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Gynecomastia surgery, commonly called male breast reduction, is a precise, proven procedure that removes excess breast tissue, fat, and skin in men to create a flatter, more masculine chest contour. For many men in Los Angeles, enlarged breasts do not improve with diet or exercise alone and can cause significant physical and emotional discomfort.
Dr. Adam R. Kolker offers individually planned gynecomastia surgery in Los Angeles, CA, with a focus on a naturally athletic contour, minimal scarring, and long term symmetry. Combining elite surgical training with an artist’s eye, he tailors each procedure to your anatomy and goals, always prioritizing advanced safety, meticulous precision, and complete discretion in a premier cosmetic surgery setting.
Gynecomastia refers to enlarged breast tissue in males, which can appear in one breast or both. It often results from a hormonal imbalance, genetics, certain medications, weight changes, or may be idiopathic, meaning no clear cause is found. In many men, chest fullness is due to a combination of firm glandular tissue and excess fatty tissue.
While benign in the vast majority of men, gynecomastia can create a feminine chest appearance, limit clothing choices, and lead to self consciousness in social and intimate settings around Los Angeles beaches, gyms, and pools. When the condition does not improve with weight management or time, surgical correction offers a predictable, safe, and highly effective solution.
Gynecomastia surgery provides both aesthetic and psychological advantages that can significantly enhance quality of life for men in Los Angeles, CA.
Removes excess breast tissue and fat to restore a defined, athletic contour that looks naturally proportionate to your frame.
Many men feel confident wearing fitted shirts, workout gear, and going shirtless after surgery, without needing to conceal their chest.
Eliminating a long standing source of embarrassment can ease social anxiety and boost self assurance in daily life, at the gym, at work, and in relationships.
Once glandular tissue and localized fat are removed, results are generally long lasting if you maintain a stable body weight and healthy lifestyle.
Careful sculpting of the chest and surrounding areas can enhance the shape of the upper torso overall, creating a stronger, more masculine silhouette.
Ideal candidates for gynecomastia surgery are healthy men with stable body weight who are bothered by the appearance of enlarged breasts that do not respond to lifestyle changes. You may be a good candidate for male breast reduction in Los Angeles if:
Gynecomastia surgery is typically performed as an outpatient procedure under general anesthesia or IV sedation, allowing you to return home the same day to recover comfortably. The specific approach depends on the amount and quality of excess tissue.
Dr. Kolker first determines whether the enlargement is predominantly fatty tissue, glandular tissue, or a combination. This guides whether liposuction, excision, or both are recommended for the most sculpted, natural result.
When soft, fatty tissue is the main issue, he performs liposuction through small, discreet incisions to contour the chest and blend transitions seamlessly with the surrounding torso.
Firm glandular tissue is often removed through a carefully placed incision at the edge of the areola, allowing direct access to sculpt the underlying breast tissue and flatten the chest.
In more severe cases with substantial volume loss or loose skin, limited skin excision or a subtle lift may be added to prevent sagging and maintain a firm, masculine chest shape. Every step is designed to preserve normal anatomy, protect nipple sensation as much as possible, and minimize scarring while restoring a smooth, natural looking contour that fits your body.
To help you feel prepared and informed, your gynecomastia surgery experience in Los Angeles, CA, follows a clear, structured path.
Most gynecomastia patients experience a steady, manageable recovery when they follow postoperative guidelines carefully. In the first days, you can expect swelling, mild to moderate discomfort, and a feeling of tightness across the chest. A compression vest is typically worn to reduce swelling, support the new contour, and help the skin conform to the underlying tissues.
Many men in Los Angeles return to non strenuous work within about one week, depending on the nature of their job. More vigorous activity, including heavy lifting and intense exercise, is generally restricted for several weeks to protect the surgical site and minimize the risk of complications such as excessive bleeding. Swelling gradually decreases over the first month, and the chest continues to refine over several more weeks. Final results are often appreciated between 3 to 6 months after surgery, as tissues settle and scars soften and fade.
While gynecomastia surgery is widely regarded as a safe and effective procedure when performed by a board certified plastic surgeon, it is still a surgical operation and carries potential risks. Possible complications include bleeding, infection, fluid accumulation, contour irregularities, asymmetry, changes in nipple sensation, delayed healing, and visible scarring.
These events are uncommon, and many can be minimized through careful planning, meticulous technique, and adherence to postoperative instructions. Dr. Kolker emphasizes thorough preoperative evaluation, precise intraoperative control, and attentive follow up care to support your safety at every stage. You will receive clear guidance on how to recognize signs that require prompt attention, and his Los Angeles team remains available to address concerns quickly during your recovery.
The change in breast size and chest contour is visible immediately after surgery, although early swelling can temporarily mask the final outcome. As the swelling subsides and tissues relax, the chest becomes smoother, flatter, and more defined. Because the excess glandular tissue and localized fat are physically removed, results are considered long lasting.
Maintaining a stable weight, avoiding significant weight gain, and following general health recommendations help preserve your new contour. Significant hormonal changes, certain medications, or considerable weight fluctuation could potentially influence the long term appearance and will be discussed during your consultation in Los Angeles, CA.
The cost of gynecomastia surgery varies based on the complexity of the procedure, whether liposuction, excision, or both are required, and any additional refinements needed to achieve an optimal result. A detailed fee quote, including surgeon’s fee, anesthesia, and facility costs, is provided after your in person evaluation in Los Angeles.
While gynecomastia surgery is often considered a cosmetic procedure, some cases related to clearly documented medical conditions may qualify for partial insurance consideration, subject to specific policies and criteria. Dr. Kolker’s team in CA can help you understand your options, discuss flexible financing plans when available, and ensure that you have a clear, transparent understanding of all fees before scheduling surgery.
Not necessarily. While weight gain can increase fatty tissue in the chest, true gynecomastia involves glandular breast tissue, which is influenced by hormones, genetics, and certain medications. Many men at normal or even low body weight can develop gynecomastia.
Exercise can reduce overall body fat and improve chest muscle tone, but it cannot remove glandular tissue. If firm tissue behind the nipple and areola is present, surgery with a qualified plastic surgeon in Los Angeles is usually the most effective way to correct it.
Incisions are typically placed in discreet locations, such as at the edge of the areola or within natural creases. Scars are permanent but usually fade significantly over time and are often barely noticeable in casual settings, including at the beach or pool in Los Angeles, CA.
Most men describe discomfort as pressure, tightness, or soreness rather than sharp pain. Prescription and over the counter medications are used as needed, and discomfort usually improves substantially within the first week.
Light walking begins almost immediately, but strenuous exercise and chest workouts are typically postponed for several weeks. Dr. Kolker will give you a personalized timeline based on your healing, your procedure details, and your activity level in Los Angeles.
Once removed, glandular tissue does not regrow under normal circumstances. However, significant weight gain, certain drugs, or hormonal changes could affect the chest again. Maintaining a stable lifestyle and following medical guidance helps preserve your male breast reduction results.
Most cases of gynecomastia are benign. When appropriate, Dr. Kolker may recommend additional evaluation or pathologic examination of removed tissue to exclude rare underlying conditions and provide added reassurance.
