What Is Gynecomastia Surgery and Who Is It For?

board-certified plastic surgeon Las Vegas

Enlarged breast tissue in men, known as gynecomastia, is far more common than many realize. It can affect men of all ages, causing physical discomfort and emotional distress. While lifestyle changes can help in some cases, persistent gynecomastia often requires a more targeted solution.

At Couture Dermatology & Plastic Surgery, our team specializes in gynecomastia surgery in Las Vegas, offering men the opportunity to achieve a flatter, firmer, and more masculine chest contour.

What Is Gynecomastia?

Gynecomastia is the medical term for enlarged glandular breast tissue in men. Unlike excess fat deposits that may occur with weight gain (known as pseudogynecomastia), true gynecomastia involves an overdevelopment of the breast glands.

This condition can appear on one or both sides of the chest and may cause:

  • Tenderness or swelling
  • Uneven chest shape
  • Self-consciousness in fitted clothing or during activities like swimming

For many men, the emotional impact is as significant as the physical symptoms. Gynecomastia can affect confidence, posture, and even daily choices in clothing or social interactions.

What Causes Gynecomastia?

Several factors can contribute to the development of gynecomastia, including:

  • Hormonal imbalances: An increase in estrogen or decrease in testosterone levels
  • Genetics: Family history may predispose men to this condition
  • Weight fluctuations: Fat accumulation can sometimes stimulate glandular growth
  • Certain medications or substances: Including anabolic steroids, anti-androgens, and some antidepressants

If you notice persistent breast enlargement, it’s important to seek evaluation from a board-certified plastic surgeon. A qualified specialist such as Dr. Mitchell Lyons can help identify the underlying cause and determine the most effective treatment plan.

Who Qualifies for Gynecomastia Surgery?

Gynecomastia surgery, also known as male breast reduction, is designed for men who have persistent glandular enlargement that does not resolve with exercise or weight loss.

Ideal candidates include:

  • Men in good overall health and at a stable weight
  • Those with firm, elastic skin that can reshape well after surgery
  • Individuals who have realistic expectations about surgical outcomes

While teenage boys can sometimes experience temporary gynecomastia due to hormonal changes, surgery is typically recommended for adults or for teens whose breast tissue has not improved over time.

The Male Breast Reduction Procedure

At Couture Dermatology & Plastic Surgery, our procedures are tailored to each patient’s anatomy and goals. There are two main surgical techniques:

  • Liposuction: Removes excess fatty tissue through small incisions, ideal for mild cases or pseudogynecomastia.
  • Excision: Involves the removal of glandular tissue, and sometimes excess skin, for more advanced cases.
  • Combination approach: Many patients benefit from both liposuction and excision to achieve optimal contouring.

The goal is to create a flatter, firmer, and more masculine chest, restoring natural proportion and symmetry.

Recovery and Results

Recovery after gynecomastia surgery in Las Vegas is typically smooth and manageable.

Here’s what to expect:

  • Downtime: Most patients return to light activities within a few days and to normal routines within 1–2 weeks.
  • Compression garments: Worn for several weeks to minimize swelling and support healing.
  • Physical activity: Heavy lifting and strenuous workouts should be avoided for about 4–6 weeks.

Final results become more visible as swelling subsides, revealing a sculpted, masculine chest contour. Long-term benefits include improved posture, greater comfort, and renewed self-confidence.

Regain Confidence with Gynecomastia Surgery in Las Vegas

Gynecomastia is common, treatable, and nothing to be ashamed of. Whether your goal is to feel more confident at the gym, in fitted shirts, or simply in your own skin, male breast reduction can help you get there.

Take the first step toward restoring your confidence and achieving a masculine, defined chest. Schedule a private consultation with Dr. Mitchell Lyons at Couture Dermatology & Plastic Surgery today to learn more about gynecomastia surgery in Las Vegas and whether it’s right for you.

Couture Dermatology & Plastic Surgery
9950 West Flamingo Road Ste. 105
Las Vegas, NV 89147
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