If you’re struggling with gynecomastia or enlarged breast tissue in Des Moines, Iowa, know that you’re not alone, and effective treatment is available. This is one of the most common consultations we do at Des Moines Plastic Surgery™ with male guests who are considering the best and most realistic solutions for this.

What Is Male Breast Reduction (Gynecomastia Surgery)?

Male breast reduction, also known as gynecomastia surgery, is a procedure designed to reduce the size of enlarged male breasts. It removes excess glandular tissue, fat, and, if necessary, skin to create a more sculpted chest. Gynecomastia can result from various factors:

  • Hormonal imbalances, specifically fluctuations in testosterone and estrogen levels, can contribute.
  • Certain medications, including some antidepressants, anti-anxiety medications, and anabolic steroids, are also potential causes.
  • Medical conditions like liver disease, kidney disease, and thyroid problems can play a role.
  • Genetics, meaning a family history of gynecomastia, can increase susceptibility. Significant weight gain or loss can also lead to weight fluctuations that affect breast size.

Why Consider Gynecomastia Correction?

Despite being a relatively common condition, gynecomastia, or enlarged male breasts, can be psychologically and emotionally devastating for affected men. If you haven’t achieved the results you desire through diet and exercise alone, it may be time to consider male breast reduction. Male breast reduction surgery at Des Moines Plastic Surgery can give you the desired flatter, firmer, more masculine chest.

Dr. Robbins is Iowa’s only quadruple board-certified plastic surgeon. Dr. Robbins is certified by the American Board of Plastic Surgery, American Board of Cosmetic Surgery, American Board of Facial Plastic and Reconstructive Surgery, and American Board of Laser Surgery. His specialty is cosmetic surgery. Alongside him, Dr. Marcano, a double board-certified plastic surgeon, brings extensive expertise and a commitment to patient care. With a focus on advanced surgical techniques, he helps patients achieve their aesthetic goals safely and effectively.

If surgery is not for you, Des Moines Plastic Surgery™ offers CoolSculpting. This nonsurgical solution works on male breasts and other areas of the body where there are pockets of fat. CoolSculpting freezes the fat, and the body discards it naturally over a 12-week period. Two treatments are recommended for optimal results. The best part is that there is no downtime and no surgery!

male breast liposuction
Sometimes liposuction alone can correct gynecomastia.
male breast excision
Other cases require surgical removal of glandular breast tissue or skin.
male breast excision
Incision patterns vary.
male breast excision lipo
Sometimes excision and liposuction are both necessary.
male breast liposuction
The result is a flatter chest contour.

Before & After Gallery

Male Breast Reduction Before and After Photo by Dr David Robbins

Get Your Male Breast Reduction Consultation Today

To learn more about the treatment of Male Breast Reduction in West Des Moines, Iowa, contact us and schedule a consultation with our board-certified plastic surgeons.

When To Consider Male Breast Reduction

If you’re self-conscious about the size and shape of your chest, you may want to consider male breast reduction. Surgery is ideal for men who:

  • Are healthy and do not smoke
  • Have clear cosmetic goals
  • Have stabilized breast development
  • Are at or near their ideal body weight

As a general rule, surgery is not recommended for severely overweight men because the problem may correct itself through diet and exercise. Additionally, men who smoke marijuana or take anabolic steroids are not good candidates for surgery because these drugs can contribute to gynecomastia. To determine if you are a good candidate, you should schedule a cosmetic consultation with our plastics surgeons at Des Moines Plastic Surgery™.

Male Breast Reduction Surgery Techniques

Our surgeons utilize advanced techniques to achieve natural-looking results. The specific approach will depend on the extent of your gynecomastia and your anatomy. Liposuction alone may be sufficient if the enlargement is primarily due to excess fatty tissue. Small incisions are made, and a thin cannula removes the fat.

Excision is necessary to remove excess glandular tissue or skin. To minimize visible scarring, incisions are typically placed around the areola or within the natural creases of the chest. A combination of liposuction and excision is often used to achieve the best results.

The Procedure

Male breast reduction is typically performed under general anesthesia, making sure you’re comfortable and pain-free throughout the surgery. Depending on your specific needs, Dr. Robbins or Dr. Marcano will perform the surgery using the chosen technique, which may be liposuction, excision, or a combination of both. The procedure usually takes one to two hours. It is an outpatient procedure, meaning you can return home the same day.

Recovery After Gynecomastia Surgery

After the surgery, you’ll need to take time off from work and strenuous activities to allow your body to heal properly. You’ll likely need a compression garment to minimize swelling and support the healing tissues. Pain medication will be prescribed to manage any discomfort you may experience.

While you’ll notice an immediate improvement in your chest contour, the final results will become fully apparent over several months as swelling gradually subsides and the tissues settle into their new position. Some scarring is inevitable, but our board-certified plastic surgeons make every effort to place incisions strategically to minimize their visibility. Additionally, scars will fade over time.

FAQs About Male Breast Reduction Surgery

In most cases, it’s difficult to pinpoint the exact cause of gynecomastia. However, certain drugs (marijuana and anabolic steroids), hormonal changes, and weight fluctuations may increase the size of your chest. Genetic factors may also play a role in development.

Surgery will take place in Des Moines Plastic Surgery™’s own fully accredited in-office operating room. Male breast reduction is an outpatient procedure (you’ll be able to return home the same day as surgery) and requires general anesthesia. Once you’re comfortable, our surgeon will remove excess skin, tissue, and fat. Incisions are typically made around the edge of the areola or within the armpits. In some cases, he may also use liposuction to remove additional excess fat. After surgery, all incisions will be secured with sutures. Surgical drains may also be placed near the incision sites to collect excess fluid build-up. Male breast reduction is usually completed in one to two hours.

Swelling, bruising, and discomfort are all common during the first several days. During this initial stage of recovery, you must take time off from work and other routines to recuperate. Most men feel up to resuming work and light physical activities within a week, but strenuous lifting and exercise should be avoided for approximately a month. The final results of your procedure will appear over the course of several months as your chest gradually heals and adjusts to its new position.

There will be visible scarring following surgery. Your scars will fade and flatten for 12-18 months but never completely disappear. However, most of our patients do not feel self-conscious about their scars and feel the trade-off is well worth it.

Male breast reduction carries many of the same risks as any surgical procedure, including infection, adverse reaction to anesthesia, changes in sensation, scarring, and blood loss.

Cost of Breast Reduction for Men

The cost of male breast reduction surgery varies depending on the complexity of the procedure, the techniques used, and anesthesia fees. During your consultation, we will provide you with a detailed cost estimate. We also offer financing options to help make the procedure more affordable.

Why Choose Des Moines Plastic Surgery™

Des Moines Plastic Surgery™ is the premier choice for gynecomastia surgery in Des Moines for several reasons. Our plastic surgeons have extensive training and commitment to excellence in cosmetic surgery. Their focus is exclusively on cosmetic procedures, giving our doctors a deep understanding of the nuances of male breast reduction.

We understand that every patient is unique, and we take the time to understand your specific goals and develop a customized treatment plan. Our fully accredited in-office operating room provides a safe and comfortable environment for your surgery. Our team is dedicated to providing compassionate and supportive care throughout your journey.

Learn More About Male Breast Reduction in Des Moines


Are you considering male breast reduction in Des Moines? Our plastic surgeons Dr. David Robbins and Dr. Hector Marcano would happily discuss the procedure details with you during a cosmetic consultation. To schedule your consultation at our Des Moines office today, please call us at 515.221.9999 or send us an email by clicking on Contact Us.

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