What is the best solution for gynecomastia? (Photo)

Doctor Answers 10


Thank you for your question and photo.  If it is determined that you have glandular tissue, this will need to be removed surgically by excision.  Fat can be removed via liposuction.

All the best,

Dr. Results
Miami, FL

Gynecomastia Treatment

Gynecomastia is characterized by enlarged breast tissue and affects an astonishing 40 to 60% of men. Fortunately, the condition is easily reversed with liposuction just by making a small incision under the nipple. It is now possible to reduce the size of the breast using virtually scarless technique. Through a small incision around the nipple Liposuction with ultrasound and fine laser beams liquefy the fat and glandular tissue recontouring the breast around the areola and from the sides and bottom of the breasts. Because liposuction stimulates the skin to tighten, a smooth contour after fat is removed is possible.

Michelle Copeland, MD, DMD
New York Plastic Surgeon
4.5 out of 5 stars 8 reviews

Best Solution?

Thank you for your question.

As each case of #gynecomastia is different, it is vital that a #BoardCertified #PlasticSurgeon with experience in #male #breast #surgery is consulted. The surgeon should determine if the patient is a suitable candidate for male breast reduction by liposuction or glandular excision. It is crucial to have a plastic surgeon who is well-versed in the gynecomastia condition can determine if there is firm breast tissue beneath the areola that is causing the nipples to project (which is often the case), and if so, how much of this glandular tissue can be removed to create a flat appearance.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 94 reviews

Treatment for gynecomastia

Gynecomastia refers to the enlargement of breast tissue in men.  This enlargement can occur from many reasons including hormones, weight gain, medications, rare tumors, and idiopathic reasons.  If the etiology of the breast enlargement is benign, a good treatment option is surgery.  Since the breast enlargement is usually due to a combination of glandular breast tissue and fatty tissue, the best results are obtained with a combination of liposuction and direct excision of the breast tissue.  I would suggest that you consult with a board certified plastic surgeon to discuss what options are best for you.  Good luck!

Anureet K. Bajaj, MD
Oklahoma City Plastic Surgeon
5.0 out of 5 stars 17 reviews

Gynecomastia Treatment Options

Hi sunnik jha,
Thanks for the post. The best solution is to begin by seeing a plastic surgeon who specializes in gynecomastia surgery.  Depending on whether you have excess fatty tissue, excess breast tissue, excess skin, and nipple position will determine the best technique. If you have excess breast tissue, liposuction will not be sufficient and you will need excision of the excess breast tissue.

Dr. Dadvand

Babak Dadvand, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 39 reviews

Best treatment for gynecomastia?

Thank you for your question and photo.Several options are available; suctioning of the fatty tissue alone or in combination with excision of the firm non fatty tissue under the nipple/areola complex and if necessary excision of skin. Your photo shows a mild deformity possibly amenable to fatty tissue removal only with or without excision of non fatty tissue. The best approach would be determined at you consultation. I have found Smartlipo is a very effective treatment for your degree of deformity. This procedure can be performed in office with minimal recovery time.Best wishes.


Gynecomastia is usually due to excess glandular tissue behind the areola and fatty tissue in the breast.  A combination of liposuction to address the fatty tissue and direct excision to address the glandular tissue is usually needed.  In most cases this is performed as an outpatient.  A postop drain is often required.  Resumption of all activities is usually possible in 3-4 weeks.  Best of luck.  

Peter Hyans, MD
Summit Plastic Surgeon
4.9 out of 5 stars 21 reviews

What is the best solution for gynecomastia? (Photo)

Hi Sunnik Jha,
gynaecomastia is abnormal shape of male chest caused due to presence of glandular tissue with fat accumulated around it.
so a procedure which removes both is the best treatment method . liposuction with gland excision is the best treatment modality available. it is a day care surgery with very little problems
best of luck


The only treatment I am aware of is surgery. In our facility it is routinely treated under light sedation anesthesia on an outpatient basis using a tiny almost invisible incision inside the armpit removing both fat and Gland tissue if necessary. Make sure you're speaking to BCPS 

Sherwood Baxt, MD
Paramus Plastic Surgeon
3.9 out of 5 stars 21 reviews

Treatment options for gynecomastia

Hello and thank you for your question.  There are several different treatment options for men with gynecomastia.  Typically both fat and glandular tissue need to be excised.  Traditionally, glandular tissue had to be excised via a small incision, but now this can be done with minimally invasive devices such as the Bard Encor to avoid large incisions.  The entire surgery can be performed through a few 5 mm incision.  Good luck and make sure to consult with someone familiar with these techniques. 

Kelly Killeen, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.