The Body
Gynecomastia
A Flat, Defined, Masculine Chest.
A Flat, Defined, Masculine Chest.
Gynecomastia—the development of excess breast tissue in males—affects a significant percentage of men, yet often remains undertreated due to the stigma that prevents many from seeking help. At Edition Plastic Surgery, we view this procedure as a restorative journey intended to return a sense of masculinity and self-assurance to our patients. Dr. Schwartz understands the profound effect this condition has on confidence and body image, which is why our approach focuses on creating a firm, athletic chest contour that looks entirely natural and allows you to move through the world with renewed ease.
Our surgical philosophy relies on advanced technologies to achieve a refined, masculine outcome with minimal invasiveness. Rather than a one-size-fits-all technique, Dr. Schwartz evaluates the specific composition of glandular tissue and fat to ensure the results are balanced with your unique physique. By combining Vaser ultrasonic liposuction with power-assisted liposuction, Dr. Schwartz is frequently able to remove dense glandular tissue and sculpt the chest through very small, discreet incisions. This precision often allows him to avoid traditional, more visible incisions around the areola, resulting in a smoother, more muscular chest wall with less trauma to the tissue and a more predictable recovery.
Whether your condition is driven by genetics, weight fluctuations, or hormonal changes, Dr. Schwartz is committed to providing a permanent solution that restores our patients’ comfort. Our approach at Edition Plastic Surgery combines specialized liposuction for fatty tissue with the direct excision of glandular tissue where present to produce a flat, naturally masculine contour. From the initial consultation to the final stages of healing, our team focuses on the fine details of your physique so that you can feel proud of your appearance and move through the world with a sense of freedom.
Gynecomastia is the medical term for enlarged male breast tissue, often resulting from genetics, weight fluctuations, or hormonal shifts. Dr. Schwartz recommends this procedure for healthy men at a stable weight who desire a flatter, more masculine contour that diet and exercise alone cannot achieve. During your consultation, he grades the condition to determine if the composition is primarily fatty, glandular, or a combination of both.
To achieve a smooth, muscular chest wall, Dr. Schwartz utilizes a specialized combination of VASER ultrasound-assisted and power-assisted liposuction. This advanced approach is particularly effective for the fibrous nature of male chest tissue, allowing for thorough fat removal while minimizing invasiveness. At Edition, we prioritize these techniques to ensure the most natural, contoured transition between the chest and the surrounding anatomy.
True glandular tissue—the firm disc beneath the nipple—cannot be removed by liposuction alone and requires surgical excision. When necessary, Dr. Schwartz places a discreet incision along the lower border of the areola, where the natural color transition effectively conceals any scarring. In many cases, our use of VASER technology allows for excellent results through even smaller, inconspicuous access points.
For the majority of our patients at Edition Plastic Surgery, gynecomastia surgery is performed under general anesthesia to ensure absolute comfort and safety. In less extensive cases involving limited tissue removal, our team may determine that the procedure can be performed using local anesthesia. Every surgical plan is customized during your initial consultation to prioritize your safety and specific aesthetic goals.
Most of our patients are ready to return to work within four to seven days, though Dr. Schwartz recommends waiting at least three weeks before resuming strenuous exercise. Immediately following surgery, your chest will be supported by a medical compression garment to minimize swelling and support the new contours. While the improvement in shape is immediate, minor bruising and swelling will continue to resolve over the first few weeks of your recovery.
In patients with significant skin excess, most commonly following major weight loss, skin removal may be required in addition to tissue reduction. Dr. Schwartz selects the least invasive approach possible to achieve a flat, taut chest contour appropriate for your specific anatomy. At Edition, we ensure that both the underlying volume and the surface skin are addressed for a firm, premium result.
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All photographs are of actual Edition Plastic Surgery patients. Individual results may vary.
Gynecomastia correction has one of the most rewarding recovery arcs in aesthetic surgery — most patients see a dramatic improvement immediately and return to normal life within days.
Dr. Schwartz will examine the chest, assess the composition and grade of the gynecomastia, and determine the appropriate surgical approach. He will discuss whether liposuction alone or combined glandular excision is needed, advise on realistic expectations for contour and scar outcomes, and answer every question you have with complete directness.
Gynecomastia surgery is performed under general anesthesia as an outpatient procedure, typically taking one to two hours. You are discharged the same day wearing a compression vest with all post-operative supplies, wound care instructions, and a follow-up appointment scheduled within the first week.
Soreness and swelling are normal and well-managed with prescribed medication. The compression vest is worn continuously. Most patients are comfortably mobile within 24 hours and describe the recovery as significantly easier than anticipated. The improvement in chest contour is visible from the very first days, even beneath early swelling.
Desk work resumes within three to five days. Light exercise at two to three weeks. The compression vest is worn for four to six weeks. Most patients report a significant lift in confidence within the first two weeks of recovery — well before the final result has fully emerged.
The final chest contour emerges as swelling fully resolves over three to six months. Glandular tissue removed surgically is permanently gone. Maintaining a stable weight and avoiding anabolic steroids protects the result long-term.
Gynecomastia is one of those procedures where the difference between a surgeon who treats it routinely and one who does so only occasionally shows clearly in the outcome. Dr. Schwartz treats gynecomastia with the same precision and aesthetic judgment he brings to every procedure — delivering a naturally masculine, contoured result rather than simply a reduced one. He approaches the consultation with the discretion and directness that this condition warrants.
Full Credentials →Gynecomastia affects men of all ages and body types. The right candidate is anyone whose breast tissue causes self-consciousness or limits quality of life — regardless of the degree of the condition.
If gynecomastia affects your confidence or quality of life, a consultation is the right first step. Dr. Schwartz approaches this condition with complete discretion and the understanding that it genuinely matters.
Answers to the questions Dr. Schwartz hears most often from gynecomastia patients.
The ideal candidate is a man at a stable, healthy weight who struggles with excess breast tissue that does not respond to diet or exercise. Whether the condition results from hormonal shifts, genetics, or previous medication use, those seeking a more masculine, defined chest contour are likely excellent candidates. During a consultation at Edition Plastic Surgery, Dr. Schwartz evaluates the ratio of glandular tissue to fat to determine the most effective surgical approach for our patients.
At Edition, our approach is designed to be as minimally invasive as possible while achieving a smooth, athletic result. Dr. Schwartz utilizes advanced technologies like Vaser ultrasonic liposuction and power-assisted liposuction, which allow him to precisely break down fat and glandular tissue through very small incisions. These tools often allow Dr. Schwartz to avoid the larger, traditional incisions used in the past, resulting in a more muscular contour with significantly less trauma to the area.
Most of our patients return to desk work within three to five days and describe the recovery as much easier than expected. A medical compression vest is worn for four to six weeks to minimize swelling and support the new chest profile. While light exercise can often resume at two to three weeks, Dr. Schwartz recommends waiting at least three to four weeks before returning to heavy lifting or strenuous chest workouts.
Minimizing visible evidence of surgery is a primary goal at Edition. By using Vaser and power-assisted liposuction, Dr. Schwartz can often use tiny access points that become virtually imperceptible once healed. When a glandular excision is required, Dr. Schwartz places the incision at the lower border of the areola, where the natural color transition conceals it effectively. To ensure the best possible aesthetic outcome, our team provides a specialized scar management protocol following your procedure.
Most patients report a sensation of soreness or tightness, similar to the feeling of an intense chest workout, rather than acute pain. Because Dr. Schwartz’s techniques focus on being gentle with the surrounding tissue, the initial discomfort is usually well-managed with standard medication. Our patients often find the immediate visual improvement to be highly motivating during the first few days of healing.
Yes, once the glandular tissue and fat cells are surgically removed, they do not regenerate. At Edition, we consider the improvement in your chest contour to be permanent. However, to protect your long-term results, it is important to lead a healthy lifestyle. Significant weight gain, the use of anabolic steroids, or certain medications can trigger the growth of new tissue and potentially compromise the surgical outcome.
The investment for gynecomastia surgery varies based on the grade of the condition and whether the case requires liposuction alone or a combination of liposuction and glandular excision. Because every chest is unique, Dr. Schwartz provides a personalized fee quote following a physical examination. At Edition Plastic Surgery, our team also discusses various financing options to ensure the investment process is as straightforward as possible.
Dr. Schwartz performs gynecomastia surgery as a refined outpatient procedure under general anesthesia, typically taking one to two hours to reveal a more masculine, streamlined chest profile. At Edition, we view this recovery as one of the most manageable in aesthetic surgery, as our patients generally return to professional work within three to five days and resume strength training after two to three weeks. Throughout your journey, you will wear a specialized compression garment to support your new contours while our patient concierge team provides the comprehensive, discreet aftercare that defines the Edition Plastic Surgery experience.