Gynecomastia in Portland, OR

Name: Gynecomastia
Brand: Portland Plastic Surgery Group
Rating: 4.7 (108 reviews)

Going shirtless, or even wearing certain kinds of form-fitting shirts, can be stressful for men with enlarged breasts.

Male Breast Reduction at Portland Plastic Surgery Group

At Portland Plastic Surgery Group, our surgeons are happy to help men feel more comfortable with their chests through male breast reduction surgery. It is a simple, straightforward outpatient procedure that can dramatically boost confidence and overall happiness.

To learn more about male breast reduction, you can request a consultation online.

Gynecomastia Before & After Photos

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What is Gynecomastia?

The term "gynecomastia" might sound rare or overly medical, but it’s actually common, and it affects men of all ages.

According to the American Society of Plastic Surgeons, about 50 to 70% of men deal with it at some point.

While some cases are linked to medications or underlying health issues, most men don’t have a clear reason why it develops.

Gynecomastia typically shows up as excess breast tissue, fat, or skin on the chest. It’s often tied to things like weight gain, hormone imbalances, or family history. Unfortunately, it’s not something that usually goes away with just diet and exercise.

Your Male Breast Reduction Consultation

Although it’s not something people talk about much, gynecomastia is actually really common. In some cases, it can be linked to certain medications or underlying health issues, so we usually recommend checking in with your primary care doctor first to rule out any medical causes before considering surgery.

When it comes to treatment, there’s no one-size-fits-all. During your consultation, our surgeons work with you to plan a personalized approach based on what’s behind the breast growth. Sometimes, a bit of chest liposuction does the trick. In other cases, we may need to remove some glandular tissue to get long-lasting results.

Whichever route is right for you, male breast reduction is a well-tolerated procedure with minimal downtime, and the results can be a real confidence booster.

How Much Does Gynecomastia Surgery Cost in Oregon?

The cost for male breast reduction depends on the type of procedure required. At Portland Plastic Surgery Group, the cost for male breast reduction surgery starts at $9,200.

This includes:

Surgeon's fee
Facility fee
Anesthesia fee
CosmetAssure insurance

We’ll give you a personalized quote at your consultation once you and your surgeon have decided on your treatment plan.

Male Breast Reduction Procedure

Gynecomastia is actually graded on a scale, and that helps determine the best approach for treatment. Most guys who come in are at grade one, which means there’s just a small amount of firm tissue under the nipple but no sagging or extra skin.

In those cases, we can usually use a minimally invasive technique with a tiny incision hidden along the edge of the areola. Using a special lighted tool, we can remove the gland through that small opening—so the scar is barely noticeable (if at all).

Liposuction is often used alongside this to help shape the chest.

If there’s more volume or loose skin involved, the surgery may need to include skin removal too. That means slightly more visible incisions, but even then, they’re often well-hidden by natural chest hair.

Once the surgery is complete, incisions are closed with sutures and protected with bandages.

Is Male Breast Reduction Right for Me?

Gynecomastia, the development of male breast tissue, is usually caused by a hormonal imbalance, especially when estrogen levels are higher than they should be. It’s common during three key stages of life:

As babies, we still carry some of our mom’s estrogen, so it’s normal for newborns to have tiny breast buds.
During puberty, hormone levels are all over the place, and about two-thirds of teen boys develop some breast tissue. Most of the time, it goes away within a year, but if it doesn’t, it usually sticks around and may need surgery to correct.
Later in life, as testosterone naturally drops, estrogen levels can creep up. Plus, extra fat cells can convert testosterone into estrogen, which is why some older men notice more fullness in the chest.

If what you're seeing isn’t going away or it's been bothering you for a while, it might be time to chat with one of our Portland plastic surgeons about your options.

Recovery Following Male Breast Reduction Surgery

After a short monitoring period to make sure everything looks great and there are no signs of complications, you’ll be able to head home and focus on rest and recovery.

Immediately after surgery for gynecomastia, we usually place a small drain on each side of the chest to help prevent fluid buildup. Even if just a small amount of tissue is removed, that area can still create a bit of empty space, so the drains help everything heal smoothly. They're typically removed in about 3 to 5 days.

Stitches usually come out after just a few days, and while some bruising and swelling are totally normal, most men feel ready to get back to work in about a week.

You’ll also wear a chest compression garment, kind of like a snug little zip-up crop top, for the first few weeks. It helps reduce swelling and supports the healing tissue.

Most men find the discomfort to be very manageable, and we’re here to make sure you’re as comfortable as possible, with medication if needed.

For the first couple of weeks, it’s important to take it easy: no workouts, no heavy lifting, and nothing that gets your heart rate or blood pressure up. But if all looks good at your two-week checkup, you can slowly start easing back into your normal routine.

Most men are feeling back to their usual selves in about 4 to 6 weeks!

As your body heals, any scarring will gradually fade, starting red, then pink, and eventually becoming much lighter. With good aftercare (and by keeping up with your follow-up visits), your results can be long-lasting—often permanent.

When Will I See My Final Results?

Most guys start seeing their final results around the 2-3 month mark, once swelling and inflammation have had time to settle down.

By this point, our patients are usually feeling great—more confident, comfortable in fitted clothes, and totally fine going shirtless. It’s a big confidence boost, and for many, a really empowering transformation.