Also known as Gynecomastia

Male Breast Reduction

We frequently consult with men who are concerned about excessive fullness of their breasts (gynecomastia). The cause of gynecomastia is frequently unknown and can develop during or after puberty. Weight gain can result in gynecomastia. Unfortunately, after weight loss, breast enlargement may still remain. Excess use of alcohol, steroids and certain drugs, as well as heredity, can contribute to the development of gynecomastia. The vast majority of cases, however, are not related to any known illness. Fortunately, there are several reliable surgical techniques that correct undesirable breast enlargement in men.

Surgical Technique

The main method for treatment of gynecomastia is liposuction. Frequently the majority of fullness in the male chest is due to fatty excess which is best addressed through the combined use of ultrasonic-assisted and traditional content_imageliposuction techniques. In those patients who have a significant component of their breast fullness arising from fibrous breast tissue itself, this may require direct surgical removal. If direct removal is necessary after liposuction, this can be done through a small incision around the lower edge of the areola. This hides the scar to where it’s nearly imperceptible. There are some cases where skin excess may still remain such as following extreme weight loss or after dramatic breast enlargement. If this is the case, skin excess excision would be necessary and would be customized to the individual patient’s need.

Gynecomastia surgery is typically performed under a light general anesthetic as an outpatient procedure in an accredited surgical facility. Dr. Behar ensures that all those assisting in your care are experienced, qualified and compassionate and have all requisite skills necessary to make your surgical procedure as safe and as comfortable as possible.


Typically the patient will be sent home in a well-padded, compressive garment beneath which a simple dressing has been placed. Compressive garments work to promote healing, resolve swelling, and to assist in skin redraping following male breast reduction surgery. Most patients will not require placement of surgical drains to evacuate fluid accumulation. The garment can typically be removed several days after surgery to allow for comfortable showering and reapplication of the garment. Discomfort is mild to moderate and our patients are typically back to work within several days. After three weeks or so, the patient may no longer need a compressive garment. Specific advice during the postoperative period will be provided during your follow-up visits.

If you’d like to learn more about gynecomastia and schedule an appointment to meet personally with Dr. Behar, please contact us at our phone number or via e-mail.