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What Surgical Technique Is Best for My Gynecomastia Surgery?

Posted March 10, 2026 in Gynecomastia

Fit shirtless man

You eat well. You work out. You’ve built muscle nearly everywhere. But, somehow, your chest still looks soft or rounded. Does this sound like you? If you feel self-conscious about going shirtless or wearing fitted clothing because you have “man boobs,” you may have gynecomastia. Men with gynecomastia develop breast tissue that won’t go away simply by increasing their pushups and bench presses, or by losing body fat. If you’ve reached the point where you’re considering surgery to address the issue, the next question becomes more specific: What technique will restore a more masculine shape to your chest?

In this blog, we’ll go over what you need to know about gynecomastia surgery options and how Dr. Adrian Lo can restore your self-confidence. 

4 Min Read:

Gynecomastia Fast Facts

  • Gynecomastia is more common than most men realize. In fact, up to 60 to 70 percent of adolescent boys and approximately 30 to 50 percent of adult men experience some degree of gynecomastia during their lifetime.
  • Gynecomastia is caused by hormonal imbalance between estrogen and testosterone, puberty, aging, certain medications, anabolic steroids, marijuana use, and underlying medical conditions.
  • Does gynecomastia go away by itself? The short answer is: sometimes. In adolescents, it may resolve within one to two years as hormones balance out. In adults, however, gland tissue growth typically requires surgery that is often referred to as male breast reduction.

Types of Gynecomastia and How Dr. Lo Treats Them

Not all gynecomastia is the same, which is why selecting the technique that will treat it most effectively matters. Below, we explore the different types of gynecomastia.

Adolescent Gynecomastia

Adolescent gynecomastia is common during puberty due to hormonal fluctuations. If it persists beyond the teen years, surgical removal of excess gland tissue may be recommended.

Idiopathic Gynecomastia

When no clear cause of chest fullness is identified, enlarged glandular tissue is typically treated with excision or removal and is often combined with liposuction.

Drug-Induced (Iatrogenic)

Certain medications or illicit substances can stimulate breast tissue growth. Once the medication or substance is addressed or discontinued and breast growth has stabilized, this gynecomastia type may involve gland excision with contouring liposuction.

Pseudogynecomastia

Pseudogynecomastia is caused primarily by excess fat in the chest rather than overdevelopment of the gland. Liposuction alone is often effective in sculpting a flatter, firmer chest.

Surgical Gynecomastia Treatment Options With Dr. Adrian Lo

Choosing the best surgical technique to treat your gynecomastia depends on whether the enlargement is caused by gland tissue, fat, excess skin, or a combination of these.

Liposuction is ideal for patients whose chest fullness is primarily due to excess fat. Using small, discreet incisions, Dr. Lo removes the fat and sculpts a flatter chest contour. This approach involves minimal scarring and typically offers a faster recovery than other options.

Excisional surgery is necessary when your gynecomastia is due to dense solid gland tissue. Because gland tissue cannot be removed with liposuction alone, Dr. Lo carefully removes it through a small incision placed along the lower border of the areola. This incision or scar heals well and is barely seen. The procedure is called subcutaneous mastectomy.

Combination surgery (liposuction + excision) is the most common approach to treating gynecomastia. By performing liposuction together with gland excision, Dr. Lo can create a smoother, more natural chest definition.

In more advanced cases of gynecomastia involving significant loose skin, skin removal may be required to prevent skin sagging after the removal of gland tissue and fat.

When you come in for your consultation with Dr. Lo, he will evaluate your skin quality and chest fullness while listening to your concerns and aesthetic goals. He will then recommend the most effective and least invasive treatment option possible and create a customized surgical plan.

Advantages of Undergoing Gynecomastia Surgery With Dr. Adrian Lo, Gynecomastia Specialist 

Dr. Adrian Lo is a board-certified plastic surgeon with extensive training in both cosmetic and reconstructive surgery, including specialized expertise in gynecomastia surgery and male chest contouring. He has performed thousands of gynecomastia procedures using advanced liposuction techniques, gland excision, and combination surgeries tailored to the patient’s chest tissue type and the severity of the condition.

Dr. Lo’s detailed understanding of male anatomy enables him to carefully distinguish between fat and gland tissue, selecting the most effective approach for each patient. His meticulous surgical skill prioritizes creating symmetrical, masculine results with minimal scarring and natural-looking definition. 

With extensive experience treating all forms of gynecomastia, Dr. Lo provides individualized treatment plans designed to sculpt a flatter, more defined chest.

Schedule Your Gynecomastia Surgery in Philadelphia Today

If you’re ready to regain your confidence and restore a more masculine chest shape, it’s time to schedule a consultation with board-certified gynecomastia expert Dr. Adrian Lo. To learn more about the procedure and make an appointment to discover what gynecomastia surgery can do for you, call Dr. Adrian Lo Plastic Surgery today at (215) 829-6900, or complete the online contact form

Locations

Philadelphia Cosmetic Surgery

301 South 8th Street, Suite 3H,
Philadelphia PA 19106

New Jersey Cosmetic Surgery

990 Route 73 North
Marlton, NJ 08053

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