Welcome to the practice of Dr. Saad Alsubaie, your trusted double board-certified plastic surgeon. If you are considering gynecomastia surgery, you are seeking a solution to address enlarged male breast tissue and achieve a flatter, more contoured chest. This procedure can effectively treat gynecomastia, whether it’s due to hormonal imbalances, weight fluctuations, or other factors. Here’s a detailed overview of what you need to know about gynecomastia surgery, including the various techniques and considerations for different severities.

What is Gynecomastia Surgery?

Gynecomastia surgery is a cosmetic procedure designed to reduce the size of enlarged male breasts. The surgery can involve various techniques depending on the severity of the gynecomastia and the presence of glandular tissue. The goal is to achieve a flatter, more natural chest contour by removing excess fat and glandular tissue.

Benefits of Gynecomastia Surgery

  • Improved Chest Contour: Reduces excess breast tissue to achieve a flatter and more masculine chest appearance.
  • Enhanced Self-Esteem: Boosts confidence by addressing physical and psychological discomfort associated with gynecomastia.
  • Customized Approach: Tailored to address individual needs, whether through liposuction, gland removal, or a combination of techniques.
  • Minimally Invasive: Depending on the technique, the procedure can involve minimal scarring and a faster recovery.

Who is a Good Candidate?

You may be a good candidate for gynecomastia surgery if you:

  • Have enlarged male breasts that do not respond to diet and exercise.
  • Are in good overall health and have a stable weight.
  • Have realistic expectations about the outcomes of the procedure.
  • Experience discomfort or self-consciousness due to the appearance of your chest.

The Consultation Process

During your consultation with Dr. Saad Alsubaie, we will:

  • Discuss your medical history and any previous treatments for gynecomastia.
  • Assess the degree of gynecomastia, including the presence of glandular tissue.
  • Understand your goals and expectations for the procedure.
  • Explain the surgical options in detail, including the benefits, risks, and recovery times.
  • Address any questions or concerns you may have about the procedure.

Surgical Techniques

  1. Liposuction Only:
    • Indications: Suitable for cases where gynecomastia is primarily due to excess fatty tissue without significant glandular involvement. This technique involves removing fat through small incisions using a cannula.
    • Benefits: Minimal scarring, less invasive, quicker recovery.
    • Procedure: A thin, flexible tube (cannula) is inserted through small incisions to suction out excess fat from the chest. This approach can achieve a flatter chest contour if glandular tissue is not significantly present.
  2. Gland Removal (Mastectomy):
    • Indications: Recommended for cases where there is significant glandular tissue contributing to the gynecomastia. This approach is often necessary if liposuction alone is insufficient.
    • Benefits: Addresses both fat and glandular tissue, providing a more comprehensive solution.
    • Procedure: Glandular tissue is removed through an incision around the areola or under the breast. Excess fat may also be suctioned out using liposuction. The incisions are closed with sutures or adhesive strips, and the remaining tissue is contoured for a natural chest appearance.
  3. Severe Gynecomastia (Mastectomy with Free Nipple Graft):
    • Indications: For severe gynecomastia with substantial glandular tissue and excess skin. When gland removal and liposuction alone cannot achieve the desired results, a mastectomy with a free nipple graft may be necessary.
    • Benefits: Provides comprehensive treatment for severe cases, including skin and nipple repositioning.
    • Procedure: Excess glandular tissue and skin are removed through incisions, and the nipple is repositioned using a free nipple graft technique. This approach allows for a complete reshaping of the chest and ensures that the nipple remains aesthetically pleasing and functional.

Recovery and Aftercare

  • Initial Recovery: You will be monitored in our facility before being discharged with detailed aftercare instructions.
  • Pain Management: Mild to moderate discomfort, swelling, and bruising are common and managed with prescribed medications.
  • Activity Restrictions: Avoid strenuous activities and heavy lifting for several weeks to facilitate healing. Follow specific post-operative care instructions for optimal results.
  • Compression Garment: You will be advised to wear a compression garment to reduce swelling and support the healing process.
  • Follow-Up Visits: Regular check-ups with Dr. Alsubaie to monitor your healing process and assess the results of your procedure.
  • Swelling and Bruising: These will gradually subside over several weeks, revealing your final results.

Risks and Considerations

As with any surgery, gynecomastia surgery comes with potential risks, including:

  • Infection
  • Scarring
  • Changes in nipple sensation
  • Asymmetry or uneven contour
  • Seroma (fluid accumulation) or hematoma (blood accumulation)

Dr. Alsubaie will discuss these risks in detail during your consultation to ensure you are fully informed.

Your Journey to a Flatter Chest

At Dr. Saad Alsubaie’s practice, we are committed to providing you with exceptional care and personalized attention. Our goal is to help you achieve a flatter, more masculine chest with gynecomastia surgery, enhancing your overall appearance and boosting your confidence.

If you have any questions or are ready to schedule your consultation, please contact us today. Let us support you on your journey to a more confident and beautifully contoured you.


Dr. Saad Alsubaie, Double Board-Certified Plastic Surgeon