Am I A Candidate?
Ideal candidates are men who have had excess chest tissue for at least 1–2 years, are in good health, maintain a stable weight, and have realistic expectations. This procedure is especially beneficial for those experiencing physical discomfort or reduced confidence due to gynecomastia.
Good skin elasticity helps the chest contour smoothly after treatment, though additional techniques may be recommended for patients with excess skin. During your consultation, Dr. Compoginis will review your medical history, medications, and lifestyle factors to determine if surgery is right for you.
Understanding Gynecomastia Correction
Gynecomastia surgery requires a tailored approach based on the specific composition and extent of the unwanted tissue. Dr. Compoginis evaluates three primary tissue types during your consultation: excess glandular tissue, fatty tissue, and skin. These factors, along with skin laxity, age and others, influence which approach Dr. Compoginis takes.
Glandular Tissue Excision
True gynecomastia involves firm, dense glandular tissue located directly beneath the nipple and areola. This tissue cannot be removed through liposuction alone and requires direct surgical excision. Dr. Compoginis creates a small, discreet incision typically along the lower border of the areola where the scar will be well-concealed within the natural color transition.
Many men present with both glandular tissue and excess fat, requiring a combination approach. Dr. Compoginis typically begins with liposuction to remove fatty tissue from the chest and surrounding areas. This reduces overall chest volume and allows better access to the underlying glandular component. After liposuction, he proceeds with glandular excision through periareolar incisions. This two-step approach creates the most natural-looking results for patients with mixed tissue types.
Combined Liposuction and Excision
Even with more subtle correction, we can’t overstate the importance of achieving symmetrical results with gynecomastia surgery. With or without redundant tissue, most people naturally develop minor asymmetries in the chest and other parts of the body. The onset of gynecomastia can sometimes exaggerate this asymmetry. Dr. Compoginis meticulously measures and marks both sides of your chest before beginning the procedure to ensure he removes exactly the right amount of tissue from each side to produce symmetrical results.
Symmetry: The Make-or-Break Factor
What to Expect: Procedure & Recovery
Gynecomastia surgery is typically performed under general anesthesia and takes about 2–3 hours. Patients usually return home the same day with aftercare instructions and medication.
Mild to moderate swelling, bruising, and tightness are common during the first few days. A compression garment is worn to reduce swelling and support healing, and in some cases, temporary drains may be used.
Most patients return to non-physical work within 5–7 days, while more strenuous activity should be avoided for 2–3 weeks. Swelling continues to improve over several weeks, with final results developing over 3–6 months.Results are long-lasting, as treated fat and glandular tissue are permanently removed, though maintaining a stable weight helps preserve your outcome.
Dr. John Compoginis is a double board-certified plastic surgeon with over twelve years of advanced surgical training. Educated at prestigious institutions including the University of Southern California and the University of California, Berkeley, he has published research in leading medical journals and presented at top national conferences. Dr. Compoginis specializes in cosmetic and reconstructive procedures including body contouring, breast surgery, and facial rejuvenation. Known for his precision, artistry, and compassionate care, he is dedicated to helping patients achieve natural-looking results that enhance their confidence.
Testimonials
"My experience with Dr. Compoginis and his team has been exceptionally pleasant. Dr. C’s professionalism and thoroughness during the process (before and after surgery) put me at ease. I am 12 weeks post-op and I’m so happy with my results. I feel more confident and comfortable in the clothes that I can now wear. I highly recommend Dr. C. If you’re thinking about getting a life altering cosmetic procedure make sure you give Dr. C and team a call first."
Verified Google Review"I was very blessed to experience my surgery with Doctor C. Along with the staff and nurse Gabby . They were very professional, attentive, and polite which made me feel very comfortable. The outcome of the surgery came out great, and they made sure to check up on me. I would highly recommend!"
Verified Google Review"Dr C is a gem. He is personable, honest, and helpful. Being able to communicate freely after surgery was wonderful. His staff is very nice and I never feel like a burden. Felt better that he is double board certified and does repairs at the hospital still. Very happy with my choice."
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