Cosmetic Surgery

Male Breast Reduction Surgery (Gynecomastia)

Gynecomastia treatment with laser liposuction.

Get the physique you want with male breast reduction (gynecomastia) treatments.

Men often live with gynecomastia for years before seeking treatment, usually operating under the assumption that diet and exercise alone will resolve it. Although diet and exercise may offer some improvement, glandular breast tissue does not respond to workouts the way ordinary fat does, which is why so many men hit a plateau despite hours in the gym. According to the American Society of Plastic Surgeons, male breast reduction saw the sharpest growth of any cosmetic procedure among men in 2024, up 11% from the year before.

What is Male Breast Reduction?

Age, weight gain, hormone changes, and gravity often give you a physique you do not want. Dr. Mallalieu uses Laser Liposuction to successfully reduce and tighten a sagging and enlarged male chest. Laser Liposuction melts fat to accurately remove unwanted fat deposits on your chest, waistline, and abdomen. The laser also causes skin to tighten in the area of treatment. Treatment results are dependably excellent.

Gynomastia Before & After Photos

WHO IS A CANDIDATE FOR MALE BREAST REDUCTION?

Good candidates for male chest reduction at Profile MD are men who have finished puberty, maintain a stable weight and want to address chest fullness that has not improved through lifestyle changes alone. Dr. Mallalieu evaluates every patient individually as gynecomastia can be associated with hormonal shifts, medication side effects, weight changes or genetics. Based on the consultation and physical exam, Dr. Mallalieu will recommend the best procedure to achieve your desired results. 

You may be a strong candidate for a gynecomastia reduction procedure if you:

  • Have noticeable fullness, sagging or puffiness in one or both sides of your chest
  • Feel self-conscious about your chest in fitted clothing or at the pool
  • Are in good general health with no untreated hormonal conditions
  • Have realistic expectations about the results laser liposuction can deliver
  • Have not seen improvement through weight loss or strength training alone

 

Men managing their weight through Profile MD’s medical weight loss program sometimes find that chest fullness lingers even after reaching a goal weight, since glandular tissue growth does not resolve with fat loss alone. If that sounds like you, a consultation with Dr. Mallalieu can clarify whether laser liposuction, a surgical excision or a combination of both will be most effective. 

YOUR TREATMENT EXPERIENCE AT PROFILE MD

Your Consultation

Every treatment plan begins with a one-on-one consultation with Dr. Mallalieu at the Severna Park office. He examines your chest, reviews your medical history and asks about medications or supplements that may contribute to gynecomastia, since certain prescriptions and even some testosterone therapies can play a role. From there, he walks you through what laser liposuction can realistically achieve for your case and answers any questions you have about downtime or cost.

Procedure Day

On treatment day, Dr. Mallalieu infuses a tumescent solution to numb the treatment area before directing laser energy beneath the skin to liquefy fat cells for removal. Because the laser also stimulates collagen in the surrounding skin, patients see tightening in addition to fat reduction, which matters most for men whose chest skin has stretched over time. When significant glandular tissue or laxity is present, Dr. Mallalieu can surgically remove the excess gland and lift the nipple. Most chest procedures wrap up in about an hour, and many patients combine treatment with waistline or abdominal contouring during the same visit.

Results and Recovery

Swelling and mild bruising are normal for the first one to two weeks following your gynecomastia reduction procedure, though most patients return to desk work within a few days. A compression garment worn during early recovery helps the skin adapt to its new contour and keeps swelling to a minimum. Final results reveal themselves gradually over the following months as residual swelling fades and the skin continues to tighten, leaving a flatter, more masculine chest contour that holds up well over time provided your weight stays stable.

WHY CHOOSE PROFILE MD FOR MALE BREAST REDUCTION?

Dr. Jared Mallalieu is a board-certified general surgeon who completed a fellowship with the Beverly Hills Cosmetic Surgical Group, where he focused specifically on liposuction, body contouring and facial cosmetic procedures before bringing that training back to Maryland. Laser-assisted liposuction became his specialty, and he now trains other surgeons in the technique, a distinction few practices in the Baltimore area can claim.

Profile MD also offers multiple Sciton laser platforms and other energy devices including radiofrequency microneedling, which gives Dr. Mallalieu the flexibility to match energy settings to your skin type and the density of your chest tissue rather than relying on a single one-size-fits-all device. For patients whose skin needs additional tightening after fat removal, Dr. Mallalieu may recommend pairing treatment with Renuvion skin tightening (profilemd.com/cosmetic-surgery/laser-skin-tightening/) for a firmer final result.

Patients traveling from Baltimore, Annapolis and communities throughout Anne Arundel County choose Profile MD because treatment happens in-house at a locally owned practice rather than a corporate chain, with the same physician overseeing care from consultation through recovery.

Male Breast Reduction Surgery FAQs

Treatment happens in two general stages. First, the surgeon infuses a watery lidocaine solution under your skin to numb the area. Secondly, the doctor heats the fat under the skin for easy removal. You would probably be in treatment for an hour or so for just the chest area. Adding additional treatment areas increases the length of treatment time.

Most discomfort is just for a day or two and controls nicely with Motrin.

Insurance typically classifies gynecomastia treatment as cosmetic, so most patients pay out of pocket. Profile MD offers financing options through Cherry to help spread the cost of treatment over time. We’re always happy to work with patients looking for flexible and accommodating ways to handle the cost of gynecomastia reduction or other procedures.
Laser liposuction requires only small incision points, roughly the width of a straw, so scarring is minimal and typically fades within a few months. Men with more glandular tissue may need a small excision alongside liposuction, which Dr. Mallalieu will discuss during your consultation if it applies to your case.
Results are permanent as long as your weight stays relatively stable, since the fat cells removed during treatment do not return. Significant weight gain after treatment can cause new fat to accumulate in the chest, though the improved skin tone typically holds up well.
Fat cells removed with laser liposuction are gone for good. That said, if the original cause of your gynecomastia was hormonal or a medication side effect, that same cause could contribute to new tissue growth over time. Discuss your specific hormone and medical history with Dr. Mallalieu so he can flag anything that might affect your long-term results.
Most patients describe the sensation during recovery as tightness and soreness rather than sharp pain. Over-the-counter medication like Tylenol or Motrin manages most discomfort during the first couple of days, and many men return to light activity within 48 hours.

EXPERIENCE MATTERS

FREE CONSULTATION

With years of medical experience our doctors, Dr. Jared Mallalieu and Dr. Ross VanAntwerp, specialize in bringing out the best in people through our unique laser and cosmetic procedures. Get in touch with us for your free, no-obligation consultation.

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