Gynecomastia

Dr Brian Klink and his colleagues at Solano Plastic Surgery are extremely sensitive to the physical and emotional discomfort men suffer when their breasts become abnormally large. The condition is called gynecomastia, and it brings many patients to our practice for a solution.

Male breasts may be as small as a firm area of tissue just under the nipple or as large as a pendulous DD cup. Gynecomastica might not pose many health hazards, but it definitely impacts self-confidence and causes a lot of emotional distress. Many men resist addressing this problem because they have concerns about the results, pain, and downtime needed for traditional liposuction or removal.

Now, thanks to advances in the use of lasers for liposuction, Dr Klink is able to perform gynecomastia on an outpatient basis in our outpatient surgery center.

Why Patients Choose Solano Plastic Surgery for Gynecomastia

Solano Plastic Surgery was established more than a decade ago to provide exceptional plastic and reconstructive surgical services to men and women in California. We are equally dedicated to health and beauty, and work with our patients to help them safely achieve their aesthetic goals.

From your first consultation, through to your procedure, recovery and follow-up, you can depend on Solano Plastic Surgery to ensure that your well being comes first.

Gynecomastia is not a one-size-fits-all problem. It requires a complex set of complementary skills to solve it effectively. Dr Klink’s medical expertise and diagnostic skills enable him to create safe and effective treatment plans, customized to each patient. He then uses his surgical and aesthetic skills to help them achieve their goals of natural, attractive body contouring.

Since he began practicing 23 years ago, Dr Klink has continually earned the accolades of his patients and the respect of his peers.

Dr Klink Explains the Basics of Gynecomastia

Gynecomastia is a medical condition in which there is the presence of excess tissue on a man’s chest. The excess is often comprised of breast tissue mixed with fatty tissue. There are actually three types of gynecomastia:

  • Physiologic gynecomastia – occurs in newborn infants, boys going through puberty and in the elderly.

  • Pathologic gynecomastia – is caused by a decrease in testosterone production, and an increase in estrogen.

  • Pseudogynecomastia – occurs in obese men. It is not caused by an increase in mammary glands, but rather is a result of deposits of fat in the chest area.

In adult men, many factors can contribute to the development of enlarged breast tissue. They include:

  • Natural ageing process

  • Underlying disease

  • Medication

  • Illegal drug use

  • Alcohol abuse

Gynecomastia is not related to obesity but may coincide with it.

Expert Diagnosis for Gynecomastia

The first step to treating any problem is to determine its cause and the best possible treatment solution. When it comes to excess breast tissue on a man, the culprit may be

  • Pseudo-gynecomastia – a condition that occurs in overweight men whose breasts enlarge because of fat deposits. The breast feels soft and homogenous.

  • True gynecomastia – a condition caused by hormonal changes. The breasts feel like firm, well-defined disks of tissue, directly beneath the areola and surrounding skin.

When a man visits Solano Plastic Surgery for help with enlarged or tender breasts, Dr Klink performs an examination to determine whether the tissues in his breasts are fatty or glandular or a combination of the two. To get a complete picture of each patient, he also takes a complete medical history and lifestyle profile.

It is sometimes difficult to determine whether the problem is true gynecomastia. When that occurs, Dr Klink will recommend that patients undergo

  • Breast ultrasound

  • Blood tests

The Pros & Cons of Non-Surgical Treatments for Gynecomastia

Medications that have been used to treat gynecomastia include:

  • Testosterone replacement – used in older men with low levels of testosterone. It is not effective for men who have normal levels of the male hormone.

  • Clomiphene gynecomastia – has been shown to reduce breast volume in gynecomastia, but could entirely eliminate all the breast tissue. This type of therapy is most often used for severe or painful gynecomastia.

  • Danazol – a synthetic derivative of testosterone that decreases estrogen synthesis in the testes. It is less commonly used to treat gynecomastia than other medications.

Research on the effectiveness of medications is limited, and no drugs have yet been approved by the FDA for treatment of gynecomastia.

Pros & Cons of Surgery for Gynecomastia

Traditionally, there have been two surgical options for reducing excess breast tissue in men:

  • Liposuction – removes breast fat, but not breast gland tissue itself.

  • Mastectomy – removes the breast gland tissue.

  • Combination of Liposuction and Mastectomy.

Chief among the benefits of these procedures is their permanence. Breast enlargement due to obesity is still possible, but men who maintain a healthy lifestyle should remain free of excess breast tissue and say goodbye to gynecomastia forever.

The negatives of these surgeries may include:

  • Expense

  • Possible dissatisfaction with final results

  • Scarring

The customized approach Dr Klink recommends to patients dissatisfied with excess male breast tissue depends on a number of factors, including an individual’s physiology and body contouring goals.

Different Approaches to a Common Problem: Treating Gynecomastia

Nothing is more unique than human physiology. Dr Klink’s medical training and background is key to determining the underlying causes of excess male breast tissue. With this knowledge he is able to explain to patients which specific treatment plan is best advised and why.

  • Laser Liposuction – For patients whose chief complaint is excess fatty tissue, the next-generation of liposuction – laser lipo – is an effective solution. Laser liposuction allows Dr Klink to remove and tighten unwanted fat and skin so that he can reshape a patient’s chest into a taut, contoured one.

  • Direct glandular excision – For patients whose dense glandular tissue is creating an enlarged breast and nipple appearance, surgery is the only effective treatment. Dr Klink uses his aesthetic and surgical expertise to make a discreet incision in the area around the areola, helping to ensure an inconspicuous scar.

  • Combination Procedure – For patients troubled by a combination of dense glandular breast tissue and excess fat, a combination of laser liposuction and direct glandular excision is necessary for effective body contouring.

At Solano Plastic Surgery, the full range of options for male breast reduction is explained during a patient’s preliminary consultation with Dr Klink.

Facts about Subcutaneous Mastectomy for Gynecomastia

In the 1970’s, subcutaneous mastectomy was occasionally performed for fibrocystic disease, breast cancer prevention and, less frequently, for cancer. Today, it is an effective solution to gynecomastia with significant benefits over traditional mastectomy that has led to it being called “nipple-sparing mastectomy.”

Subcutaneous mastectomy for gynecomastia involves the surgical removal of a man’s excess breast tissue. The result is a flatter, firmer and more contoured shape. This approach differs from regular mastectomy in that it not only preserves the skin of the breast, but the nipple and areola too. It also causes less scarring.

The incision to remove the breast tissue can be placed in the fold under the breast where it cannot be easily seen once healed, to the side, or around the areola. By using a nipple-sparing approach to remove breast tissue, Dr Klink is able to keep a patient’s skin from being marred by large horizontal scars and shape problems produced by traditional mastectomies.

SlimLipo for Laser-Assisted Gynecomastia Surgery

Dr Klink and his team are dedicated to providing patients with the best available solutions to their body contouring problems. While traditional liposuction has its place in treating gynecomastia, it can cause trauma to tissues, leading to increased discomfort and a longer recovery period.


For these reasons, we now use SlimLipo to treat gynecomastia. SlimLipo delivers all the benefits of traditional liposuction, without the need for general anesthesia or extensive downtime. The key component is an FDA-approved laser that liquefies the fatty deposits that cause enlarged male breasts, giving patients at Solano Plastic Surgery a more contoured chest.

Dr Klink is always enthusiastic about innovations in plastic surgery that have stood the test of time. The research and development of SlimLipo took six years to find the optimal way to melt fatty tissue. Since then, clinical results show that SlimLipo can effectively treat gynecomastia with less risk, discomfort, downtime, and cost than traditional liposuction.

The “Slim” in SlimLipo is an abbreviation for Selective Laser Induced Melting, a process that utilizes two ideal “fat melting” laser wavelengths. By way of a few tiny incisions, Dr Klink uses this patented laser to gently melt fat for removal from your body. What’s more, in comparison with traditional liposuction and mastectomy, gynecomastia with a laser causes fewer traumas in the tissues and vessels that surround areas of fat.

This means less bruising and bleeding, and fewer problems for patients.

Scarring is always a concern for patients with gynecomastia. With SlimLipo, only small incisions are needed to remove excess breast fat, so any scarring that does occur is less noticeable than would occur with traditional liposuction for gynecomastia.

5 Reasons Patients Like SlimLipo for Gynecomastia

When considering laser lipolysis with SlimLipo for male breast reduction, patients respond enthusiastically to its ability to:

  1. Surgically remove unwanted fat from a man’s chest

  2. Correct gynecomastia with less discomfort and downtime

  3. Provide effective treatment while minimizing scars

  4. Treat a large area of the body

  5. Promote skin tightening (unlike traditional liposuction)

Are You A Good Candidate for a Gynecomastia Laser Treatment?

There are a variety of pros and cons to consider before undergoing any procedure, and male breast reduction is no different. We recommend that patients schedule a preliminary consultation with Dr Klink if they:

  • Are reluctant to remove their shirts in public

  • Want to improve their overall body proportions

  • Experience psychological discomfort associated with large breasts

  • Want to increase their social confidence

When Dr Klink and a patient agree that laser-assisted gynecomastia surgery is the right solution, the only other considerations are that the patient

  • Is in good general health

  • Has a positive attitude

  • Has realistic expectations about what can be achieved

If you are more than 40 years of age or have heart disease, Dr Klink may recommend that you have a preoperative EKG. It will be necessary to get medical clearance from your internist or specialist if you have heart disease, low blood count, or any other medical condition. You cannot have liposuction if you are anemic.

Gynecomastia & Laser Treatment FAQ’s

The use of SlimLipo to treat gynecomastia is an exciting innovation in body contouring for men. For many patients at Solano Plastic Surgery, it represents freedom from years of physical and emotional unease. Dr Klink’s patients are generally unfamiliar with the use of lasers to destroy fatty and glandular tissue on the chest and frequently ask these questions:

What is gynecomastia?

Gynecomastia is a medical condition that causes the glands and/or fatty tissue of a man’s breasts to enlarge. The change makes the breasts look more like a woman’s breasts than the flattened, round breast of a man.

Why do I have gynecomastia?

A variety of factors can contribute to the development of gynecomastia, but generally it is caused by hormone fluctuations during the teen years or after age 50.

When is the best time to have gynecomastia surgery?

Dr Klink makes this determination on a patient-by-patient basis. In some cases, it is appropriate for patients between the ages of 16 and 18, but only if their breast development has been stable for at least two years. We also treat older men with gynecomastia, with the understanding that age can affect the skin’s elasticity, making it less likely the skin will retract after traditional gynecomastia surgery. With SlimLipo, however, Dr Klink is able to achieve both skin tightening and the removal of excess tissue.

What are the best surgical treatments for gynecomastia?

Enlarged breasts may be excess fatty tissue (pseudogynecomastia) rather than breast tissue and, in this case, can often be improved with diet and exercise alone. To treat the puffy nipples associated with gynecomastia, some patients will need liposuction combined with chest reduction, using glandular excision.

The “best” treatment depends on what is best for an individual patient. If you’re considering gynecomastia surgery, a consultation with a board-certified plastic surgeon such as Dr Klink is the best way to determine an optimal treatment plan based on your physique and your goals.

What are the main advantages of laser lipolysis for gynecomastia with SlimLipo?

SlimLipo allows expert plastic surgeons such as Dr Klink to create the smoothest, best body-contouring results in men with gynecomastia. The treatment entails only a short recovery time and only minimal discomfort is involved.

In addition, SlimLipo is safer than traditional liposuction and more effective. Unlike liposuction, it tightens the skin around the treatment area.

How does SlimLipo work to treat excess breast tissue in men?

SlimLipo works on the same principle as other laser-assisted cosmetic surgery techniques. It utilizes two different wavelengths of light to disrupt fat and tighten skin.

During the procedure, fat and glandular tissue ruptures and liquefies and is then, with the help of a suction device, siphoned out of the body through a thin, hollow tube called a cannula.

What happens to the fat?

Fat cells are undamaged, but they react to the laser light by emptying themselves of water, glycerol, and fatty acids. Following a treatment, the body then rapidly absorbs the glycerol or sugar while the water carries away the free fatty acids through the lymphatic system and the kidneys. They are then passed out of the body in your urine.

Is a hospital stay required for laser lipolysis for gynecomastia?

No. Dr Klink’s patients are treated in our comfortable, state-of-the-art day surgery and are able to return home the same day.

Skin Reduction after Gynecomastia

Excess skin that remains after excess fat and breast tissue are removed adds an additional dimension to solving gynecomastia effectively. Surgical removal of this skin can help tighten the skin, as well as raise droopy nipples.

The nipple is 4-6 cm above the chest fold of most men. In patients suffering from gynecomastia, the nipple drops as much as 50% to 2-3cm above the line. A procedure known as a “donut lift” helps raise the nipples to their proper position. Sutures are placed around the nipple and then tightened, much like a purse string. The surgery can initially cause rippling of the skin around the incision area, but this subsides in the majority of patients.

In performing a donut lift on his male patients, Dr Klink is careful to place incisions directly within the areola where the darker skin helps keep them inconspicuous.

Skin reduction using the donut lift approach is not indicated for all patients. The skin of younger men (especially teens) is elastic and likely to “snap back” into shape without the need for surgery.

Consultation for Gynecomastia Correction Surgery

Aesthetic success is a team effort at our plastic surgery offices, and that success starts with clear communication between Dr Klink and each patient who wants help with excess male breast tissue. During your initial consultation, you will have the opportunity to discuss your physical and cosmetic goals. Dr Klink will evaluate you as a candidate for gynecomastia surgery and determine if, indeed, SlimLipo laser lipolysis can help you.

You should come to the consultation prepared to discuss your complete medical history, including:

  • Medical conditions (past and present)

  • Drug allergies

  • Previous surgeries

  • Current medications (prescription, OTC, herbal)

  • Use of alcohol, tobacco and recreational drugs

  • Your chief motivation for undergoing gynecomastia surgery

  • The outcome you expect from the surgery

Your preliminary consultation will also include:

  • A physical to evaluate the elasticity of your skin

  • A discussion of your options and Dr Klink’s recommended course of treatment

  • A review of likely outcomes, including risks or potential complications

  • A discussion of healing, recovery, and benefits

How to Prepare for a Gynecomastia Procedure

Patients for whom this procedure is suggested are given thorough pre-operative instructions. It is important that these be followed to promote a successful surgery and facilitate healing and recovery. Dr Klink recommends:

  • Avoid sunbathing for two weeks before surgery. Tanned skin is at greater risk for permanent scarring.

  • Stop smoking at least four weeks before surgery. Nicotine can impair circulation and delay healing.

  • Stop all aspirin-containing products and medications that contain blood thinners two weeks prior to surgery.

  • Drink water. Hydration is very important before and after surgery for safe recovery.

  • Arrange for an escort. Gynecomastia surgery with SlimLipo is performed in our offices, and patients can go home the same day. However, we require that you have a caretaker for 24 hours.

What You Can Expect During Surgery

Dr Klink and the staff at Solano are dedicated to your needs. From the moment you contact us for a consultation, you’ll feel listened to and cared for and seen as the unique individual you are.

We like to surpass expectations at our plastic surgery offices, and our patients expect the very best. They should! They (and you) are V.I.P.s (Very Important Patients) who deserve white glove pampering along with surgical expertise.

Part of that pampering comes in the form of compassion and support. We know that change, even change for the better, can be daunting. Dealing with unfamiliar faces in unfamiliar places can be unnerving, too. That doesn’t happen at Solano Plastic Surgery. Our patients are able to stay relaxed and at ease because Dr Klink performs gynecomastia surgery in our offices.

It’s an outpatient procedure that requires no hospital stay.

On the day of your pre-operative evaluation, you’ll fill out final forms, have some pictures taken for before-and-after comparison, and talk things over one last time with Dr Klink.

What to Expect After Laser-Assisted Gynecomastia

After the SlimLipo procedure, patients may feel some pain and discomfort for the first 24 to 48 hours. Swelling will occur and the areas treated will be most swollen during the second day after the procedure. A constrictive bandage may be used to reduce the swelling.

SlimLipo is an excellent tool that is made all the more effective in the hands of Dr Klink. His experience and expertise mean that our patients are protected from the after-effects typically associated with liposuction and body contouring.

All patients are given a list of post-procedure instructions to promote healing and contribute to the best possible outcome. Bruising may persist for up to 3 days. The entire recovery time after laser-assisted liposuction for gynecomastia is typically no more than 5 days.

While patients are encouraged to return to normal activities within a day or two, Dr Klink cautions them not to overdo things. In order to promote healing, it is important to refrain from strenuous activities for approximately two weeks after the procedure.

Swelling will initially mask the benefits of gynecomastia surgery with SlimLipo. However, improvements will become noticeable as the swelling goes down, with peak improvement seen after about seven days.

What is the Average Cost of Gynecomastia?

Men of all ages and sizes and with varying degrees of excess breast tissue come to our plastic surgery office. Each case is unique, and Dr Klink creates a unique treatment plan for each individual based on a range of factors. For this reason, there is no such thing as a standard price for laser-assisted gynecomastia surgery.

During your preliminary consultation, you will be given all the specifics of treatment as it applies to your circumstances, including a firm cost.

If you would like to know more about gynecomastia surgery and how we use lasers to reduce excess male breast tissue, please contact Solano Plastic Surgery on (707) 448 3436 or send us an email to schedule a visit to our friendly, welcoming practice.

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