Gynecomastia Reduction for Men

True gynecomastia arises from a hormonal imbalance when estrogen levels are elevated relative to testosterone. This imbalance stimulates the growth of glandular breast tissue, which does not respond to weight loss, diet, or exercise.

Even men in excellent physical condition can develop true gynecomastia due to hormonal fluctuations, genetics, or medication use. The tissue tends to feel firmer than fat, sometimes accompanied by nipple sensitivity or a small, disc-like mass beneath the areola.

In contrast, pseudogynecomastia refers to chest enlargement caused by the accumulation of fat rather than glandular tissue. It’s often associated with weight fluctuations or general obesity and can sometimes improve with fat reduction methods like diet, exercise, or liposuction.

Your experience begins with a private consultation, during which Dr. Robey performs a detailed evaluation of your chest anatomy, tissue composition, and skin elasticity. She determines whether your condition involves fatty tissue, glandular enlargement, or both and explains the best approach to achieving your desired contour.

Our team provides complete preoperative instructions before surgery to ensure a smooth experience. You’ll receive guidance on medications, fasting, and postoperative arrangements, along with information on what to expect on the day of your procedure. For select patients, Dr. Robey may recommend lab work or imaging to evaluate glandular tissue before surgery.

You’ll also be fitted for a compression garment designed to support the chest and enhance contour during healing. These steps help set the stage for a safe procedure and an optimal recovery.

Gynecomastia surgery is performed under general anesthesia and typically lasts one to two hours. Once sculpting is complete, she applies a supportive compression garment to aid recovery and maintain your new shape.