Gynecomastia—enlarged male breast tissue—affects up to 50% of men at some point in their lives. Whether caused by hormones, genetics, weight gain, or medications, this condition can significantly impact self-confidence. Gynecomastia surgery restores a flat, masculine chest contour, allowing you to feel confident in any situation.
Gynecomastia surgery (male breast reduction) removes excess glandular tissue, fat, and in some cases, skin to create a flatter, firmer, more masculine chest contour. The procedure can be life-changing for men who have struggled with enlarged breasts, allowing them to feel comfortable shirtless, at the gym, and in fitted clothing.
Dr. West has extensive experience treating gynecomastia in men of all ages, from teenagers to mature adults. His approach focuses on achieving natural-looking results with minimal scarring and a quick return to normal activities.
You may be an ideal candidate for gynecomastia surgery if you:
• Have enlarged breast tissue that hasn't responded to diet and exercise
• Feel self-conscious about your chest appearance
• Avoid certain activities or clothing due to your chest
• Are at a stable, healthy weight
• Have realistic expectations about results
• Are in good overall health
• Don't smoke or are willing to quit before surgery
• Have completed puberty (for younger patients)
For teenagers, we typically wait until breast development has stabilized, usually after age 17–18, unless the condition is causing significant psychological distress.
During your consultation, we'll evaluate your condition and discuss treatment options.
• Your concerns and how gynecomastia affects daily life
• Grade of gynecomastia and treatment approach
• Expected results and recovery
A physical exam and photographs help guide your personalized approach.
Gynecomastia is classified into grades based on severity, which determines treatment approach:
The specific techniques used depend on the grade of gynecomastia and amount of excess tissue.
Surgery typically takes 1–3 hours depending on severity. Most patients go home the same day.
Power-assisted or ultrasound-assisted liposuction removes excess fatty tissue through small incisions. Often sufficient for Grade I and some Grade II cases.
Glandular breast tissue is removed through an incision around the areola edge. This technique is used when firm glandular tissue is present.
Most cases benefit from combining liposuction and direct excision to remove both fatty and glandular tissue for optimal contour.
For severe cases (Grade III–IV) with significant skin excess, additional incisions may be needed to remove redundant skin.
Most men are pleasantly surprised by how manageable recovery is. Recovery typically includes:
• First few days: Mild to moderate discomfort, wear compression vest
• Week 1: Most swelling and bruising peaks then begins to subside
• Weeks 2–3: Return to desk work and light activities
• Weeks 4–6: Resume moderate exercise, continue wearing compression
• 6–8 weeks: Return to full activities including upper body workouts
• 3–6 months: Final results visible as all swelling resolves
Most men are pleasantly surprised by how quickly they can return to normal activities.
Use our Treatment Planner to explore options and estimate your personalized treatment timeline.
Start Planning →Results from gynecomastia surgery are typically permanent, especially when caused by glandular tissue. Most men experience:
✔ A flat, masculine chest contour
✔ Dramatic boost in confidence and quality of life
✔ Comfort at the beach, pool, or gym
✔ Ability to wear fitted shirts with confidence
✔ Engagement in activities previously avoided
✔ Improved physical appearance and emotional well-being
The improvement in both physical appearance and emotional well-being cannot be overstated.
Schedule your consultation with Dr. Justin West to discuss your gynecomastia surgery goals.
230 S Main Street, Suite 210, Orange, CA 92868