin, this supplement also contains all-natural ingredients. However, it is recommended mainly for treating pseudogynecomastia cases because breast tissue cannot be removed by oral medications once it has formed. Even though Gynectrol is not quite as effective as its predecessor, it still boasts a 96.5% success rate making it one of the most popular male breast reduction supplements.

GyneMax is the last supplement mentioned. But it is not as popular as its competitors. This supplement is branded as the best herbal supplement for gynecomastia. In reality, however, the ingredients used in this pill suggest that it is better used as a weight loss supplement, rather than a treatment for gynecomastia. Because GyneMax is not as effective, it also contends with many negative customers reviews. These reviews, along with poor performance cement its place as the most unpopular of the three supplements.

Lifestyle

Even though surgery or medication are better treatment routes, proper diet and exercise can also help break down breast fat tissue. Elements like zinc, vitamin D, and healthy fats in diets can help achieve weight loss and improve muscle strength. Foods that are high in these qualities include lean beef, eggs, avocados, and walnuts. Gynecomastia food to avoid is soy because it contains high amounts of an herbal type of estrogen. Another diet change that is helpful is juicing. Juicing is useful because it allows the intake of various nutrients the body needs while also minimizing the intake of calories.

Conclusion

While all of these methods are alternative gynecomastia treatments, they are not always the best approaches for eliminating gynecomastia. If these methods do not produce the results that you desire, surgery might be the best option for you. If you have any questions about gynecomastia surgery, get in touch with Dr. Delgado by phone (415) 577-4161 or via our contact form.

Gynecomastia Treatments: Surgical Vs. Non-Surgical

Gynecomastia Treatments: Surgical Vs. Non-Surgical

Surgical Vs. Non-Surgical Body Contouring and Liposuction Procedures
The Myths And The Myth Busters

• What Is Coolsculpting / Non-Surgical
The Myth:
The makers of CoolSculpting State That This Procedure Freezes & Eliminates Stubborn Fat.
The information provided by the company states that this procedure will safely deliver precise, controlled cooling to gently target the fat cells underneath the skin. The information also states that the treated fat cells will crystalize (freeze), then die. Over time, your body is to process the cells and eventually eliminate the dead cells, leaving a more sculpted you. It is stated that while some patients may see results as early as 3 weeks following the first treatment, the most dramatic results are usually seen between 1 and 3 months following a series of treatments along with diet and exercise.
Myth Buster:
Anyone that is committed to following a diet and exercise program for 3 months, will likely lose weight and contour their body naturally. This can also be the case for those who are 3 weeks into their diet an exercise program.

• What Is Liposonix / Non-Surgical
The Myth:
Liposonix states that this procedure reduces fat using ultrasound technologies. Like Coolsculpting, Liposonix is also marketed as a non-invasive fat reduction procedure. They state that Ultrasound energy can be used to penetrate through layers of skin to target fat tissue without harming the skin or other surrounding tissues. Fat is then naturally processed through the body. The Liposonix system informs consumers that the procedure uses high-intensity focused ultrasound wave of energy that can destroy targeted subcutaneous fat therefore delivering a more precise result. It is stated that results can typically be seen within 8 to 12 weeks with a healthy diet and exercise.
Myth Buster:
Liposonix states that results can be seen with only one treatment. However, it is more often recommended that the patient may receive 2 to 3 treatments to achieve desired results. Again, like Coolsculpting, anyone that is committed to following a diet and exercise program for 8 to 12 weeks, will likely lose weight and contour their body naturally.

• What Is SmartLipo / Non-Surgical
The Myth:

The makers of Smartlipo state that this procedure is a minimally invasive, laser-assisted procedure that will target troubled areas like the abdomen, arms, buttocks, thighs, and neck, and will permanently eliminate fat. The manufacturer states that for the stubborn areas of your body that does not respond to diet and exercise, this procedure will provide dramatic improvements. They state minimal downtime with less pain than traditional liposuction.
Per the information provided, the technique has three wavelengths to provide targeted treatments that will disrupt the fat, coagulate blood vessels as well as stimulate collagen to improve the elasticity and texture of the skin.
This procedure is performed using local anesthetic to numb only the specific areas that are being treated. What this means, is that you are awake during the procedure.
The Smartlipo laser cannula is inserted through a small incision in the skin, the laser will then rupture fat cell membranes and destroy fat cells permanently. It is stated the fat will liquefy and then gently suction out.

The Myth Buster:
Be careful of fancy marketing words such as “Laser” Liposuction and “minimally invasive”. Fact, the only fat that is responsive to any liposuction procedure is the fat directly beneath the fascia. This is the fat that can be pinched directly underneath the skin. The procedure is performed to address the fat just beneath the skin. Having said that, all liposuction procedures can be considered “minimally invasive”. What this means is, the procedure is performed just below the surface of the skin through a small incision (approx. size of a pencil eraser). Over the years, the word “laser” has become somewhat of a great marketing word. There are always factors to consider prior to having this procedure, as well as any procedure (surgical or non-surgical). Lasers in any form, produce heat, therefore can burn its surroundings. Complications that are often seen with this procedure, can range from cosmetic dissatisfaction to permanent internal damage. These complications are often due to heat from the laser, combined with friction of the technique. This combination can burn the underneath portions of the skin causing a visually wavy/lumpy appearance at the treatment site. Other complications from lasers can also be as severe as an internal burn or injury.
***Lasers have become a great option for external resurfacing such as scar treatments, and hair removal. Lasers have also evolved in technology for anti-aging purposes. When lasers are used in this capacity, the provider can be much more precise in the treatment as well as visibly see how the individual is reacting to the heat. ***

• What Is The Ultrasonic Liposuction Procedure / Surgical Procedure
• What Is Traditional Liposuction Procedure / Surgical Procedure
Ultrasonic Liposuction:
The ultrasonic liposuction procedure is very similar to a traditional liposuction procedure, with one major exception. A sound generator is connected to the cannula, which then generates ultrasonic waves through the tip of the cannula. These waves cause fat cells to dissolve and liquefy, and the liquefied fat is then easily suctioned from the body.
Ultrasonic liposuction can greatly benefit patients that are not the perfect candidate for traditional liposuction. Ultrasonic liposuction uses sound waves to first break up and liquefy fat, which is then removed via suction. Because the fat is liquefied before removal, there is far less blood loss than with traditional liposuction, and can also be effective in areas that tend to be more fibrous.
Depending on the individual needs of each person, a more traditional liposuction may be performed directly after the ultrasound procedure in order to better shape the body. Having a Board Certified Plastic Surgeon perform the Liposuction procedure is the safest way of having ANY procedure done. When having a Board Certified Plastic Surgeon perform the procedure, you will have options available that will deliver the best results for you and your body type.
Traditional Liposuction:
During liposuction, a cannula is inserted – or surgical metal tube – through surgically created entrances in your skin. Fat is then sucked through the cannula into a container by the power of a vacuum pump. The experience and skills of our board certified plastic surgeons allows them to act as body sculptor, leading to more proportional and attractive results.
Although liposuction is not intended as a weight-loss technique, this procedure is commonly used to remove fatty areas for body contouring and sculpting. Suction-assisted lipectomy, or lipoplasty, more commonly referred to as liposuction, can be used to improve various areas of the body. Individuals who choose to have liposuction often target their abdomen, hips, thighs, and knees. Men generally target love handles, lower abdomen and enlarged male breasts.
Following any Liposuction procedure, you will be fitted with elastic bandages or compression garments while your skin shrinks to fit your new body.
Your Safety:
*** FOR YOUR SAFETY, IT IS HIGHLY RECOMMENDED THAT WHEN HAVING ANY PROCEDURES PERFORMED, THAT THE PROVIDER BE LISENCED IN THE SPECIALTY AND THE PROCEDURES ARE PERFORMED IN A STERILE ENVIRONMENT AT A LISENCED SURGICAL FACILITY. ***
Do extensive research on the provider as well as the facility itself. Your life and your body are not worth bargaining.
Note: In most cases, if a procedure is not being performed in an Operating Room setting, this will often mean that the provider performing the service does NOT have Operating Room privileges. This can mean that the provider is not licensed to perform the procedure.