Bermant Gynecomastia Male Breast Reduction Plastic Surgery
Gynecomastia

Gynecomastia - Enlarged Breasts in Men and Chest Recontouring with Fat Suction / Suction lipectomy (Liposuction)

Bulletin Board for Patient's Questions and Answers

Explore what others have to say about Male Breast Surgery (gynecomastia) using Recontouring Surgery and Liposuction (Suction Lipectomy) with answers by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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This is the page where you can review questions and stories from patients, view the opinions of lay persons, and see answers from Dr. Bermant and other physicians. Do you want to ask a question, post an answer, or make a comment? Information E-mailed to me will be considered for posting.

  • Why did you choose to have the surgery?
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  • How much did it cost?
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  • How do you feel about the results?
  • Did it have any effect on your life
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  • How did others react to your surgery?
  • Did you learn any lessons?
  • What would you advise others?
Information posted in this section does not necessarily reflect the opinion of Dr. Bermant.

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Subj: Re: Male Chest Reduction

Hello, I saw your webpage and I wanted to ask you a question. I am a relatively healthy 25 year old male and want to know more about liposuction.

I would really love to have lipousction done to my chest. I am not really a fat guy but I do have some fat in that region that I just can never seem to get off. It is about a love handle's worth of fat. No matter what I do to excercie, eat right, work out, I can never lose that fat. It really makes me feel self conscious.

Is it common for males to have this kinda thing done for the chest? I know this is kinda vague, but can you give me a ball park price number of how much something like that would cost? And are there any health risks involved?

Thanks in advance for any advice you can give me!! =)

A

Dr. Bermant responds:

Liposuction for localized fat collections about the chest is one common region for male liposuction. However some men have another condition - gynecomastia - male breast. The tissue in these cases are both fat AND breast tissue. In gynecomastia reduction surgery I prefer to remove the breast tissue through a small incision and the remaining fat with liposuction. Male breast growth can be from minimal tissue to a major breast that has a large amount of extra skin to deal with.

Surgical prices depend on what needs to be done. This is best determined during an in office consultation. You can find our fees and costs for our liposuction here, and here you can find costs for Gynecomastia Male Chest Sculpture.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Estrogen Cream Causing Gynecomastia Male Breast Enlargement and Travel From WA (Washington State) for Male Breast Reduction

I need a male breast reduction with the removal of glandualar tissue. I do know the cause of this condition. (Two months ago) i used an estrogen based cream on my chest (3 doses) i didn't think it would work I was wrong and i now look abnormal and freaky. Yes it was a stupid mistake and all my research that i have done points to the fact that surgery is the only way to correct my circumstance. by simply stopping the doses of the cream overtime the breast development does not revert to it's original shape so i am desperate for some help i am now an outcast at work and aviod public please help me to get my life back

26yrs
5'8" 184lbs
work out 4x a week
p.s. i live in WA and have called surgeons here and the receptionist refers me to a wieght chart saying i need to weigh 175 but wieght is not the issue in my case and i never get to explain and no i would nvr use a cream like that again just imagine the looks and laughs of all your co-workers everyday i don't really even like to leave my house plse respond and help

A

Dr. Bermant responds:

Estrogen creams can cause male breast growth. When stimulation has stopped, sometimes the growth regresses. However, in many cases, what gland has grown does not go away. Removing the stimulus and being patient is typically a good first step until the tissue stabilizes. If gynecomastia does go away on its own, the scars will be better than anything that even the best plastic surgery can offer.

Gynecomastia or breasts in men can cause a great deal of emotional stress for many males. We see many patients from Washington State and around the world who prefer my techniques and are glad to help you explore your concerns during a consultation or preliminary remote discussion.

Michael Bermant, MD

Subj: Re: gynecomastia

Hi. I have this embarrasing problem called gynecomastia. What are my choices in limiting it or eliminating it. i have had it for the last 8 years, i feel that it isn't going to go away. I am concerned about it because i am extremely self conscious about taking my shirt off, wearing tight shirts, etc. I notice that when my nipples are erect, the gynecomastia looks less prominent. Also i usually wear a white, tight tank top tee shirt under all my shirts because this also makes the gynecomastia less prominent. Is there anything else I can do?

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Gynecomastia (male breasts) can be very embarrassing limiting activities and lifestyle at times. Surgical options depend on the extent of the problem. Small amounts of breast tissue can be excised from incisions around the areola. Larger deposits may require some liposuction contouring (as seen on the images on:

liposuction the surgery

Even larger amounts of tissue can be a problem. When the tissue excess involves a great deal of skin and underlying tissue, breast reduction with larger incisions may be required. You can learn more about Male Mastopexy Chest Lift and skin reduction here. Major male breast excess reduction surgery can have significant scars. That is why I prefer, when possible, my Internal Male Chest Lift that has much smaller surface scars. Most gynecomastia surgery is not this extensive.

Some patients have the gynecomastia from certain medical problems which may also need to be addressed.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: male breast

Dear Dr. Bermant,

I have been thinking of lyposuction seriously because of an unusual problem I have.

I am an 30 yr. old male in good health. My breast area is quite large for a male. I tried everything from exercise to diet with no results. It keeps on getting bigger. It is rather embarrassing as I can not go out except for work. It has started to effect me mentally as well as socially. Is lyposuction the answer? Is so, what are the risks associated with it? What would it cost to have this done to two of my breast areas?

Excepting an answer,
Thank you,
P

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Male breast growth can be from extra fat deposited in that region or less commonly glandular tissue growth (gynecomastia). Such growth can be very embarrassing for the individual. Treatment depends on the problem and the extent of the deformity. Small issues may be handled with a short incision and removal of the tissue or liposuction. Larger contour deformities may need to have the redundant skin addressed. Some problems are better managed with weight control - not surgery. Cost and risk depend on what needs to be done. You are asking for a consultation by email without my being able to examine you! The best way to learn what plastic surgery has to offer is during an IN OFFICE consultation and evaluation.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Gynecomastia

Doc,

Im a 37 yr old male that is in need of possible consultation. Im 5'10", 210 lbs and I have a couple of questions on this form of surgery vs. others. I was watching a Doctor from Va beach on BLAB tv and he was using "Tumesent Liposuction" for this type of problem. What are the differences between what you do and that type of procedure. Do you use the type that "melts" the fatty deposits to aid in the lipo?

Since this is elective surgery I was also wondering about what the total expense would be for you and the hospital.

Im not huge, but like to get rid of the excess fat that has found its way there as my body has changed from one of more physically fit to one of a "desk jockey".

Thanks for your time

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Male breast deformity comes with different problems in different degrees. True gynecomastia (male glandular breast growth) usually needs tissue analysis with an incision near the areola to gain access. In such cases the extra fat is usually managed with liposuction. In cases of fatty breasts causing enlargement, liposuction alone is usually done. I generally use tumescent liposuction in either case which lessens bleeding and minimizes complications. Ultrasonic liposuction has certain advantages FOR THE SURGEON in some anatomical situations. The ultrasound can lessen my work load in tissue that is firm and otherwise hard to move the cannula about. For that patient with massive male breasts where there is extra skin AND fat, sculpture of skin and fat are necessary. This becomes more of a breast reduction.

Cost of male breast reduction depends on the depends on the problem treated, the type of anesthesia desired, location of surgery and other factors. After an examination and evaluation, I can have a better idea of the problem. With this I can propose treatment options and give a specific price. Our office staff can provide additional details if you desire.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Gynecomastia

Thanks I will call for a consultation.

Re: Questions About Boyfriend's Gynecomastia

Hi,

I have been researching Gynecosmastia because my boyfriend has it and would not take his shirt off to go swimming and is very embarrassed because of it. He is 39 years old.  I think he would like to have it fixed because it has affected his ability to live life.  He has another medical problem though.  He has hemophilia B and knows he shouldn't have elective surgery.  My question is:  would the liposuction procedure be safe for him to have ...this procedure?

Thank you so much,

C

Dr. Bermant responds:

In many cases, gynecomastia chest sculpture is elective cosmetic surgery. Some patients have medical problems that make such nonessential operations too risky. Each patient and problem needs to be evaluated individually. We help our patients explore such concerns during their consultations after an evaluation.

Michael Bermant, MD

 

Subj: Re: Gynecomastia surgery

Dr Bermant-
I recenty had surgery to correct a moderate case of gynecomastia. I went into the surgery with moderate expectations. I knew that I would not come out looking like a GQ model, but hoped that I would have a "normal" squared-off appearance to my pectorals/chest, rather than the rounded and full shape to the pectorals which I associate with women's breasts. While the surgery dramatically reduced the size of each breast, the shape continues to be rounded, not squared off on the sides and bottom.

My doctor seems pleased with the results due to the reduction in size (I look fine in clothes). However, I am no more likely to remove my shirt in public than prior to the surgery because I am still embarassed by the feminine look. I work out regularly, but am wondering whether there is anything else surgically that can be done. What additional questions should I be asking in order to understand whether there is still room for improvement?

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Your problems are not an uncommon in plastic surgery:
expectations vs what can be done
what looks good to the surgeon vs what looks good to the patient

Why don't you ask the same questions, in the same manner to your operating surgeon.

Gynecomastia, the overgrowth of male breast can have besides the glandular component, skin and fat. There are many surgical procedures that handle the various components to different degrees. Sometimes one method may handle the problem enough to make some happy, but not enough for others. Perhaps another operation may reduce the tissue to what will make you happy. Perhaps the scars of that technique will not be acceptable to you. Without an examination and evaluation, I cannot say what options are available to you.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: Gynacomastia

Dear Doctor Bermant

My name is G and I am a male eighteen years of age. When I was sixteen I had surgery for gynacomastia. The surgery improved my condition, but I am Still unhappy. My chest still sags a little and my nipples are wrinkled. I haven't gained any weight since the surgery. I went back and he said he could cut the rest out but it would leave a scar. I wanted to know it there was an alternative to this. I lived in Jacksonville, NC but now I attend college at NCSU in Raleigh. If you could refer me to a plastic surgeon in the area, I would appreciate it very much. Any other information you could provide me with such as price ranges and such would also be helpful. Thank you.

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Gynecomastia is a three dimensional problem. Reduction of the tissue can leave many different results depending on the problem the patient started with, how the healing progresses, and the particular surgery performed. Sometimes a revision is possible. Sometimes a patient may want more than what reasonable surgery can offer. Prices depend on the type surgery performed, the type of anesthesia, and where the surgery is performed. Without an examination and evaluation, I cannot comment on your case.

I am sorry the plasticsurgery4u website is an example of my commitment to patient education. We see patients from all over. My office staff and I must use our time to help our own patients and cannot provide a general referral service.

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: male breast

Dr. Bermant,

I am an 36 year old male - 5'3 170 pounds. I have always had semi big breasts and have never been able to loose the fat. I've been in good shape all my life, but have had little self-esteem due to this problem. I could never have my shirt off in public because of this. Do many men have this type of treatment, and if so - how long would it be to where i could finally be in public with confidence after a surgery like this?

Thank you for the great web page and answers.

Sincerely.....

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Thank you for your kind words.

Large breasts in men, gynecomastia can be troublesome. Tee Shirts and exposure of the upper body have been a common problem for those with such problems. For some this is a deformity of fat alone, for others it is a combination of breast tissue and fat. The breasts can be small to massive with some large enough to need brassieres for support. Correction depends on the deformity. For minimal to moderate problems liposuction and or excision from incisions around the areola will do. For massive breasts both the excess skin and underlying tissue need to be removed with incisions designed to remodel the 3 dimensional problem something similar to breast reduction in women. Anesthesia depends on the extent of surgery and can range from local to general. An in office consultation would help continue your education process to learn what would be possible for your problem

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: male breast

Dear Dr. Mike,
I am writing in regards to my 14 year old son which doctors have said he has gynacamasty (I'm not sure if this is spelled right) but they have suggested lyposuction. It is very embarrasing for him to wear certain clothes and to have to take his shirt off in front of anyone. We are still in the process of appealing our insurance to pay for this. My husband grew up this way and does not want our son to go through his life not doing certain things because of the way he looks. He is not considered overweight but his breast are still very large. Is there any other way to cure this or a way that our insurance will cover it?
Thank you and if you could write back to me at ...

M
Morris, IL

Dr. Bermant responds:

This should not be construed as medical advice. I am a Board Certified Plastic Surgeon.

Gynecomastia (male breasts) can be a very emotional problem. Light clothing distortion and exposure of the upper body have been a common concerns for those with such problems. The extent of the deformity varies greatly. For some an excision of the breast tissue button and liposuction to contour the remaining chest is an option. For those with larger breasts there may be too much skin that will not adequately reduce after removing the underlying material. In such cases breast reduction something similar to the choices seen on my breast ptosis small incision pages is necessary.

Insurance coverage varies from company to company.

For some this is a deformity of fat alone, for others it is a combination of breast tissue and fat. The breasts can be small to massive with some large enough to need brassieres for support. Correction depends on the deformity. For minimal to moderate problems liposuction and or excision from incisions around the areola will do. For massive breasts both the excess skin and underlying tissue need to be removed with incisions designed to remodel the 3 dimensional problem something similar to breast reduction in women. Anesthesia depends on the extent of surgery and can range from local to general. An in office consultation would help continue your education process to learn what would be possible for your problem

I hope this information proves of some use. If my office can be of further assistance, please let us know. We can be reached at: (804) 748-7737. My staff and I try to ensure the comfort of our out of town guests during their consultations and procedures.

Michael Bermant, MD

Subj: Re: male breast

Dear Dr. Bermant,
Thank you so much for your quick reply. It was greatly appreciated and I will be discussing it further with my husband and child. Thank you again!
M

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