Gynecomastia Male Breast Reduction San Diego – La Jolla

Achieve a More Masculine Chest with Male Breast Reduction

Gynecomastia Surgery San Diego La Jolla

More and more men are increasingly considering plastic surgery as an option to enhance their appearance, gain a competitive edge, and address unwanted genetic issues. One of the most common reasons why men seek the services of a plastic surgery is because of gynecomastia – the abnormal development of unwanted, excessive male breast tissue.

What is a Gynecomastia?

Gynecomastia is caused by a handful of factors, but the prevalent cause is still undetermined. This condition affects more than 40-60% of the male population. Consequently, scientific studies published in 2010 showed that male breast reduction to be one of the fastest growing procedures in cosmetic surgery. Our La Jolla and San Diego male breast reduction patients undergo treatments in order for them to feel more comfortable and confident with their bodies.

Ideal Candidates for Male Breast Reduction

The treatable causes must be ruled out before proceeding with surgical options. Overweight patients are often advised to lose weight to ensure that the problem is not related to excess fatty tissue and truly excess male breast tissue. The best candidates for male breast reduction are the following:

  • Must have no life-threatening or serious medical conditions
  • Must be healthy and emotionally stable
  • Must have realistic expectations of the outcome of the surgery
  • Must have firm, elastic skin that will reshape to the new contours of the chest
  • Must be a non-smoker since it decreases blood flow, making recovery and healing difficult

Liposuction and rhinoplasty are the most common cosmetic surgery procedures amongst men according to Del Mar plastic surgeon, Dr. Vincent Marin in a La Jolla FOX 5 News interview. Other common procedures include eyelid surgery and gynaecomastia or male breast reduction. See before and after photos of Bruce Jenner.

Your Consultation About Male Breast Reduction

The most important aspect of the consultation is determining if there is a treatable cause of the excess breast tissue development that could avoid the need for surgery – prescription drugs, marijuana, and anabolic steroids or in rare cases, tumors. In the vast majority of cases, if no cause is found, it is diagnosed as idiopathic gynecomastia.

During the physical exam, Dr. Marin will attempt to determine the extent of the gynecomastia, whether this is primarily fatty, glandular (breast tissue) or a combination of both, and the degree of skin excess associated with each breast. Your treatment will largely depend upon Dr. Marin’s physical exam. Once you and Dr. Marin reach a decision regarding your plan, the procedure, risks, and benefits will be discussed with you in detail.

Our main goal in male breast reduction surgery is to rid you of unwanted breast tissue and skin. Eliminating this can help to restore your self-confidence, especially in situations where you may be without a shirt or need to change in front of others. Dr. Marin has found that most men are very willing to make the trade-off in accepting a scar in favor of removing embarrassing and unwanted breast tissue.



1 – 3 hours


Pain, bleeding, infection, asymmetry, implant failure, capsular contracture, incomplete correction


1 – 2 months for swelling to completely resolve


General or local with sedation


Back to work: 3-4 weeks (lipo), 1 week (excisional approach)
Strenuous activities: 3-4 weeks


Permanent reduction in breast size




Temporary swelling, bruising, mild pain

Preparing for Male Breast Reduction Surgery

Most of our San Diego patients who are considering male breast reduction surgery are in generally good health. Any significant preexisting medical problems will be fully evaluated before your surgery. If the breast tissue enlargement is significant, we may advise you to undergo a mammogram prior to surgery as there is a small incidence of male breast cancer. As always, all patients must stop smoking prior to any elective surgery.

Undergoing Male Breast Reduction Surgery

In general, a male breast reduction surgery lasts for 1-3 hours. This surgery is almost always performed on an outpatient basis and accomplished using either sedation or general anesthesia – depending upon the comfort level of the patient and the extent of the surgery.

The particular technique used in your case is variable and is based on the specifics of your anatomy. The options may range from a standard liposuction, excision of glandular breast tissue to a complete breast reduction procedure.


Liposuction is the least invasive approach for male breast reduction patients. Small access incisions (about 1/8 an inch) are made in easily concealable locations. Fluid is injected to help expand the fatty layer and limit bleeding and bruising. A narrow metal tube with small holes at the end (cannula) is used to suction out the excess breast tissue and sculpt a more masculine chest. Ultrasound assisted liposuction can be recommended if the tissue is particularly dense – as it helps disrupt and remove the unwanted tissue.

Excision of Glandular Breast Tissue

If excess skin is not a concern, our surgeon can approach your surgery through the removal of the excess breast glandular tissue alone. The excision of the excess breast gland is accomplished through an approach along the lower edge of the areola – the pigmented area around the nipple. This helps hide the scar to the naked eye. If, however, redundant skin and breast gland are a concern, various degrees of breast reduction surgery must be performed. Scarring is more significant in this approach, but it is directly proportional to the degree of excess skin you have at the time of the consultation.

After Your Male Breast Reduction

Following your surgery, you should expect to feel sore and bruised. Your chest will also be temporarily swollen, experiencing numbness and mild pain around the area. Dr. Marin will provide a compression garment for you to wear for 4-6 weeks to help with the bruising and swelling. Pain that may occur can easily be controlled by medications that Dr. Marin will prescribe.

Left Block Quote
OMG!! My boobs look absolutely unbelievable!!! I cant thank you enough for making this experience so wonderful. Your work is impeccable! From the first phone call, you and your staff have been so
Dr. Marin is a magician, I wake up happy every day now
Words fail to adequately convey how grateful and genuinely happy I am with your work. …and I couldn’t have imagined it coming out any better. This has been the BEST pampering I have ever
Wow! Voila? Bingo! or “D” all of the above! Loving your work…. Thank you, thank you! You chose the perfect everything for me! Merry X-Mas and best for a great 2009
My surgeon Dr. Vincent Marin far exceeded my expectations. Three months ago I had breast augmentation and rhinoplasty performed on the same day and could not have asked for a better team of highly
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Recovery and Scarring

Recovery from male breast reduction surgery is largely dependent upon your procedure. Pain and swelling should be mild to moderate and should resolve within a week. Most men are able to return to normal daily activities within a week. Here are some tips you should follow to aid you healing:

  • Avoid exposing your chest to direct sunlight for six months to lighten the scarring.
  • Refrain from strenuous activities like exercise, lifting, pushing, and pulling for at least 3-4 weeks.
  • Avoid sexual activity for at least 2 weeks.

Like recovery time, scarring varies from one person to another. Scarring also depends on the technique used and the extent of the surgery. While some scars are hidden in inconspicuous places, there are techniques that bring about more significant ones. Either way, with proper healing, these will fade considerably over time.

Your New Look After Male Breast Reduction

Gynecomastia is often first noticed by young men in their teens and can be a source of significant embarrassment. Many boys will never remove their shirt in public and go as far as wearing multiple t-shirts to help hide the unwanted male breast tissue.

For most men, undergoing breast reduction can enhance your appearance and self-confidence. The results of the procedure are relatively permanent with proper aftercare. If you have realistic expectations, you will be highly satisfied with your look.

Request Your Consultation

To learn more, you can schedule an appointment online or you can call 858-638-9800

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