Gynecomastia by Melissa Johnson MD, FACS
Gynecomastia Surgery for Men
If you have enlarged male breasts and are self-conscious about your appearance, male breast reduction, or gynecomastia surgery, may be a good option for you. Gynecomastia can present unilaterally (one breast) or bilaterally (both breasts). The true cause of gynecomastia is unknown, but may be related to hormonal changes, heredity, disease, or the use of certain drugs.
Dr. Johnson performs Gynecomastia surgery to remove excess fat, glandular tissue and/or skin from overdeveloped or enlarged male breasts. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases, the position and size of the areola can be surgically improved and excess skin may need to be reduced.
See FAQs & photos of gynecomastia performed by Dr. Johnson below.
We Love Questions!
All photos are of procedures performed by Dr. Melissa Johnson
Am I a good candidate for a gynecomastia?
Prior to your visit with Dr. Johnson we request that you see an endocrinologist (a hormone specialist) to determine if there are any hormonal imbalances that may be the cause of your gynecomastia. During your consultation with Dr. Johnson, she will let you know if you are a good candidate for surgery to treat your gynecomastia. There are a few different techniques that can be used to perform the surgery, Dr. Johnson will evaluate you and recommend the most appropriate procedure for you.
Will I be seen by the surgeon?
Yes. Dr. Johnson will meet with you and she will discuss all your surgical options. You may also see a Physician Assistant first. Together they will provide you with the necessary information so that you feel confident and comfortable with your surgical decision.
Will I be charged for an initial consultation?
No. Your initial consultation will be billed through your insurance carrier. After your consultation, if all criteria is met, we will attempt to obtain authorization through your insurance carrier to cover the surgery. If the procedure is not covered by your insurance carrier, you will be responsible for the surgery costs.
Is the plastic surgeon board certified?
Yes. Dr. Johnson is board certified by the American Board of Plastic Surgery, is a fellow of the American College of Surgeons, and is a proud member of the American Society of Plastic Surgeons. Additionally, she is a member of the American Society for Aesthetic Plastic Surgery, which recognizes surgeons who specialize in cosmetic plastic surgery.
Are there different types of gynecomastia procedures?
There are a few different techniques used to treat gynecomastia. Liposuction alone can be performed if the breast is not too large or saggy and consists mostly of fat. The keyhole approach can be done if there is not a significant amount of skin present. A double incision approach is needed if a significant amount of breast tissue and skin is present. During your consultation we will recommend which method is most appropriate for your condition.
Where will my gynecomastia procedure be performed?
Dr. Johnson has privileges at Baystate Medical Center and Mercy Medical Center. Both are accredited by the Joint Commission and have been awarded the Gold Seal of Approval, and both are conveniently located in Springfield, MA.
Are there risks involved with gynecomastia procedures?
There are risks with any surgery. Prior to surgery we will educate you on what you can do to decrease your chances of a risk. If you are diabetic, optimizing your blood sugar levels will decrease the chance of a wound healing problem. If you are a smoker, quitting will also decrease your chances of a wound healing complication. Being in the best possible health before undergoing surgery will make your recovery easier. It will also decrease your risk of a complication after surgery.
How should I prepare for a gynecomastia consultation?
Seeing an endocrinologist to be certain there is no hormonal imbalance is the first step. Once you have seen an endocrinologist have the results sent to our office so that they are available for your consultation with Dr. Johnson. Researching Gynecomastia on reputable websites such as the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery is also helpful.
What can I expect the day of gynecomastia surgery?
The procedure will take place at the hospital and you will require general anesthesia. Surgery will take 2-3 hours and you will spend one night in the hospital.
What is the gynecomastia recovery period?
You will go home with drains for 1-2 weeks and a chest binder to help minimize swelling. You will be on pain medication for 1-2 weeks after surgery. You will not be able to do any heavy lifting for 4 weeks after surgery. Download our Gynecomastia Post-Operative Instructions for more information.
How much does gynecomastia surgery cost?
If you meet all the criteria of your insurance carrier we will attempt to get authorization from them to cover the procedure. If your insurance company does not cover the procedure the cost averages $6,000.00.
Will my insurance cover gynecomastia surgery?
If you meet all the criteria of your insurance carrier we will attempt to get authorization from them to cover the procedure. Each insurance carrier has a set of criteria that they require for gynecomastia surgery to be considered a medically necessary procedure. If you do not meet the criteria it will be considered a cosmetic procedure and will not be covered.
Can I finance my gynecomastia surgery?
What forms of payment are accepted?
We accept all major credit cards, debit cards, cash, money orders, and certified bank checks, or you can finance through CareCredit.
Can I make payments online?
Yes. You can make credit card payments securely online.