Gynecomastia
A flatter, firmer, more masculine chest. Gynecomastia — enlarged breast tissue in men — cannot be corrected with exercise, but male breast reduction removes the excess tissue and fat for a lasting result. Performed by our board-certified plastic surgeons, Dr. John Reagan Moore and Dr. Konrad Sarosiek, at our Brentwood, TN surgical center.
Featured Before + After
Is This Right for You?
If several of these sound like you, a consultation is the right next step. Your provider will confirm candidacy and walk through the plan that fits your goals.
You have excess breast tissue or puffy nipples that exercise has not changed
You have tried lifestyle changes and non-surgical options without results
You are in good overall health
You are a non-smoker, or willing to quit well in advance of surgery
You have realistic expectations about what surgery can achieve
A State-of-the-Art Surgical Experience, Right Here in Brentwood
Our Brentwood flagship is home to an onsite surgical facility designed to support patient safety, privacy, comfort, and continuity of care. Having this facility within our practice allows our surgical team to guide patients through a more connected experience, from consultation and preparation to procedure and follow-up.
In Their Own Words
A Higher Standard of Care for Every Patient and Every Treatment
Our Brentwood flagship is home to a state-of-the-art surgical facility designed to support patient safety, privacy, comfort, and continuity of care.
Surgical care led by trusted experts with advanced training, experience, and an eye for refined, natural-looking results.
With on-site physicians, experienced nurses, and a state-of-the-art surgical facility, patient safety guides every part of our approach.
Our aesthetic providers bring years of hands-on experience, ongoing advanced training, and a thoughtful eye for balance and restraint.
Every recommendation is tailored to your anatomy, comfort level, and desired outcome, so your results feel refreshed and authentically you.
Common Questions About This Treatment
Gynecomastia
Benefits of Gynecomastia Surgery
Gynecomastia is enlargement or swelling of the breast tissue in men, affecting one or both sides. It is a common condition — many men carry excess breast tissue across the chest or have “puffier” nipples — and it can be genetic or the result of an estrogen and testosterone imbalance following puberty. Because it cannot be corrected with exercise, surgery is the reliable solution. Male breast reduction reduces excess breast tissue, reduces the swollen appearance of the nipples, and restores a flatter, more masculine chest shape.
How Does Gynecomastia Surgery Work?
Surgery is performed under anesthesia at our Brentwood, TN surgical center. Which technique your surgeon uses depends on what your chest tissue is actually made of, and the two are often combined.
Liposuction for Fatty Tissue
When the enlargement is primarily excess fatty tissue — sometimes called pseudogynecomastia — liposuction is used. A thin cannula is inserted through small incisions and the fat is removed by medical suction.
Excision for Glandular Tissue
When the enlargement is primarily excess glandular breast tissue, that tissue is removed surgically through incisions in the chest. Glandular tissue does not respond to liposuction, so excision is the only way to address it.
Skin and Areola Refinement
Excess skin is often removed from the chest at the same time, and the areolae may be resized for better proportion once the underlying volume is gone. Incisions are then closed with sutures.
Recovery + What to Expect
An elastic compression garment is worn for a period after surgery to control swelling and help the skin conform to the new chest contour. Bruising is expected and fades with time. Most patients take time off work until their surgeon clears them to return, and avoid heavy lifting and sports for several weeks.
Risks + Considerations
Gynecomastia surgery is performed under anesthesia and carries the usual surgical risks of infection, bleeding, and reaction to anesthesia. Temporary or permanent changes in nipple and chest sensation are possible. Asymmetry, contour irregularities, or loose skin can occur and occasionally require a revision. Incisions leave permanent scars, though they are placed to be as inconspicuous as possible. Smoking is a significant concern with this procedure: it impairs healing, raises the risk of complications, and reduces skin elasticity, which can leave the skin drooping. If the underlying cause is hormonal or medication-related, your surgeon may want that evaluated before surgery, since an untreated cause can allow tissue to return.
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