What is Gynecomastia?



Gynecomastia is a disorder in men characterized by excess glandular tissue in the breast area of the chest, creating male breasts. It can be caused by a number of factors, including certain medications and hormonal imbalances. According to the American Society of Plastic Surgeons, gynecomastia accounts for more than 65 percent of all male breast disorders. The best treatment approach to gynecomastia is male breast reduction surgery.

While not considered to be a serious medical condition, enlarged breasts may cause men to experience mild physical discomfort, as well as emotional distress and social embarrassment. The procedure can be performed on men who are generally healthy and not extremely overweight.

Gynecomastia surgery can:

  • Reduce the amount of excess fat in the pectoral area
  • Excise excess skin when necessary
  • Improve a man’s self-image and confidence
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Individualized Approach

Male breast reduction for gynecomastia is an outpatient procedure that is performed either under general anesthesia or local anesthesia with sedation, depending on the size of the treatment area, the amount of fat to be extracted, and the liposuction technique used. Dr. Lewis performs gynecomastia surgery by combining excision and male liposuction to remove both excess fat and tissue.

An ultrasound technique is often performed with male liposuction, as the tissue in the breast area is often fibrous, and the ultrasound breaks up the fat before the gynecomastia treatment. This sometimes allows for smaller incisions.

Time in surgery is 60-90 minutes depending upon the severity of the gynecomastia and the patient’s individualized treatment plan.


The incisions are generally placed on the edge of the nipple or in the underarm area. Major reductions may require more extensive incisions, but this is discussed with each patient in great detail prior to the procedure. After surgery, incisions are closed, and garments are wrapped around the chest to keep the treatment area protected.


We will make sure you are comfortable throughout the whole procedure. You will be given a local anesthetic and IV sedation, or you will be under general anesthesia.


After waking up from surgery, you will remain under our care for a few hours prior to returning home. You will be given instructions for after-care, and we will give you a narcotic pain medication, which you may need to ease discomfort during the first several days after the procedure.

Pressure garments will be applied and will remain in place for a few days. Light physical activity, including walking, is encouraged to reduce the risk of blood clots; however, you should not exercise for several weeks.


Most of our male breast reduction patients return to work within a week and achieve a full recovery within three weeks. Final results may not be visible for up to three months, however. To reduce the risk of complications, we advise you to follow all post-operative instructions provided by our team, including smoking cessation.

We are available throughout the recovery process, and you are encouraged to contact us with any questions and/or concerns you may have after your male breast reduction procedure.


Male breast reduction is not a weight loss treatment and is, therefore, most appropriate for patients who are close to their ideal weight but have a hard time slimming down troublesome areas.

Skin quality is also extremely important to the outcome of the procedure because firm, elastic skin shrinks more easily for tight and refined results. In general, patients undergoing gynecomastia treatment should be in good overall health and not more than 20 pounds overweight.

What are the risks of a brow lift?

Check Accreditation

There are risks with any surgical procedure. To minimize the risks, check certifications and accreditation of your surgeon to ensure that your surgery is conducted in a safe and secure environment using the latest surgical techniques.

Accreditation boards and bodies are there to protect you. Dr. Gordon Lewis has many years of surgical experience and is affiliated with several important professional organizations. He is:

Major complications from male breast reduction are very rare. During your initial consultation, Dr. Lewis will discuss possible complications, which may include:

  • Uneven skin
  • Scarring
  • Blood clots
  • Asymmetry
  • Need for touch-up surgery

During your comprehensive one-on-one consultation at Lewis Plastic Surgery, which will take about an hour, we will cover several areas of discussion:

  • Your medical history and current medications
  • Your candidacy for the surgery
  • Causes of gynecomastia
  • The different gynecomastia techniques
  • How skin firmness or lack thereof will affect the outcome
  • Anesthesia and facility choices
  • Your goals from surgery
  • Your concerns about surgery
  • What you can expect before, during, and after surgery
  • After-care instructions to reduce the risk of complications
  • Risks associated with the surgery
  • Cost of gynecomastia treatment and financing options

Surgical procedures are performed at an accredited outpatient surgical center or a local hospital. Dr. Gordon Lewis is affiliated with several local medical centers where his patients undergo surgery. He primarily operates at these locations:

  • Johnston-Willis Hospital
  • Stony Point Surgery Center
  • Chippenham Hospital
  • Parham Surgery Center

He also has privileges at St. Mary’s Hospital and Henrico Doctors Hospital, but he operates there less frequently.

He also has privileges at St. Mary’s Hospital and Henrico Doctors Hospital, but he operates there less frequently.

Initial consultations, follow-up appointments, and all non-surgical treatments and minor surgical procedures are performed at Lewis Plastic Surgery practice, which is located on the grounds of Johnson-Willis Hospital in Richmond, Virginia.

Gynecomastia procedures vary greatly in price because the scope of work required for each patient can be quite different. You will be given a written quotation at your consultation that will break down the total price. We make absolutely sure that there are no hidden costs or surprises.

Every patient is required to attend an initial consultation before a procedure can be booked. Once you decide to proceed with surgery, we will assist you in finalizing a date and getting everything ready for your gynecomastia surgery. We try to be as flexible as possible and will make arrangements to see you at Lewis Plastic Surgery on the grounds of Johnston-Willis Hospital within a few days after you contact us.

Depending on your requirements, we can normally perform your procedure within 2 weeks. You can book a consultation online or by calling 804 267 6009.