Would I Benefit From Gynecomastia Reduction Surgery?

Q: Dr. Eppley, I am a male with gynecomastia, I am wondering if you have any experience in gynecomastia removal. I have some bothersome buildups on my chest that I want removed. Here are two pictures of my chest, the tissue build up is most noticeable below and lateral to the nipples.  Thank you for your time and help.

A: Thank you for sending your pictures. It appears that there is a fairly well defined mass below and to the side of the nipple-areolar complexes. I suspect that this may feel like a discrete mass. What you have a form of areolar gynecomastia where the breast tissue buildup is largely restricted to the periareolar area. These could be removed by a gynecomastia surgery technique in which the masses are excised through an inferior areolar technique. I can not tell whether any feathering of the chest beyond the masses is needed based on the angle of the pictures taken with the arms raised. This could be done as an outpatient procedure under IV sedation or general anesthesia. The recovery would be fairly quick with you only having to refrain from working out for several weeks after surgery.

Dr. Barry Eppley