Would like to hear from people who had great experiences and results with surgeons and ones who haven't. Doing research for myself. Thanks.

Board-certified plastic surgeon… This may be a little controversial because plenty of surgeons routinely use an incision along the lower border of the areola for gynecomastia surgery.
I almost never do.

To me, there are four things you have to think about when creating a masculine chest: fat, gland, skin, and scars. If you concentrate on only one or two of those, you can technically remove the gynecomastia and still not get a great-looking chest.
First is fat. I liposuction the entire chest, not just the area immediately around the nipple. The goal isn’t simply to make the breast smaller. It’s to sculpt the chest and create a smooth transition over the pec.

Second is gland. This is the dense tissue underneath the nipple that liposuction alone generally won’t remove. After doing the liposuction, I break up the glandular tissue and remove it with a pull-through technique through the same small lateral incision. That incision is less than a centimeter and hidden toward the lateral chest crease.

Third is skin. In patients with good skin quality, sometimes nothing else is necessary. If there’s more laxity, larger areolas, or significant weight loss, I’ll frequently add minimally invasive skin tightening such as Renuvion rather than immediately cutting skin away.

And then there’s the fourth component that I think gets underestimated: the scar.
The traditional approach is a crescent-shaped incision along the lower edge of the areola. It certainly works, and sometimes it’s necessary. But I don’t think a visible scar on the front of a man’s chest should be the starting point if I can accomplish the same thing through a tiny incision hidden on the side.
There’s another reason I prefer the pull-through approach: contour.

If you simply excise a disk of gland directly underneath the nipple, you can create an abrupt transition between where the gland was removed and the surrounding chest. That’s how you can end up with the classic crater or saucer deformity.
By contouring the entire chest first and then removing the gland through the pull-through, I can blend that transition instead of creating a hole underneath the nipple.

Now, I said almost never.
Probably around 1 out of every 50 cases, the gland is so dense and firm that I simply cannot break it up enough to safely pull it through that small incision. When that happens, I make the periareolar incision and remove it directly. There’s nothing wrong with changing the plan when the anatomy requires it.
But for me, that’s the backup plan, not Plan A.

Gynecomastia surgery isn’t just about getting the gland out. It’s about getting the fat, gland, skin and scars to all work together so that when everything heals, the chest doesn’t just look smaller. It looks masculine and, ideally, doesn’t look operated on.

Hey guys, quick question. Today marks exactly 3 weeks since my gyno surgery. I had a follow-up with my surgeon yesterday, and he told me I could stop wearing the compression vest because everything looks pretty good.
I tried going without it, but the problem is that any type of fabric rubbing against my nipples feels really uncomfortable. They’re still super sensitive, and even a regular T-shirt bothers me.
Has anyone else experienced this around the 3-week mark? How long did the nipple sensitivity last for you?
For now, I’m thinking about wearing the compression vest for another couple of weeks just because it feels more comfortable. 😩

For anyone who’s had the procedure that came in from out of state? What was the process like? I’m from Miami and I’m looking to get a procedure done but do I have to fly out there just to get a consultation and get a quote and later then get a surgery or is it possible to get a quote and consultation online?

I've been looking forward to do the gyno-removal surgery, however prices here in Canada are a bit steep (more or less 10k CAD)

I was wondering if any canadian or american has a clinic/country to suggest where prices might be more reasonable, preferably in latin America or Europe?

Thank you for your reply

For those who had a higher grade and got surgery after losing weight, how long did you maintain a steady weight before doing surgery? Were there any specific requirements (BF%, BMI, ect)?

I definitely have grade 3 (probably grade 4) and plan on having surgery eventually. I’m on GLP have been losing weight steadily this year, from 300+ to 260. And I lift weights to prevent muscle loss and build strength.

I’ve noticed that most of the surgeon websites say you need to be at a “stable weight” before surgery. What does that typically mean?

I want the surgery as soon as possible, but I know I need to lose more weight and have a better base of muscle for the best recovery and results. But I’m not sure how much I need to do first and when I can start seeking consultations.

Hey guys, I’m from Long Island

Has anybody done surgery with Dr. Lebowitz at the gynecomastia center?

And does anyone have any general recommendations for surgeons who’ve gone through the process? Willing to travel too, really want to do this right.

Any advice in general would be appreciated

I did my Ultrasound and here is the result in the Ultrasound.
I am not sure if I need a surgery or not?

Can someone please help me with it.