Everything You Ever Wanted to Know About Gynecomastia, But Were Afraid to Ask 

Many men feel too self-conscious about their chests to go shirtless due to enlarged breasts. What they may not know is the issue could be a condition called gynecomastia, and it’s entirely treatable with cosmetic surgery.  

Before we get to how gynecomastia is treated, let’s take a look at what it is and what causes it. 

What is Gynecomastia? 

Gynecomastia can be an embarrassing condition where male breasts become enlarged due to excess male breast tissue. Male breast enlargement is a common condition that can happen at any age, but most often occurs during adolescence or later in life (50-70s). While many men have trouble openly talking about gynecomastia, it is a common condition with a relatively straightforward treatment. 

Causes of Gynecomastia 

There are many causes of gynecomastia, but the most common is a hormonal imbalance of testosterone and estrogen. 

When going through puberty during adolescence, men can undergo a hormonal imbalance. Men can also experience hormonal changes and imbalances later in life, in their 50s-70s. During these times, men can see an increase in glandular breast tissue. Estrogen levels can increase, causing the breast tissue to enlarge. 

There are other conditions that can contribute to gynecomastia, including: 

• Adrenal tumors 

• Alcoholism 
• Kidney disease or kidney failure 
• Liver disease 
• Thyroid disease 

There are also several medications that can lead to the development of gynecomastia. Medications for anxiety, depression, bacterial and fungal infections, enlarged prostates, and high blood pressure may lead to the development of gynecomastia. Amphetamines, opioids, and anabolic steroids can also cause gynecomastia. 

Treatment For Gynecomastia 

Gynecomastia is treated with male breast reduction surgery. At CARE Plastic Surgery, Dr. Coan performs this surgical treatment frequently for male patients.  

During the surgery, our team use MAC anesthesia and local anesthetics to ensure optimal patient comfort. There are a few different surgical techniques Dr. Coan can utilize depending on the severity of the case. He will make several asymmetrical incisions to remove the excess glandular tissue, leaving the most natural-looking scars. He can also remove any excess fatty tissue through the use of liposuction. Dr. Coan can also combine BodyTite and/or Morpheus treatments with the surgery to help tighten skin if needed. The entire procedure typically takes about two hours. 

Recovery and Results 

Since gynecomastia surgery is an outpatient procedure, you can go home the same day as the procedure with an accompanied caregiver. When leaving, you will be wearing a compression garment to reduce swelling during your early recovery. 

You will be prescribed pain medications to help with any discomfort during your recovery period, but most of our patients only take narcotics for a few days after the procedure. Most discomfort can be well-managed with Aleve. Our team will also thoroughly discuss all post-op instructions in depth at your pre-operative appointment so you feel prepared beforehand. 

Like all surgical procedures with our office, you will wear a compression garment and avoid exercise for 6 weeks after surgery. At this stage, it is typical for the surgical area to feel firm due to the scar tissue. Surgical results can be noticeable almost immediately, but there is accompanied swelling and possible bruising to be expected. As swelling decreases and bruising settles, you will better be able to see your results. We judge the final results 3 months after the procedure. 

Schedule A Consultation 

Have you been struggling with gynecomastia and want to learn more about male breast reduction surgery? Dr. Coan and our experienced team at CARE Plastic Surgery are more than happy to walk you through the journey and answer any questions you may have. 

To schedule a consultation today, call our Cary, NC office at 919-335-9298 or use our online scheduling form. 

Return to Overview