Am I a good candidate for the surgery?

Your visit with Dr. Wilson will determine if you are a good candidate for male breast reduction (Gynecomastia surgery). Men of any age who are healthy and emotionally stable are considered good candidates for male breast reduction surgery  (Gynecomastia surgery). The best candidates are those who have firm, elastic skin that will reshape to the body’s new contours. In some instances, surgery may be discouraged for overweight men who have not first tried an exercise and diet regimen.

What should I expect from my consultation?

During the consultation, you will be asked about the history of the gynecomastia, if it is unilateral or bilateral, and anything else related to the appearance of your breasts that you feel is important. Dr. Wilson will examine your breasts and will consider if there is just fat or discoid tissue in the breast. He will explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone.

You should come to the consultation prepared to discuss your medical history. This will include information about any medical conditions, drug allergies, medical treatments you have received, previous surgeries, and medications that you currently take. It is important for you to provide complete information.

How is the surgery performed?

 Enlarged male breasts (Gynecomastia) can be reduced by Laser or Vaser Liposuction and/or by cutting out excess glandular tissue. The procedure for male breast reduction takes an average of two hours, usually on an outpatient basis, using general or local anesthesia. If excessive glandular tissue, fat and skin is present, it will be removed through an ellipse-shaped incision that circles the lower half of the areola.

Surgery may be performed alone or in conjunction with Laser or Vaser Liposuction, where the suction device will typically be inserted through the existing incisions. For the removal of excess fatty tissue alone, liposuction may be all that is needed; in such cases, scars will be small and barely visible. You may need to wear a special bandage for 3-4 weeks after the surgery. 

 Risks of Male Breast Reduction (Gynecomastia Surgery)

Fortunately, significant complications from breast reduction are infrequent. There will be scarring around the nipple of the breast (areola) from this procedure but will fade over a period of time and be less visible. There will be some post-operative bruising, swelling, and burning sensation. Other considerations include temporary numbness or lack of sensation that could last up to a year. You should avoid subsequent obesity since it can create a gynecomastia-like effect.

Fatty gynecomastia in a 27-year old male: treated by liposuction.

Glandular and Fatty Gynecomastia in a 20-year old male: treated by excision of the glandular breast tissue through a near-invisible incision inside the areola, and Laser Liposuction of the fatty element. Note normal contour of the male breast 2 weeks after the surgery, after removal of the compression bandage.

Glandular and Fatty Gynecomastia in a 36-year old male: treated by excision of the glandular breast tissue through a near-invisible incision inside the areola, and 4D Vaser Liposuction of the fatty element. Note amount of gland removed, and the restoration of normal appearance.

Glandular and Fatty Gynecomastia in a 24-year old male: treated by excision of the glandular breast tissue through a near-invisible incision inside the areola, and 4D High Definition Vaser Liposuction of the fatty element. Note the harmonious appearance after the surgery.

Combined fatty and discoid gynecomastia in a 27-year old male: treated by combined laser liposuction and excision through the areola. Note the invisible scar and restored contour.

 Fatty gynecomastia in a 38-year old male: treated by Vaser liposuction, that made skin tight.

Combined fatty and discoid huge gynecomastia in a 47-year old male: treated by combined laser liposuction and excision through the areola. Note the invisible scar.

 Moderate Fatty and Discoid gynecomastia in a 26-year old male: treated by skin excision and Vaser Liposuction.

And amount of tissue removed:

And Outcome:

Huge fatty and discoid gynecomastia in a 42-year old male: treated by combined laser liposuction and excision through the areola. Note the large area of skin excised, and the resulting invisible scars since opening was only around areola. Note that patient was shaved before the surgery.

Combined fatty and discoid gynecomastia in a 38-year old male: treated by combined laser liposuction and excision through the areola.

Discoid gynecomastia in a 23-year old male: treated by skin excision.

Discoid gynecomastia in a 21-year old male: treated by skin excision through an incision inside the areola.

Stage 3 Fatty and Discoid gynecomastia in a 29-year old male: treated by breast tissue excision and Vaser High Definition Liposuction.

Fatty gynecomastia in a muscular 34-year old male: treated by Breast contouring using High Definition 4Dimensional Vaser Liposuction.

Glandular and Fatty Gynecomastia in a 27-year old male: treated by excision of the glandular breast tissue through a near-invisible incision inside the areola, and Vaser Liposuction of the fatty element. Note amount of gland removed, and the restoration of normal appearance.

Discoid and fatty gynecomastia in a 24-year old male: treated by skin excision through an incision inside the areola and Laser Liposuction of the fatty element.

Discoid and fatty gynecomastia in a 19-year old male: reduction of the male breast carried out by skin excision through an incision inside the areola and Laser Liposuction of the fatty element. Note the amount of breast tissue removed in this case.

Grade II Breast glandular  gynecomastia in a 16-year old male: Dr Wilson sucked out the fat using Vaser Liposuction and removed the male breast gland and extra skin. Note the harmonious natural contour 3 days after the surgery.

Fatty gynecomastia in a 19-year old male: treated by combination of skin excision and liposuction.

Discoid and Fatty Gynecomastia (manboobs) in a 39-year old male: treated by excision of the disc through a near-invisible semicircular incision inside the areola, and Laser Liposuction of the fatty element. There is near normal cosmetic contour of the male breast 2 weeks after the surgery, although patient is still wearing compression.

Discoid and Fatty Gynecomastia in a 28-year old male: treated by excision of the disc through a near-invisible incision inside the areola, and Vaser Liposuction of the fatty element. Note normal contour of the male breast 2 weeks after the surgery, and harmonious cosmetic appearance.



Dense Discoid gynecomastia in a 23-year old male: treated by surgical excision.

Huge fatty and discoid gynecomastia in a 32-year old male: treated by combined laser liposuction and excision through the areola. Note the large area of skin excised, and the resulting invisible scars since opening was only around areola. 

Glandular and Fatty Gynecomastia in a 23-year old male: treated by excision of the glandular breast tissue through a near-invisible incision inside the areola, and 4D Vaser Liposuction of the fatty element. Note amount of gland removed, and the restoration of normal appearance.

Combined fatty and discoid gynecomastia in a 29-year old male: treated by combined Vaser liposuction and excision through the areola. Note the invisible scar and restored contour. Still slight bruising 5 days after the surgery.

Combined fatty and discoid huge gynecomastia in a 32-year old male: treated by combined laser liposuction and excision through the areola. Note the invisible scar and removal of all excess breast tissue.

Fatty gynecomastia in a 13-year old male: treated by combination of skin excision and liposuction.

Hypoplasia of Left Breast in a 19 year old male: Treated by implant.

 Huge Gynecomastia in a 39-year old patient: Treated by laser liposuction and surgical excision through a periareolar incision.

 Huge Gynecomastia with lax skin in a 32-year old patient: Treated by surgical excision and High Definition 4D Vaser Liposuction through a periareolar incision. Note the stretched skin after the Vaser treatment.

Glandular gynecomastia in a 24-year old male: treated by  excision through peri-areolaar incision.

Gynecomastia in a 39-year old patient: Treated bysurgical excision and Laser Liposuction through a tiny periareolar incision, which has comletely disappeared. Note tissues removed by excision and by liposuction.

Huge Fatty Gynecomastia in a 48-year old male: treated by 4D High Definition Vaser liposuction that made skin tight, and excision of skin and fat from a periareolar cut.



Glandular and Fatty Gynecomastia in a 36-year old male: treated by excision of the glandular breast tissue through a near-invisible incision inside the areola, and Vaser Liposuction of the fatty element. Note amount of gland removed, and the restoration of normal appearance.

Amount of tissue removed:

And early postop picture:

Gynecomastia in a 26-year old patient: Treated bysurgical excision through a tiny periareolar incision, which has comletely disappeared.

Pendulous abdomen and  Fatty Gynecomastia in a 44-year old male: Prof Wilson performed a simultaneous Tummy Tuck and Vaser 4D High Definition Liposuction of the breast in the same session. He removed the breast fat through a cut around the areola and the patient was very happy with the result 4 days after the surgery.