Enlarged Male Breasts (Gynecomastia)

Enlarged Male Breast Surgery – Gynecomastia

Enlarged Male Breasts (Gynecomastia)Gynecomastia is a cosmetic surgery option for the treatment of large male breasts. While gynecomastia surgery eliminates excess breast tissue and gland, the surgery for pseudo-gynecomastia helps remove surplus fat.

The American Society of Plastic Surgeons has categorized gynecomastia into 4 grades on the basis of factors such as the extent of breast enlargement and breast feminization. Grade 1 refers to mild enlargement while grade 4 is considered as severe enlargement of the breasts.

Board certified plastic surgeon Dr. Bram Kaufman provides gynecomastia surgery to patients in Beachwood, Pepper Pike, Cleveland, OH, and surrounding communities in this part of The Heart of it All.

Ideal Candidates

A suitable candidate for this procedure is a person who is unhappy about their presence of excessive breast tissue and has realistic expectations from the gynecomastia cosmetic surgery.

He should preferably be at least 21 years of age and should not have any dangerous pre-existing medical conditions that may affect the recovery process or cause complications during the surgical procedure.

Surgical Techniques

The main goal of the surgeon is to create a chest that is proportional with the rest of the body. After the undesirable breast mass is eliminated, the patient can work towards developing the chest size and shape that they want.

The surgeon will choose one of the following techniques or combine both techniques depending on the patient’s physical attributes and gynecomastia grade.


The surgeon will use liposuction primarily to eliminate excess fat in a gynecomastia procedure. They will place small incisions and insert a narrow, hollow tube and then move the tube back and forth in precise motions. This action loosens stubborn fatty deposits which are subsequently removed from the body using vacuum.


In addition, the surgeon may use the excision technique during gynecomastia surgery to remove surplus breast skin and tissue. It becomes necessary to use the excision technique if the patient requires areola reduction or nipple repositioning to create a better chest contour.

The surgeon may also use a combination of both these techniques depending on the patient’s unique needs.

Male Breast Reduction with Tissue Excision

Severe gynecomastia cases may need surgical tissue excision to attain effective outcomes. Furthermore, patients with loose stretched skin in the breast area will commonly require this approach. The technique involving tissue excision enables plastic surgeons to eliminate a more substantial amount of skin and/or glandular tissue than they possibly can with liposuction only.

The incision length and location depends on the extent of the surgery that the patient needs. However, surgeons commonly place incisions around the areola’s edge (peri-areolar incision) or within the natural chest creases. A judicious and well-trained plastic surgeon will try to place these incisions in strategic areas to make the consequent scarring as inconspicuous as possible.

Tissue excision-based male breast reduction is usually performed on an outpatient basis using local anesthesia with sedation or general anesthesia. Successful plastic surgeon Dr. Bram Kaufman receives patients from Beachwood, Pepper Pike, Cleveland, OH, and other suburbs and neighborhoods in this area of the country for gynecomastia.

To learn more about cosmetic treatment and procedures or to schedule a consultation by Cleveland Ohio area plastic surgeon, Dr. Bram Kaufman, please contact us  click here.

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