Gynecomastia is the medical term for male breast enlargement. It is a condition that can produce a female-like chest due to the increase of growing breast tissue. In many cases, gynecomastia is caused by an underlying hormonal problem. This condition can also be caused by certain drugs, steroids, weight gain, or genetics. Men with this issue often feel embarrassed, most commonly in circumstances where the chest is exposed, such as by the pool or in the gym. Board-certified plastic surgeon Dr. Michael Koch offers surgical breast reduction for men who have gynecomastia. This surgery has a very high success rate. It is known as one of the more popular cosmetic treatments for men at our New York facilities.
"Dr. Koch performed a tummy tuck reversion surgery for me yesterday and I am very satisfied with the result. He is an exceptionally talented and caring doctor. I highly recommend him to everyone!"- R.I. / Google / Apr 22, 2022
"I met Dr. Koch after a tragic rock climbing fall that resulted in 10 surgeries over a 3 week period. Dr. Koch was kind and caring; an incredibly empathetic listener. Understanding my need to return to sport he used his microvascular skills to cover the dead tissue area with a fee flap that healed functionally and beautifully. For a woman who was once asked to consider amputation, I am proud to say that I have both legs and am once again climbing. Dr. Koch is a rare breed of surgeon whose caring is matched with his talent. How lucky I am."- K.Y. / Google / Mar 09, 2022
"I was referred to Dr. Koch for reconstruction (reduction and lift) from my breast surgeon. I had met with several plastic surgeons only to leave the consults feeling unsure and uncomfortable. From the moment I met Dr. Koch I knew he was the 'ONE'. In our first meeting, he gave me a sense of ease and I had a definite sense that he not only understood my concerns but also listened. During the consult, he began to draw on paper the way he would approach my surgery. I was in awe as before me the blank piece of paper he used, was literally transformed into a piece of Art. He cared enough to take the time to draw in detail explaining his methodology specific to me, My body. It was then that I understood he was a cut above all the rest and that I knew he would be my plastic surgeon. I rave about Dr. Koch to everyone and yes, I even show his magnificent work to those who ask. I am literally thrilled and beyond happy with the way my breast look and feel. I no longer have terrible back pain and can fit into blouses without feeling top heavy. As for Post-op I had no issues and on a scale of 1 - 10 my pain level was - Drumroll please -- a ... Zero. Yes, you heard me right, a Zero. - DISCLAIMER - this may just be specific to me but I had absolutely no pain from my surgery. Of course, I would like to attribute this to Dr. Koch and his skillful workmanship but again, everyone is different. Discomfort yes, as I could only sleep on my back etc. but other than that, I felt nothing. I was happy with the follow up office visits and left feeling informed and understanding what to expect regarding my recovery. Dr. Koch is the next best thing to G-d's gift when it comes to women making a woman feel beautiful. I will forever be grateful and appreciative for his masterful and skilled workmanship. Thank you for making me feel and look beautiful! Ruth Clark"- R.C. / Google / Jan 14, 2022
"Look no further!! Dr. Koch & his entire team are outstanding! I am so grateful I found them! Starting with his administrative staff (Kristin & Alicia) both exceptional young women who were so kind, caring, capable & always helpful! I appreciated their attention to details, follow-up, and professionalism. It helped to alleviate my anxiety & me wondering if everything would work out administratively and it could not have gone any smoother! Dr. Koch is fantastic! When I met him, he immediately put me at ease. When I spoke, I felt he really listened to my concerns & treated me respectfully. He was kind, patient and caring. I was impressed with his expertise & knowledge in my specific area of need. After the consult, I just "KNEW" he was the one and felt completely at peace. Thank you ALL (including all the nurses and even the anesthesiologist at the hospital in Cortlandt Manor) once again for taking such excellent care of me. Thank you Dr. Koch for having a wonderful demeanor & so skillful at what you do. I am so grateful & feel so blessed. Many blessings to you all!"- T.W. / Google / Nov 05, 2021
"Look no further!! Dr. Koch & his entire team are outstanding! I am so grateful I found them! Starting with his administrative staff (Kristin & Alicia) both exceptional young women who were so kind, caring, capable & always helpful! I appreciated their attention to details, follow-up, and professionalism. It helped to alleviate my anxiety & me wondering if everything would work out administratively and it could not have gone any smoother! Dr. Koch is fantastic! When I met him, he immediately put me at ease. When I spoke, I felt he really listened to my concerns & treated me respectfully. He was kind, patient and caring. I was impressed with his expertise & knowledge in my specific area of need. After the consult, I just "KNEW" he was the one and felt completely at peace. Thank you ALL (including all the nurses and even the anesthesiologist at the hospital in Cortlandt Manor) once again for taking such excellent care of me. Thank you Dr. Koch for having a wonderful demeanor & so skillful at what you do. I am so grateful & feel so blessed. Many blessings to you all!"- T.S. / Google / Oct 19, 2021
Male breast reduction treatment is a procedure for men with overly sized breasts that cannot be treated with medications or diet. If you are embarrassed by the size and shape of your chest (but you're healthy and at a good weight), you may benefit from male breast reduction surgery by Dr. Koch. Adolescent teens may also benefit from gynecomastia surgery; however, an additional procedure may be needed later during adulthood if excess breast tissue continues to develop. During your first appointment with Dr. Koch, treatment options will be provided and may include the chances of moving forward with surgery to repair the condition.
A form of liposuction is usually utilized during male breast reduction surgery. While you are under general anesthesia, liposuction helps eliminate excess fat tissue from the chest wall. Next, any lax skin will be carefully trimmed away to create a taut appearance, and then the nipple area and surrounding areola will be placed into a proportionate position. In most cases, this treatment strategy requires a small incision in proximity to where the glandular tissue has formed. Once the fat and loose skin have been appropriately handled, Dr. Koch will pull together the remaining skin.
What To Expect
At the conclusion of your gynecomastia treatment, the chest will be supported with a medical garment to help minimize swelling, bleeding, and bruising. In advanced cases where a more intricate approach was used, a drainage tube may be properly positioned to assist with fluid. The results following this procedure are immediately visible and most patients are extremely excited with the physical change. The incisions made during surgery take time to heal and scarring is usually barely visible. With your enhanced chest, you can get medical clearance from Dr. Koch to incorporate exercise and strength training, which will help accentuate the surgical results.
Frequently Asked Questions
How much does male breast reduction cost?
Gynecomastia is a medical issue that requires a skilled surgeon. This is why Dr. Koch urges you to focus on getting quality results over costs. To make your surgery easier to afford, our practice accepts many payment methods and we can. We can also help you find low-interest financing. While male breast reduction is generally not covered by insurance, it is worth talking to your provider to confirm.
What causes gynecomastia?
Gynecomastia is caused by a disruption in hormone balance. In most cases, gynecomastia is linked to the use of anabolic steroids or androgens. It can also be caused by using illegal drugs, like heroin and marijuana. Gynecomastia may also be caused by certain health conditions (hypogonadism, hyperthyroidism, and tumors) plus some medications (highly active antiretroviral therapy for AIDS, anti-anxiety medications, and chemotherapy).
How can I tell if I have gynecomastia?
Gynecomastia is excess breast tissue growth in the male chest, which may cause swelling, tenderness, and pain. Some men may have false gynecomastia (also known as pseudogynecomastia), so Dr. Koch encourages patients to lose weight with a healthy diet and exercise before seeking treatment for gynecomastia. If you have enlarged breasts at a healthy weight, Dr. Koch can perform an examination and perform tests to properly diagnosis gynecomastia. This may include blood tests, a mammogram, or a biopsy to rule out other conditions like breast cancer and mastitis (infection of the breast tissue).
Can gynecomastia be treated with exercise or pills?
The most effective treatment for gynecomastia is male breast reduction surgery. Currently, the Food and Drug Administration (FDA) has not approved any medications to treat gynecomastia. While they are not approved for gynecomastia, some breast cancer medications (Tamoxifen or Raloxifene) may have limited effects. Strength training to build the pectoral muscles cannot reduce the amount of breast tissue and may make the breasts appear larger.
Will this fix puffy or pointy nipples?
Puffy or pointy nipples may be caused by glandular gynecomastia. If this is a concern for you, please talk to Dr. Koch during your consultation. He will customize your treatment plan to use the best technique and incision pattern to correct your nipples. Large areolas can also be reduced during male breast reduction surgery. It's important to be honest with Dr. Koch about your needs and goals in your consultation, so he can ensure the results you want.
Plan Your Procedure
- Average Cost
- $4,500 - $6,000
- Recovery Time
- 4 – 6 Weeks
- Average Procedure Time
- 2 – 3 Hours
- Post-op Follow-up
- 1 Week
- Procedure Recovery Location
Restore your Masculine Chest
If you suffer from the effects of gynecomastia, we welcome you to call one of our three New York offices to schedule a one-on-one private consultation with Dr. Koch to learn more about our male breast reduction surgery. After treatment for gynecomastia (male breast enlargement), you can stop covering up your chest at the gym and pool. We have assisted so many New York men and have enjoyed watching them reestablish their self-esteem.