Gynecomastia Excision

Popular reasons for gynecomastia include:

  • Remove firm tissue/lump behind the nipple.
  • Improve chest contour and profile.
  • Restore self-confidence.

Gynecomastia is thought to result from an imbalance in the ratio of estrogen to androgen (testosterone), whereby the relative excess in estrogen causes enlargement of male breast tissue. This typically manifests in a firm, often tender, mass of tissue behind the nipple that can persist in post-adolescent males and even become apparent in older men (senile gynecomastia).

Numerous medications can result in breast gland enlargement as well and male bodybuilders are often vilified in this regard. In these individuals, a high testosterone state is achieved through diet, exercise, supplementation and exogenous use of anabolic steroids. When the male body is overwhelmed by testosterone, the excess is converted to estrogen and estrone, which are potent stimulants of breast gland growth. Irrespective of the underlying etiology, removal of the enlarged glandular tissue provides patients with significant relief both physically and psychologically as breast gland enlargement often causes substantial social embarrassment and anxiety.

Excess chest wall fat surrounding the firm gland behind the nipple is common. This must be simultaneously addressed via liposuction so that a dent does not result following removal of the glandular tissue. It is important that gynecomastia surgery is performed carefully by an experienced plastic surgeon so that post-operative deformities are avoided, many of which are challenging to correct.

Read below for more information on a breast lift or schedule a consultation now.

Donald Mowlds, MD

About The Gynecomastia Excision Procedure

All procedures are done in a balanced fashion to create a natural esthetic.

What Should I Expect?

During the in-depth consultation we will thoroughly review your goals and expectations. We will discuss the various causes of gynecomastia and decide if any apply to you. From this we can derive a safe and effective treatment plan that may include further medical investigation, surgical treatment or both. Many men are concerned about scarring on the chest as it creates a stigma of surgery. We will discuss healing expectations and scar management. My goal is for you to leave the consultation excited for surgery.

Submit a consultation request on this page to schedule a visit to our Newport Beach, CA location or request a virtual consultation for our out-of-town patients.

Donald Mowlds, MD

Surgery is performed at an accredited surgery center in Newport Beach, California, USA and typically lasts 1-2 hours depending on the degree of shaping required to achieve a masculine result. Under the care of a Board Certified Anesthesiologist, general anesthesia (fully asleep) is used to ensure maximal comfort and safety.

The incision is disguised in the lower areolar margin and generally heals very well.

Donald Mowlds Surgery

Patients are discharged home the same day and generally experience very minimal discomfort, often returning to light work within a week following surgery. Post-operatively, patients are advised to gradually resume their exercise regimen over a 4-week period in order to ensure proper healing. During this time, a compression garment is worn to optimize the final contour through a reduction in swelling.

The results are intended to be long lasting provided a healthy lifestyle is maintained.

Donald Mowlds, MD

Donald S. Mowlds, MD, MBA

True gynecomastia involves the presence of a firm mass of glandular tissue behind the nipple. In my experience, this is inconsistently removed using liposuction alone. I reserve the use of liposuction for chest contouring following excision to prevent contour irregularities caused by the removal of the breast tissue.

Request a Gynecomastia Excision Consultation

Receive an in-depth consultation where we will thoroughly review your goals to personalize a plan focused on a natural and aesthetic result. Dr. Donald S. Mowlds, MD is located in beautiful Newport Beach, CA but is also available via a virtual consultation for out-of-town patients.

All Procedures & Surgery Services

It is important for me to understand each patient’s motivation to undergo plastic surgery and take the time to listen to his or her goals and objectives. I take pride in working to meet your expectations for improvement and blending them with your existing features, which I believe distinguishes me from other plastic surgeons. View all services and procedures.

Other Male Procedures

Eyebrow lifts reposition the eyebrows to the ideal location, refreshing the upper eye region. Brow lift surgery is often combined with upper eyelid surgery, or blepharoplasty, to achieve a maximal rejuvenation in this area.

Facial rejuvenation and enhancement can also be addressed non-surgically in the office setting using a wide variety of injectable products and non-invasive devices such as Fraxel®, Clear + Brilliant®, Clear + Brilliant Perméa®, V-beam® and Thermage®. Visible wrinkles and creases can be treated along with volume deficiencies, contour irregularities and facial asymmetry.

Skin health is a science that treats the skin components at a cellular level to achieve flawless complexion and texture. A customized skin-care regimen can aggressively treat pigmentation and textural abnormalities as well as optimize the skin to tolerate more aggressive procedures such as lasers and peels. This combined approach leads to an unprecedented lasting renewal of the skin.

All Procedures

Popular patient requests include restoring volume loss from the face and aging around the eyes which through a midface lift, will reposition your existing facial soft tissue onto the cheekbones to restore vitality. A lower face and neck lift will impart youthfulness through careful repositioning of your skin and natural facial volume. Vertical bands, loose skin and fullness beneath the chin will also be addressed during a neck lift to reveal and highlight your underlying structure.

Breast surgery is a core component of my practice and one of my true passions. I have spent years researching breast cancer, reconstruction and aesthetics in order to offer my patients the most innovative products and surgical techniques.

Areas of excess fat that persist despite diet and exercise can be frustrating. The intrinsic blueprint for fat deposition and retention varies widely between individuals. Body contouring is more art than science that requires blending several procedures and techniques in order to achieve a dramatic and resilient result. Lax skin and excess fat are addressed and muscles are tightened, restoring a youthful and natural appearance to the body.

Skin health is a science that treats the skin components at a cellular level to achieve flawless complexion and texture. A customized skin-care regimen can aggressively treat pigmentation and textural abnormalities as well as optimize the skin to tolerate more aggressive procedures such as lasers and peels. This combined approach leads to an unprecedented lasting renewal of the skin.

Facial rejuvenation and enhancement can also be addressed non-surgically in the office setting using a wide variety of injectable products and non-invasive devices such as Botox®, fillers, laser, Renuva® and more.

Male aesthetics has become increasingly popular as men recognize the availability of procedures that can transform areas of the body left unchanged by diet and exercise. From subtle facial rejuvenation to body sculpting procedures, many surgical and non-surgical procedures can be tailored to the male physique.

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