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Gynecomastia Before & Afters

These Gynecomastia before and after pictures represent actual patients from Dr. Sieber. They will help to assist you in understanding your various options and enable you to set realistic goals for your own surgical outcome. Click on a patient for their specific case details.

San Francisco Male Breast Reduction

Believe it or not, men have breast tissue just like women. But while many women desire larger breasts, this is not the case with men. There is any number of things that can cause excess breast tissue or gynecomastia in men. These include age, hormones, genetics, and certain drugs/medications. Gynecomastia can present itself as an abundance of firm, fibrous tissue beneath the nipple, redundant skin, and an excess of fatty tissue.

Men with gynecomastia are typically incredibly self-conscious about their appearance and are often frustrated by their inability to wear certain clothes like thin t-shirts. Thankfully, the condition is easily treatable with San Francisco liposuction procedure, and/or a surgical male breast reduction.* Dr. David Sieber will apply his extensive training and knowledge in breast reduction surgery as well as the latest liposuction techniques to find the simplest, but most effective treatment for your individual body and needs.* The goal with any male breast reduction is a sculpted, flat chest with minimal scarring.*

Male Breast Reduction for Gynecomastia Improvements

Male breast reduction surgery can:*

  • Remove excess skin and soft tissue
  • Reform masculine contours
  • Reduce nipple/areola size

Quick Facts

  • Length: 1-3 hours
  • Anesthesia: General
  • Inpt/Outpt: Outpatient
  • Side effects: swelling, bruising, numbness
  • Recovery: 3-7 days

To find out more about a male breast reduction for gynecomastia with San Francisco Cosmetic Surgeon Dr. Sieber, call us today at: 415-915-9000 or schedule a consultation here.

Male Breast Reduction for Gynecomastia Technique

In minor to moderate cases of gynecomastia, liposuction is usually the most effective method of treatment. Dr. Sieber will make one small incision under each breast through which he will administer a numbing agent that makes the fat easier to remove with a cannula. Removing the excess fat in the breasts is a simple way to deliver a flatter, more masculine contour to the chest.*

However, if your enlarged breasts are caused by an excess of glandular tissue then the tissue will need to be excised surgically since glandular tissue tends to be very fibrous, and is difficult to treat with standard liposuction. Again, Dr. Sieber will make a small incision at the lower edge of each areola through which he will remove the excess tissue. Once your natural chest contour has been achieved, the incisions are closed with absorbable sutures. In certain patients with very severe gynecomastia involving both extra skin and a large amount of fatty tissue, additional larger incisions may be needed. The location of these incision will vary depending on your anatomy, but this will all be discussed with you in detail during your initial consultation.

Preparing for Male Breast Reduction for Gynecomastia Surgery

As with any major plastic surgery for men, all medications and supplements which cause an increased risk of bleeding should be stopped 2 weeks prior to surgery. Please see our list of medications and supplements to avoid. As always, make sure to check with your doctor before stopping any medications.

Recovery from Male Breast Reduction for Gynecomastia Surgery

The results from surgery will be evident immediately afterwards.* Most patients do encounter some mild swelling for the first weeks to months after surgery. There will also be some swelling as well as discomfort around the incisions. Compression garments are typically worn for up to three weeks after your procedure to help contour the chest, reduce fluid accumulation, and promote healing. Most of the swelling should be totally gone between 3-6 months.* Regardless of the incision length, Dr. Sieber puts all of his patients on a scar therapy program after surgery to help you heal with the finest scars possible.*

Immediately after surgery, you will need to refrain from any rigorous activity for the first 2 weeks at which point, you can return to light exercise. You may begin more intense exercise at 4 weeks. You will be released to full activities at 6 weeks post op.


Q: How do I know if I’m a candidate for the less invasive treatment for my gynecomastia?

A: The best way to find out if you can benefit from less invasive modalities such as liposuction is to come see Dr. Sieber for a consultation. He will be able to evaluate your tissue and determine the best treatment to reach your goals.

Q: How long will my results last after surgery?

A: Because the fibrous and fatty tissue is being physically removed, you should experience lasting results as long as you’re able to maintain a normal body weight.*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results.


I couldn’t be more pleased and excited about the refresh Dr. Sieber did on my face using a combination of botox and fillers. I had a baby a year ago and my face looked completely deflated. It felt to me that I looked like I had aged 5 years instantly by having a baby over 40. Dr. Sieber looked closely at my face and listened to my desires and fears in terms of the results I was seeking. I really liked that he took a conservative approach and followed up to check in and tweak things once the fillers and I had time to settle in.*

Dr. Sieber is a caring, friendly and talented doctor. I had two long consultations (free of charge) before scheduling my BBL (Brazilian butt lift). The staff and Dr. Sieber made me feel calm and relaxed the day of surgery. The results are amazing. Dr. Sieber understands a woman’s body and totally changed the shape of mine. I could not recommend him highly enough. I now go to him for my Botox and Juvederm.*

Dr. Sieber was fantastic throughout the entire process. From the beginning, he was patient with my questions and never made me feel pressured about making a decision. Once deciding that I was going to move forward with a breast augmentation, he made sure that I understood the process of the procedure and what I could expect post-surgery. I could not be happier with the results!*

Dr. Sieber is the best. I interviewed with numerous doctors. He pays close attention to detail. He called and checked on me and my results on a regular basis. My tummy procedure exceeded my expectation.*

Dr Sieber was very kind, knowledgeable and patient. He was able to answer all of my questions and put me completely at ease during the consultation as well as during the actual procedure. He made sure that I understood each part of the process which went a long way in alleviating my fears…after all, this is my face!*

*Disclaimer: Results may vary from person to person. Editorial content, before and after images, and patient testimonials do not constitute a guarantee of specific results. All images feature models except for before and after images.

450 Sutter St #1432, San Francisco, CA 94108

Proudly serving the San Francisco Bay Area communities, including Mill Valley, Marin County, East Bay, South Bay, and much more.

Dr. Dave Sieber and his staff are so awesome! Dr. Sieber is personable yet professional, his work is impeccable. He listens to his patient and works with them to achieve what they want. He’s like my hair dresser, a magician, you just want to do a happy dance with the results, only these results are lasting. Ok, but seriously, the procedure was very smooth, the staff and the doctors (Dr Sieber and the anesthesiologist) had great communication and made sure I was comfortable with very clear and concise pre op and post op directions. The healing process was very easy and the results are FABULOUS. Side note, Dr. Sieber has really awesome skin, I feel like this is impressive and important because really, would you trust a dentist with bad teeth? I am so elated and satisfied with the results, the size is perfect and they look and feel very natural. They are exactly what I wanted.*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is a doctor who is not only extremely knowledgeable about the latest in cosmetic procedures, but a doctor who truly cares about his patients. I highly recommend him!*

Dr. Sieber is attentive, responsive, and well trained. I had seen him for Botox and filler and he had done both without any pain or bruising and more importantly the results were fabulous. He has met with me on time at each appointment. He communicates what to expect, made sure I was comfortable throughout the procedure, checked on my healing every day post procedure. He couldn’t be more delightful not more talented. I had seen other plastic surgeons for in office treatments over the past decade and Dr. Sieber is at the top of the list in terms of delivering the desired outcome and high quality care.*

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