I see men of all ages with male “breasts,” and the constraints this condition puts on their lives. The great news is surgery can be the answer for many of these patients.

The Procedure In


Though rarely discussed, gynecomastia is actually quite common—affecting 40 to 60% of men. Physiologic gynecomastia occurs when hormone levels associated with adolescence lead to formation of excessive breast tissue. This usually resolves with time but that is not always the case. Other reasons for gynecomastia may include hormone supplements, heredity, drug side effects or certain medical conditions.

Many men with this condition will avoid activities such as swimming or certain sports because it becomes difficult to hide. Some are forced to wear layered clothing to disguise the fullness.

The surgery to correct gynecomastia should be performed on healthy, emotionally stable men. The best candidates should be close to their ideal weight, and have firm, elastic skin that will reshape to the body’s new contours. While men at any age can benefit from treatment, those going through puberty are followed to see if the gynecomastia resolves. Correction of gynecomastia is usually permanent. Some patients also have a significant amount of fat in the chest area. Because of this, Dr. Lee treats most patients with a combination of liposuction and resection of the gland.

Since the procedure removes fat and/or glandular tissue from the breasts, the result is a chest that is flatter, firmer and better contoured.

Dr. Lee's Priorities &


The technique Dr. Lee will use is predicated upon a comprehensive health history and physical exam to determine the ratio of excess fat and size of the glad to be removed. The exam will indicate whether excision of the gland alone will solve the concern or if the surgical plan will also include liposuction.

The aesthetic aspect of gynecomastia cannot be ignored. Is the patient a workout warrior? A young man? An older man? Dr. Lee’s priority is to ensure a thoughtful, artistic approach is used and his liposuction technique sculpts and shapes the chest to blend with a man’s overall torso. Dr. Lee typically removes most of the gland but, when necessary, leaves just enough tissue to minimize the occurrence of a depressed nipple area. Careful consideration is given to symmetry. Incisions are meticulously made and located to be imperceptible in 4-6 weeks.


What can make male breasts return after having corrective surgery?

As stated, gynecomastia is usually permanent. However, there are times where the process may recur. This is a significant concern when gynecomastia is related to hormones, steroids or other instigating factors that are continued after the operation. It is important to discontinue any hormone supplements or certain drugs. These specific contributing factors will be discussed during the consultation. In addition, it is key for men to understand if they gain weight after surgery, the results may be compromised.

Where are the incisions made?

The first incision is small—less than 1/4” and is hidden in the armpit. A second small incision is made along the bottom border of the nipple. Both heal beautifully and are usually imperceptible after about a month. Most patients can barely see the two small scars created to correct gynecomastia.

What does post-op involve? When can I go back to the gym?

You must be compliant in wearing post-surgical garments to retain your new shape. These include a special vest for 2 weeks and an Under Armor® compression shirt for an additional 10 weeks. There are strict guidelines against lifting weights for 6 weeks after gynecomastia surgery. Lower impact activity is encouraged and will be made clear in your follow up visit with Dr. Lee. The sun should be avoided for the first year unless a strong sunblock is applied so scars do not become pronounced.

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