This article serves as a comprehensive guide for readers seeking detailed information about the cost of gynecomastia (manboobs) surgery in the United States, including treatment options and associated expenses. This guide is intended for men considering gynecomastia surgery, their families, and anyone interested in understanding the costs and options for treating manboobs in the United States. Understanding the costs and treatment options is essential for making informed decisions about your health and confidence. Whether you are exploring surgery for yourself or supporting a loved one, this resource will help you navigate the complexities of gynecomastia, including its causes, available treatments, and the associated financial considerations.
Introduction to Gynecomastia
Gynecomastia is a condition characterized by the development of excess breast tissue in men, commonly referred to as “man boobs.†This medical condition can result from a hormonal imbalance, the use of certain medications, or other underlying health issues. For many men, gynecomastia leads to emotional discomfort, self-consciousness, and a desire to restore a more masculine chest contour.
What is Gynecomastia Surgery?
Male breast reduction, also known as gynecomastia surgery, is a cosmetic procedure designed to remove excess breast tissue and achieve a flatter, more masculine chest appearance. The procedure is performed in a specialized surgical facility and may involve the removal of glandular tissue, excess fatty tissue, or both, depending on the individual’s needs. Treatment options for gynecomastia vary depending on the severity of the condition and the patient’s medical history. Young men experiencing gynecomastia due to hormonal changes during puberty may find that the condition resolves naturally, and surgery is typically considered only if the condition persists after puberty. Achieving a flat chest is a common objective for gynecomastia patients, as it is associated with a more masculine and youthful appearance.
With a foundational understanding of gynecomastia and its surgical treatment, let’s explore the costs associated with this procedure in the United States.
Typical Cost Ranges for Gynecomastia (Manboobs) Surgery in the United States
To directly address the search intent for cost information, here is a summary table of typical gynecomastia surgery costs in the U.S., broken down by region and cost component:
Region
Surgeon’s Fee
Anesthesia
Facility Fee
Total Estimated Cost
Northeast (NY, MA)
$4,500 – $7,000
$1,000 – $2,000
$2,000 – $3,000
$8,000 – $12,000+
West Coast (CA, WA)
$4,000 – $6,500
$1,000 – $2,000
$2,000 – $3,000
$7,500 – $11,500+
Midwest (IL, OH)
$3,500 – $5,500
$800 – $1,500
$1,500 – $2,500
$6,000 – $9,500+
South (TX, FL)
$3,000 – $5,000
$800 – $1,500
$1,500 – $2,500
$5,500 – $9,000+
National Average
$4,000 – $6,000
$1,000 – $2,000
$2,000 – $3,000
$8,000 – $16,000+
Note: These are typical ranges for primary gynecomastia surgery. Revision or complex cases may incur higher costs. Insurance coverage is rare, as the procedure is usually considered cosmetic, but financing options are standard.
Now that you have a clear overview of the typical costs, let’s look at recent trends in gynecomastia surgery.
Manboobs Surgery: A Growing Trend Among Adult Males Seeking Confidence
American Society of Plastic Surgery (ASPS) data shows that gynecomastia surgery procedures grew from 20,351 in 2020 to 26,430 in 2024, reflecting a compound annual growth rate of approximately 6.7% over the past five years.
Most patients who undergo gynecomastia surgery report high satisfaction and improved self-confidence following the procedure.
As the popularity of gynecomastia surgery increases, understanding the causes of the condition is crucial for choosing the proper treatment.
What are the Causes of Gynecomastia?
The appearance of man boobs is usually caused by a hormonal imbalance, which can result from medications, steroid use, or naturally occurring changes. Weight gain can also contribute to the development or recurrence of gynecomastia, especially when combined with hormonal changes or certain medications. Gynecomastia is defined as excessive growth of male glandular tissue.
Although weight loss and exercise may help reduce the size of man boobs, surgery is the only option to mitigate glandular tissue. Chest liposuction is a minimally invasive option for removing excess fatty tissue, but it may not address glandular breast tissue, which requires surgical excision. Another condition that may be mistaken for gynecomastia is called pseudogynecomastia. Pseudogynecomastia refers to male breast enlargement caused by excess fat rather than glandular tissue. This type of male breast reduction can usually be carried out with a liposuction procedure.
Understanding the causes of gynecomastia helps inform the available treatment options, which we discuss next.
Treatment Options for Gynecomastia
There are both surgical and non-surgical options for treating gynecomastia, depending on the underlying cause and severity of the condition.
Surgical Treatment
Gynecomastia Surgery (Male Breast Reduction): Involves removal of glandular tissue, excess fat, or both, to achieve a flatter chest.
Liposuction: Effective for pseudogynecomastia (fat-related enlargement), but not for true glandular gynecomastia.
Non-Surgical Treatment
Lifestyle Changes: Weight loss through diet and exercise can reduce fat-related breast enlargement.
Medication Adjustments: Stopping or changing medications that may cause gynecomastia (under medical supervision).
Hormone Therapy: Used in select cases to address hormonal imbalances.
CoolSculpting: A non-surgical fat reduction technique that uses controlled cooling to freeze and eliminate fat cells. While it can reduce fat in the chest area, it does not address glandular tissue and is therefore only effective for pseudogynecomastia.
Laser Therapy: Uses targeted laser energy to melt fat cells for body sculpting. Like CoolSculpting, it is suitable for fat reduction but not for removing glandular tissue, so it is not effective for true gynecomastia.
Next, let’s examine the specific costs associated with gynecomastia surgery and the factors that influence them.
What is the Average Cost of Gynecomastia Surgery Across the United States?
In 2025, gynecomastia surgery costs in the U.S. vary widely, generally from $3,000 to over $10,000+, with averages often cited around $4,000 – $6,000+ for the surgeon’s fee, excluding anesthesia, facility, and other charges, making total costs frequently $8,000 to $16,000+, depending on procedure complexity (liposuction vs. gland excision), surgeon’s expertise, location, and facility. Insurance coverage is rare as it’s usually cosmetic, but financing options are standard. Gynecomastia surgery is rarely covered by insurance, so patients should verify with their provider whether their policy includes coverage.
To better understand what goes into these costs, let’s break down the main factors that determine gynecomastia surgery pricing.
What are the Factors that Determine Gynecomastia Surgery Cost?
The cost of gynecomastia surgery can vary significantly based on several important factors. Below are the main components that influence the total price:
Surgeon’s Fee
The experience and expertise of the board-certified plastic surgeon performing the procedure.
Surgeons with specialized training in gynecomastia and a proven track record of successful outcomes may charge higher fees, reflecting the quality and safety of care.
Facility and Anesthesia Fees
The surgical facility where the procedure is performed (accredited surgical centers and hospitals may have higher fees).
Anesthesia fees vary depending on whether local or general anesthesia is required and the qualifications of the anesthesia provider.
Geographic Location
Procedures performed in major metropolitan areas or regions with a higher cost of living may be more expensive than those in smaller cities or rural areas.
Case Complexity
The amount of excess breast tissue, glandular tissue, or excess skin to be removed.
The presence of greater excess tissue often increases the complexity of the surgery, leading to higher associated expenses.
Additional Costs
Pre-operative tests
Post-surgery garments
Follow-up care
Medications and antibiotics
Because every patient’s needs are unique, it’s essential to schedule a consultation with a board-certified plastic surgeon to receive a personalized estimate. During this consultation, your surgeon will assess your condition, discuss your goals, and provide a detailed breakdown of the cost of gynecomastia surgery, including all related expenses. This ensures you have a clear understanding of the total cost before moving forward with your gynecomastia procedure.
Understanding the cost factors is essential, but it’s equally vital to consider the quality of care you receive. Let’s look at how cost and quality intersect when selecting a gynecomastia surgeon.
Cost vs. Quality: What Really Matters When Selecting a Gynecomastia Surgeon
When deciding on any surgery, the cost is a significant factor in both the decision to proceed and the choice of surgeon. Specific plastic surgery organizations operate a “conveyor belt†of patients, permitting limited time for the procedure and providing a set fee in advance of a consultation. Consequently, as they limit each procedure to a minimum and book in as many patients as possible in a short period, the gynecomastia surgery cost is lower.
In all cases of true gynecomastia, the surgeon will have to perform surgical excision of the breast glands, usually under general anesthesia, which increases the total cost.
General anesthesia involves complete unconsciousness and is typically used for more invasive or extensive procedures. In contrast, local anesthesia numbs only the targeted area and may be used for less invasive procedures, such as minor liposuction, offering a quicker recovery and lower cost.
Other Cost Considerations
Anesthesia, facility and operating room fees, and geographic location.
Additional costs may include medical tests, antibiotics or medications, and post-surgery garments.
Gynecomastia surgery costs can vary from state to state and according to the surgeon’s expertise. A plastic surgeon will usually charge more than a general surgeon, and anesthesia charges vary by experience. Plastic surgeons also tend to use facilities that charge considerably more than clinics set up for minimum cost. This means the all-inclusive fee for the plastic surgeon, anesthesiologist, and facility usually falls between $6,500 and $9,000. The surgeon’s fee is a distinct, separate component of the total cost, covering the plastic surgeon’s expertise, time, and follow-up care. The surgeon’s fee is different from other expenses, such as anesthesia or facility fees, which are billed separately.
When considering the cost of gynecomastia surgery, patients should be aware that costs can vary based on these factors and should expect a range tailored to their individual needs.
With a clear understanding of costs and quality, let’s explore payment and financing options to make gynecomastia surgery more accessible.
Payment and Financing Options
Understanding the financial aspects of gynecomastia surgery is an integral part of the decision-making process for many patients. While the cost of the procedure can be a concern, several payment and financing options are available to help make gynecomastia surgery more accessible.
Financing Plans
Many plastic surgeons, including board-certified plastic surgeons, offer patient financing plans that allow you to pay for your surgery in manageable monthly installments.
These plans can help you undergo gynecomastia surgery without the burden of paying the full amount upfront.
Package Pricing
Some surgical facilities offer package pricing that includes the surgeon’s fee, anesthesia fees, and operating room costs in a single, comprehensive price.
This can simplify the payment process and help you better understand the total cost of your gynecomastia procedure.
Insurance Coverage
Insurance coverage for gynecomastia surgery varies widely. In most cases, health insurance does not cover the cost of gynecomastia surgery, as it is typically considered a cosmetic procedure.
However, if your enlarged breast tissue is causing significant physical symptoms or is related to a medical condition, some insurance policies may provide partial or complete coverage.
It’s essential to review your health insurance policy carefully and consult with your provider to determine if any portion of the surgery is covered.
Your board-certified plastic surgeon can also assist you in navigating the insurance process and provide the necessary documentation if your case qualifies for coverage.
By exploring all available payment and financing options, you can make an informed decision about how to proceed with gynecomastia surgery and achieve your desired results with confidence.
Next, let’s discuss what to expect during the recovery process after gynecomastia surgery.
What is the Recovery Time after Gynecomastia Surgery?
The recovery time usually expected with modern gynecomastia surgery techniques is around one week. Although it is not recommended to start exercising or lifting heavy objects, most men feel well enough to return to work. Here’s what the typical recovery process looks like:
Recovery Steps
Immediate Post-Op (First Few Days):
A small tube (drain) may be placed near the armpit to remove excess fluid or blood. These are typically removed within two to three days.
A dressing or bandage is applied to the surgical site.
Customized compression garments may be provided to minimize swelling and aid healing.
First Week:
Most men feel well enough to return to work within a week.
Pain medication, often available over the counter, may be recommended to manage soreness and discomfort.
Patients are given specific instructions on caring for the surgical site and taking oral medications to prevent infection.
Weeks 2 – 3:
Swelling continues to reduce.
Scars begin to heal.
Light exercise may be allowed after a few weeks, but strenuous activity should be avoided until complete healing.
Ongoing:
Strictly follow the surgeon’s instructions regarding care and rest.
Avoid strenuous activity until the wound has fully healed.
Understanding the recovery process helps set realistic expectations and ensures a smooth healing journey. If you are considering alternatives to surgery, the following section covers non-surgical options.
What are Some Non-Surgical Procedures to Get Rid of Man Boobs?
Before considering male breast reduction surgery, it is essential to explore other treatment options first. Understanding the symptoms thoroughly can help determine the most effective approach. With guidance from a medical expert, it may be possible to reduce enlarged male breasts without resorting to surgery.
Non-Surgical Options
Weight Loss through Diet and Exercise: Enlarged breasts are often due to excess fat in the breast area. Exercise can reduce your body fat and help you shed excess weight. The less fat you have, the smaller your man boobs. Weight loss can take time.
Liposuction: A practical and quick procedure with minimal associated complications and virtually no scarring for a faster solution. However, liposuction is only suitable for pseudogynecomastia–male breast enlargement caused by excess fat rather than glandular tissue–as it will not reduce the size of the breast glands present in true gynecomastia.
Medication and Hormone Treatments: The intake of certain drugs and steroids can contribute to the growth of breast tissues in men. Abstaining from these drugs and, in some cases, undergoing hormone treatments to reduce estrogen may help. Hormone treatment is only effective for moderate cases and not suitable for all men due to other health conditions.
Laser Therapy:Laser energy targets fat cells to melt them for body sculpting. It is a non-surgical option for reducing fat in the chest area, but it does not remove glandular tissue, so it is not effective for true gynecomastia.
CoolSculpting: a non-surgical fat-reduction technique that uses controlled cooling to freeze and eliminate fat cells. The body then naturally eliminates these cells over several months. Like laser therapy, CoolSculpting is only effective for pseudogynecomastia and does not address glandular tissue.
The great thing about non-surgical treatment for enlarged male breasts is that they require less downtime and are generally lower in cost. However, when repeat treatments are necessary, the costs can equal the cost of gynecomastia surgery. If you have tried any of the non-surgical therapies mentioned above and remain unsatisfied with the results, gynecomastia surgery is likely necessary to remove the excess glandular tissue responsible for man boobs completely.
If you are considering surgery, it’s essential to understand how your health insurance may or may not cover the costs.
Health Insurance Coverage
Health insurance coverage for gynecomastia surgery can vary widely, and understanding your options is an essential step in planning your treatment. In most cases, gynecomastia surgery is considered a cosmetic procedure, and health insurance providers do not cover the cost of surgery to remove excess breast tissue for aesthetic reasons. However, there are exceptions–some insurance policies may provide coverage if the procedure is deemed medically necessary and the gynecomastia was caused by required medication or a result of a hormone-secreting tumor. Insurance may also cover surgery due to pain or skin breakdown.
Reconstructive gynecomastia cases involve surgery to correct physical symptoms or deformities caused by medical conditions, medications, or tumors, rather than for cosmetic reasons.
To determine if your gynecomastia surgery may be eligible for insurance coverage, it’s essential to carefully review your health insurance policy and speak directly with your insurance provider.
The American Society of Plastic Surgeons has published guidelines outlining criteria for reconstructive gynecomastia cases, which can be helpful when submitting documentation for coverage consideration. Your board-certified plastic surgeon can also assist in providing the necessary medical records and supporting information to strengthen your case for insurance approval.
Even if the surgery itself is not covered, some insurance plans may help with related expenses, such as pre-operative medical tests, anesthesia fees, or post-operative care. It’s essential to clarify with both your insurance provider and your plastic surgeon what aspects of the procedure, if any, are eligible for coverage. For patients whose gynecomastia surgery is not covered by health insurance, many plastic surgeons offer patient financing plans to help make the procedure more accessible. These financing options can help you manage the overall cost of gynecomastia surgery and achieve your goal of a flatter, more masculine chest contour.
With a complete understanding of insurance and payment options, you are ready to take the following steps toward treatment.
Conclusion and Next Steps
Gynecomastia can have a significant impact on a man’s self-confidence and quality of life, but effective treatment options are available. Whether you are considering gynecomastia surgery to address excess breast tissue or exploring non-surgical alternatives, understanding the factors that influence the cost of gynecomastia surgery is crucial. From the expertise of your board-certified plastic surgeon to the surgical facility and anesthesia fees, each element plays a role in determining the total price of your procedure.
Dr. Delgado, a board certified plastic surgeon and gynecomastia specialist.
If you are ready to take the next step toward a flatter, more masculine chest contour, the best place to start is with a personalized consultation. Dr. Miguel Delgado, a board-certified plastic surgeon and member of the American Society of Plastic Surgery with decades of specialized experience in gynecomastia surgery, offers both virtual and in-office consultations to help you explore your treatment options. During your consultation, you’ll receive a comprehensive evaluation, a detailed breakdown of the gynecomastia surgery cost, and expert guidance tailored to your unique needs and goals.
Don’t let enlarged male breasts hold you back from feeling confident in your own skin. To learn more about gynecomastia surgery, patient financing plans, and how to achieve optimal results, contact Dr. Delgado’s office today at 415-898-4161 or email to schedule your free consultation. Take control of your appearance and self-confidence–your journey to a more masculine chest starts here.
With gynecomastia affecting nearly half of all men at some point in their lives, understanding the cost of gynecomastia surgery in 2026 has become crucial for those considering treatment. As healthcare costs continue to rise and surgical techniques evolve, the financial investment for male breast reduction surgery requires careful planning and a comprehensive understanding.
This complete guide breaks down everything you need to know about gynecomastia surgery expenses in 2026, from basic surgeon’s fees to hidden costs that many patients overlook. Whether you’re dealing with enlarged male breasts due to hormonal imbalances, medications, or genetic factors, it’s important to note that enlarged breasts characterize gynecomastia in men caused by excess glandular tissue, which is different from excess fat. The national average cost of gynecomastia surgery can range from $3,250 to $12,600. Understanding the full financial picture will help you make an informed decision about this life-changing cosmetic procedure.
2026 Gynecomastia Surgery Cost Overview
The cost of gynecomastia surgery in 2026 reflects significant increases from previous years, with the average surgeon’s fees ranging from $6,200 to $7,500, representing a notable jump from the $5,587 average reported by the American Society of Plastic Surgeons in recent years. However, the surgeon’s fee represents only one component of the total expenses patients face, as other costs, such as anesthesia and facility fees, are separate. Gynecomastia surgeons with extensive experience may charge higher fees, but these often include comprehensive services such as initial consultations and post-operative care, making it important to choose a qualified specialist for optimal results.
Total procedure costs, including anesthesia and facility fees, typically range from $8,500 to $15,000 for most cases. Metropolitan areas like San Francisco, New York, and Los Angeles see costs reaching up to $18,000 for comprehensive treatment, particularly for complex cases that require extensive tissue removal and skin tightening. Complex procedures, such as those involving skin excision, tend to be more expensive due to their intricacy and the extended time required to complete them.
Basic liposuction-only procedures for mild gynecomastia or pseudogynecomastia start around $6,000 total cost, making them the most affordable option for patients with primarily excess fatty tissue. However, complex cases involving significant excess tissue and direct breast gland excision can reach $12,000 or more, especially when performed by a renowned plastic surgeon in premium markets.
Revision surgeries, necessary in 5–10% of cases, typically cost 20–30% more than primary procedures due to increased surgical complexity and longer operative times. Patients should budget for this possibility when planning their initial investment in male breast reduction.
Geographic variation remains substantial, with West Coast and Northeast metropolitan areas commanding premium pricing due to higher overhead costs and increased demand for cosmetic surgery services.
Complete Cost Breakdown for 2026
Understanding the complete cost structure helps patients prepare financially and avoid unexpected expenses. The surgeon’s fee, while significant, represents just one part of the total investment required for successful gynecomastia surgery. The cost can also be influenced by the type and complexity of surgical procedures chosen for gynecomastia treatment, as more advanced or specialized surgical procedures may require additional resources and expertise.
Surgeon’s Professional Fee: $6,200–$7,500
The surgeon’s fee varies significantly based on experience, credentials, and geographic location. Board-certified plastic surgeons with extensive gynecomastia experience typically charge at the higher end of this range, while newer practitioners may offer more competitive rates. However, choosing a board-certified surgeon with proven experience in gynecomastia procedures is crucial for achieving optimal results.
Anesthesia Fees: $1,200–$1,800
Anesthesia costs depend on procedure length and the type of anesthesia used. Local anesthesia with sedation costs less than general anesthesia, but the choice depends on the complexity of the surgery and patient preferences. Most patients undergoing comprehensive gynecomastia surgery require general anesthesia, which increases costs but ensures comfort throughout the procedure.
Surgical Facility Fees: $2,500–$4,000
Accredited ambulatory surgery centers charge facility fees covering operating room use, equipment, and support staff. Hospital outpatient departments typically cost more than dedicated cosmetic surgical facilities, but both provide safe environments for surgery performed by qualified surgeons.
Pre-operative Requirements: $300–$600
Before gynecomastia surgery, most patients undergo lab tests and a medical evaluation to ensure they are healthy enough to proceed. These tests typically include blood work, an ECG if necessary, and a thorough physical examination. Some surgeons also require psychological evaluation for patients experiencing significant physical and emotional distress from their condition.
Post-operative Garments: $150–$300
Compression garments are essential for proper healing and optimal results. Many surgeons include these in their package pricing, while others charge separately. Wearing a high-quality compression garment for at least four weeks helps reduce swelling and supports healing after gynecomastia surgery. Quality compression garments worn for several weeks minimize swelling and support the healing process.
Prescription Medications: $100–$200
Pain management medications and antibiotics prevent infection and manage post-operative discomfort. While relatively minor compared to surgical costs, these medications are essential components of safe and successful surgery.
Factors Influencing 2026 Surgery Costs
Geographic Location Impact
Geographic location remains one of the most significant factors affecting gynecomastia cost, with substantial regional variations reflecting local market conditions and cost-of-living differences.
West Coast cities, particularly San Francisco and Los Angeles, typically charge 25–40% more than the national average due to premium real estate costs, higher staff wages, and increased demand for cosmetic procedures. The Marin Cosmetic Surgery Center and similar premium facilities in these markets often charge at the top of the range, but provide comprehensive care and experienced surgeons.
East Coast metropolitan areas, including New York and Boston, see 20–35% premium pricing compared to national averages. These markets attract top plastic surgeons and offer advanced surgical facilities, justifying higher costs for many patients seeking the best possible outcomes.
Midwest and Southern states typically charge 10–20% below the national average, while still offering access to qualified board-certified plastic surgeons. Patients in these regions often enjoy excellent value without sacrificing quality of care.
Rural areas offer the lowest costs, but may have limited access to board-certified specialists experienced in gynecomastia procedures. Patients in these areas often travel to metropolitan centers for treatment, adding transportation and accommodation costs to their total expenses.
Surgeon Experience and Credentials
The surgeon’s background significantly impacts pricing, with experience and credentials justifying premium fees for many patients seeking the best possible outcomes. When selecting a surgeon, it is also crucial to consider their personal and professional integrity, as ethical standards and dedication to patient care are essential for trust and quality results.
Board-certified plastic surgeons with 10+ years of experience command premium rates, often charging 20–40% more than less experienced practitioners. However, their extensive training and proven track record often justify the higher surgical fees by delivering superior results and lower complication rates.
Specialists performing 100+ gynecomastia procedures annually understand the nuances of different case types and can create tailored treatment plans for optimal outcomes. These high-volume surgeons typically charge premium rates, but offer the expertise necessary for complex cases.
Revision specialists who focus on correcting unsuccessful initial procedures typically charge 20-50% more due to the technical complexity involved. However, their specialized skills are invaluable for patients requiring corrective surgery.
Fellowship-trained cosmetic surgeons often fall in the middle price range, offering excellent training and results at more moderate costs than the most prestigious practices.
Procedure Complexity and Technique
The severity of gynecomastia and the required surgical approach directly impact costs, with more complex cases requiring additional time, skill, and resources.
Grade 1 gynecomastia, characterized by minimal breast tissue enlargement, typically costs $6,000–$9,000. These cases often involve primarily liposuction to remove excess fat with minimal tissue excision required.
Grade 2–3 cases requiring substantial excess breast tissue removal range $9,000–$13,000, involving both liposuction and surgical excision techniques. In these cases, surgical removal of excess glandular tissue is a key component of gynecomastia surgery, as this tissue is often the primary cause of the condition. These procedures take longer and require more advanced surgical skills to achieve optimal contours.
Grade 4 severe cases with significant skin excess reach $12,000–$18,000, often requiring skin removal and advanced reconstruction techniques. These complex procedures may involve extended operative times and specialized techniques to achieve masculine chest contours.
Combined liposuction and excision procedures add $2,000–$3,000 to base costs, but provide comprehensive treatment for mixed tissue types. Most patients benefit from this combined approach to address both fatty and glandular components of their condition.
What is Dr. Delgado’s cost for Gynecomastia Surgery?
Gynecomastia Surgery Cost is based on the “Grade” or Severity.
Grade 1 Gynecomastia (or “puffy nipples”)
Grade 1 Cost Breakdown
Surgical Technique: Breast tissue excision with liposuction or the “pull-through” procedure.
Surgery fee: $7,000
Ambulatory facility fee: $3,000
Board-certified anesthesiologist: $900
2 custom-made surgical garments: $200
Silicone sheeting for incision management: $50
Tissue pathology and medications are typically covered by health insurance.
Grade 2 Gynecomastia (the most common grade of gynecomastia)
Surgical Technique: Breast gland excision with liposuction
Surgery fee $8,000–$9,000
Ambulatory facility fee $3,600
Board-certified anesthesiologist $1,050
2 custom-made surgical garments $200
Silicone sheeting for incision management $50
Tissue pathology and medications are typically covered by health insurance.
Grade 3 Gynecomania (with skin excess)
Patient with grade 3 gynecomastia; before-and-after photos of male breast reduction surgery. Note the tattoo hiding the incision.
Grade 3 Cost Breakdown
Surgical Technique: double incision mastectomy with a free nipple graft.
Surgery fee $10,000–$11,000
Ambulatory facility fee $4,000–$4,500
Board-certified anesthesiologist $1,600
2 custom-made surgical garments $200
Silicone sheeting for incision management $50
Tissue pathology and medications are typically covered by health insurance.
Grade 4 Gynecomastia (with severe skin excess with axilla skin excess)
Patient with grade 4 gynecomastia; before-and-after photos of male breast reduction surgery at 3 months post-op.
Grade 4 Cost Breakdown
Surgical Technique: Extended double incision mastectomy with a free nipple graft.
Surgery fee $13,000–$15,000
Ambulatory facility fee $5,500
Board-certified anesthesiologist $2,100
2 custom-made surgical garments $200
Silicone sheeting for incision management $50
Tissue pathology and medications are typically covered by health insurance.
Revision Gynecomastia Surgery Cost
Patient with crater deformity, corrected with “fat flaps.”
Dr. Delgado’s practice for gynecomastia includes approximately 40% of procedures focused on revision surgeries for men unhappy with prior procedures performed by other practitioners. This can be a distressing experience for patients, often costing more than the original procedure. Therefore, it is essential to select a gynecomastia surgeon who is experienced, board certified in plastic surgery, and has a strong reputation for surgical excellence.
In Dr. Delgado’s practice, the most frequent revisions are for patients who initially had only liposuction performed. This method fails to remove the surplus breast tissue. Correcting contour irregularities from previous surgeries requires specialized techniques and an advanced understanding of scar tissue management and tissue redistribution.
Dr. Delgado meticulously plans revision cases to tackle complications and unsatisfactory outcomes from earlier surgeries. His proficiency in these difficult situations results in high success rates in achieving a natural masculine chest appearance, even when prior surgeries have not. The success rate for revision surgeries conducted by Dr. Delgado greatly surpasses industry standards, highlighting his technical expertise and artistic approach to rectifying even the most complex cases that other surgeons might consider inoperable.
Understanding Gynecomastia and Treatment Options
Gynecomastia affects 40–60% of men at some point in their lives, causing enlarged breast tissue that can create significant psychological distress and self-consciousness. This common condition results from various factors, including hormonal imbalances, certain medications, genetics, and medical conditions affecting hormone levels.
The condition manifests differently in each patient, ranging from mild nipple puffiness to significant breast development resembling female breast tissue. While not medically dangerous, gynecomastia can significantly impact quality of life, self-confidence, and social interactions.
Surgical intervention becomes necessary when conservative treatments fail to address the enlarged breast tissue. Weight loss may reduce fatty tissue, but it cannot eliminate true glandular tissue that characterizes most cases of gynecomastia. Gynecomastia surgery involves removing this excess tissue to restore masculine chest contours. Some patients may also consider non-surgical aesthetic treatments as less invasive alternatives or adjuncts to surgery, depending on their specific needs.
Male breast reduction surgery permanently removes excess fat and glandular tissue through carefully planned surgical techniques. The specific approach depends on the amount and type of tissue present, with surgeons selecting optimal methods to achieve natural-looking results while minimizing scarring.
Modern gynecomastia procedures achieve excellent results with minimal scarring when performed by experienced surgeons. The permanence of the results makes this investment worthwhile for most patients who have struggled with this condition for years.
Cosmetic Surgery Benefits
Cosmetic surgery, particularly gynecomastia surgery, offers transformative benefits for men struggling with enlarged male breasts and the physical and emotional challenges that come with excess breast tissue. While the cost of gynecomastia surgery is significant, it’s important to consider the long-term benefits a safe and effective procedure can offer.
Male breast reduction surgery is a specialized cosmetic procedure designed to remove substantial excess breast tissue, including both glandular and fatty components. By addressing the root cause of gynecomastia, this surgery not only improves chest contours but also alleviates the physical discomfort and self-consciousness that often accompany enlarged male breasts. Many patients experience relief from skin irritation, rashes, and other complications caused by excess tissue, thereby improving their physical health.
Beyond the physical improvements, gynecomastia surgery can have a profound impact on emotional well-being. The presence of excess breast tissue can cause significant physical and emotional distress, affecting self-esteem and social confidence. Successful gynecomastia procedures help restore a more masculine chest appearance, empowering individuals to feel comfortable in their bodies and more confident in daily life. This boost in self-assurance often translates into improved mental health, reduced anxiety, and a more positive outlook.
Choosing a board-certified plastic surgeon is essential for achieving the best possible results. Renowned plastic surgeons like Dr. Delgado, at Marin Cosmetic Surgery Center, are experienced in creating tailored treatment plans that address each patient’s unique needs. Their expertise ensures a smooth surgical journey, from the initial consultation through recovery, and maximizes the likelihood of successful surgery with natural-looking results.
While most health insurance policies do not cover gynecomastia surgery because it is generally considered cosmetic, there are exceptions when surgery is deemed medically necessary. It is essential to carefully examine your health insurance policy and speak with your provider to determine whether any coverage is available for your specific case.
Ultimately, the cost of gynecomastia surgery should be viewed in terms of its lasting benefits. By removing excess tissue and addressing both physical and emotional concerns, male breast reduction surgery can significantly enhance quality of life. With the guidance of a board-certified plastic surgeon and a personalized approach to care, patients can look forward to a safe and effective procedure that delivers lasting confidence and well-being.
Insurance Coverage in 2026
Insurance coverage for gynecomastia surgery remains limited, with most health insurance policies classifying these procedures as cosmetic rather than medically necessary. Gynecomastia surgery covered by insurance is possible if specific medical criteria are met, such as persistent pain or severe physical symptoms. Insurance coverage for gynecomastia surgery often depends on demonstrating medical necessity and meeting individual policy requirements, so patients should review their insurance details and consult with their provider. Understanding coverage possibilities and requirements helps patients plan financially for their treatment.
Most insurance plans exclude coverage for gynecomastia surgery, considering it an elective cosmetic procedure regardless of the psychological impact on patients. However, insurance coverage for gynecomastia surgery is often limited, depending on medical necessity and specific policy criteria. Some cases may qualify for coverage when specific medical criteria are met and documented.
Medical necessity documentation may secure insurance coverage for severe cases causing physical symptoms, such as back pain, skin irritation, or functional limitations. It is important to understand the limitations and documentation requirements of health insurance coverage. Patients must provide comprehensive medical records demonstrating the physical impact of their condition beyond cosmetic concerns.
Insurance approval requires 2+ years of documented condition with failed conservative treatment attempts. Insurers typically require evidence of attempted weight loss, hormonal evaluation, and treatment of underlying medical conditions before considering surgical coverage.
The pre-authorization process involves detailed medical records, specialist evaluations, and often multiple appeals before approval. Patients should work closely with their surgeon’s office to compile necessary documentation and navigate the complex approval process, especially when addressing complications such as crater deformity after gynecomastia surgery.
Coverage rates remain below 15% for all gynecomastia procedures nationwide, making out-of-pocket payment the reality for most patients. Even when coverage is approved, patients typically face significant deductibles and copayments that can exceed several thousand dollars. The American Society of Plastic Surgeons offers guidelines for insurance claims related to gynecomastia surgery, and adhering to these guidelines can improve the chances of coverage. Plastic surgeons offer guidelines to help both patients and surgeons establish medical necessity and improve the likelihood of insurance coverage.
Financing Options Available in 2026
Various financing options help make gynecomastia surgery more accessible to patients who cannot pay the full amount upfront. Understanding these options helps patients choose the best approach for their financial situation.
CareCredit® offers 0% interest financing for 12–24 months with approved credit, making it one of the most popular choices for cosmetic surgery patients. Longer repayment terms are available with competitive interest rates for patients requiring extended payment plans.
Specialized medical loans through companies like Prosper Healthcare Lending provide dedicated financing for cosmetic procedures. These lenders understand the unique needs of cosmetic surgery patients and offer flexible terms with competitive rates.
In-house payment plans offered by 60% of plastic surgery practices provide convenient financing directly through the surgeon’s office. These plans often feature flexible terms and may not require credit checks, making them accessible to patients with varying credit profiles.
Personal loans and credit cards serve as alternative financing options, though interest rates may be higher than those for specialized medical financing. Patients with excellent credit may qualify for promotional rates that make these options competitive. For those interested in post-surgical treatment options, such as Kenalog shots for reducing scar tissue and puffiness after gynecomastia surgery, additional information is available.
HSA and FSA accounts can be used for medically necessary procedures, though most gynecomastia surgeries don’t qualify. Patients should verify eligibility with their plan administrators before using these tax-advantaged accounts.
Medical loans specifically designed for cosmetic procedures often provide the best combination of competitive rates and flexible terms. These specialized lenders understand the investment patients are making in their self-confidence and well-being.
Choosing the Right Surgeon for Value
Selecting the right surgeon involves balancing cost considerations with qualifications, experience, and expected outcomes. The cheapest option rarely provides the best value when considering long-term results and potential revision needs.
Board certification by the American Board of Plastic Surgery ensures proper training and ongoing education in plastic surgery principles and techniques. This certification represents the gold standard for plastic surgeons and should be non-negotiable when selecting a surgeon.
Reviewing before-and-after photos, particularly for gynecomastia cases, helps assess the surgeon’s aesthetic sense and technical capabilities. Look for consistent results across different patient types and severity levels, with natural-looking outcomes and minimal scarring.
Verifying hospital privileges and surgical facility accreditation ensures the surgeon maintains high standards and practices in safe environments. Surgeons with hospital privileges undergo rigorous credentialing processes that verify their qualifications and competence.
Consider revision rates and patient satisfaction scores over simply choosing the lowest price. A surgeon with higher fees but lower revision rates often provides better value than cheaper options requiring corrective procedures.
Multiple consultations help patients compare different surgeons’ approaches, personalities, and costs. This process helps ensure the best fit between patient expectations and surgeon capabilities, while identifying the best value proposition.
The Society of Plastic Surgeons maintains directories of certified practitioners, helping patients identify qualified surgeons in their area. These resources provide valuable starting points for research and for selecting a surgeon.
Preparing for Surgery Costs
Proper financial preparation helps ensure a smooth surgical journey without unexpected financial stress during recovery. In addition to budgeting, patients should discuss bleeding risk factors with their surgeon and carefully follow all preoperative instructions to minimize complications. Avoiding medications and supplements that increase bleeding risk contributes to safer surgical procedures and smoother recovery outcomes. Understanding the full cost picture and planning accordingly reduces anxiety and allows focus on healing.
Budget an additional 10–15% beyond the quoted price to cover unexpected expenses. These can include additional garments, extended recovery time, or minor complications requiring additional care.
Factor in time off work, typically 1–2 weeks for full recovery to normal activities. Lost wages during recovery represent hidden costs that many patients overlook when calculating total expenses. Desk workers often return sooner than those with physical jobs.
Plan for potential revision surgery costs, necessary in 5–10% of cases requiring touch-ups or corrections. While most surgeons offer reduced revision rates, patients should budget for this possibility when planning their initial investment. To improve the likelihood that insurance will cover gynecomastia surgery, patients must demonstrate that the condition has persisted for at least two years.
Consider travel and accommodation costs if seeking specialist care outside your local area. Patients often find value in traveling to experienced surgeons, but they should factor in these additional expenses when budgeting.
Create a comprehensive budget that includes all direct and indirect costs associated with surgery. This planning helps avoid financial stress during recovery and ensures patients can focus on healing rather than money concerns.
Recovery and Long-Term Value
Understanding the recovery process and long-term benefits helps patients appreciate the full value of their investment in gynecomastia surgery. Gynecomastia surgery recovery involves careful post-operative care, managing soreness and swelling, wearing compression garments, and following activity restrictions to achieve optimal, natural-looking results. The permanence of the results and improved quality of life often justify the initial expense.
Most patients return to desk work within 7–10 days post-surgery, though physical limitations remain for several weeks. The surgeon will monitor healing progress and provide specific guidelines for returning to normal activities. Patients should avoid heavy lifting or strenuous exercise for about six weeks after gynecomastia surgery to ensure a smooth recovery. Regular follow-up appointments enable the surgeon to monitor healing, evaluate progress, and address any issues that may arise during recovery.
Full physical activity clearance typically occurs at 6–8 weeks, when patients can resume all exercises and sports activities. Following post-operative care instructions during this period ensures optimal healing and results.
Results are permanent with stable weight maintenance, making gynecomastia surgery a one-time investment for most patients. Significant weight gain can affect results, but the removed glandular tissue will not return.
Patient satisfaction rates exceed 95% when performed by qualified surgeons, reflecting the dramatic improvement in self-confidence and quality of life. Most patients consider the investment worthwhile for the psychological benefits alone.
Long-term psychological benefits often justify investment costs, with patients reporting increased self-confidence, better relationships, and improved quality of life. The permanent nature of results makes the cost-per-year benefit attractive over a lifetime. Proper recovery and diligent follow-up care are essential to achieving the best possible surgical outcome.
Post-operative care includes regular follow-up appointments to ensure proper healing and address any concerns. Following the surgeon’s instructions carefully helps ensure optimal results and reduces the risk of complications.
2026 Cost Trends and Predictions
Understanding cost trends helps patients time their surgery and prepare for future expenses. Several factors influence pricing trends in the cosmetic surgery market.
Annual cost increases of 3–5% are expected due to inflation and increased demand for cosmetic procedures. These increases reflect rising costs for facilities, staff, and medical supplies across the healthcare industry.
Technology improvements may reduce facility time, but increase equipment costs, creating mixed effects on total pricing. Advanced techniques often improve results, but may increase per-case expenses for surgeons and facilities.
Increased awareness of gynecomastia is driving higher patient volume and competitive pricing in some markets. More patients seeking treatment create opportunities for competitive pricing while maintaining quality standards.
Telemedicine consultations reduce preliminary costs by allowing initial evaluations without travel expenses. However, in-person evaluations remain necessary for surgical planning and post-operative care.
Package pricing is becoming standard to improve cost transparency and help patients understand total expenses upfront. This trend benefits patients by eliminating surprise costs and allowing better financial planning.
The trend toward all-inclusive pricing helps patients budget more effectively and reduces financial surprises during treatment. More practices are adopting transparent pricing models that include all necessary components.
Making the Financial Decision
The decision to invest in gynecomastia surgery involves weighing costs against long-term benefits and quality-of-life improvements. Making an informed financial decision requires considering multiple factors beyond just price.
Consider total value, including surgeon expertise, facility quality, and included services, rather than focusing solely on the lowest price. The cheapest option often proves more expensive when revision surgeries or complications occur.
Avoid choosing based solely on the lowest price to prevent costly revisions that can double or triple the total investment. Quality surgery performed correctly the first time provides the best value regardless of initial cost.
Verify all included services and potential additional costs upfront to avoid surprises during treatment. Ask specific questions about what’s included in quoted prices and what might cost extra.
Plan financing before scheduling surgery to ensure affordable payment options are secured. This planning reduces stress and allows focus on recovery, rather than financial concerns, during the healing process. For those with questions about activities during this period, such as how soon one can resume masturbation after surgery, support and advice are available.
Remember that quality gynecomastia surgery is typically a one-time investment that provides permanent results and lifelong benefits. When viewed from a cost-per-year perspective over a lifetime, even premium pricing represents excellent value.
The investment in professional, board-certified care often saves money in the long term by avoiding complications, revisions, and unsatisfactory results that cheaper options may produce. Quality care provides peace of mind and optimal outcomes that justify the investment.
Understanding the complete cost of gynecomastia surgery in 2026 helps patients make informed decisions about this life-changing procedure. While the initial investment is substantial, the long-term benefits and improved quality of life make it worthwhile for most patients who choose experienced, qualified surgeons and plan their investment carefully.
Surgical Procedure
Gynecomastia surgery, commonly referred to as male breast reduction surgery, is a specialized cosmetic procedure aimed at removing excess breast tissue to create a flatter, more masculine chest contour in men. The cost of gynecomastia surgery can vary widely, with the national average ranging from $3,250 to $12,600, depending on factors such as the surgeon’s expertise, geographic location, and complexity of the case.
The procedure typically involves a combination of advanced surgical techniques tailored to each patient’s needs. For men whose enlarged breasts are primarily due to excess fatty tissue, liposuction is often the preferred method. This technique uses small incisions to remove excess fat, resulting in minimal scarring and a relatively quick recovery. However, when glandular tissue is the main contributor to gynecomastia, direct breast gland excision is necessary. Plastic surgeons often combine liposuction and excision to achieve the best possible results, especially when both excess fat and glandular tissue are present.
Before undergoing male breast reduction, it is essential to consult with a board certified plastic surgeon who specializes in gynecomastia procedures. During the initial consultation, the surgeon will conduct a thorough medical evaluation, discuss your goals, and create tailored treatment plans to address your specific concerns. Patients typically must undergo lab testing and a comprehensive health assessment to ensure they are suitable candidates for surgery and minimize any risks.
Gynecomastia surgery is usually performed under local anesthesia with sedation or general anesthesia, depending on the extent of the procedure and patient preference. The choice of anesthesia is made to ensure maximum comfort and safety throughout the surgery. The operation itself generally takes one to two hours, but more complex cases may require additional time.
After the procedure, patients receive detailed post-operative care instructions to support a smooth recovery and optimal surgical outcome. This includes wearing compression garments for several weeks to minimize swelling and support healing, as well as avoiding strenuous activities until cleared by the surgeon. Adhering to these guidelines is crucial for achieving a safe and successful surgery.
While gynecomastia surgery is considered cosmetic surgery and is not typically covered by health insurance, there are exceptions. In cases where enlarged breasts cause significant physical or emotional distress, some insurance policies may offer partial or full coverage. It is important to carefully review your health insurance policy and speak with your provider to determine whether your gynecomastia surgery is covered.
Choosing a board certified plastic surgeon with extensive experience in gynecomastia surgery, such as Dr. Miguel Delgado, ensures that patients receive expert care from consultation through recovery. With thousands of successful surgeries performed, renowned plastic surgeons are equipped to handle even the most complex cases, providing peace of mind and excellent results.
In summary, gynecomastia surgery is a safe and effective procedure for men seeking to address excess breast tissue and regain confidence in their appearance. By working with a qualified plastic surgeon and following all post-operative care instructions, most patients achieve smooth recovery and long-lasting, natural-looking results.
Meet Dr. Delgado Today!
Taking the first step toward gynecomastia surgery can feel overwhelming, but scheduling a complimentary consultation with Dr. Delgado is designed to provide you with all the information and support you need. During your consultation, Dr. Delgado will conduct a thorough evaluation of your condition, discuss your personal goals, and explain the various surgical options available to you. This personalized approach ensures your treatment plan is tailored specifically to your anatomy and desired outcomes.
Whether you prefer to meet in person or connect virtually from the comfort of your home, Dr. Delgado’s consultations are accessible and convenient, making it easier for patients from across the country and around the world to benefit from his expertise. The consultation is also an opportunity to ask questions about the cost of gynecomastia surgery, the recovery process, and financing options, helping you make an informed decision with confidence.
Don’t let concerns about gynecomastia or the associated costs hold you back from achieving a more masculine chest and improved self-confidence. Contact Dr. Delgado today to schedule your complimentary consultation and take the next step toward a safe, effective, and life-changing gynecomastia surgery experience.
The decision to address gynecomastia through surgery is an extremely personal one—more than just a cosmetic choice, it’s often a step toward reclaiming confidence and comfort in your own body. Gynecomastia is a condition of overdeveloped or enlarged breasts in men that can occur at any age. Surgery for gynecomastia is technically called reduction mammaplasty or male breast reduction surgery, a procedure designed to reduce breast size and improve chest contours. Your initial consultation with a plastic surgeon serves as the foundation for this journey, making thorough preparation absolutely critical for achieving the best possible outcome.
Preparing for your gynecomastia consultation involves more than just attending an appointment. The quality of your preparation directly impacts the surgeon’s ability to assess your condition, recommend appropriate treatment options, and develop a surgical plan tailored to your specific needs. Gynecomastia can cause emotional discomfort and impair self-confidence in men, making it even more important to approach the consultation process with care. Some men with gynecomastia may avoid certain physical activities and intimacy to hide their condition. A well-prepared patient not only gets better results but also feels more confident and informed throughout the entire process.
This comprehensive guide will walk you through every aspect of consultation preparation, from gathering essential medical information to asking the right questions that ensure you choose the best surgeon for your male breast reduction surgery. Male breast reduction is the only consistently effective treatment for gynecomastia that has long-lasting results.
Key Takeaways
Bring a complete medical history, including current medications, supplements, and previous surgeries
Prepare to discuss your specific concerns, goals, and expectations for gynecomastia surgery
Research your surgeon’s credentials, board certification, and experience with male breast reduction
Compile insurance information and understand coverage options for gynecomastia treatment
Plan to ask detailed questions about surgical techniques, risks, recovery timeline, and costs
Be prepared for a physical examination and possible medical photography
Allow 60-90 minutes for a comprehensive consultation appointment
You may need to stop taking certain medications, such as blood thinners, prior to surgery
Medical Information to Gather Before Your Appointment
Your medical history provides crucial information that influences both your candidacy for gynecomastia surgery and the specific approach your surgeon will recommend for you. Gathering this information beforehand ensures your consultation time is used efficiently and helps prevent any delays in your treatment planning.
Please ensure that you bring or update your medical records so that all relevant health information is available for your consultation. Providing your complete medical record allows the surgeon to thoroughly review your medical history as part of the pre-surgical assessment.
Complete Medication List
Document every prescription medication you currently take, including dosages and frequency. This information is vital because certain medications can increase the risk of bleeding during surgery or interact with anesthesia. Your plastic surgeon needs to be aware of any blood thinners, hormonal treatments, or medications that may impact your healing process.
In addition, certain drugs—including specific medications and substances such as anabolic steroids—can contribute to the development of gynecomastia. It is estimated that up to 50% of men in the United States experience some degree of gynecomastia during their lifetime. It is important to disclose any use of these drugs to your surgeon.
Include all supplements, vitamins, and herbal remedies in your list. Many patients are unaware that common substances, such as vitamin E, fish oil, and certain herbal products, can significantly impact surgical safety. Even over-the-counter pain relievers require documentation, as medications like aspirin and NSAIDs affect blood clotting.
Medical History Documentation
Prepare a comprehensive overview of your health status, with a particular focus on conditions that may impact your gynecomastia surgery. Disorders of the endocrine system, which is responsible for hormone production, can lead to excess breast tissue. Hormonal conditions, liver disease, kidney problems, and thyroid disorders all play important roles in gynecomastia development and surgical planning. Gynecomastia can present at any age, affecting teenagers as well as adult men. Hormonal imbalance is a common cause of excess breast tissue and may require medical management before surgery. Your surgeon needs to understand whether your enlarged breasts result from an underlying medical condition that requires treatment before surgery.
Document any previous surgeries, especially chest or plastic surgery breast procedures. Previous surgical interventions can affect tissue quality, blood supply, and healing patterns. It is important to distinguish between bilateral gynecomastia, which involves enlargement of both breasts, and unilateral gynecomastia, where only one breast is affected, as this distinction can impact diagnosis and treatment planning. This information helps your surgeon anticipate potential complications and plan the most appropriate surgical approach for your anatomy.
Family and Personal History
Include any family history of gynecomastia, breast disorders, or hormonal imbalances. Since genetic factors often play a role in the development of excess breast tissue in men, sharing this information helps your surgeon evaluate your long-term outlook and identify potential risk factors.
Be honest about any history of anabolic steroid use, recreational drugs, or substances that may have contributed to your gynecomastia. This information remains confidential, but is essential for proper treatment planning and preventing recurrence after surgery.
Recent Test Results
Bring any recent blood tests or hormone level evaluations if available. Your surgeon may order specific tests to rule out underlying hormonal imbalances or medical conditions that could cause your enlarged male breasts. Having recent results saves time and may eliminate the need for duplicate testing.
Questions to Ask About Gynecomastia Surgery with Your Plastic Surgeon
The questions you ask during your consultation reveal crucial information about your surgeon’s qualifications, experience, and approach to treating gynecomastia. Preparing these questions in advance ensures you don’t forget important topics during the appointment.
Experienced surgeons are familiar with the specific needs of gynecomastia patients and can tailor surgical techniques and recovery plans to best suit men affected by this condition.
Be sure to ask your surgeon to describe the gynecomastia procedure in detail, including the steps involved, such as liposuction and surgical removal of excess tissue, as well as whether breast lift techniques may be used. Additionally, inquire whether any additional procedures may be necessary to achieve your desired aesthetic results.
Surgeon Credentials and Experience
1. What are your board certifications, and how many gynecomastia surgeries do you perform annually? Experience matters significantly in male breast reduction surgery outcomes. Look for a surgeon who performs male breast reduction regularly and can demonstrate consistent results.
2. Can you show me before and after photos of cases similar to mine? Review multiple examples from recent cases. Be cautious if a surgeon cannot provide adequate photographic evidence of their work or shows only outdated examples.
3. What is your revision rate for gynecomastia procedures? Experienced surgeons typically have revision rates of 10% or less. Higher rates may indicate inexperience or a lack of technique.
Surgical Approach and Techniques
4. Which surgical technique do you recommend for my specific case—liposuction, direct excision, or combination approach? The best approach depends on your tissue composition. Excess fat responds well to liposuction, which can often be performed using small incisions to minimize scarring and promote a faster recovery. In contrast, glandular tissue requires direct surgical removal.
5. What type of anesthesia will be used, and where will the surgery be performed? Most gynecomastia procedures are performed under general anesthesia in an accredited surgical facility. However, ask if local anesthesia, possibly combined with sedation, is an option for your procedure. Local anesthesia can minimize risks and promote quicker recovery, especially for minimally invasive or outpatient surgeries. Ensure your surgeon operates in a properly certified environment.
6. How will you address any asymmetry between my breasts? Natural asymmetry is common, and your surgeon should have a clear plan for achieving balanced results while setting realistic expectations.
7. What will my scars look like, and where will they be located? Understand the incision patterns your surgeon plans to use and the expected appearance of resulting scars. Most gynecomastia surgery scars are well-concealed around the areola.
Recovery and Results
8. What is the typical recovery timeline, and when can I return to work and exercise? Recovery varies based on surgical technique and individual healing. Most patients return to office work within a week but must avoid heavy lifting for several weeks.
9. When will I see my final results? Initial results are visible immediately, but final contours emerge over 3-6 months as swelling subsides and tissues settle.
10. Will I need to wear an elastic bandage or support garment after surgery? Yes, most patients are advised to wear an elastic bandage or compression garment after surgery to help reduce swelling, support healing, and provide comfort during the recovery period.
11. What restrictions will I have during recovery? Understand activity limitations, compression garment requirements, and follow-up appointment schedules. Most patients wear compression garments for about 4-6 weeks to minimize swelling.
Financial Considerations
11. What are the total costs, including surgeon fees, facility fees, and anesthesia? Request a detailed, written estimate covering all aspects of your surgery and recovery to avoid unexpected expenses.
12. Do you offer financing options or payment plans? Many practices offer financing through third-party companies to make surgery more affordable and accessible.
13. What is your policy regarding revision surgery if needed? Understand whether revision procedures incur additional costs and what circumstances might necessitate secondary surgery.
Risk Assessment
14. What will my incision lines look like after surgery, and how should I care for them? Incision lines are necessary for gynecomastia surgery and, while most are concealed, some may be visible after the procedure. Your surgeon should explain the expected appearance of your incision lines and provide instructions on how to care for them to promote optimal healing.
15. How do I care for the surgical site, and what signs of complications should I watch for? Proper care of the surgical site is essential to reduce the risk of infection and other complications. Your surgeon should provide you with detailed post-operative care instructions and advise you on which symptoms—such as redness, swelling, or unusual discharge—require prompt attention. You will be instructed on how to care for your surgical site and manage pain after returning home.
16. Why is it important to avoid excessive force on the surgical area during recovery? Applying excessive force to the surgical site can disrupt healing, increase the risk of complications, and negatively affect your results. Your surgeon should advise you on activity restrictions and how to protect the area as you recover.
Additional Essential Questions
16. Will I need drains after surgery, and how are they managed? Some patients require temporary drains to prevent fluid accumulation. Understand drain care and removal timelines.
17. What should I do to prepare for surgery in the weeks beforehand? Learn about medication adjustments, lifestyle modifications, and pre-operative requirements.
18. Who will provide my post-operative care? Clarify whether you’ll see the surgeon or other staff members for follow-up appointments.
19. How stable should my weight be before surgery? Weight fluctuations can affect results. Most surgeons recommend maintaining a stable weight for at least 6 months before surgery.
20. Will my insurance cover this procedure? Insurance coverage depends on medical necessity criteria. Understand documentation requirements and pre-authorization processes. Most insurance companies consider gynecomastia surgery a form of cosmetic surgery.
21. What happens if I’m not satisfied with my results? Learn about the surgeon’s policies regarding patient satisfaction and revision procedures.
22. How do you minimize the risk of complications? Understand your surgeon’s safety protocols, facility accreditation, and complication prevention strategies.
23. What type of anesthesia monitoring will be used? Ensure that proper anesthesia monitoring equipment and qualified personnel will be present during your outpatient procedure.
24. Can you provide references from previous patients? Some surgeons can connect you with previous patients willing to share their experiences.
25. What makes you the best choice for my gynecomastia surgery? This question helps you understand what sets your surgeon apart and whether their approach aligns with your goals.
26. What is the most effective treatment for my type and severity of gynecomastia, and why? Ask your surgeon to explain which option is considered the most effective treatment for your specific case, and why it is recommended over other approaches.
What to Expect During the Physical Examination
The physical examination forms a crucial component of your consultation, allowing your surgeon to assess your anatomy and develop an appropriate treatment plan. During this exam, the surgeon will evaluate your breast size and chest contours to determine the extent of gynecomastia and plan the most effective approach. A small, thin tube may be placed under your skin to drain any excess blood or fluid after the surgery. The surgeon will also check if the condition affects one breast (unilateral) or both (bilateral), as this distinction influences surgical planning. A small incision is made on each side of the chest during liposuction. Understanding what to expect helps you feel more comfortable and prepared for this essential part of the appointment.
In some cases, the weight of excess breast tissue can cause sagging or stretching of the areola, which may require additional surgical techniques to achieve optimal results.
Comprehensive Chest Assessment
Your surgeon will conduct a thorough examination of your chest area to evaluate the extent and nature of your gynecomastia. This involves palpating the breast tissue to distinguish between glandular tissue and excess fat. The surgeon will measure breast dimensions, assess the degree of skin laxity, and evaluate nipple positioning.
The examination helps determine whether you have true gynecomastia (excess glandular tissue), pseudogynecomastia (primarily excess fatty tissue), or a combination of both. This distinction is crucial for selecting the appropriate surgical technique, whether that involves liposuction alone or direct surgical removal of glandular tissue.
Skin Quality Evaluation
Your surgeon will assess the elasticity and quality of your skin to predict how well it will retract after tissue removal. Good skin elasticity typically yields excellent results with minimal excess skin, whereas poor elasticity may require additional skin removal procedures.
The evaluation includes checking for asymmetry between the breasts, examining chest wall anatomy, and assessing the size and position of the nipple-areola complex. In cases of significant sagging or stretched areolas, a breast lift procedure may be recommended to reposition and resize the areola. Severe cases may also involve dark skin surrounding the areola, which can be addressed during surgery. These factors all influence surgical planning and expected outcomes.
Medical Photography
Most consultations include standardized medical photography from multiple angles. These photos serve several important purposes: surgical planning, documentation for insurance purposes, and comparison before and after the procedure. The photos are kept confidential and used solely for medical purposes.
Screening for Underlying Conditions
Your surgeon will screen for any signs that might suggest underlying medical conditions or, in rare cases, male breast cancer. While breast cancer in men is uncommon, your surgeon will check for any suspicious masses, skin changes, or enlarged lymph nodes that might require further evaluation.
Discussion of Realistic Outcomes
Based on the physical examination, your surgeon will discuss realistic expectations for your results. In severe cases of gynecomastia, where excess skin or significant sagging is present, additional surgical techniques, such as tissue excision or skin reduction, may be necessary to achieve optimal results. This includes potential limitations, likely scarring patterns, and the degree of improvement you can expect. Incisions from tissue excision are typically located around the edge of the areola or within the chest creases. Setting realistic expectations is crucial for patient satisfaction and helps ensure you make an informed decision about proceeding with surgery.
Insurance and Financial Considerations
Understanding the financial aspects of gynecomastia surgery helps you plan appropriately and avoid unexpected costs. Insurance coverage varies significantly based on medical necessity criteria and individual policy terms.
Insurance Coverage Criteria
Most insurance plans cover gynecomastia surgery when it’s deemed medically necessary rather than purely cosmetic. Medical necessity typically requires documentation of physical symptoms like pain, skin irritation, or significant psychological distress affecting daily functioning.
Insurance companies often require evidence that conservative treatments have been attempted without success. This might include weight loss efforts, hormone therapy, or treatment of underlying medical conditions causing the gynecomastia.
Bring your insurance card and policy information to your consultation. Your surgeon’s office can help determine coverage eligibility and assist with pre-authorization requirements. Some insurers require letters from your primary care physician documenting the medical necessity of surgical correction.
Some plastic surgeons do not accept insurance for this procedure, so make sure your plastic surgeon accepts insurance coverage.
Cost Breakdown and Planning
For cases not covered by insurance, gynecomastia surgery costs typically range from $6,000 to $10,000, though prices vary significantly by geographic location and surgeon experience. Request a detailed written estimate that includes all associated costs: surgeon fees, anesthesia, facility charges, compression garments, and post-operative care.
Many plastic surgeons offer financing options through third-party companies or in-house payment plans. These options can make surgery more accessible by allowing you to spread costs over time. Compare interest rates and terms carefully when considering financing options.
Hidden Costs to Consider
Factor in potential additional expenses, such as prescription medications, pathology, time off work, and transportation to appointments. While complications are rare, revision surgeries or extended care could result in additional costs not covered in your initial estimate. Therefore, ensure that you inquire about the male breast reduction surgery revision policy.
Some practices charge consultation fees ranging from $100 to $300, though many credit this amount toward surgery costs if you proceed with treatment. Clarify fee structures and payment policies before scheduling your appointment.
Lifestyle Factors to Discuss
Your lifestyle has a significant impact on both surgical candidacy and recovery outcomes. Weight gain after surgery can lead to recurrence or worsening of gynecomastia, so maintaining a stable weight is important for long-term success. If you smoke, ask your provider about quitting smoking before your procedure. Being honest about your habits and circumstances helps your surgeon provide the best possible care and set appropriate expectations.
Weight and Exercise Considerations
Discuss your current weight stability and fitness goals with your surgeon. Significant weight fluctuations can impact surgical outcomes, so most surgeons recommend maintaining a stable weight for at least six months prior to surgery. If you’re planning major weight loss, your surgeon may recommend postponing surgery until you reach your goal weight.
Your exercise routine and fitness goals influence both surgical planning and recovery expectations. Athletes or fitness enthusiasts need to understand activity restrictions during healing and plan accordingly for time away from intensive training.
Smoking and Substance Use
Smoking severely impairs healing and significantly increases complication risks. Your surgeon will require complete nicotine cessation for several weeks before and after surgery. This includes cigarettes, cigars, pipes, chewing tobacco, and nicotine replacement products.
Be honest about alcohol consumption and any history of substance use, particularly anabolic steroids or recreational drugs. Some substances can affect healing, interact with medications, or indicate increased risk for gynecomastia recurrence.
Work and Support Considerations
Discuss your work responsibilities and the physical demands of your job. Office workers typically return to work within a few days to a week, while those in physically demanding occupations may need several weeks off. Plan accordingly and arrange coverage if necessary.
Consider your support system for the immediate post-operative period. You’ll need someone to drive you home after surgery, and you may need assistance with daily activities for the first few days. Having adequate support contributes significantly to a smooth recovery.
Timing and Life Events
Consider the timing of your surgery in relation to important life events, travel plans, or seasonal factors. Allow adequate recovery time before major events or vacations. Some patients prefer winter surgery to allow full healing before summer activities.
Timeline and Next Steps After Consultation
Understanding the typical timeline from consultation to surgery helps you plan appropriately and ensures you don’t rush important decisions about your care.
Decision-Making Period
Most reputable surgeons require a waiting period of at least 24 to 48 hours between the consultation and scheduling of surgery. This cooling-off period allows you to process the information, discuss the decision with your family, and ensure you’re making a well-considered choice rather than an impulsive one.
Use this time to review your consultation notes, research your surgeon further, and consider whether you want a second opinion. Complex cases or patients with specific concerns may benefit from consulting multiple surgeons to inform their final decision.
Pre-Operative Preparation
Once you decide to proceed, pre-operative testing may be required. This typically includes blood work to check for anemia, clotting disorders, and general health status. Older patients or those with medical conditions may need additional testing, such as electrocardiograms.
Surgery scheduling usually occurs 4-6 weeks after your initial consultation, allowing time for pre-operative optimization, administrative processing, and proper preparation. Your surgeon may provide specific instructions regarding medication adjustments, dietary restrictions, or lifestyle modifications to follow before surgery. Your provider may recommend a complete blood count (CBC) or other tests to evaluate your health before surgery. The day before surgery, your provider will tell you when to stop eating and drinking.
Post-Operative Care Planning
Schedule your post-operative appointments before surgery to ensure proper follow-up care and support. Typical appointments occur at one week, one month, three months, and sometimes six to twelve months after surgery. These visits monitor your healing, address any concerns, and track your progress toward achieving final results.
Understand your surgeon’s policies regarding emergency contact, after-hours availability, and management of complications. Knowing how to reach your surgical team if concerns arise provides peace of mind during recovery.
Red Flags to Watch for During Consultation
Recognizing warning signs during your consultation can help you avoid poor outcomes and unsafe care. Trust your instincts if something feels wrong or unprofessional.
Pressure Tactics and Unrealistic Promises
Be wary of surgeons who pressure you to schedule surgery immediately without adequate reflection time. Ethical practitioners encourage patients to take time for decision-making and may even recommend against surgery if it’s not in their best interest.
Avoid surgeons who make unrealistic promises about results or claim their technique is “scarless” or “guaranteed perfect.” All surgeries carry risks and limitations, and honest surgeons openly discuss these with their patients.
Inadequate Credentials or Facilities
Verify that your surgeon is board-certified in plastic surgery and that they operate in accredited facilities. Non-board-certified practitioners or unaccredited facilities significantly increase your risk of complications and poor outcomes.
Be cautious if a surgeon cannot provide adequate before-and-after photos, refuses to discuss risks, or seems evasive about their experience with gynecomastia surgery. Transparency is crucial for establishing trust and delivering high-quality care.
Poor Communication and Professionalism
High-quality surgeons take the time to thoroughly address your questions and concerns. Be cautious of rushed consultations, unprofessional behavior, or staff who cannot provide clear answers to basic questions about procedures and policies.
Trust your comfort level with the surgeon and their team. You should feel heard, respected, and confident in your ability to provide excellent care throughout your surgical journey.
Patient reviews
Research your doctor for patient reviews. This can be very helpful. Patient reviews provide valuable insights into the experiences of others who have undergone gynecomastia surgery with the surgeon you are considering. These testimonials often highlight the surgeon’s professionalism, bedside manner, surgical skill, and overall satisfaction with the results. Pay attention to comments about the surgeon’s communication style, responsiveness to questions, and how complications or concerns were handled.
In addition to online reviews, you can ask the surgeon’s office for references or before-and-after photos of previous patients. Speaking directly with former patients can give you a clearer understanding of what to expect regarding recovery time, pain management, and the quality of post-operative care. Remember to look for consistent patterns in reviews rather than isolated opinions.
Utilizing multiple sources for research, including reputable medical websites, professional associations, and patient forums, will help you make a well-informed decision. Choosing a surgeon with a strong track record and positive patient feedback can significantly contribute to achieving your desired outcome and a smooth surgical experience.
Conclusion
The key to a successful gynecomastia consultation lies in thorough preparation and choosing the right surgeon for your needs. By gathering complete medical information, preparing thoughtful questions, and understanding what to expect, you position yourself to make informed decisions about your treatment. Vet potential doctors carefully before deciding on a cosmetic surgeon for breast reduction.
Remember that this consultation represents the beginning of your journey toward addressing enlarged breasts and improving your self-confidence. Take the time needed to feel completely comfortable with your surgeon’s choice and treatment plan.
Call Today
If you’re ready to take the next step in addressing your gynecomastia, Dr. Miguel Delgado offers comprehensive consultations with extensive experience in male breast reduction surgery. His expertise in treating patients with gynecomastia, combined with state-of-the-art facilities and personalized care, makes him an excellent choice for your surgical needs. Contact Dr. Delgado’s office today to schedule your consultation and begin your journey toward a more confident you.
FAQ
How long does a gynecomastia consultation typically last? Most comprehensive consultations take 60-90 minutes, including examination, discussion, and documentation. This allows adequate time for thorough evaluation and addressing all your questions and concerns. If your gynecomastia surgery is performed on an outpatient basis, arrange for someone to drive you to and from the surgery. You should wear loose-fitting clothing when you arrive at the surgical center or hospital.
Should I bring someone with me to the consultation? Yes, bringing a trusted friend or family member can provide emotional support and help you remember important information discussed during the appointment. They can also ask questions you might not think of.
Will I need to undress during the consultation? Yes, a physical examination of your chest area is necessary for proper assessment and surgical planning. You’ll be provided with appropriate draping for comfort and privacy during the examination.
Can I schedule surgery the same day as my consultation? Most reputable surgeons require a waiting period of at least 24 to 48 hours before scheduling surgery. This reflection time helps ensure you’re making a well-informed decision rather than an impulsive choice.
What if I decide not to proceed with surgery after the consultation? There is absolutely no obligation to proceed with surgery after a consultation. Ethical surgeons respect your decision and may even recommend against surgery if it’s not appropriate for your situation.
What is the cost of a gynecomastia consultation? Consultation fees typically range from $100 to $300, though some surgeons offer complimentary consultations. Many practices credit consultation fees toward surgery costs if you decide to proceed with treatment.
Can I have a virtual consultation for gynecomastia? While some initial discussions can occur virtually, a physical examination is crucial for accurate diagnosis and effective surgical planning. Virtual consultations may be useful for gathering preliminary information, but they cannot replace in-person evaluations.
What should I wear to my consultation? Wear comfortable, loose-fitting clothing that can be easily removed for examination. Avoid tight shirts or clothing that might leave marks on your skin before photography or examination.
What is the technical name for gynecomastia correction surgery? Gynecomastia correction surgery is technically referred to as male reduction mammaplasty. This procedure is designed to correct gynecomastia by removing excess breast tissue, specifically glandular tissue, and improving chest contours. Reduction mammaplasty is especially effective in cases with significant breast excess, sagging, or stretched areolas.
Does gynecomastia surgery involve removing excess fat? To correct gynecomastia, the surgical approach may include liposuction to remove excess fat, as well as the excision of glandular tissue. This combination helps achieve a flatter, more natural-looking chest contour.
The key to a successful gynecomastia consultation lies in thorough preparation and choosing the right surgeon for your needs. By gathering complete medical information, preparing thoughtful questions, and understanding what to expect, you position yourself to make informed decisions about your treatment.
Remember that this consultation represents the beginning of your journey toward addressing enlarged breasts and improving your self-confidence. Take the time needed to feel completely comfortable with your surgeon’s choice and treatment plan.
If you’re ready to take the next step in addressing your gynecomastia, Dr. Miguel Delgado offers comprehensive consultations with extensive experience in male breast reduction surgery. His expertise in treating patients with gynecomastia, combined with state-of-the-art facilities and personalized care, makes him an excellent choice for your surgical needs. Contact Dr. Delgado’s office today to schedule your consultation and begin your journey toward a more confident you.
Are you a male with enlarged breast tissue, or what some call “man boobs”? If so, you may be suffering from gynecomastia. This condition can affect males of all ages, can affect one or both breasts, and take a toll on self-confidence, self-esteem, and healthy body image. The most common cause of gynecomastia is an imbalance in hormone levels. Thankfully, there is a permanent solution for gynecomastia: gynecomastia surgery or male breast reduction surgery. Read on to learn more about this surgical treatment and the risks that you should be aware of.
About Gynecomastia Surgery
Gynecomastia surgery, also called male breast reduction surgery, is an effective solution for those living with excess breast tissue due to gynecomastia. It is performed under general anesthesia and involves the surgical removal of gland tissue, excess tissue, and excess fat for a flatter, more masculine chest appearance. Overall, gynecomastia surgery is often deemed the best way to correct gynecomastia caused by glandular tissue.
Gynecomastia surgery is a form of plastic surgery, and when performed by a board-certified plastic surgeon, the risks associated are greatly reduced. This is because board-certified surgeons have extensive knowledge of surgical procedures and the experience needed to identify and mitigate any possible issues quickly and effectively.
Risks Associated with Gynecomastia Surgery
There are always some risks involved with any form of surgery, including gynecomastia surgery. These may include:
Hematoma
Hematoma occurs when blood collects under the skin. While very small hematomas can be massaged and may resolve on their own, larger hematomas require drainage to eliminate the excess blood. Dr. Delgado uses drains during this gynecomastia surgery to help prevent the risk of hematomas.
Scarring
Scarring is always a risk when it comes to any form of invasive surgery. Scarring can occur at the planned incision site, or may also occur at an unplanned site. However, visible scars generally heal well following gynecomastia surgery and Dr. Delgado can give you advice on which products to use to further improve scarring.
Infection
Infection following gynecomastia surgery is very rare. This is because antibiotics may be prescribed prior to surgery to decrease the risk even further. It is important to follow your surgeon’s aftercare instructions regarding hygiene to further prevent the risk of infection.
Nipple Sensation Loss
During gynecomastia surgery, some of the nerves that travel through the breast tissue to the nipple may be severed. This can lead to decreased nipple sensation.
Contour Irregularities
The risk of contour irregularities is greater when an individual undergoes surgery with an unskilled surgeon. A skilled board-certified plastic surgeon with ample experience performing gynecomastia surgery will understand the proper techniques to avoid irregularities for a flat, smooth chest.
Risk of Reoccurrence
The risk of gynecomastia recurring after surgery is rare when all glandular tissue is removed. When recurrence does occur, it is often because a hormonal stimulus has not been addressed or anabolic steroids are continued to be used after surgery.
Pain or Discomfort
Following gynecomastia surgery, patients may experience some level of pain or discomfort, which is to be expected. This pain should subside over time during the healing process, and your surgeon may prescribe you pain medication to help.
Deep Vein Thrombosis or Cardiopulmonary Issues
Any surgical procedure can lead to the risk of deep vein thrombosis (DVT), which may lead to cardiopulmonary problems. This is rare, though it is important that patients are aware of the risk.
Schedule a Gynecomastia Surgery Consultation
For further information regarding gynecomastia surgery in San Francisco Bay Area, pleasecontact Dr. Delgado today. Your first step will be to schedule an initial consultation appointment to discuss your aesthetic concerns and desired result.
Gynecomastia Surgery FAQs
Does gynecomastia surgery involve liposuction?
In some cases, the procedure includes liposuction to remove excess fatty tissue for an improved chest contour.
Does insurance cover gynecomastia surgery?
Because gynecomastia surgery is often an elective procedure, insurance does not cover the cost.
Are all men with large male breasts a candidate for gynecomastia surgery?
To determine if gynecomastia surgery is right for you, you should consult with a physician to first obtain a diagnosis. Commonsigns of gynecomastia include swollen or puffy nipples, nipple discharge, nipple sensitivity, male breast tissue discomfort, and more.
Can gynecomastia surgery cause male breast cancer?
No, gynecomastia surgery has no links to the cause of male breast cancer.
When undergoing any type of surgical procedure, anesthesia will be used to keep the patient comfortable and allow for a safe procedure. Read on to learn more about the anesthesia options used for male breast surgery.
What is Gynecomastia?
Gynecomastia is a condition that causes enlarged male breasts in both boys and men. Male breast enlargement can be caused by a range of factors, including hormonal imbalance, certain medications, illegal drugs, and more.
It is important to understand the difference between truegynecomastia and pseudo-gynecomastia. While true gynecomastia is caused by an increase in glandular tissue and breast tissue, pseudo-gynecomastia is primarily caused by excess fatty tissue to weight gain.
The most effective solution for true gynecomastia isgynecomastia surgery, or male breast reduction surgery. This procedure can be performed under a number of different types of anesthesia. Read on to learn more.
General anesthesia causes patients to fall into a sleep-like state with the use of a combination of medicines. This type of anesthesia is performed with an endotracheal tube or a laryngeal mask, also called an LMA. This is a lighter form of general anesthesia. It is considered a safe form of anesthesia for those without serious health conditions.
Local Anesthesia
This type of anesthesia is used to numb a specific area of the body and contains an infiltration of lidocaine, marcaine, epinephrine, and bicarbonate. Unlike general anesthesia, local anesthetics do not cause you to lose consciousness. Because of this, they are generally safer, and are associated with quicker recovery.
IV (Intravenous) Sedation
IV sedation refers to the administering of medication through the blood. Sedation relaxes you and sometimes makes you fall asleep. This type of sedation is often used for shorter, less complex procedures.
Determining Your Anesthesia for Male Breast Reduction Surgery
Dr. Delgado performs the majority of male breast reduction surgery under light general anesthesia. This is because it gives him total control during surgery and keeps the patient comfortable, as well as avoids excess bleeding for the best outcomes.
The best way to determine which anesthesia option is best for you is to discuss your procedure with a board-certified plastic surgeon such as Dr. Delgado during a consultation appointment.
Schedule Your Consultation
If you are tired of living with gynecomastia and are seeking male breast reduction treatment, please contact Dr. Delgado in San Francisco, CA today! You can give us a call or fill out ouronline contact form to get started.
Gynecomastia is the enlargement of the breast tissue in males. It causes men a great deal of embarrassment. Gynecomastia surgery has continued to increase in popularity among men. The number of men seeking surgical improvement to their chests continues to increase.
As a result of hormonal surges during puberty, male breast tissue may develop. Breast tissue may shrink after puberty in some cases, but in many cases, the breasts remain enlarged. This is called persistent pubertal gynecomastia. According to statistics, asymptomatic gynecomastia affects 60% to 90% of young boys, 50% to 60% of teenagers, and up to 70% of older men aged 50 to 69 years.
According to the American Society of Plastic Surgeons (ASPS) 2018 Plastic Surgery Report, approximately 25,000 male breast reduction procedures were performed in the U.S. last year, marking a 22 percent increase since 2000. Additionally, according to Mayo Clinic research, men aged between 50 and 69 are affected by gynecomastia, and gynecomastia surgery (also known as male breast reduction ) is one of the most popular cosmetic procedures in the United States.
Gynecomastia is commonly caused by hormonal imbalances during puberty, weight gain, use of anabolic steroids by bodybuilders, and marijuana use. Male breast enlargement can also be caused by other medications.
How Do I Know If I Have Gynecomastia?
Gynecomastia usually occurs in one or both breasts. The breast enlargement (gynecomastia) may be asymmetrical or larger or smaller from side to side. Breast self-examinations, also known as the “pinch test“, typically reveal a palpable, tender, firm, mobile, disc-like mound of tissue. Unlike breast cancer, this tissue is soft and has a central location under the nipple-areolar complex.
Palpable masses that are unilateral, firm, fixed, circumscribed, and involve only one breast but are associated with abnormal discharge from the breast, changes in the skin, or enlarged lymph nodes, suggest breast cancer and invite thorough evaluation, including mammographic and MRI imaging studies.
In the United States, 1% of all breast cancers are diagnosed in men over the age of 60.
Causes of Gynecomastia
Many factors can lead to hormonal imbalances that cause male breast growth, and often times the cause is unknown.
Besides body changes such as puberty and aging, there are a number of other factors that lead to gynecomastia:
Testicular injuries and diseases
Thyroid disease, kidney failure, or pituitary gland tumor.
Obesity, which can result in more estrogen
Illegal drugs, including steroids, pot, and heroin
Some young boys may experience the condition briefly while their mothers’ hormones still affect their bodies.
Medication That May Cause Gynecomastia
Anti-androgens. These are drugs that treat an enlarged prostate and prostate cancer.
Anabolic steroids. In an effort to improve their performance, athletes sometimes use anabolic steroids illicitly. Blood tests can detect this in the bloodstream.
HIV drugs. An HIV treatment that is called “highly active antiretroviral therapy” may cause gynecomastia as a side effect.
Heart medications. Gynecomastia can sometimes be caused by certain drugs, such as digoxin (Lanoxin) and calcium channel blockers.
Medications help empty your stomach. Metoclopramide Reglan ) can have gynecomastia as a side effect.
Ulcer drugs. There are some over-the-counter medications that can cause gynecomastia, such as cimetidine and Tagamet antibiotics. The same can be said of tricyclic antidepressants and certain cancer treatments.
Gynecomastia Surgery
Whenever patients complain of male breast enlargement (gynecomastia), they describe the appearance of an enlarged chest which looks like “women’s breasts on a man.”. Every aspect of their lives is affected by this and they experience an intense feeling of shame and embarrassment.
Male breast reduction surgery is considered to be the gold standard of treatment. During surgery, the breast tissue will be removed along with the excess fat and glandular tissue. The procedure is usually performed through an incision in the lower half of the nipple-areolar complex and/or by excision of the skin (in the case of very large male breasts). In order to confirm the presence of gynecomastia and rule out the possibility of male breast cancer, it is essential to have your surgeon perform a proper physical examination of your breasts.
It is important to stop taking medications that could cause bleeding, quit smoking, and increase your nutrition so that you will heal and recover from surgery. It is a procedure that is most commonly performed under general anesthesia, but it can also be performed under oral sedation and local anesthesia. Drains are commonly used after surgery to prevent fluid accumulations. To reduce swelling, control bruising, and control pain, compression vests, and icing are often used.
Recovery After Gynecomastia Surgery
For patients with pseudogynecomastia (gynecomastia dues to excess fat only), liposuction may be sufficient to correct their enlarged breasts. These patients are usually able to return to work in one week and exercise within 3 weeks. Surgery for the removal of excess breast tissue can take 1 to 2 weeks for patients to recover enough to take part in normal activities. The average patient can return to white-collar work in 5-7 days. At 4 weeks and 6 weeks, they can return to the gym for cardio and weightlifting, barring complications from the surgery.
Complications With Gynecomastia Surgery
Gynecomastia surgery is usually very safe and most patients recover quickly. In spite of every precaution taken, complications can occur. Complications include bruising, bleeding, fluid collections, irregularities in the breast contours, the loss of breast skin, scarring between the breasts, numbness between the breasts, and inverted breasts. Preoperative, postoperative, and perioperative management is crucial for achieving good outcomes.
If you are concerned about gynecomastia and wish to discuss treatment options, you should consult a board-certified plastic surgeon in your area or contact Dr. Delgado’s via this inquiry form.
The 5 Most Important Tips to Choose Your Gynecomastia Surgeon
Several important factors should be considered when selecting a gynecomastia surgeon
Gynecomastia is associated with puberty. In most cases, the breast gland tissue (gynecomastia) will resolve without treatment within six months to two years. Most commonly enlarged breasts occur between the ages of 13 and 14 years but can occur as early as 10 years of age. Up to 20 percent of individuals with enlarged breasts continue to experience symptoms after they reach their 17th birthday.