Male Breast Reduction | Gynecomastia Surgery

Male breast reduction is a common procedure for men with gynecomastia (enlarged glandular tissue), pseudogynecomastia (excess fatty tissue), or a combination of both. Dr. David Dellinger — a board-certified plastic and reconstructive surgeon — specializes in breast surgery for men and will work with you to achieve a more masculine, balanced chest.

• Reduce excess fatty tissue in the chest
• Correct puffy nipples
• Remove enlarged breast glands
• Address mammary ptosis (breast sagging)
• Restore a flatter, more defined chest

Before & After

Front view

Side view

Why Choose Elysian Plastic Surgery?

• Personalized care: Your medical history, goals, and motivations guide a fully customized plan.
• Advanced techniques: Dr. Dellinger pursues ongoing training to offer modern approaches and refined results.
• Whole-health approach: We can address contributing factors, including hormone balance via bioidentical therapy.

Best Candidates

Healthy adult men who struggle with enlarged breasts despite diet, exercise, and avoiding certain medications — and who maintain realistic expectations — are typically strong candidates. When appropriate, your plan can include additional body contouring (e.g., liposuction, tummy tuck) for balanced overall results.

What to Expect

After a one-on-one consultation and any indicated testing, your surgical plan is tailored to whether your enlargement is primarily fatty, glandular, or both:

• Liposuction only (mild–moderate cases): Small incisions along the areola edge or in the armpit; a cannula removes excess fat and glandular tissue.
• Lipo + skin/tissue removal (more severe cases): Incisions may be placed around the areola or along the natural chest crease to remove excess skin and reshape the chest.

Your Recovery & Results

A compression garment may be used to support healing and minimize swelling. Tenderness, bruising, and swelling are common early on and are typically managed with over-the-counter and/or prescribed medication. Many men return to work after a few days, with more strenuous activity resuming in a few weeks.

Initial changes are visible soon after surgery; final definition continues to emerge over several months as swelling resolves. Results can be long-lasting when paired with a healthy lifestyle.

Male Breast Reduction FAQs

Is gynecomastia surgery safe?

While all surgeries carry risks, gynecomastia surgery is generally very safe. Potential risks include bleeding, bruising, fluid build-up, asymmetry, and infection. Following pre-/post-op instructions helps reduce risks.

How do I know if it’s fat or true gynecomastia?

A consultation may include exam, medical history, and tests (e.g., labs or imaging) to determine whether enlarged glands, fatty tissue, or both are present — which guides your plan.

Can gynecomastia come back?

Results are intended to be lasting. Recurrence can happen with significant weight gain, certain medications or steroids, habitual marijuana use, or untreated hormonal imbalance.

Ready to Discuss Your Options?

Schedule a private consultation at our Austin or Dallas location. Discreet, compassionate care from start to finish.