Gynecomastia Surgery

A flatter, more athletic chest—precise treatment for excess gland, fat and skin with discreet scars.

Overview

Gynecomastia surgery treats excess breast tissue and fat that can cause chest fullness or puffiness of the areola. Dr. Slamin customizes techniques from liposuction alone to direct gland excision and, when needed, skin tightening. The goal is a natural, masculine chest with minimal scarring and smooth transition zones.

Surgical Notes

  • Downtime: Back to desk work ~3–5 days; gym at ~4 weeks with clearance
  • Anesthesia: General anesthesia or IV sedation (extent-dependent)
  • Setting: Accredited surgery center or office
  • Incisions/Scars: Periareolar or small lipo ports; extended skin incsions in certain cases
  • Results Timeline: Early flattening; final definition by ~3 months

Goals of Gynecomastia Surgery

  • Reduce puffy areola and chest projection
  • Create a smooth, athletic contour with hidden scars
  • Address asymmetry and side-chest/axillary fullness
  • Boost self-image in clothing and activities

Candidates for Gynecomastia

  • Persistent fullness post-puberty despite weight optimization
  • Medication/hormonal factors considered and medically optimized
  • Realistic expectations and commitment to compression and aftercare
  • Good health, nonsmoker or willing to optimize

Dr. Slamin’s Approach to Gynecomastia Surgery

Consultation & Planning

We review onset, perform a focused exam determining gland and fat distribution, and order labs or imaging when indicated.

Technical Aspects

  • Liposuction Removing excess fat, liposculpting to highlight a masculine chest contour
  • Gland Excision through a fine periareolar incision
  • Skin Tightening/Excision in significant laxity (often post-weight-loss)

Day of Procedure

Most cases take 60–120 minutes. You’ll wear a discreet compression vest under clothing for several weeks to support contour.

Recovery Timeline

Days
1–3
Rest; swelling
~1
Week
Light work
2–4
Weeks
Exercise ramp-up
3–6
Months
Scars start to fade and final shape begins to form

Pain & Comfort

Soreness that usually resolves within 3-5 days.

Frequently Asked Question