Gynecomastia Excision

Popular reasons for gynecomastia include:

Removal of firm tissue/lump behind the tissue.
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.

REQUEST CONSULTATION

Learn About The Surgery

Gynecomastia Excision Procedure

A MASCULINE & DEFINED APPEARANCE

Removal of persistent breast tissue will improve chest wall contour and alleviate the associated discomfort. Chest wall liposuction will further define the masculine physique, significantly enhancing the surgical result.

Schedule Consultation

What to Expect

All procedures are done in a balanced and natural esthetic.

Consultation

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.

REQUEST A CONSULTATION

Surgery

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.

PRE-OPERATIVE GUIDANCE

General Instructions

1. Stop all Aspirin, Motrin, Aleve, Fish Oil, Supplements with Omega 3, Ginger, Garlic, Ginkgo Biloba and Turmeric – as these will thin the blood and complicate the surgery. You may take Tylenol as needed.
2. Medications – please notify us of any medications or supplements that you take regularly so that we may advise you appropriately.
3. Please fill all prescriptions prior to surgery so that they may be started immediately upon returning home.
4. Please no recreational drug use or smoking 4 weeks prior to and after the surgery.
5. Please have lab work completed 1-2 weeks prior to surgery.
6. Contact us immediately if you have any change in your health between your pre-operative visit and the surgery date.
7. Arrange for a driver to pick you up from the surgery center. Uber or Lyft are not acceptable. The driver does not have to remain onsite during surgery. they will be called when you are ready to be discharged from the recovery unit.
8. Make sure you have a responsible adult stay with you for the first 24-48 hours following surgery – this is for your safety.
9. DO NOT EAT OR DRINK AFTER MIDNIGHT THE NIGHT BEFORE SURGERY.

Create a “Wish Picture”

Visualizing the volumetric breast change on your own body can be invaluable to the surgical planning process! The Mentor™ 3D Breast Simulator app will facilitate the creation of a “wish picture” prior to your pre-operative visit and works best for augmentation and/or lift procedures. Simply take three pictures as instructed and begin simulating the desired look of your new breasts. When finished, you can securely send your photos to us at info@donaldmowldsmd.com.

REGISTER & DOWNLOAD THE APP

» Get Started Here

Morning of Surgery

1. Take a shower using anti-bacterial soap – No lotions, hair products, powders, perfumes or makeup.
2. Wear loose comfortable clothing to the surgery center. We recommend wearing zip-up or button-up shirts and loose, comfortable pants.
3. Female patients will be given a urine pregnancy test at the surgery center.

We are here to help you through your recovery. Please do not hesitate to call our office.

Recovery

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.

POST-OPERATIVE GUIDANCE

General Instructions

1. Prescriptions provided at your pre-operative appointment should be filled prior to surgery and started when you arrive home from. Take the first antibiotic dose at dinner time.
2. Please take a daily stool softener (e.g. Colace) or laxative (e.g. Senokot) while taking the pain medication. Stop if stools become loose.
3. Do not take Aspirin, Motrin, Aleve or herbal medications as these interfere with your blood’s ability to clot.
4. Bruising is a normal part of surgery. Over-the-counter Arnica can help expedite its resolution.
5. Continue to remain hydrated following the surgery.
6. Resume your regular diet, there are no restrictions. If you become nauseous, carbonated beverages and crackers may help settle the stomach. Zofran will be prescribed and can be taken as well.
7. Make sure you have a responsible adult stay with you for the first 24-48 hours following surgery – this is for your safety
8. Keep all dressings in place, clean and dry. We will remove them at your first post-operative appointment.
9. Sponge bath only. Do not shower, soak or swim until cleared.
10. It is important to maintain chest compression for the first week so that the chest heals appropriately.
11. Do not lift anything greater than 10 lbs. Avoid running, jogging or any other exercise until cleared.
12. Ambulate throughout the day to prevent blood clots in your legs.
13. No smoking – this inhibits wound healing, causing undesirable complications.
14. Driving – Do not drive or perform any tasks that require coordination or judgement for at least 72 hours after general anesthesia or while taking narcotic pain medication.
15. Please call the office if you experience fever, chills, increased pain, wound drainage or if you have any concerns. Our office hours are Monday-Thursday 9am-4pm and Friday 9am-12pm. To reach me after hours, please call the office and follow the prompts.

Results

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

FAQs

Can I just have Liposuction?

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 Consultation

GYNECOMASTIA EXCISION

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.

Or Call 949.759.5539

[contact-form-7 id=”634″ /]

Procedures for Men

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

Gynecomastia Excision

LEARN MORE

Chest Liposculpture

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.

LEARN MORE

Patient Reviews

Andrea R.

I loved that Dr. Mowlds treated me like a friend who he wanted to have the best experience and results possible

Dr. Mowlds is the absolute BEST at what he does. I had a botched breast augmentation, which was causing me serious health concerns, chronic chest and back pain. I was extremely nervous as I didn’t think my issue could be resolved, let’s just say my breasts needed a lot of work. He is a true artist in his field, and my breasts are proof of that. Dr. Mowlds was professional, warm, knowledgeable, talented, and great at listening to my concerns and helping me understand everything along the way. I have already recommended a few of my girlfriends to go see him.

Andrea R.

Kinda H.

I have seen a number of surgeons around the world and Dr. Mowlds is by far THE BEST

I am absolutely thrilled with my results! Not only is he knowledgeable and meticulous, he’s a great listener. As a result, he put a thoughtful and innovative plan together for my case that no other surgeon had considered before and I couldn’t be happier with the outcome. Very little pain post surgery and he put me at ease from start to finish. Mallory, his office manager, is also wonderful and was always available to answer my questions. I highly recommended him and his team.

Kinda H.

Abigail S.

After a virtual consultation, I knew Dr. Mowlds was the right choice
After consulting with numerous plastic surgeons I decided on Dr. Mowlds for my c-section scar revision and Renuvion skin tightening. I had 3 emergency c-sections that had left me with a terrible looking scar. The added bonus was that he has the Renuvion skin tightening machine which is the gold standard in skin tightening and I am amazed at my results just 3 weeks out. I am so happy with my decision and would highly recommend Dr. Mowlds for any cosmetic or reconstructive surgery.

Abigail S.

Merdith V.

Dr. Mowlds is very meticulous, gentle, honest and has good, conservative taste

Dr. Mowlds was extremely professional and made me feel very comfortable in what would typically be a very nervous, uncertain situation around needles. He took his time and was very patient answering all my questions. I’ve been seeing him for Botox, lip + laser treatments and will not go to anyone else. So grateful to have found him!

Merdith V.

Samira H.

Dr. Mowlds was very personable, informative, and a great listener

I met Dr. Mowlds for the first time back in April of 2023 and knew right away that I could trust him with my procedures. He made me feel at ease and catered to exactly what I was looking for. His staff was very friendly, always available and would respond to my questions very quickly before and after my surgery. My surgery was a complete success. I am very happy with the results and I would highly recommend Dr. Mowlds to all my family and friends. Truly an exceptional experience! Thank you from the bottom of my heart. 🥰❤️🙏🏻

Samira H.

Daisy M.

Dr. Mowlds is by far the BEST to say the least

I’m glad I came across him. His staff is AMAZING, always a phone call or text away pre and post op. I had gone to several consults in which they didn’t make me comfortable or confident to choose them. Dr. Mowlds and I met. I explained to him my complicated case, my concerns and showed him what he had to fix. He shared his thoughts, knowledge and was up for the challenge. He was very detailed in his explanations and sure did deliver. I have no regrets picking him as my surgeon. HE IS THE BEST!

Daisy M.

Melanie M.

It is quite evident Dr. Mowlds takes a lot of pride in the work that he performs!

Dr. Mowlds and his staff provided me with outstanding and professional healthcare. He always treated me with kindness and respect during our patient visits. I underwent an extensive back surgery and was not only concerned with the physical results, but additionally, the functional results of an extensive surgical closure. I am so grateful my neurosurgeon recommended and works in collaboration with Dr Mowlds. I am extremely pleased with the aesthetic results of my surgery and would not hesitate to recommend this professional practice.

Melanie M.

Nicole K.

Dr. Mowlds is a phenomenal surgeon and I feel so blessed to have had him do my surgery!!

I had symmastia breast reconstructive surgery done by Dr. Mowlds. I had lived the last 15 years with my breasts looking like a “uni-boob.” I felt so self conscious for many years. I also breast fed 2 kids so I had a lot of rippling and loss of saline in my old implants. Dr. Mowlds was extremely honest, caring and helpful with making the decision to fix my breasts. He listened to exactly what I wanted and his staff was absolutely amazing!! In order to reconstruct my breasts he used galaflex absorbable mesh to separate my breasts and make them normal again. I went with silicone implants this time and could not be happier with my results. Everyday I feel so thankful I can look in the mirror and feel normal. Dr. Mowlds is the ABSOLUTE BEST SURGEON!!

Nicole K.

Jessica T.

I am SO HAPPY with my new body!!

Dr. Mowlds replaced my breast implants and gave me a full tummy tuck. My scars are so minimal! The man has good hands! He took so much time to listen to me, care about my concerns and really understand the results I was hoping for. Can I just say, THIS MAN DELIVERED!! He actually gave me better results than I was hoping for. Finally a man who keeps his word! Hahahaha! His assistant, Mallory, also took so much time with me, checked in, listened, always responded to my messages right away and was just so sweet!! Two of my friends have also gone to him for breast augmentation because of how pleased I am with my experience and results. Thank you, Dr. Mowlds, for my reconstructed body-ody!! It’s amazing now bc of your skill and artistic craftsmanship!

Jessica T.

Scarlett A.

Dr. Mowlds made me feel so much more confident and the results were more than I could have ever hoped for

He did liposuction under my neck to get rid of my double chin and define my jawline. It was the best decision I have ever made. The surgery was easy and recovery was smooth. Dr. Mowlds checks up on his patients every 2-3 weeks to make sure the results are perfect. Highly recommend this surgery and Dr. Mowlds!!

Scarlett A.

Ulyana F.

Dr. Mowlds’ work and meticulous attention to detail is exceptional!

5 stars is not enough for Dr. Mowlds and his team! Dr. Mowlds is a highly qualified and skilled cosmetic surgeon. Mallory the patient coordinator is always so helpful and pleasant. Brittany the PA is professional and very sweet. From the consult to the post-op appointments, I always feel like I am Dr. Mowlds’ only patient. His professionalism, knowledge, expertise, bedside manner, kindness, attentiveness along with my results are all beyond my highest expectations.

Ulyana F.