A flatter, firmer, more masculine chest, for the men who have tried the diet and the bench press and still don’t want to take their shirt off.
Common, Treatable, and Nothing to Be Embarrassed About
What Is Gynecomastia?
Gynecomastia is enlargement of the male breast caused by excess glandular tissue, often mixed with fat. It is far more common than most men realize, affecting a large share of adult men at some point in their lives, and it is one of the most treatable concerns in plastic surgery.
The key detail is that gynecomastia is usually firm gland, not just fat. That is why weight loss and chest workouts so often fail to fix it: you cannot diet away gland, and building the pectoral muscle underneath can make a puffy chest look even more prominent.
Whatever the cause, gynecomastia can make men self-conscious at the pool, in the locker room, or in a fitted shirt. Dr. Jejurikar’s goal is a chest that looks like it was always that way: flat, firm, and naturally contoured.
What Causes It?
- Hormonal shifts during puberty that never fully resolve
- Normal hormone changes with age
- Certain medications, anabolic steroids, and supplements
- Weight gain, which adds fat to an already enlarged gland (sometimes called pseudogynecomastia when it is mostly fat)
- Most commonly, no identifiable cause at all
If your chest enlargement is new, painful, one-sided, or changing quickly, see your physician first. Dr. Jejurikar will review your history at consultation and may recommend an evaluation before surgery.
How Dr. Jejurikar Treats Gynecomastia
Every chest is a different mix of gland, fat, and skin, so the plan is built from that mix:
- Mostly fat: liposuction, often with VASER ultrasound-assisted liposuction to break up the dense, fibrous fat of the male chest
- Firm gland: direct removal of the gland through a small incision hidden at the lower edge of the areola, combined with liposuction to smooth the transition to the rest of the chest
- Excess skin: after major weight loss, additional skin removal may be needed for a flat result
For the details of surgery, recovery, and results, see our male breast reduction page.
The Same VASER Technology, Applied to the Body
VASER high-definition liposuction is the same tool Dr. Jejurikar uses to sculpt the male chest. Here it is shown on the abdomen of a fit patient who wanted his muscle definition to show.
Are You a Good Candidate?
- You are in good overall health and at or near a stable weight
- Your chest has not improved with diet and exercise
- You have stopped any medications or substances that may be contributing, when that is possible
- Your skin has reasonable elasticity (excess skin can still be treated)
- You want a natural, flat result rather than a hollowed-out look
The Dr. J Difference
- Board-certified plastic surgeon with more than 20 years of practice in Dallas
- Gland removal and liposuction combined in one procedure
- Careful contouring to avoid the sunken or “crater” look of over-resection
- Enhanced recovery: multimodal, opioid-sparing anesthesia plan
- Optional hyperbaric oxygen therapy to support healing
“The goal is not to remove as much as possible. It is to leave a chest that looks like it was never a problem.”
Gynecomastia FAQ
Will gynecomastia go away on its own?
Sometimes, especially in teenagers, where it often resolves within a couple of years. In adults, gynecomastia that has been present for a year or more usually involves firm tissue that will not shrink without treatment.
Can I get rid of gynecomastia with exercise?
Exercise can reduce fat, but it does not remove glandular tissue. Building the chest muscle underneath can even push the gland forward and make it more noticeable.
Is gynecomastia surgery the same as male breast reduction?
Yes. Gynecomastia is the condition, and male breast reduction is the surgery that treats it. See the male breast reduction page for the procedure itself.
Will the gland come back?
Glandular tissue that is removed does not grow back. Significant weight gain, steroid use, or certain medications can enlarge remaining tissue, so a stable lifestyle protects your result.
Where are the scars?
Usually a small incision at the lower edge of the areola, where the color change hides it, plus tiny liposuction access points. Men with significant loose skin may need longer incisions, which Dr. Jejurikar will discuss at consultation.
Hear Dr. Jejurikar Talk About Plastic Surgery for Men
On his podcast, Beauty and the Beasts, Dr. Jejurikar talks through what men ask for, what they are worried about, and what actually works.
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Schedule Your Consultation
Every plan Dr. Jejurikar builds starts with an unhurried, one-on-one consultation. Meet with us in Dallas or by virtual visit. Call (214) 827-2814
SAM JEJURIKAR, MDDallas Plastic Surgery Institute · 9101 N. Central Expressway, Suite 600, Dallas, TX 75231
214-827-2814 · www.dallasplasticsurgery.pro · Instagram @samjejurikar
Dr. Sam Jejurikar is a board-certified plastic surgeon in Dallas, Texas. The information on this page is for education only and is not a substitute for a consultation. Individual results vary. Not all patients are candidates for every technique; candidacy is confirmed at consultation.
