Gynecomastia
Charlotte's Most Trusted Plastic Surgeon
— delivering confidence through precision and care.
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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.
General
2-4 hours
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.
- Dr. Brian May
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What Can Gynecomastia Surgery Address?
Gynecomastia surgery can help you feel more confident in your appearance. With this procedure, Dr. May can address:
- Enlarged male breast tissue
- Stretched or sagging skin in the chest area
- Excess fat deposits around the chest
- Puffy or prominent nipples
- Asymmetrical chest appearance
Some men with enlarged breasts experience chafing and tightness in clothing from many of the concerns above. It can even be more uncomfortable to exercise. These problems can also be resolved by removing excess tissue.
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.
- 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.

Recovery & Results
After surgery, you can expect to have swelling in your chest and some bruising. We’ll give you a compression garment, which supports your body and keeps the swelling down, and you’ll have to wear this for a few days or more. You can go on short walks, but anything more strenuous will have to wait. Don’t lift anything heavy or do any chest workouts until Dr. May clears you.
You will see your results gradually taking shape. You will notice a flatter chest quickly, but swelling can mask the results a little for the first couple of weeks. Once swelling goes down, you will have a natural-looking, balanced chest that fits your frame. Scars will fade over the coming months.
Inside the Consultation Room With
Dr. Brian May
Adjunct Procedures:
To take your
Gynecomastia
results to the next level, consider these options for a more complete transformation:
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.
Let's Connect
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.