Gynecomastia surgery, or male breast reduction, removes excess fat, skin, and breast tissue in the chest region to achieve a more masculine silhouette. Salem plastic surgeons Dr. Keith Neaman and Dr. Dustin Christiansen of Neaman Plastic Surgery are highly trained in the surgical technique of male breast reduction for men and teens who suffer from gynecomastia or enlarged breasts. Contact us to schedule a personal consultation. You may also want to check out our other Services For Men.


Gynecomastia is a common condition that typically peaks during puberty. And while gynecomastia usually resolves itself with age, it can persist into adulthood and even worsen. When this is the case, gynecomastia rarely responds to lifestyle changes such as increased exercise and following a healthy diet.

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Gynecomastia, commonly referred to as “man boobs”, can occur in one or both breasts and is characterized by excess fat and glandular tissue around the breast. Most of the time, the fat is localized; however, in some more severe cases, the excess breast tissue can result in the breasts sagging or hanging downward. 

Common causes of gynecomastia include:

  • Hormone fluctuations
  • Genetics
  • Ongoing use of certain medications, including steroids and Risperdal
  • Weight fluctuations


Male breast reduction is a fairly simple procedure. There are a few different methods to perform gynecomastia which is dependent on your individual body type and the amount of fatty tissue to be removed. Sometimes gynecomastia surgery can be as simple as just performing liposuction on the chest region. Other times, it is performed under general anesthesia in which a small incision is made under the arm or at the edge of the areola. This helps to keep scarring to a minimum. Through the incision, underlying fat and glandular tissue are removed. Any extra skin is excised before incision sites are closed.


At Neaman Plastic Surgery, our focus is to help patients feel better about themselves. The decision to undergo a cosmetic procedure is not a light one, but we strive to make it a comfortable experience. During your consultation, you will meet with one of our board-certified plastic surgeons. They work with each patient to educate them on their procedural options, understand their goals, and collaborate with you to ensure the best possible results.

To learn more about male breast reduction or to schedule your personal consultation, please contact us.

Frequently Asked Questions

Does gynecomastia go away with weight loss?

Weight loss can sometimes improve symptoms of gynecomastia but will not completely resolve the condition. Gynecomastia is caused by excess glandular tissue, not fat, so surgery is often required for the best outcome. However, people with pseudogynecomastia have enlarged breasts caused by fat buildup and this can potentially be treated with weight loss alone.

Does gynecomastia surgery leave scars?

Scarring is unavoidable after any surgical procedure, but your surgeon will work carefully to place the incisions in an easily concealed area. The scars will also fade over time and should be significantly improved after 6-12 months.

What is the best treatment for gynecomastia?

The best treatment for gynecomastia is male breast reduction or gynecomastia surgery. During the procedure, excess glandular tissue and fat will be removed to flatten and tone the appearance of the chest.

What is gynecomastia?

Gynecomastia is a medical condition also known as enlarged male breasts. Male breast enlargement can be caused by many factors such as fluctuating hormone levels during puberty, natural aging, medications, or anabolic steroid use. Certain health conditions can also cause higher levels of estrogen (the female hormone) than testosterone (the male hormone), leading to the growth of glandular breast tissue.

Can gynecomastia return after surgery?

Gynecomastia surgery is a permanent solution for most patients. However, just like any other surgical procedure, the patient’s lifestyle post-surgery will affect their long-term results. For example, weight gain after surgery can also cause fat to grow in the chest, creating the appearance of larger breasts.

How does gynecomastia go away?

Gynecomastia will sometimes go away after puberty as hormone levels balance out, but many adult patients require gynecomastia surgery as an effective and long-term solution.

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