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What Causes Gynecomastia and How Surgery Fixes It

For many men, having excess breast tissue can be both physically uncomfortable and emotionally frustrating. This condition, known as gynecomastia, affects millions of men at different ages and body types. It can make the chest appear soft or enlarged, even in men who are fit and healthy. The good news is that male breast reduction surgery offers a safe and effective solution. At VIVE Plastic Surgery, we help men regain a more masculine, confident look through precision and care.

What Is Gynecomastia?

Gynecomastia is the enlargement of male breast tissue caused by a hormonal imbalance, genetics, or other factors. It’s not simply fat buildup — it involves actual glandular tissue growth beneath the nipple. This tissue can make the chest appear puffy, uneven, or feminine in shape. The condition can affect one or both sides and is common during puberty, middle age, or after weight changes.

Common Causes of Gynecomastia

Several factors can lead to the development of gynecomastia. Some are temporary, while others may require medical or surgical treatment. The most common causes include:

  • Hormonal imbalance: When estrogen levels rise or testosterone levels drop, glandular tissue can grow.
  • Puberty: Hormone fluctuations during adolescence often cause temporary gynecomastia that resolves on its own.
  • Aging: Natural hormone decline and slower metabolism can lead to tissue accumulation.
  • Certain medications: Some antidepressants, steroids, and heart medications may trigger breast growth.
  • Substance use: Alcohol, marijuana, or anabolic steroids can alter hormone levels.
  • Weight gain: Fat buildup can worsen the appearance of glandular tissue, making the chest look larger.
    While some cases resolve naturally, persistent gynecomastia often requires surgical correction for lasting results.

How Gynecomastia Surgery Works

Male breast reduction surgery is designed to remove excess glandular tissue, fat, and skin for a flatter, more defined chest. At VIVE Plastic Surgery, the procedure is customized to your anatomy and the severity of your condition.

Here’s how it typically works:

  1. Anesthesia: You’ll be given anesthesia to ensure complete comfort during the procedure.
  2. Incisions: Small, discreet incisions are made around the areola or under the chest crease.
  3. Tissue removal: The surgeon removes excess glandular tissue and fat using liposuction or excision.
  4. Sculpting and tightening: The chest is contoured to create a natural, masculine appearance.
  5. Closure: The incisions are closed carefully to minimize scarring.

The entire process takes about one to two hours, and most patients return home the same day.

What to Expect After Surgery

Recovery is usually smooth and quick. Mild swelling or soreness is common for the first few days. You’ll wear a compression garment to reduce swelling and help the chest heal evenly. Most patients return to work and light activities within a week, and resume full exercise after four to six weeks. As healing continues, your chest will appear flatter, firmer, and more defined. The results are permanent as long as you maintain a stable weight and healthy lifestyle.

The Emotional Impact of Gynecomastia

Beyond the physical changes, gynecomastia can affect confidence and self-esteem. Many men avoid tight shirts, swimming, or social situations because of how their chest looks. After surgery, patients often report a major boost in confidence and body image. They feel more comfortable in fitted clothing and more aligned with their masculine identity. At VIVE Plastic Surgery, we understand that this transformation is about more than appearance — it’s about feeling confident again in your own skin.

Why Choose VIVE Plastic Surgery for Male Breast Reduction

Our board-certified surgeons specialize in body contouring procedures for men. We combine surgical precision with an artistic approach to create results that look natural, not overdone. With advanced techniques and careful attention to detail, we minimize scarring and recovery time while maximizing definition. Every treatment plan is personalized to help you achieve a chest that matches your goals and body type.

The Bottom Line

Gynecomastia is a common and treatable condition that can affect men at any stage of life. Whether caused by hormones, lifestyle, or genetics, male breast reduction surgery can restore a firm, masculine chest — and your confidence. At VIVE Plastic Surgery, we’re dedicated to helping every patient look and feel their best with safe, lasting results. Schedule your consultation today and start your journey toward renewed self-assurance and body confidence.

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