What Is Gynecomastia Surgery?

Simply put, gynecomastia is the condition of enlarged breasts in men. The surgery entails a breast reduction procedure to resolve such issues.

What happens during a gynecomastia consultation?

Gynecomastia can affect men of any age, presenting as over-developed or enlarged breasts. Breast tissue develops during puberty, with symptoms of gynecomastia subsiding over time as hormones stabilize. However, there are some instances in which breast tissue grows more than average, causing permanent gynecomastia. It can also affect men at any stage of life as they go through body changes. Luckily, the issue can be corrected during a safe outpatient procedure by a plastic surgeon. When a male patient comes in with gynecomastia, one of the most important aspects of a consultation is locating the root cause of the enlargement so that the right surgical procedure can be recommended. Sometimes breast enlargements look worse or become more apparent over time. Perhaps a man has put on weight, or their skin laxity has increased with age. In some cases, diet and exercise may improve the situation if caused by fatty components, but loose skin after weight loss can also worsen gynecomastia. A good surgeon will be able to advise on the best course of action, and true gynecomastia will be resistant to any other corrective methods.

What are some common causes of Gynecomastia?

While gynecomastia can be the result of hormonal changes, disease, heredity reasons, or even the use of certain medications, it’s the physical characteristics that help a surgeon determine the best corrective action. Your plastic surgeon will be able to perform diagnostic testing and examine your breasts to take detailed measurements. Glandular tissue gynecomastia – This is when there’s excess breast tissue under the nipple-areolar complex, causing the area to protrude. During gynecomastia surgery, the surgeon will make a small incision around the nipple-areolar complex to remove the bulging tissue (around the size of a golf ball). Accumulation of localized fat in the chest – This can mimic the visual appearance of gynecomastia, and in these cases, liposuction is the appropriate procedure to undergo. The fat can be removed by making several small incisions around the area and taking the fat out through these ports. Excess loose skin – If loose skin is causing gynecomastia, a skin tightening procedure can be performed. The issue may be bilateral (affects both breasts) or unilateral (affecting one breast only).

Gynecomastia Surgery in Scottsdale for Enlarged Male Breasts

Q: Am I a good candidate for Gynecomastia Surgery?

There can be many reasons for gynecomastia to occur, but surgery should be considered in the following cases: Breast development has stabilized (If occurring in adolescents, breast development may continue, so you may wish to wait in these cases to see if the situation rectifies itself) You have self-image issues due to the gynecomastia and have specific body goals in mind The size of your breasts is physically uncomfortable Alternative corrective treatments are not an option Your surgeon will also check you’re physically well enough for the surgery and that you don’t have any conditions which could impair recovery.

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Restore Confidence & Masculinity With Male Breast Reduction Surgery in Scottsdale

Hiding under loose shirts, avoiding the pool, or hesitating at the gym are common struggles for men with enlarged breast tissue. If this sounds familiar, gynecomastia surgery in Scottsdale offers a lasting way to restore a masculine chest and renew your confidence.

At Dr. Mazaheri’s practice, you’ll receive the expertise of a board-certified plastic surgeon with more than 20 years of experience. His focus on natural-looking results and personalized care has made him a trusted choice for men seeking male breast reduction surgery in Scottsdale.

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Consultation Room At Dr. Mazaheri - Scottsdale's Premier Plastic Surgeon

What Is Gynecomastia?

Gynecomastia is a condition that causes excess breast tissue in men. It can appear in adolescence or adulthood and is more common than many realize. According to the American Society of Plastic Surgeons, more than 26,000 men underwent gynecomastia surgery in 2024, making it one of the most frequently performed cosmetic procedures for men.

Gynecomastia isn’t dangerous to your health, but it can take a toll on how you feel about yourself. Many men say they avoid certain shirts, skip social activities, or feel less confident in intimate settings because of their chest. Surgery offers an effective way to resolve the condition when lifestyle changes alone are insufficient.

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Causes of Gynecomastia

Hormonal Changes

Gynecomastia surgery results are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover from surgery.

The final results of your gynecomastia surgery will appear over the next few months. Incision lines are permanent, but will continue to fade over time.

Genetics

Some men are predisposed to hormone imbalances due to genetic factors. Conditions such as Klinefelter syndrome or androgen insensitivity syndrome can increase the likelihood of developing gynecomastia. Even without a diagnosed condition, genetics can influence how the body responds to hormones and fat storage.

Medications and Drugs

Certain medications and substances may increase the risk of gynecomastia. These include:

Anabolic steroids
Human growth hormone (HGH)
Antipsychotics
Certain heart medications
Some AIDS treatments
Recreational drugs such as marijuana

If you are unsure whether your medication could be contributing, Dr. Mazaheri will review your medical history during your consultation.

Weight Gain vs. Glandular Tissue

Excess weight can cause fat to build up in the chest, a condition known as pseudogynecomastia. True gynecomastia, however, is caused by glandular tissue that cannot be eliminated through diet or exercise.

In many cases, men may have a combination of both. Dr. Mazaheri carefully evaluates whether the enlargement is fatty, glandular, or a combination of both to determine the best surgical approach.

For men who use anabolic steroids or other performance enhancers, the risk of developing gynecomastia increases, even if overall body fat is low. This issue is common among athletes, and Dr. Mazaheri often sees patients who wonder if bodybuilding can cause gynecomastia as part of their consultation.

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Am I a Candidate for Gynecomastia Surgery?

Not every man with enlarged chest tissue needs surgery, but when the condition doesn’t improve on its own, a male breast reduction procedure can make a life-changing difference.

Ideal candidates are men whose breast development has stabilized, who are in good overall health, and who do not smoke. Having realistic expectations is also essential, since the procedure improves chest contour but cannot guarantee a “perfect” body shape.

For teenagers, gynecomastia often improves naturally as hormone levels stabilize. However, if the condition persists into adulthood or if it causes significant emotional distress during adolescence, a consultation with Dr. Mazaheri can help determine the right timing for surgery.

Male Breast Reduction Surgery: How It Works

Gynecomastia surgery typically involves one of two approaches, depending on whether the excess tissue is fatty, glandular, or a combination of both.

Liposuction Technique: Small incisions are made in discreet areas of the chest. A thin tube (cannula) is inserted to remove excess fat with suction. This method is most effective when gynecomastia is caused by excess fatty tissue, and it can sometimes be combined with liposuction in other areas to achieve a balanced, natural-looking result.
Excision Technique: When glandular tissue is present, an incision is usually made around the edge of the areola, allowing Dr. Mazaheri to remove the tissue directly. This approach may also involve repositioning the nipple for a more natural chest contour. Scarring is typically minimal and well-hidden.

Each technique has unique benefits. Liposuction often offers quicker recovery with minimal scarring, while excision provides greater precision in cases involving glandular tissue. In some situations, combining the two produces the most natural and lasting results. During your consultation, Dr. Mazaheri will explain which approach best fits your individual needs.

Preparing for Surgery

A successful outcome begins with preparation. During your consultation, Dr. Mazaheri reviews your medical history, examines your chest, and discusses your goals to ensure the procedure is tailored to your specific needs.

Before surgery, patients are advised to:

Review Medications and Supplements: Certain prescriptions or vitamins may interact with anesthesia or affect surgical outcomes. If you take any medication regularly, please let Dr. Mazaheri know so he can guide you on what to pause.
Stop Nicotine Use: Nicotine makes it harder for your body to heal. Quitting ahead of surgery gives you the best chance at a smooth recovery and lasting results.
Arrange a Ride Home: You won’t be able to drive after anesthesia, so ask a friend or family member to bring you home and stay with you for the first day if possible.
Shower with Antibacterial Soap: Taking a shower the night before or morning of surgery helps reduce the risk of infection. Skip lotions or oils afterward so your skin is ready for surgery.
Leave Jewelry and Valuables at Home: Jewelry isn’t allowed in the operating room, so it’s best to leave it at home.

Recovery After Gynecomastia Surgery

Healing is a gradual process, but most men are surprised at how quickly they start to feel like themselves again. Knowing what to expect at each stage makes recovery smoother and less stressful.

Immediately After Surgery

Your chest will be wrapped in dressings and a compression garment to support the healing process. Some patients also have small drains in place to reduce fluid buildup. You’ll feel groggy at first, so plan to rest the remainder of the day.

First 1–2 Weeks

Swelling and bruising are normal, and you may feel sore in the chest area. Most men return to office work or light activity within a week. Gentle walking is encouraged, but avoid exercise and lifting so your chest has time to heal.

3–6 Weeks

By this point, swelling continues to improve, and you’ll start seeing more of your new chest contour. Light activity is usually safe, but hold off on chest workouts and heavy lifting until Dr. Mazaheri clears you to do so.

Long-Term Results

Once recovery is complete, you’ll see a flatter, more masculine chest with scars that fade over time and are usually easy to conceal. The results of gynecomastia surgery are generally permanent as long as you maintain a healthy lifestyle, though significant weight changes or steroid use can affect your outcome.

Many men also say that the most significant change isn’t just physical, but the confidence they feel when putting on a fitted shirt, going to the gym, or relaxing by the pool without hesitation.

Why Choose Dr. Mazaheri for Gynecomastia Surgery?

Choosing the right surgeon makes all the difference in both your results and your experience. Dr. Mazaheri is a board-certified plastic surgeon with more than 20 years of experience in cosmetic and reconstructive procedures. His approach focuses on creating natural results tailored to each patient, so your chest looks masculine without appearing “overdone.”

Patients value his personalized care, attention to detail, and trusted reputation in Scottsdale. Whether you’re local or traveling from out of town, Dr. Mazaheri and his team provide support at every step, including resources for out-of-town patients.

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FAQs About Gynecomastia Surgery

Can exercise or weight loss get rid of gynecomastia?

Exercise can reduce chest fat, but it cannot remove glandular tissue. If your gynecomastia is caused by glands rather than fat, surgery is the only way to achieve lasting improvement.

What is the difference between true gynecomastia and pseudogynecomastia?

True gynecomastia is caused by glandular tissue, whereas pseudogynecomastia is associated with fat accumulation. Many men have a combination of both, which Dr. Mazaheri evaluates during consultation.

Am I a good candidate for gynecomastia surgery?

The best candidates are healthy, non-smoking men whose breast development has stabilized. If you’re bothered by the look of your chest and want a more masculine contour, surgery may be right for you.

Will I have scars after gynecomastia surgery?

Scars are usually placed around the areola where they blend in naturally. They fade over time and are minimal compared to the improvement in chest shape and confidence.

How long is the recovery from gynecomastia surgery?

Most men return to work within a week, resume light activity in 1–2 weeks, and gradually return to full exercise by 4–6 weeks. Dr. Mazaheri provides detailed recovery guidelines tailored to your progress.

Is gynecomastia surgery permanent?

Yes, results are generally permanent as long as you maintain a stable lifestyle. Weight gain, steroids, or certain medications can lead to recurrence, but glandular tissue removed by surgery does not return.

How much does gynecomastia surgery cost in Scottsdale?

The national average cost of gynecomastia surgery is just over $5,500. Actual pricing varies based on factors such as the technique used, anesthesia, and the complexity of the procedure. During your consultation, Dr. Mazaheri will provide a personalized quote that reflects your unique treatment plan.

Schedule Your Male Breast Reduction Surgery Consultation in Scottsdale

If you’ve been living with the frustration of excess chest tissue, now is the time to take the next step. With Dr. Mazaheri’s expertise, gynecomastia surgery in Scottsdale can help you achieve a flatter, more masculine chest and the renewed confidence to feel comfortable in your body again.

When you’re ready to learn more, simply reach out to Dr. Mazaheri’s team to schedule your consultation and start planning your results.