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  • Home
  • Procedures
    • Injectables
      • AquaGold Micro-Botox
      • Belotero Balance®
      • Botox® Cosmetic
      • Dysport®
      • JUVÉDERM® XC
      • Kybella®
      • Lip Filler Injections
      • PREVELLE® Silk
      • Radiesse®
      • Sculptra® Aesthetic
      • Xeomin®
      • View All
    • Face & Neck
      • Blepharoplasty
      • Brow Lift
      • Facelift & Forehead Lift
      • Liquid Face Lift
      • Rhinoplasty (Non-Surgical)
      • Facial Fillers
      • Laser Photo Rejuvenation
      • PrecisionTx Neck
      • Laser Lipo Neck
      • Earlobe Repair
      • View All
    • Body
      • Breast Implants
      • Breast Augmentation
      • Breast Lift
      • CoolSculpting® Body Fat
      • Tummy Tuck / Abdominoplasty
      • Brazilian Butt Lift
      • LipoSculpture
      • Thermage Body Tightening
      • Cellulite Reduction
      • Laser Vein Treatment
      • Vaginal Rejuvenation
      • View All
    • Surgical
      • Arm Lift – Brachioplasty
      • Awake Liposuction / Liposuction / Laser Liposuction
      • Brazilian Butt Lift
      • Breast Augmentation
      • Breast Augmentation Fat (AFT) / Silicone / Saline
      • Breast Implants Silicone / Saline
      • Breast Lift
      • Face Lifts
      • Fat Transfer – Fat Grafting
      • Gynecomastia Male Breast Reduction
      • Neck Lifts – Chin Tuck – Platysmaplasty
      • View All
    • Non-Surgical
      • Non-Surgical Brow Lift
      • Facelift & Forehead Lift
      • Fat Reduction
      • Neck Lift
      • Vaginal Rejuvenation
      • Volume Restoration
      • Wrinkle Reduction
      • View All
  • Skin, Hair & Medispa
    • Skin Image
    • Skin
      • Botox Skin or Mesotox
      • Skin of Color
      • Skin Regeneration
      • Tattoo Removal
      • Thermage Skin Tightening
      • Wound Healing
      • Vitiligo Treatment
    • Hair
    • Hair
      • Female Hair Restoration
      • Hair Restoration
      • Hair Transplants
      • Laser Hair Removal
      • Scar & Keloid Repair
    • MediaSpa Image
    • MediSpa
      • AquaGold Microtox
      • Chemical Peels
      • Facial Peels
      • HydraFacial MD®
      • Microdermabrasion
      • Parisian Peel
  • Conditions We Treat
    • Skin
      • Acne
      • Acne Scars
      • Age Spots
      • Birthmarks
      • Eczema
      • Hypertrophic Scars
      • Bumps & Keloids
      • Moles
      • Pigmented Spots & Freckles
      • Port Wine Stains
      • Stretch Marks
      • Sun Damage & Sun Spots
      • Tattoos
      • Warts & Cysts
    • Face & Neck
      • Neck Bands
      • Rosacea
      • Saggy Skin
      • Wrinkles
    • Body
      • Cellulite
      • Fat Excess & Bulges
      • Hyperhidrosis (Excessive Sweating)
      • Laser Liposuction
      • Gynecomastia
      • Sexual Dysfunction
      • Urinary Incontinence
      • Vaginal Dryness
    • Hair
      • Baldness
      • Hair Thinning
      • Insufficient Eyelashes
      • Unwanted or Excessive Hair
    • Veins
      • Broken Blood Vessels
      • Leg Veins
      • Periocular Veins
      • Spider & Reticular Veins
      • Varicose Veins
      • Vascular Malformations
  • Lasers & Devices
    • AquaGold Fine Touch
    • Blu-U (Light)
    • Cellulaze Cellulite Laser
    • CO2 Lumenis Laser
    • CoolSculpting®
    • DermaTyte 1319
    • Ellman (RF)
    • Erbium Laser
    • Fractional Laser
    • Fraxel Dual 1550 / 1927
    • Fraxel Re:pair Laser
    • Fraxel Restore Laser
    • GentleLASE
    • GentleYAG
    • HydraFacial MD®
    • Legend Pro
    • Lumenis IPL
    • Lumenis Nd:YAG
    • Lumenis One
    • Lumenis OPT
    • MedLite C6
    • MedLite C6-1064
    • MedLite C6-532
    • MedLite C6-585
    • MedLite C6-650
    • Microcannula
    • NuEra Tight
    • Omnilux (LED)
    • Omnilux Blue
    • Omnilux Plus
    • Omnilux Revive
    • Omnilux Revive Plus Combo
    • PrecisionTx Laser
    • Pro-V Sciton Joule
    • ProLipo Laser
    • SmartLipo™ Triplex
    • SmoothBeam Laser
    • Thermage® RF / ThermaCool™
    • ThermiRase®
    • ThermiSmooth®
    • ThermiTight®
    • ThermiVa®
    • Ultherapy®
    • UV Photography
    • Vasculight
    • VBeam
    • Venus Freeze
    • VersaPulse Alexandrite 755
    • VersaPulse Help-G 532 KTP
    • Versapulse Laser
    • VersaPulse Nd:YAG 532
    • VersaPulse Nd:YAG 1064
  • About Us
    • Our Practice
    • Physicians
    • Staff
    • AAAHC Accredited Surgical Facility
    • Employment
  • Gallery
    • Face & Neck
      • Acne & Acne Scar Repair
      • Blepharoplasty (Eyelid Lift) – Lower
      • Blepharoplasty (Eyelid Lift) – Upper
      • Brow Lift
      • CoolSculpting® Neck
      • Dark Circles & Pigmentation
      • View All
    • Breast, Arms & Hands
      • Brachioplasty (Arm Lift) Procedures
      • Breast Augmentation
      • Breast Augmentation – AFT
      • CoolSculpting® Arm Treatments
      • Décolletage Treatments
      • Gynecomastia Treatments
      • View All
    • Abdomen, Waist & Hips
      • CoolSculpting® Body Treatments
      • HD Body Sculpting Procedures
      • Laser LipoSculpture Procedures
      • Laser Liposuction Male Procedures
      • Skin Tightening Abdomen Procedures
      • Laser Tattoo Removal
    • Thighs, Buttocks & Legs
      • Cellulite Reduction Procedures
      • CoolSculpting® Thigh Procedures
      • Laser Lipo Thigh Procedures
      • Leg Vein Treatments
      • View All
    • Vaginal Rejuvenation
    • By Device & Product
      • BOTOX® Cosmetic Procedures
      • Cellulaze™ Procedures
      • CoolSculpting® Treatments
      • Dysport® Procedures
      • Fraxel® Procedures
      • View All
    • Videos
  • Patient Resources
    • Resources Image
    • Resources
      • Patient Forms
      • Patient Portal
      • My TouchMD
      • Visia & Vectra
    • Virtual Consultation Image
    • Virtual Consultation
      • Skin Assessment
      • Body Procedures
      • Breast Procedures
      • Face Procedures
      • Other Procedures
    • Pricing Image
    • Pricing
      • Procedures
      • Products
      • Specials
      • Financing
      • VIP Loyalty Rewards
  • Specials
  • Testimonials & Media
    • Testimonials
    • Press & Media
    • Online Reviews
    • Blog
  • Contact
    • Contact Us & Directions
    • Visiting a Destination – Milford, PA
    • CoolSculpting Body Treatments
    • HD Body Sculpting Procedures
    • Laser LipoSculpture Procedures
    • Male Liposuction & Gynecomastia Procedures
    • Skin Tightening Abdomen Procedures
    • Laser Tattoo Removal

Male Breast Reduction – Gynecomastia Surgery


Both men and women have breasts, but men don’t have mammary glands. Males may develop excess fatty tissue in their breasts and / or non-mammary glandular tissue, causing their breast tissue to enlarge.  Gynecomastia is the medical term for enlarged male breasts and comes from the Greek words for “women-like breasts.” This condition is very common, affecting an estimated 40 to 60 percent of men to varying degrees. There is no known cause in the vast majority of cases of male breast over-development, but common cases are due to a familial tendency, weight gain or as a result of some medications.

Men with enlarged breasts are often reluctant to go the gym, beach or other public places where their chest might be seen. In fact many men wear undergarments to smooth out and conceal enlarged breasts. These undergarments range from binders and bras to a combination of the two. Men are often inhibited by what they think are unsightly breasts and exercise or weight loss may not be effective in resolving the enlarged tissue.

At MilfordMD Dr. Richard Buckley uses a combination of powered microcannular liposuction and laser lipo sculpture to reduce enlarged male breasts. The procedure is very effective and is done with the patient awake and using tumescent local anesthesia. No stitches or cutting is required. Infrequently there may be some tough glandular tissue directly beneath the nipple which is then removed via a small incision at the base of the nipple.

If only fatty tissue is present in the enlarged breasts then liposuction and laser liposculpture alone can give an excellent result. If significant glandular tissue is present then I remove the excess tissue by performing gynecomastia surgery. (pdf from Connections Magazine – 2012)

The development of gynecomastia, enlarged breasts like a woman, may depend on several factors, or merely genetics.

Having larger male breasts is often related to a hormonal imbalance, which can result from medications or lifestyle. Examples of commonly prescribed medications that may cause gynecomastia include:

Before & After Gynecomastia Surgery in Milford PA

  • cimetidine (used for heartburn and ulcers)
  • digitalis (used for heart failure)
  • diazepam (Valium) (used for anxiety)
  • atorvastatin (Lipitor, cholesterol-lowering)

Other gynecomastia causing culprits:

  • Frequent use of bodybuilding steroids
  • marijuana or alcohol
  • weight loss (can leave men leaner everywhere but the breasts)
  • malnutrition
  • cirrhosis of the liver
  • overactive thyroid
  • breast or testicular cancer.

Understanding the cause is an important first step in treating the condition. It is important to rule out the more dangerous underlying conditions, including male breast cancer, before addressing the cosmetic concern.

Unfortunately, merely correcting the causative problem doesn’t usually undo the cosmetic problem of women-like breasts. Abundant breast tissue may linger even after a man stops using body-enhancing steroids.

Treating Gynecomastia

There are two things I look for when treating gynecomastia: How much of the visible breast enlargement is due to fat and how much is due to underlying glandular tissue. In most men, we have to take out not only the excess fat but also the enlarged breast glands. These sit beneath the nipple and areola. Fatty tissue is liposculpted away. If glandular tissue is enlarged, I then make a small incision just under each of the nipples, in the pigmented areola. The gland easily slides out through the incision. I close the incision with only or mostly sutures under the skin.

The entire procedure is done with only a local anesthetic with my patients are awake and comfortable. Patients go home after the surgery and I recommend rest for a day or two (depending on how much tissue I remove). Men usually wear an elastic chest binder 24 hours a day the week following the procedure and part-time the week after that. Otherwise, most report little if any pain and minor discomfort.

This is one of the most gratifying procedures I do. Men, who are on a private emotional rollercoaster because they have enlarged breasts, emerge from the procedure as if we literally took a weight off their chest. In my experience, men who have the procedure have had little downtime and were very happy with the results.

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MilfordMD Cosmetic Dermatology Surgery & Laser Center
MilfordMD Cosmetic Dermatology Surgery & Laser Center

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MilfordMD Cosmetic Dermatology Surgery & Laser Center
303 W. Harford Street
Milford, PA 18337

570-296-4000

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