Summer is around the corner. At the pool or the beach, most men want to take off their shirts. But some don’t because they are too embarrassed of their chest size and shape.

Gynecomastia, one of the procedures of Daddy Do Overs is the benign enlargement of breast tissue in males. It most frequently occurs in adolescent boys and of these 75% resolve spontaneously. Gynecomastia is caused by an imbalance of testosterone and estrogen. Use of steroids, alcohol, marijuana, and amphetamines can lead to gynecomastia.

Pseudogynecomastia, also known as lipomastia, is the enlargement of fatty tissue in the male breast.

Many men have a combination of excess glandular tissue and excess fatty tissue. Despite weight loss and exercise, men can continue to have large breasts. This disproportionate shape can lead to diminished self esteem.


Most men with enlarged breasts have a combination of excess breast tissue and excess fat. When examining a patient, I determine how much each component is contributing to the enlargement. I also assess the amount of excess skin, skin elasticity, nipple size and nipple position during the evaluation.

Treatment Options

The examination of the patient along with his desired goals determine the most appropriate treatment option.

For men that have good skin elasticity and mostly fat, liposuction is an option that gives great results with little recovery.
A small incision, approximately 1/8” long, is made in the crease underneath the breast. After a numbing,  tumescent, solution is injected into the fat and breast tissue, a cannula is inserted and the excess tissue is removed. I use the cold laser when performing this procedure to minimize recovery time and maximize results. After the procedure most men are able to return to work and social activities in a few days.

laser liposuction of the chest

Laser liposuction of the chest

Liposuction and Breast Tissue Excision
For those men with mostly excess breast tissue, I combine laser liposuction with breast tissue excision. Through a small incision around the bottom of the nipple I remove excess glandular tissue and then perform laser liposuction to contour the rest of the chest.

laser liposuction and excision of male breast tissue

laser liposuction and excision of male breast tissue

Tissue Removal with Skin Excision
Loose skin in addition to excess tissue is best treated with this option. Not only can the nipple be repositioned, but a tighter, flatter chest can be achieved.

Excess skin, fat, and breast tissue can be removed to improve appearance

Excess skin, fat, and breast tissue can be removed to improve appearance

Although enlarged male breasts can be a source of decreased self esteem, body contouring procedures can permanently reshape the chest improving a man’s shape and proportion.

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About Dr. Matt Galumbeck

With over 20 years of clinical experience and having performed over 5,000 cosmetic surgery procedures, Dr. Matthew Galumbeck has the experience and skills to deliver outstanding cosmetic surgery outcomes.

A native of Virginia Beach, Matthew Galumbeck, MD received his undergraduate degree from the College of William and Mary, and his medical degree from Duke University. He trained in general surgery at Case Western Reserve University, and in plastic surgery at Eastern Virginia Medical School. Further study includes advanced training in body contouring in Paris.

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