Gynecomastia—the enlargement of male breast tissue—is a common condition that affects an estimated 40-60% of men. This condition can cause significant emotional distress, self-consciousness, and physical discomfort. Dr. Brent Howley offers gynecomastia surgery to remove excess glandular tissue, fat, and sometimes skin from the chest area, restoring a flatter, more masculine chest contour.

Understanding Gynecomastia

Gynecomastia can develop due to various factors:

  • Hormonal changes during puberty or aging
  • Genetic predisposition
  • Weight fluctuations
  • Certain medications
  • Anabolic steroid use
  • Medical conditions affecting hormone levels

Types of Gynecomastia

True Gynecomastia

Involves excess glandular (breast) tissue that feels firm and is located directly behind the nipple. This tissue must be surgically excised.

Pseudo-Gynecomastia

Primarily excess fat in the chest area without significant glandular tissue. This may be treated with liposuction alone.

Mixed Gynecomastia

A combination of excess glandular tissue and fat, which is the most common type. This requires both excision and liposuction for optimal results.

The Procedure

Gynecomastia surgery typically combines two techniques:

  • Liposuction: Removes excess fat through small incisions
  • Glandular Excision: A small incision around the areola allows removal of firm breast tissue

In cases with significant excess skin, additional skin removal may be necessary.

Recovery

Most patients return to work within a week and can resume exercise within 3-4 weeks. A compression garment is worn for several weeks to minimize swelling and support the new chest contour. Results are visible immediately and continue to improve as swelling subsides.

Life After Surgery

Gynecomastia surgery provides permanent results. Many patients report a significant boost in confidence, feeling comfortable going shirtless at the beach, pool, or gym for the first time in years. The psychological benefits of this procedure often exceed patients' expectations.

Gynecomastia FAQ

Will gynecomastia go away on its own?

Gynecomastia that develops during puberty may resolve naturally within 2-3 years. However, adult gynecomastia typically does not improve without surgical intervention. If your condition has persisted for more than a year, surgery is likely the most effective solution.

Will there be visible scars?

Incisions are strategically placed around the edge of the areola, where scars blend with the natural color transition. Additionally, small liposuction incisions are hidden in inconspicuous locations. Scars fade significantly over time.

Can gynecomastia come back after surgery?

Results are permanent as long as the underlying cause is addressed. Maintaining a stable weight, avoiding anabolic steroids, and managing any medications that contributed to the condition will help ensure lasting results.

Is gynecomastia surgery covered by insurance?

In some cases, gynecomastia surgery may be covered by provincial health insurance if the condition causes significant physical symptoms or is related to a medical condition. We can help determine if your case qualifies.

Ready to Regain Your Confidence?

Schedule a confidential consultation to discuss gynecomastia surgery with Dr. Howley.

Book Now