Male Breast Reduction (Gynecomastia Surgery)in Boston

Helena O. Taylor MD, Ph.D., FACS & Stephen R. Sullivan MD, MPH, FACS Named Among The Best Board Certified Plastic Surgeons in Boston

What is Gynecomastia?

Male Breast Reduction Bosotn

Gynecomastia is excess fat and breast tissue resulting in a less masculine appearing chest. While most infant boys have some degree of gynecomastia, prominent breast tissue in teenagers and older men can cause embarrassment or insecurity.

Patients often avoid certain clothes or activities that might reveal their chest. There are a number of causes including genetics, hormones, anabolic steroids or marijuana exposure. While diet and exercise, and avoidance of steroids and marijuana may all be helpful, some patients require surgery for correction. Gynecomastia surgery or Male Breast Reduction Surgery removes the redundant tissue and restore a masculine appearing chest.

Boston male breast reduction surgeons, Dr. Taylor and Sullivan, have helped many men overcome gynecomastia. If you or someone you know is considering a male breast reduction, we welcome you to schedule a consultation to discuss the options available.

Male Breast Reduction At A Glance


  • Restores masculine appearance
  • Removes excess breast tissue


  • Years


2-3 Hours


Sedation (sleepy) or General Anesthesia (asleep)


  • Comfortably at home
  • Most swelling resolves – 6-10 weeks


  • 5-7 days


  • 5-7 days


  • Activities of daily living – 1 day
  • Light exercise – 2-3 week
  • Full exercise and contact sports – 6 weeks

About Gynecomastia

Gynecomastia is typically considered a cosmetic issue resulting from a local imbalance of hormones. Anabolic steroids, marijuana and some medications have been implicated in the development of gynecomastia. Often there is no precipitating factor except genetics. Very rarely it can be the result of testicular tumors.

Whatever the cause, it is not uncommon that cosmetic surgery is one’s best option for the reversal of the physical appearance of gynecomastia. Gynecomastia can be graded by severity, and the severity determines the surgical approach.

How is Gynecomastia classified?

Grade of Gynecomastia is determined by the extent of breast tissue and skin excess.

  • Grade 1 - mild breast enlargement
  • Grade 2 - moderate breast enlargement with or without skin excess
  • Grade 3 - severe breast enlargement with significant excess skin

Frequently Asked Questions

What Are the Results of Gynecomastia Surgery?

Gynecomastia surgery can significantly improve and masculinize the chest contour. The goal is to maximally improve the change in shape, while minimizing scar as much as possible, though there is always a trade. Recurrence after excision would be unusual.

What Are the Risks of Gynecomastia Surgery?

All operations have some risk including asymmetry, contour irregularity, hematoma, infection, scarring, changes in feeling in the breast or nipple, and seroma.

Am I a Candidate for Male Breast Reduction?

If you have eliminated the potential causes of gynecomastia, and are at a reasonable height and weight and are still bothered by excessive breast tissue, gynecomastia surgery may be a good option. Gynecomastia in teenagers can resolve on its own, so it may be worth waiting and watching for 18 to 24 months in teenagers. As with most surgeries, an ideal candidate should be healthy, not smoke or use nicotine supplements, and have a Body Mass Index (BMI) of 35 or lower. If you would like to discuss your options for gynecomastia surgery, please schedule a consultation and we can discuss what might be best for you.

Male Breast Reduction Procedure

Gynecomastia Surgery Boston

Gynecomastia surgery is performed as a day surgery procedure under sedation or general anesthesia. The grade of gynecomastia, determined by the breast size and amount of extra skin, determines the surgical technique.

  • Grade 1 mild to moderate gynecomastia can be treated by removing breast tissue through a small semicircular incision at the edge of lower half of the nipple areolar complex. Liposuction may be used to gently smooth the contour surrounding the excision.
  • Grade 2 moderate gynecomastia, where there is more breast tissue and may be some skin laxity, often requires a transverse incision extending from the areola to remove excess skin. Liposuction will usually be used to gently smooth the contour surrounding the excision.
  • Grade 3 severe gynecomastia is treated with removal of breast tissue and skin, with placement of the scar along the inframammary fold, and grafting of the nipple areolar complex as well as gentle contouring with liposuction of the surrounding areas.

Dr. Taylor and Dr. Sullivan often work together to perform the operation, which takes two to three hours. Patients go home an hour or two after the completion of surgery in a compressive wrap.

Recovery from Male Breast Reduction Surgery

Boston gynecomastia surgery patients can recover quickly and return home on the same day. As with any surgery, some discomfort can be expected after your procedure. Pain management medications can be prescribed for a more comfortable recovery. Return to work can be as early as 3 to 5 days and exercising can begin within 3 weeks. A supportive garment will be worn for a few weeks postoperatively until the swelling begins to resolve.

With gynecomastia surgery Boston male breast reduction specialists, Dr. Taylor and Dr. Sullivan say that a profound impact can be made on a man’s self-esteem and confidence.

Contact us to learn how the Gynecomastia Surgery may help you to achieve your goals. Dr. Taylor & Dr. Sullivan will be pleased to meet with you in the comfort and privacy of their office. Schedule your consultation today.

Call Today 617.492.0620

To schedule a private consultation with Dr. Taylor or Dr. Sullivan, please call the office or request an appointment using our form. We welcome your visit and your questions.

300 Mount Auburn St. Ste 304, Cambridge, MA 02138

Taylor & Sullivan Plastic Surgery Boston
American Society of Plastic Surgeons American Board of Plastic Surgery Fellow American College of Surgeons American Society of Maxillofacial Surgeons America Association of Plastic Surgeons Sigill Massachusetts


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300 Mount Auburn St. Ste 304, Cambridge