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Gynecomastia Surgery

One of the most common cosmetic issues affecting men is Gynecomastia. It is caused by excess fatty breast tissue and can result in enlarged male breasts, areolas, nipples and excess skin. Gynecomastia can be present for many reasons, including heredity, weight gain, hormones, and certain drugs. Although many men with gynecomastia report feelings of embarrassment and low self-confidence, it can be surgically corrected. Reduction mammaplasty, also referred to as gynecomastia surgery, can be performed on one or both breasts, restoring a flatter, more masculine physique.


Ideal candidates for gynecomastia surgery include:

  • Adult males in good health.
  • Those who have reached their ideal body weight or have stabilized their weight.
  • Those with realistic expectations for their results.
  • Patients who have a strong desire to improve their appearance and to reduce their breast volume.
  • Although reduction mammaplasty can be performed in adolescence, more lasting results are seen after puberty is complete.


Your first step is to schedule an initial consultation with Dr. Grotting or Dr. Cohn. During the consultation, photos will be taken, Dr. Grotting or Dr. Cohn will discuss your goals, answer any questions and design a plan for your best surgical result. You will then meet with a patient care coordinator. The patient care coordinator will discuss surgical options, locations, associated costs, and any preoperative instructions.


Reduction mammaplasty is usually performed in our fully accredited operating facility at Grotting & Cohn Plastic Surgery, in Birmingham, Alabama. The procedure typically lasts one to three hours under general anesthesia. In cases where gynecomastia surgery is covered by insurance, the surgery will be performed in a hospital as an outpatient procedure. First, liposuction is performed to remove excess fat and tissue from the breasts.

In some cases, areas of fibrous tissue will be removed below the nipple through a small incision. The excess skin is removed, then the areola/nipple is reduced, if needed, and repositioned. All incisions and sutures are placed inconspicuously to give you the best results.


Following gynecomastia surgery, most patients can typically expect minimal recovery and downtime. A compression vest is worn during the first few weeks after surgery to minimize swelling. Side effects include some swelling and bruising that will dissipate within a few weeks. Incisions are minimal, and most men do not require a significant amount of time off work.


Typical results include a flatter and more defined masculine chest. Results will be completely visible once all swelling and bruising have subsided. Reduction mammaplasty results will be long lasting if your weight remains stable and if the procedure is performed after puberty.