Gynecomastia is a condition affecting boys and men that causes them to develop breasts from swollen breast tissue or accumulation of fat. While the male chest typically is flat and has little projection, gynecomastia causes the breasts to protrude. This becomes a source of embarrassment both in and out of clothes. Despite the common sentiment, gynecomastia is generally not improved with weight loss or further development of pectoralis muscles by lifting weights at the gym. Surgical intervention is an effective remedy that results in immediate improvement.

Gynecomastia Before and After Patient 4


What is Gynecomastia Surgery?

Dr. Michael Zenn performs male breast reduction or gynecomastia surgery to help patients achieve a more traditionally masculine appearance. His patients include adolescents, weight loss patients, bodybuilders, and men who have been bothered by the condition their whole adult lives and have finally decided to do something about it.

Dr. Zenn has more than 25 years of experience in plastic surgeries related to the breast. His exceptional technique and eye for aesthetics contribute to outcomes that bear little sign of surgery and return a more natural appearance to the chest. Based on his extensive experience with the procedure, Dr. Zenn authored the chapter “Gynecomastia Surgery” in Cosmetic and Reconstructive Breast Surgery. This commonly cited chapter was included in the popular procedures in the Reconstructive Surgery series for plastic surgeons to teach the finer nuances of gynecomastia surgery.

Benefits of Gynecomastia Surgery

Gynecomastia affects a wide range of patients. In any given consultation, Dr. Zenn may be discussing the surgery with an adolescent who wants to look more like his peers or a patient in his 50s who has spent a lifetime hiding his physique. Despite this variety, patients tend to express the same concerns about gynecomastia.

  • Don’t feel comfortable wearing form-fitting clothing.
  • Don’t participate in activities where they might have to take off their shirt.
  • Avoid going to the pool or the beach.
  • Have anxiety about exercising or going to the gym.

For adolescents, these limitations can feel even greater due to the social pressures boys feel at this age. While gynecomastia can be normal in young boys, changes will often persist. If still present by the age of 16, Dr. Zenn offers gynecomastia surgery as a way of resolving these concerns in a safe, short surgical procedure with minimal discomfort. Patients who have the procedure describe their results as nothing short of life-changing.

Common symptoms of gynecomastia include tenderness and swelling of the breast tissue. While many patients develop the condition over time due to hormonal changes, men may also experience growth in breast tissue as part of treatment for prostate cancer, following gastric bypass, or related to other medical changes.

Gynecomastia surgery may be the right approach in each of the cases above. However, some men’s breasts grow larger as a result of weight gain. Dr. Zenn typically advises these patients to pursue weight-loss options before considering a surgical approach. The best and most long-lasting results for any overweight patient will be realized at his new stable weight.

Is Male Breast Reduction Right for You?

Your consultation will allow you to learn more about gynecomastia surgery, find out if you are a good candidate for the procedure, and discuss options for treatment.

Dr. Zenn will examine you and determine the best plan to correct your concerns. He will share with you his extensive collection of before and after photos of previous patients and will point out examples of patients with similar body types to yours and their post-surgery results. He will answer all of your questions concerning gynecomastia, the procedure to correct it, and recovery time.

What to Expect During the Gynecomastia Procedure

You will have surgery at one of several accredited surgical facilities. A board-certified anesthesiologist/CRNA helps patients sleep safely and comfortably throughout the surgery and wake up with little or no pain, sore throat, or queasiness.

Dr. Zenn will design your procedure based on your individual needs. Surgery typically includes one or both of the following techniques:

  • If fat deposits are causing your breasts to appear overly large, Dr. Zenn can perform liposuction to give your chest a more masculine contour.
  • Excess glandular tissue just beneath the areola can cause the breasts and nipples to protrude. Dr. Zenn can remove this excessive tissue directly and sculpt a more appropriate, flatter physique.

What is the Recovery Like?

Most patients tolerate gynecomastia surgery very well and should expect a quick recovery. Dr. Zenn will see you back for a checkup within a week of the procedure and will advise you to take it easy for another 1-2 weeks. Compression is utilized during this time but easily concealed under clothes so that you can attend school or work. Full activity, such as sports and going to the gym is not permitted for four weeks. Once you have fully healed, you can expect to feel much more confident and comfortable with your appearance.

What is the Average Cost of  this Surgery?

Male breast reduction surgery, also known as gynecomastia repair, is surprisingly very common as the condition is quite prevalent. The biggest problem that Dr. Zenn sees in patients who have had the surgery with other providers is that they have removed the “breast” but have not left the patient with a cosmetic result. At Zenn Plastic Surgery, Dr. Zenn approaches these cases as cosmetic, with the goal of being shirtless without obvious signs of surgery.

Since most plastic surgeons offer gynecomastia surgery, there is a lot of shopping around for price. Just know that the advertised price at many places may not be the eventual price you pay. At Zenn Plastic Surgery, the package price is the price. It also includes the consultation, photos, scar gel, and all follow-up appointments. Why is the package price at Zenn Plastic Surgery a little higher that most? Because who does the surgery matters and no one in the Triangle is more experienced than Dr. Zenn.

In addition to accepting various forms of payment, Zenn Plastic Surgery accepts financing through Care Credit and Alphaeon Credit for patients needing financial assistance.

If you are embarrassed or feel limited by the appearance of your chest, consider having gynecomastia surgery to resolve the problem for good. Men can contact Zenn Plastic Surgery online or by phone at (919) 480-3885 to schedule a consultation about gynecomastia.