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.
"Professional and personable - As a patient in the midst of breast reconstruction due to cancer, Dr. Koch and his team have been so incredibly helpful from the start with drawing and notes that made it easier to understand during a very hard time. Dr. Koch helps to clarify at each step of the way and has been available to answer questions, respond to calls, and work through my confusion as the cancer process unfolded and the reconstruction work is now in progress. I am so grateful that he is my surgeon and absolutely recommended him."- Anonymous / Vitals / Apr 19, 2019
"When I first came in for my initial consultation with Dr.koch I felt extremely welcomed. I recently had a breast reduction with him and he did an amazing job. He did everything that I wanted done and plus some. Now I’m seeing him again for another surgery, and I can’t wait to see the outcome. I would definitely recommend dr Koch! He is thorough, he listens and is very knowledgeable! If you need any cosmetic work done go to him!!"- Anonymous / RateMDs / Mar 06, 2020
"Dr, Koch approached me as if we are friends. His body language, smile,and easy manner put me at ease at this difficult time. He explained every thing he was going to do in the simplest way with drawings, a smile and holding my hand. He included my boyfriend through all my visits. He answered all of our questions, and concerns. I will recommend him to anyone. They will be satisfied with him and the magic he creates with his hands."- T.M. / Healthgrades / Feb 29, 2020
"Dr.Koch is GREAT! - Dr.Koch was amazing! He was very professional, He explained to me the process of my breast reduction. He educated me, and gave me assurance that I was going to be ok. He followed up, answered any questions I had. All of the staff was great. I also love my new breast!"- J. / RealSelf / Feb 26, 2020
"I had an overall excellent experience with Dr. Koch from my initial consultation to my post surgical visits. I went to Dr. Koch after major weight loss surgery, and then major abdominal surgeries (not related to the weight loss surgery). Due to the excessive skin and the way my abdomen healed from the subsequent surgeries, I had to do something because of recurrent painful rashes, and not being able to find clothing that fit well. Dr. Koch explained everything at my first visit. He took his time, and drew diagrams. I had questions written down to ask him, but when he finished explaining, he had answered all of those questions and more. I was made to feel so comfortable, and at the end of this visit I knew I had made the right choice. The procedure went just as planned and I am extremely happy with the results. The staff was wonderful and receptive to any phone call I made. I highly recommend Dr. Koch for his professionalism and expertise."- L.W. / Healthgrades / Feb 19, 2020
Gynecomastia Ideal Candidates
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.
Gynecomastia Surgical Technique
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 with Gynecomastia
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.
Gynecomastia 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.