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Gynecomastia
Charlotte's Most Trusted Plastic Surgeon
— delivering confidence through precision and care.
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A Firmer, More Sculpted Chest Contour
Gynecomastia — the development of excess breast tissue in men — is more common than most people realize, and it can affect confidence at any age. Whether caused by hormonal changes, genetics, or other factors, enlarged male breast tissue doesn't always respond to diet and exercise alone. Gynecomastia surgery offers a direct, lasting solution — removing excess tissue and fat to restore a flatter, more defined chest.
At May Plastic Surgery, Dr. May takes a thoughtful, individualized approach to male chest contouring. Every procedure is carefully planned to address the specific cause and degree of tissue enlargement, with an emphasis on natural-looking results, minimal scarring, and a confident recovery.
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 breast tissue, Dr. May can combine surgical approaches to give you the firmer, more masculine chest contour you’re looking for.
- Dr. Brian May
Common Concerns Gynecomastia Surgery Can Address
- Enlarged male breast tissue (glandular or fatty)
- Stretched or sagging skin around the chest
- Excess fat resistant to diet and exercise
- Puffy or protruding nipples
- Asymmetry between the left and right chest
The Art & Science of Body Contouring With Dr. May
Dr. May believes body contouring is about more than just removing tissue — it's about restoring proportion, confidence, and comfort in your own skin. His approach to gynecomastia surgery reflects the same precision and attention to detail he brings to every procedure.
By combining advanced liposuction techniques with careful direct excision when needed, Dr. May ensures a smooth, natural chest contour that complements your body frame. Every surgical plan is customized based on the type and amount of tissue involved, skin elasticity, and the patient's overall goals.
- Dr. Brian May
Procedure Details
Procedure Details
Understanding the Cause First
Before any surgery is planned, Dr. May conducts a thorough evaluation to understand the underlying cause and composition of the excess tissue. This may include a physical exam and, in some cases, lab work to rule out hormonal imbalances. Understanding the "why" behind gynecomastia ensures the most effective and lasting surgical approach.
Liposuction + Direct Tissue Removal
For most patients, gynecomastia surgery involves a combination of liposuction to remove excess fat and direct excision to remove dense glandular tissue. Liposuction alone may be sufficient in cases where fat is the primary concern, but when firm breast tissue is present beneath the nipple, excision provides a more complete correction.
Incision Placement & Scarring
Incisions are typically placed along the lower edge of the areola, where they blend naturally with the skin's color transition. In more advanced cases with significant skin excess, additional incisions may be necessary. Dr. May prioritizes minimal, well-concealed incisions to keep scarring as discreet as possible.
Recovery & Results
What to Expect After Surgery
After gynecomastia surgery, patients can expect some swelling, bruising, and mild discomfort — all of which are manageable with prescribed medications and proper rest. A compression garment is worn for several weeks to support the healing tissues and help the skin conform to the new chest contour.
Returning to Normal Activities
Most patients return to light daily activities within a few days, with office-type work resumable in about one week. Strenuous exercise and heavy lifting are typically restricted for 4–6 weeks to allow for proper healing.
Gradual, Long-Lasting Results
While initial improvements are visible almost immediately, final results continue to refine over the following weeks and months as swelling subsides and tissues settle. The results of gynecomastia surgery are considered permanent, provided a stable weight and healthy lifestyle are maintained.
Inside the Consultation Room With
Dr. Brian May
Adjunct Procedures:
To take your
Gynecomastia
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Request Your Consultation
Gynecomastia can be a frustrating and isolating condition — but it doesn't have to define how you feel about your body. If you're considering male breast reduction, Dr. May and the team at May Plastic Surgery are here to help you take the next step. Schedule a consultation today to learn more about your options and start your journey toward a more confident you.
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.