Gynecomastia

Charlotte's Most Trusted Plastic Surgeon

— delivering confidence through precision and care.

A Firmer, More Sculpted Chest Contour

Gynecomastia can be frustrating in lots of little ways. You may find yourself skipping the pool or choosing shirts carefully. Losing weight often doesn’t help since the problem can be tied to more than just excess fat. At May Plastic Surgery, Dr. Brian May offers surgery for men who want a flatter and more masculine chest contour.

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With years of experience in body contouring surgeries, Dr. Brian May delivers results that are refined, authentic and naturally you.

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Gynecomastia
snapshot
Anesthesia

General

Procedure Time

2-4 hours

Recovery

2-3 weeks

What Is Gynecomastia?

Gynecomastia is when male breast tissue becomes enlarged. Sometimes it can be caused by hormones and weight changes, and it can also be a result of genetics and certain medications. It can happen in men of all ages, and the way it shows up is just as varied. You may notice more excess fat in the area, or there may be firm glandular tissue or excess skin.

With gynecomastia surgery, Dr. May approaches each patient individually and creates different surgical plans. Some men may benefit from just having fat removed through liposuction, but other men may also want to have the glandular tissue removed. If you have multiple underlying causes of enlarged breasts, Dr. May can combine surgical approaches to give you the firmer, more masculine chest contour you’re looking for.

My goal is simple. I combine surgical precision with genuine, personalized care so every patient not only looks their best but feels seen, heard, and confident in their transformation.

- Dr. Brian May

The Art & Science of Body Contouring With Dr. May

There’s an art to sculpting the body that goes far beyond measurements or technique. It’s about understanding how curves interact, how light moves across the waistline, and how to restore definition without creating results that feel artificial or overdone. Dr. May brings a thoughtful, detail-oriented mindset to every contouring procedure, not just aiming to flatten the abdomen or remove fat, but to create a natural-looking shape and proportion that feels uniquely yours.

Body contouring requires precision, but it also requires restraint. Knowing when less is more, and how to shape rather than simply remove. “Body contouring isn’t just about skin and fat removal,” Dr. May explains. “It’s more important to know what to leave behind. That means looking beyond any one feature and designing something that makes sense for the whole body… something that feels natural and balanced.”

Every decision Dr. May makes, from where to remove fat to how each area flows into the next, is made with harmony and longevity in mind. His goal is always a result that enhances your shape while staying true to your natural form.

“I don’t believe in a one-size-fits-all approach and tailor every aspect of the procedure.”

- Dr. Brian May

Procedure Details

We will need to understand the cause of your gynecomastia first before planning your surgery. Sometimes we need to figure out other factors, like medication side effects, that may be causing your gynecomastia before it makes sense to remove the excess fat and tissue. Dr. May will review all of these factors along with your lifestyle habits and hormones.

In most cases, gynecomastia surgery involves a combination of liposuction and direct removal of glandular tissue. Dr. May uses incisions that are hidden along the edge of the areola to keep visible scarring to a minimum. If you have loose or stretched skin along with excess fat and tissue, he can also use larger incisions to remove the loose skin. You’ll be under general anesthesia for this surgery to keep you comfortable from start to finish.

Inside the Consultation Room With
Dr. Brian May

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What can I expect at my consultation?

The first consultation is a genuine, thoughtful conversation. We want the experience to feel comforting and non-clinical while still meeting all the medical needs of our patients. We’ll talk in-depth about your goals, concerns and medical history, and I’ll perform a physical exam to help determine the best treatment options. I like to think that my approach is honest and educational. I want patients to leave feeling informed, not pressured. You’ll receive a customized plan and have plenty of time to ask questions. This is your space to explore what’s right for you. We’ll also make sure to discuss skincare and how to properly prepare for surgery, as well as how to take care of your skin after surgery to ensure the best results possible.

Does gynecomastia come back after surgery?

In most cases, the tissue does not come back after being removed by surgery. During your consultation, Dr. May will talk to you about all of the factors that may be contributing and point you toward resources that can prevent gynecomastia from occurring again. In some cases, weight gain or hormonal changes can cause the area to change again.

How can I be sure my results will look natural and not overdone?

Through meticulous planning, customization and execution. I use the latest surgical techniques and maintain a relentless commitment to continuous learning. I also set realistic expectations and follow patients closely during their recovery to ensure optimal results. It is my opinion that some plastic surgeons will simply do the procedure a patient asks for because their friend had it or because they read about it. I offer options and have in-depth conversations about the pros and cons of those options. If a patient’s goals do not align with what I feel is a safe or appropriate treatment, I am more than comfortable telling them no or that I’m not their surgeon.

Adjunct Procedures:

To take your

Gynecomastia

results to the next level, consider these options for a more complete transformation:

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Request Your Consultation

At May Plastic Surgery, Dr. Brian May offers gynecomastia surgery with an approach that takes everyone’s unique situation into consideration. If you’re ready to explore all of your options and find out what chest contouring can do for you, we’re here to answer your questions. Call 704-200-2493 or schedule a consultation online.

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We are here to help. Whether you’re exploring your options or ready to schedule, our team is here to answer your questions about procedures, recovery, and next steps — and to personally guide you every step of the way.

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