Gynecomastia is a medical term for the enlargement or swelling of breast tissue in men and boys. The condition itself is not a health risk nor should be a cause for concern. However, most men with gynecomastia feel embarrassed of their bodies and suffer from poor self-esteem due to their physical appearance. A male breast reduction surgery will remove any extra tissue or skin and create a more masculine shape.

To learn more about  gynecomastia procedures and determine if a patient is a good candidate, please contact our office to schedule an initial consultation with Dr. Norberto Soto.

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What Causes Male Breasts?

Gynecomastia is caused by a dysfunction in the endocrine system that leads to the enlargement of male breast tissue. As a result, the increase in male breast size tends to round out the masculine frame, making it appear more feminine. There are many circumstances and reasons that can trigger this condition, including the following:

  • Alcohol and some recreational drugs
  • Normal aging
  • Medications
  • Liver or kidney metabolic disorders
  • Klinefelter disease
  • Excess estrogen
  • Thyroid problems

Overall, this condition has the potential to adversely affect a man’s self-esteem and confidence, leaving him insecure about his own body. Men suffering from Gynecomastia tend to avoid social situations that involve either swimming or going to the beach/pool out of  embarrassment of their breasts. However, the effects of Gynecomastia can be remedied with a gynecomastia reduction surgery. The procedure addresses the following Issues:

  • Excess localized fat
  • Excess glandular tissue development
  • A combination of both excess fat and glandular tissue

Male breast reduction patients are generally old enough to have a stabilization in breast development. Sometimes, adolescents can benefit from the procedure, but secondary surgeries may be needed in the future.

What is Gynecomastia Surgery?

Gynecomastia (male breast) procedure functions by removing the overabundance of tissue and fat in the chest, thus minimizing the size of male breasts. A scalpel is used to eliminate excess glandular (breast) tissue. Conversely, any extra adipose (fat) tissue is expelled using liposuction. Both methods used in the gynecomastia procedure will help to trim and define a man’s chest to a more chiseled physique.  Following this body transformation, men will feel more at ease and confident while being in specific social settings in which showing off the chest is the norm, such as the beach.

Experiencing this higher level of self-esteem can even boost a man’s quality of life, overall. Dr. Norberto Soto executes his male breast reduction procedures with cutting-edge technology that greatly decreases the risk of surgery.

Surgical Techniques

There are two main techniques for male breast reduction. The chosen method depends on the specific properties of the gynecomastia. For example, if the enlarged breasts are primarily due to fatty tissue, then liposuction alone may be used. However, if glandular tissue or excess skin are to blame, then excision is often needed. At times a combination of both procedures is needed to treat the patient.

A typical gynecomastia procedure employs the use of general anesthesia and allows for a same-day discharge from the hospital. After the patient goes under anesthesia, Dr. Soto will start the operation, beginning with the fundamental incisions around the male breasts, which will be made under the chest or around the areola (nipple). To remove excess fat from these areas, the surgeon will insert a very small cannula, into the strategically spaced incisions. Using vacuum-like suction, the cannula will extract any surplus of fat. Then, Dr. Soto will eliminate any undesirable glandular (breast) tissue upon shaping the chest into the patient’s desired contour.

Once a sufficient amount of breast tissue has been removed, Dr. Norberto Soto will reposition the areolas, as needed, to recover the symmetry of the male’s chest. Using sutures, the doctor will close the incisions and tighten the remaining skin. Before being escorted to a recovery area, the patient’s chest will be covered with a compression garment.


Once the gynecomastia reduction has been completed, the patient will be supervised for a a few hours before he is discharged to home. To decrease swelling and bruising, the patient will be advised to wear the provided compression garment throughout their recovery time. Dr. Soto will also give the patient further, detailed recovery instructions that will further enhance his outcome.  Dr. Soto will stress the importance of walking a short distance the night after the procedure to all of his post-op patients. Light exercise like this will boost overall circulation, reducing the risk of forming blood clots.

Most patients notice a significant improvement very early on and are extremely pleased with the procedure. The recovery is rather short, usually with minimal discomfort, and patients are back to daily activities within 7-10 days.

Other Procedures for Men

Dr. Soto offers additional treatments that are tailored for male physiques in pursuit of a more masculine frame. Male patients have the option to undergo a procedure that will complement their gynecomastia reduction and accentuate their results even further. The procedures most sought after by men include the following:


As we get older fat tissue builds up and becomes more stubborn to burning off by means of diet and workouts. Men, in particular, inherit this issue with fat tissue genetically. Stubborn fat typically collects in the back, thighs, flanks, arms, and abdomen. A male liposuction procedure, also called liposculpture, specifically targets and shapes the male figure.


Botox is a botulinum toxin  that is used to decrease deep, visible wrinkles. This injectable does not reduce the volume or amount of wrinkles. Instead, they alter and fix any lines or dynamic wrinkles on the face that are created from repeated muscle contractions in the event of facial expression.   

On the other hand, dermal fillers such as Radiesse are aimed towards the treatment of static wrinkles. Static wrinkles are facial lines caused by a decline in the volume and elasticity of the skin. Unlike dynamic wrinkles, static wrinkles can be reduced by adding volume to the skin on the face.


Dr. Soto and the patient will discuss and formulate a plan to create a personalized treatment plan that includes all of the necessary procedures, leading the patients ideal chest contour; combining the treatment(s) needed to achieve the desired chest shape.  During this time, Dr. Soto may suggest additional, adjunctive procedures that will yield a more chiseled, masculine physique. Although it is not a requirement, the patient will then have the opportunity to schedule their gynecomastia reduction surgery at the time of their complementary consultation.


The cost of gynecomastia reduction surgery differs from patient to patient based upon the anatomy and desires of the patient.  At the time of the initial consultation, Dr. Soto will outline the patient’s individualized plan, which will allow Dr. Soto and his office staff the ability to furnish a custom quote. For financing needs,Prosper®  is offered.

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