Each year, countless men face self-esteem challenges related to gynecomastia, a common condition that causes a more feminine upper body appearance. They might feel embarrassed to take their shirt off in public or be intimate with their partners. Studies show that gynecomastia — also known as male breast enlargement — affects at least 30% of men, and by some estimates, more than half of all men may experience it by age 50 as testosterone levels decline.

If you’re frustrated by the appearance of your chest, PURE Plastic Surgery has a solution that can help you regain your mojo: male breast reduction. This surgical procedure can sculpt a more masculine upper body to help you feel confident and comfortable in your own skin.


Gynecomastia is a condition that makes the breast tissue of boys and men swell. While both men and women have breast tissue, the male breast is usually much smaller than its female counterpart. With gynecomastia, the breasts become larger and take on a more feminized appearance, often due to an imbalance of hormones in the body. In addition to enlarged breast tissue, pain, tenderness and other symptoms may also be present.

Gynecomastia can happen in younger boys but also develops in older men as testosterone levels drop. Other factors contributing to gynecomastia include health conditions and the use of certain medications, including antidepressants, antibiotics and chemotherapy drugs. Although not usually harmful, gynecomastia can cause significant emotional and psychological distress, negatively impacting a person’s self-esteem and overall quality of life.


If the exact cause of enlarged breast tissue is known, the condition can be improved with proper treatment. However, some men may need surgery to improve their symptoms. Male breast reduction is often the most effective treatment option for gynecomastia. It involves the removal of fat deposits and breast tissue to sculpt flatter, firmer and more masculine chest contours.

At PURE Plastic Surgery, our experienced and board-certified plastic surgeons can evaluate your concerns during a consultation to determine if male breast reduction surgery is right for you. We believe in a patient-centered approach to care and will develop a highly personalized treatment plan that meets your needs, utilizing the latest techniques for optimal results.


Gynecomastia can occur for several reasons. Sometimes, the issue is caused by excess fat and can be addressed through diet or exercise, but that isn’t always the case. Because gynecomastia is often the result of hormonal imbalances, many men are unlikely to see substantial improvements without surgery. If you’re bothered by enlarged, swollen breast tissue and a feminized chest appearance that hasn’t improved with lifestyle changes, male breast reduction might be right for you. Ideal candidates for this procedure include:

  • Men who want to achieve more masculine chest contours
  • Men who feel self-conscious about their breast appearance
  • Men who are in good overall health with no underlying health conditions
  • Men who don’t smoke or use performance-enhancing steroids

Book a consultation with one of our surgeons or care coordinators at PURE Plastic Surgery to find out if gynecomastia surgery is right for you. Together, we can explore your treatment options and develop a tailored surgical plan to help you achieve your goals.


When it comes to gynecomastia, there are a few different techniques available for sculpting a more masculine chest. The best approach may vary depending on your unique needs, but the surgical options that we most often utilize are liposuction and excision of the breast tissue.


This technique is typically used when breast enlargement is due to fatty deposits, rather than enlarged breast tissue (pseudogynecomastia). During this procedure, your surgeon will first make an incision through which a small, hollow tube called a cannula is inserted to remove excess fat. Liposuction is a less invasive treatment option with a relatively quick recovery.


If gynecomastia is caused by hormonal imbalances and characterized by an excess of glandular tissue, excision is preferred. This technique involves making an incision in the chest to allow your surgeon to remove the excess skin and breast tissue, causing a feminized appearance.

Liposuction + Excision

When enlarged breast tissue is more pronounced and excess fat is also present in the chest, a combination of liposuction and excision can provide the best results. This approach allows your surgeon to remove fatty deposits and glandular tissue to sculpt more masculine contours.

Removing Excess Fat and Breast Tissue

During your procedure, your surgeon will make an incision in the chest to access the underlying fat and breast tissue. If liposuction is being used, a cannula will be inserted beneath the skin to dislodge and vacuum out unwanted fatty deposits, sculpting firmer and more masculine chest contours. If excision is deemed necessary, excess glandular tissue and skin will also be carefully removed. Your surgeon may also use both techniques to achieve your desired results.

Your incisions will then be closed, and you’ll be brought to the recovery room as the anesthesia wears off. Either general anesthesia or local anesthesia with sedation may be utilized.


If you’re ready to restore your confidence with a flatter, more masculine chest contour, the team at PURE Plastic Surgery is here to help. Our board-certified and compassionate surgeons can help you navigate this journey to your ideal appearance. Schedule a consultation today to learn more about male breast reduction surgery and if it’s right for you! Get Started by calling our Miami office at 305-230-4326 or using our virtual consultation tool to submit your information.


Can guys develop breasts?

Yes. Men can develop enlarged breasts from weight gain, or a medical condition called gynecomastia. Gynecomastia causes excess growth of glandular breast tissue which enlarges the male breasts.

Can gynecomastia be cured without surgery?

For patients with pseudogynecomastia or enlarged breasts caused by fat buildup and not excess glandular tissue, diet and exercise can be beneficial for improving the appearance of the chest. Surgery is often the best course of treatment for gynecomastia caused by glandular overgrowth.

Can gynecomastia come back after surgery?

Although it is rare, gynecomastia can grow back after surgery if not enough glandular breast tissue is removed. During male breast reduction surgery, most or all of the glandular tissue is removed from the breasts, and this tissue is the main cause of gynecomastia.

Do thyroid problems cause gynecomastia?

Hyperthyroidism can cause an imbalance of estrogen, so this condition can be associated with gynecomastia. Other health conditions associated with gynecomastia include aging, hypogonadism, kidney failure, liver damage and tumors that shift the body’s hormonal balance.

Can you get rid of gynecomastia without surgery?

Gynecomastia often requires surgery for the best results. Although you may be able to have some improvements with non-surgical treatments and changes to your lifestyle, surgery will permanently remove the glandular tissue for long-lasting results.

Does a male breast reduction make you look thinner?

Male breast reduction will flatten and tone the chest, which can create a thinner appearance. Your body proportions may also look more balanced, especially if you are otherwise thin.

Does gynecomastia go away with weight loss?

Gynecomastia can be slightly improved by weight loss but only the fat will reduce, not glandular tissue. Patients with fatty gynecomastia, a form of male breasts that is not “true gynecomastia,” may see more improvement simply with weight loss.

Does gynecomastia surgery leave scars?

Like any surgical procedure that requires incisions, gynecomastia surgery will leave scars. However, Drs. Earle, Vidal and Wegerif will carefully place the incisions in the natural creases of your breasts to minimize visibility. Incision lines will fade over time, and following your surgeon’s aftercare instructions can ensure proper healing for the best results. Most men are more than happy to trade a firmer chest appearance for a few incision lines around the breasts.

How can gynecomastia be prevented?

Gynecomastia can be difficult to prevent, but a healthy lifestyle and avoiding steroids, marijuana, alcohol and unhealthy food can help reduce the risk of developing enlarged breast tissue.

How can you tell the difference between gynecomastia and Pseudogynecomastia?

Pseudogynecomastia is not “true gynecomastia” because it caused by a buildup of fat in the chest, not glandular breast tissue. Unlike gynecomastia, pseudogynecomastia can be improved with weight loss.

How do I know if I have gynecomastia?

Breast lumps that may be tender to the touch and enlargement of the nipples are two common signs of gynecomastia. If your breasts continue to grow in size despite weight loss, this is also an indication of gynecomastia.

How do I know if I need a breast reduction?

If you are bothered by the size of your breasts and want to restore a flattened chest for a masculine appearance, you may be a great candidate for a breast reduction.

How do you shower after gynecomastia surgery?

You should wait a day to shower after gynecomastia surgery and avoid soaking your incisions in a bath for at least 6 weeks. While you shower, the incisions may get wet and afterwards carefully pat them dry instead of rubbing them.

How long do you have to wear a compression garment after gynecomastia?

A compression garment should be worn at all times for 6 weeks after gynecomastia surgery. The compression garment will help to reduce swelling and will support the skin and healing tissues.

How long does it take to recover from male breast reduction?

Full recovery from male breast reduction takes about 6 weeks. After the first two weeks, most of the swelling will have gone down and you can return to most of your normal activities, except for strenuous exercise.

How long till swelling goes down after gynecomastia surgery?

Most of the swelling will reduce in about two weeks and after this time, you will start to see results. However, swelling can take up to six weeks to completely reduce.

Is gynaecomastia surgery painful?

Moderate discomfort is expected for the first few days, but patients can often alleviate this pain with prescription and/or over-the-counter pain medication. You should only have mild to no discomfort after the first week.


Revealing the final results of your male breast reduction surgery is often a highly rewarding experience. As swelling decreases, you’ll notice a flatter, firmer chest and more masculine contours that help you feel confident and comfortable with your appearance. You can expect these improvements to be long-lasting, as once excess fat and glandular tissue is removed, it’s gone for good. However, factors like weight gain, steroid use or certain medications could lead to a recurrence of gynecomastia, causing the remaining breast tissue to swell again. Maintaining a healthy lifestyle ensures that you’ll enjoy your new contours for years.


Male breast reduction recovery is typically mild, with minor side effects such as swelling, bruising and discomfort occurring immediately after your surgery in the treated area. Your chest will be bandaged, and you’ll be instructed to wear compression garments or wraps to minimize swelling and support your new contours. Most men are able to return to work after three to four days, but more strenuous activities should be avoided, as directed by your surgeon.

Follow-up visits will be scheduled so our team can monitor your recovery progress and advise you on when you can return to normal activities. Keep in mind that everyone heals at a different pace, so it’s important to listen to your body and not rush the process. Should you have any concerns or questions, don’t hesitate to reach out to us — our goal is to ensure that you always feel supported and have a smooth recovery to ensure the best outcome possible.



“I could not have picked a better doctor. Dr. Earle is a perfectionist and settles for nothing less than perfection. I am incredibly happy with my results.”* - Rosie

“Absolutely amazing! The entire journey has been great. The staff and customer care are exceptional! Best service I have ever received.”* - Destiny

“From start to finish they were nothing short of amazing! Amazing doctor and team! Great results and wouldn't trust another. I felt absolutely comfortable from the minute I met them and knew I was in good hands”* - Natasha