What Is a Gynecomastia?

Gynecomastia is swelling of the breast tissue in boys or men, caused by an imbalance of the hormones estrogen and testosterone. Gynecomastia can affect one or both breasts, sometimes unevenly. Men may develop gynecomastia as a result of normal changes in hormone levels, though other causes also exist.

Generally, gynecomastia isn't a serious problem and may go away on its own, but it can be tough to cope with the condition and the effect is not guaranteed to disappear, which is why Dr. Beverly Fischer has performed and perfected two types of procedures to treat it: liposuction and mastectomy.

Reasons to Consider

Are You a Man Suffering From Enlarged Breasts?

Experiencing pain in your breasts and feeling embarrassed by the appearance of larger breasts? Can't cope or wait to see if the side effects of gynecomastia disappear on their own? If you still have significant bothersome breast enlargement, despite initial treatment or observation, you are a good candidate for a breast procedure to address gynecomastia. 

Causes of Gynecomastia

Gynecomastia is triggered by a decrease in the amount of the hormone testosterone compared with estrogen. The cause of this decrease can be conditions that block the effects of or reduce testosterone or a condition that increases your estrogen level. Most people think of estrogen as an exclusively female hormone, but men also produce it — though normally in small quantities. However, male estrogen levels that are too high or are out of balance with testosterone levels can cause gynecomastia.

Surgery for Gynecomastia

Two gynecomastia surgery options are:

1. Liposuction - removes breast fat, but not the breast gland tissue itself

2. Mastectomy - removes the breast gland tissue

Dr. Fischer has performed this surgery with excellent results for 24 years.  Patients have been thrilled to be rid of this excess tissue and no longer feel the need to bind or keep a shirt on at the beach!

Schedule a Consultation

Fill out this form to schedule your consultation for a thoughtful, truthful recommendation from Dr. Beverly Fischer.

What to Expect

From the moment you walk through our doors you will feel welcomed, comfortable and truly excited to take the next step toward a true transformation. Our relaxing and inviting space has been designed to offer a discrete, soothing environment with an unhurried vibe to get you ready for your new body.

How to Prepare

A breast procedure to address Gynecomastia is a relatively simple outpatient procedure that requires very little preparation. At the consultation, Dr. Fischer will review your medical history and take measurements of your chest to determine which type of incision is best and if liposuction is an option. 

Pre-Operative Appointment

About three weeks prior to your appointment, you’ll come to our offices to sign a consent form, have your “before” photos done and receive pre- and postoperative instructions.

Date of the Procedure

We’ll administer general anesthesia and Dr. Fischer will perform a one-hour surgery using her specialized state-of-the-art techniques. Afterward, we’ll make you comfortable with supportive bandages and a special compression garment designed to help you heal faster. Any discomfort can be treated with prescription medication.


Day 2

You will come to the office to get checked for any bleeding and to make sure your nipples are healthy.

Week 1

During the first week, you’ll need to rest frequently and avoid strenuous activities. You will be wearing a compression garment or vest, which you will not remove. You will have drains this week that require care, and you will not be able to take a shower until the drains are removed.  You may not lift more than 5 lbs. and you will want to limit the range of motion in your arms (i.e. - no reaching or pulling).  You may not drive during this time since you’ll be taking pain medications.

Week 2

Once the drains are removed you can take that long-awaited shower! There are some VERY specific instructions about how to shower and how to keep your incisions clean and safe that we will cover.  This week you may lift up to 15 pounds and will need to continue wearing your compression vest.

Week 3

You will continue wearing your vest for this last week. If you lift something and it hurts…wait until next week.  If you lift something and it doesn’t hurt….carry on!

Week 4

You may return to the gym and work up to your previous exercise routine. Any small scars should recede within a year. Now you can enjoy looking and feeling like your true self!


Gynecomastia procedure costs depends on your specific treatment. To learn more about the cost of your unique experience, please schedule a consultation.


We’d be happy to discuss pricing options and payment plans. Just call our office at (410) 308-4700. Explore financing options through Care Credit today!

"Fantastic surgeon who truly cares about her patients' well-being. Along with cosmetic outcome, if I had to do it all over again, I'd keep coming back. The nurses and the girls upfront are amazing!”

Shane H.

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