Breast
Male Breast Reduction (Gynecomastia)
Removes excess breast tissue and skin in men with gynecomastia. Surgical approach depends on whether the cause is glandular tissue, fat, or both.
Overview
Gynecomastia surgery removes excess breast tissue in men. The cause can be glandular tissue (true gynecomastia), accumulated fat (pseudogynecomastia), or a combination of the two, and the surgical approach differs accordingly. Glandular tissue is removed through a small incision at the areolar margin. Fatty tissue can be addressed with liposuction. In larger cases with significant skin excess, a skin excision may be needed. Recurrence is rare once the glandular tissue is removed.
Who it's for
The right candidate.
Men with persistent enlargement of breast tissue (gynecomastia) that has not resolved with weight loss or time. Common at the end of puberty, after significant weight loss, or related to certain medications or supplements.
Technique
How it's done.
True gynecomastia (glandular tissue) is removed through a small incision at the areolar margin. Pseudogynecomastia (fat) is addressed with liposuction. Larger cases with significant skin excess may need a skin excision. The right approach depends on what the cause is.
Where this happens
Our own surgery center.
One roof, one team.
Dr. Azadgoli operates at The Practice Healthcare's fully independent, on-property ambulatory surgery center — a Medicare-certified, physician-led facility recognized by Newsweek as one of California's top centers for independent, privately owned surgery.
Consultation, surgery, aftercare, and recovery all happen in one building, with the same team. No outside hospital. No new staff to meet the day of surgery. The same person who checked you in at the consult is there when you wake up.
What to expect
From consultation to recovery.
Outpatient under general anesthesia. Compression vest for two to four weeks. Most patients return to desk work at one week, exercise at four to six weeks.
Insurance & coverage
Patient Advocacy handles the paperwork.
Our advocacy team verifies benefits, pursues pre-authorizations, and appeals denials. You don't navigate insurance on your own.
True gynecomastia (glandular tissue) with documented chest symptoms can qualify for coverage. Cosmetic cases involving primarily fat (pseudogynecomastia) typically self-pay. Our Patient Advocacy team reviews your situation, documents the indication if clinically appropriate, and walks you through coverage potential before scheduling.
How we work with insurance
- 1 Verification by expertsOur advocacy team verifies your benefits before any procedure — so we know exactly what is and is not covered.
- 2 Patient advocacy & follow-throughWe aggressively pursue pre-authorizations, appeal denials when appropriate, and hold carriers accountable to their commitments.
- 3 Financial transparencyYou receive a clear written estimate of potential out-of-pocket costs. No surprises on the day of surgery.
- 4 Collaboration with carriersOur team handles documentation and communication directly with your insurance company.
- 5 Options & supportIf a procedure is not covered, we walk you through cash-pay options, financing, and other pathways to care.
FAQ
Common questions.
Will it come back?
Once the glandular tissue is removed, recurrence is rare. Weight changes can still affect chest contour by changing the fat layer, which is why patients are encouraged to be at a stable weight before surgery.
Is this covered by insurance?
Sometimes, in cases of significant true gynecomastia with documented symptoms. Many cases are not covered. The consultation team handles documentation.
Will I have visible scars?
The areolar incision heals to a thin line that is usually difficult to see. Liposuction-only cases have only small puncture scars. Skin excision cases have longer scars that fade but remain visible.
Is this covered by insurance?
Sometimes — true gynecomastia (glandular tissue) with documented symptoms can qualify. Cosmetic cases involving primarily fat typically self-pay. Our advocacy team reviews your situation and pursues coverage where appropriate.
Will my chest look like a typical male chest?
Yes, that is the goal. The chest contour after a well-performed gynecomastia correction matches a typical male anatomy — flatter pectoral fold, no breast tissue prominence, natural nipple position.
Can it come back if I gain weight?
The glandular tissue, once removed, does not regrow. Fat changes with weight can still alter chest contour — patients are encouraged to be at stable weight before surgery.
Ready to discuss male breast reduction (gynecomastia)?
Schedule a consultation with Dr. Azadgoli and her team to explore your options.
Request a consultation