Finesse logo



Male Breast Reduction

Gynecomastia in Waltham & Boston, MA
A shirtless man in gray trousers and a black blazer with one hand adjusting his trouser waist and the other in a pocket, against a backdrop with gold paint splatters.

Gynecomastia in Waltham & Boston, MA

If you’re looking for Male Breast Reduction (Gynecomastia) in Boston, Finesse Cosmetic Surgery is your answer. With our methods of tissue and chest fat reduction, we can address your concerns and give you a flatter and more sculpted chest. 

Many men find themselves dealing with the discomfort of excess breast tissue or chest fat that won’t go away despite rigorous workouts or disciplined diets. This can pose an aesthetic concern, significantly altering the desired masculine contours of the chest. Male breast tissue and fat may not even be a direct result of weight gain, lifestyle, or lack of physical exercise but may be linked instead to hormone changes or other factors. 

Gynecomastia, a condition that is characterized by increased breast gland tissue in males, could be one cause.

What Is Gynecomastia?

Gynecomastia is a medical condition that causes swelling of the male breast tissue. It’s primarily a result of an imbalance between the hormones estrogen and testosterone. This hormonal fluctuation can lead to an increase in glandular tissue resulting in the enlargement of male breasts. This condition can occur at any age and can sometimes lead to discomfort or tenderness.

How Does Gynecomastia Differ From Excess Chest Fat?

While both gynecomastia and excess chest fat may manifest as enlarged male breasts, they stem from different causes. Gynecomastia involves an increase in glandular tissue, often linked to hormonal imbalances, whereas excess chest fat is typically a result of adipose (fat) tissue accumulation and will involve chest fat removal. It’s crucial to differentiate between the two, as the management strategies may vary based on the underlying cause.

Common Gynecomastia Causes and Symptoms

Gynecomastia typically centers around hormonal imbalances in the body, with higher levels of estrogen, a female hormone, compared to androgens, the male hormone. Factors contributing to these imbalances can range from natural aging to certain medications, including anti-androgens and anabolic steroids. Underlying health conditions like liver disease or any other condition that disrupts normal hormone production can also lead to gynecomastia.

Gynecomastia symptoms prominently feature breast enlargement, sometimes uneven, often coupled with tenderness or discomfort. The areolas may also enlarge, and a mass might appear beneath the nipple. It is always important to consult your doctor about the underlying causes of your gynecomastia before proceeding with treatments.

Before & After Photos

The photographs on this page illustrate typical results of cosmetic procedures performed at Finesse. Individual results will vary.

Gynecomastia Treatment Strategies


For tissue and chest fat removal in cases of gynecomastia and excess fat, liposuction can be a good option. This treatment is aimed at eliminating stubborn fat and glandular tissues from the chest area. Through small incisions, a cannula, or thin tube, is used to suction out the unwanted tissue, reshaping the chest contours.

Smartlipo Triplex™ System

The Smartlipo Triplex™ system is a state-of-the-art option that uses laser technology to dissolve fat before removal. This process reduces trauma to surrounding tissues, potentially reducing recovery time. The triple-wavelength system also has the added benefit of promoting collagen production, which can help to tighten the skin post-treatment.

VASER® Liposuction

VASER® Liposuction, on the other hand, uses ultrasound technology to break down fat cells. The VASER system gently emulsifies the fat, making it easier to remove while minimizing damage to surrounding tissues. This technique allows for high precision, preserving the integrity of the surrounding tissues, and promoting a smoother recovery process.

Incision and Tissue Removal

In certain scenarios where gynecomastia is characterized primarily by excess glandular tissue or when there is a significant amount of surplus skin, excision, and tissue removal may be ideal. This treatment strategy allows for the direct cutting away and removal of excess skin and glandular tissues.

In some situations, we may use a combination of excision and liposuction. This comprehensive approach ensures optimal results, addressing both excess fat and glandular tissue and any accompanying skin laxity. It provides a well-rounded solution tailored to each patient’s unique anatomy and needs.

What Are the Benefits of Gynecomastia Surgery?

  • Enhanced Appearance: The main aim of gynecomastia treatment is to improve the aesthetics of the chest area, resulting in a more traditionally masculine contour.
  • Increased Comfort: Chest fat reduction not only improves appearance but may also increase physical comfort, as excessive breast tissue can sometimes lead to discomfort or sensitivity.
  • Better Fitting Clothing: After gynecomastia treatment, patients often find that their clothes fit better, without the previous awkward bulges caused by excess chest tissue.

Common Gynecomastia Cosmetic Questions

Gynecomastia recovery will vary from patient to patient based on individual healing rates, the extent of the treatment performed, and which type of procedure you and your surgeon decide on. If you opt for liposuction, recovery is usually quicker, while recovery from excision might take longer.

Scarring is a natural part of the healing process. In gynecomastia surgery, the extent and visibility of scars depend on the treatment method used. Liposuction usually requires smaller incisions, leading to less noticeable scarring. Excision surgery might leave more visible scars since larger incisions are typically needed. However, we always aim to place incisions strategically to minimize visible scarring.

Generally, dermal fillers can last anywhere from 6 to 18 months and vary depending on the treatment area. The effects of dermal fillers may vary by the patient – some may require more frequent treatments while others may experience longer-term results.

Yes, both liposuction and excision provide long-lasting results for gynecomastia patients. They effectively remove excess glandular tissue and fat, offering a permanent solution to the condition. However, significant weight gain, use of certain drugs, or hormonal changes could potentially lead to a recurrence. Therefore, maintaining a stable weight and getting to the root of any hormonal imbalances is important.


If you are experiencing gynecomastia or are interested in Male Breast Reduction (Gynecomastia) in Boston, we have effective solutions. At Finesse Cosmetic Surgery, we offer some of the most effective and cutting-edge chest fat reduction and gynecomastia treatments available. To schedule a consultation, reach out online or call us at 781-790-4409