Body Procedures » Gynecomastia (enlarged male breasts) reduction

Male breast reduction in Seattle

Procedure Illustrations

Mouseover each thumbnail for a large view.

Gynecomastia (enlarged male breasts) according to Seattle Cosmetic Plastic Surgeon, Dr. Lisa Lynn Sowder

Seattle is the kind of city where dudes lose the baggy, flannel shirt when it hits 50 degrees.   And sometimes, it’s just not a great look due to gynecomastia.

Gynecomastia is a condition where the male breast becomes overdeveloped. This most frequently occurs around puberty or in middle age. Gynecomastia is sometimes related to illness, obesity, certain medications or hormonal imbalances. Often, however, there is no known cause. Prior to considering surgery, patients with gynecomastia should have a thorough evaluation from their primary care physician to rule out any medical conditions that may require treatment.

Quick facts:

  • Costs:  $6500 – $9000 depending on the length and complexity of the surgery. 
  • Post-operative pain: moderate. 
  • Time in compression vest:  3 weeks.
  • Time off work or school: 1 – 2 weeks depending on occupation.
  • Time off driving:  1 week or once you are off narcotic pain meds.
  • Time off the gym:  4 weeks.
  • Time off the slopes:  4  weeks.
  • Time off the kite board: 6 weeks.
  • Time off mowing the lawm:  forever!   Just kidding, usually 4-6 weeks.
  • How longdoes it last:  forever unless you have significant weight change.
  • Patient satisfaction:   high.

The fine print:

The treatment of gynecomastia usually consists of a combination of surgical excision of the excess breast tissue and liposuction of fatty tissue. Usually the surgery can be done though a small incision around the nipple resulting in very little scarring. In men who have very large, pendulous breasts, a larger incision and resultant scar is sometimes necessary.

After surgery it is necessary for the patient to wear a special compression vest for about two weeks. This helps reduce bruising and swelling and speeds healing.

The surgery is done under a general anesthetic as an outpatient in my AAAASF certified Seattle office operating room or at Seattle Surgery Center which is located in the building next door to my office. Postoperative pain is mild to moderate and is usually well controlled with narcotic pain medication. Most patients take about a week off of school or work and several weeks off of any strenuous activity or exercise.

Be sure to check out my photo gallery for examples of gynecomastia reduction.