• 8720 Stony Point Parkway,
    Suite 100 Richmond, VA 23235
  • (804) 560-5260

Male Breast Reduction


Male Breast Reduction (Gynecomastia) procedures reduce the size of male breasts and improve their cosmetic appearance. The discomfort caused by large breasts may be physical, emotional, or both.

This condition affects up to half the male population, sometimes in one breast and often in both. Based on your examination and your desires, Dr. Lynam will recommend which option is best for you to achieve your desired end result. This procedure creates a positive physical change that typically enhances your body image and self-confidence. Dr. Lynam uses Vaser Ultrasonic Liposuction as a part of this procedure.

Candidates for Male Breast Reduction (Gynecomastia)

The best candidates for gynecomastia are healthy non-smokers who have a positive outlook and realistic goals in mind. The most common cause of male breast enlargement is idiopathic [unknown]; however, there are several known causes such as alcohol, steroids and certain prescriptions, or illegal drug usage. At the time of your consultation, your goals, the procedure, and the routine post-operative healing process will be explained in detail and all of your questions will be answered. Your medical history will be reviewed to ensure you are a healthy candidate for surgery.

Health Insurance Coverage for Gynecomastia

Gynecomastia is considered cosmetic surgery and IS NOT covered by your health insurance company.

The Gynecomastia Procedure

There are several techniques used in Gynecomastia surgery. The technique used depends on the patient’s physical exam.

Liposuction is used if the tissue being removed is primarily fat. Several small ¼ inch incisions are placed around the edge of the areola. A small cannula is used to move through the layers beneath the skin, breaking up the fatty tissue and suctioning it out.

The second technique is excision and liposuction. This technique is used if you have large amounts of excess fat and glandular tissue. A short incision is placed at the bottom edge of the areola to excise the glandular tissue; several small ¼ inch incisions are placed on the chest to allow for suctioning of the excess fat to reshape the breast.

The third technique is excision of glandular tissue and skin, which is similar tothe technique used in traditional breast reduction surgery. Gynecomastia is done on an outpatient basis, takes two hours to perform, and is done under general anesthesia.

There may be one drain tube per side used to remove any small amount of fluid collection for the first few days following surgery.

After Gynecomastia

Drain tubes, if used, are removed 5-7 days following the procedure. Your breasts may be swollen, bruised, and sore for a few weeks. Approximately 80% of the swelling is gone within one month and the rest fades away over 6 months. Scars created to perform the procedure are permanent but fade with time. You will be placed in a compression vest at the time of your surgery. This should be worn 23 hours per day for the first week following surgery. Beginning week 2, a lighter compression garment is to be worn 12 hours per day for the next month.

The breast shape develops over time as the swelling goes down and the skin shrinks. Occasionally, some patients may need additional surgery to remove excess skin if the skin does not shrink adequately following surgery. Vigorous exercise routines may resume 4-6 weeks following your surgery. Most patients return to work in 1 week. The most common complication for surgery are contour abnormalities, poor wound healing, or poor scar formation.

The best way to determine if you are a good candidate for Gynecomastia is to schedule a consultation. You will learn the reasonable expectations for the goals you wish to achieve.

“After many consults and lots of research, I chose Dr. Lynam because he is simply the best surgeon in my area. ”
– Male Breast Reduction Patient


Richmond Surgical Arts - Driving Directions - The ONLY way to get here is Chippenham Parkway to Stony Point Parkway. Your GPS may route you through the neighborhood behind the practice which has a gate that blocks access. Please be careful to access the practice on Chippenham Parkway.

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