Gynecomastia - Overview

Gynecomastia is the condition when a man develops larger than normal breast. Most of the time it will onset with puberty. However, it can occur later in life or after significant weight gain. Not surprisingly, men hate this condition and are very self-conscious about their breasts. They often will not take their shirts off at the pool or beach or when they are outside. Even with their partners, they hate having their shirts off.

1Who is Gynecomastia for?

Any  man who is self conscious because of his breast size is a candidate for male breast reduction.

The only really effective treatment is surgery

2Treatment options

Gynecomastia can be effectively treated by one of the following:

  • Sculpsure
  • Smartlipo
  • Direct excision

In my extensive experience, most men prefer the most aggressive approach which is direct excision in the operating room. Through a small incision, along the lower half of the areola, I can remove almost all of the breast tissue and fat in the chest. A drain will be placed on each side which will be removed 5-7 days later in the office. If you have significantly loose skin, this may need to be addressed differently.

You can return to work in 5-7 days.

You will wear a vest for about 2 weeks.


Almost all insurance companies consider this to be a cosmetic procedure and will not provide any financial assistance.

4What post-op care is required for Gynecomastia?

A Male Breast Reduction should result in a flatter chest with a more masculine contour. In most cases, you’ll be required to wear a compression vest or chest wrapping for 10-14 days after the surgery to help reduce any swelling. You may shower the next day.

Dr. Berman removes the drains easily in 5-7 days in the office.




  • Exuberant958816
    I want to start off by saying Dr. Berman and his staff are phenomenal! I could not be happier for the decision I made to go with them for my gynecomastia surgery. After my first consultation and seeing numerous past surgery’s Dr. Berman has done it was a no brainer. Dr. Berman and his staff are very personable, relatable, and very knowledgeable. His work is undeniably marvelous he is a true expert! It is life changing and I am very grateful for Dr. Berman and his staff. They put their patients first, I would recommend them to anyone who has/have been suffering with gynecomastia 1000% he is your guy!
  • CCriv_24
    Our son has been dealing with Gynecomastia for years. We thought it was something he would outgrow but he never did. Seeing your child suffer from low self-esteem, being teased, and constantly trying to conceal his chest was absolutely heartbreaking as a parent. We did as much research as we could and came across Dr. Berman. From our first meeting, we could tell Dr. Berman cared. He was very engaging, answered all of our questions, and really took the time to make us feel at ease. Our son had his procedure with Dr. Berman and it has truly been life changing for him! He stands up straight, he smiles more, and he can wear a single shirt without tugging on it to conceal his chest!!!! We cannot thank Dr. Berman enough! We will be forever grateful to him and his team Judy and Katie for all they have done!!!!!
  • Luis Navarro
    I want to start off by saying Dr. Berman and his staff are phenomenal! I could not be happier with the decision I made to go with them for my gynecomastia surgery. After my first consultation and seeing numerous past surgery’s Dr. Berman has done it was a no-brainer. Dr. Berman and his staff are very personable, relatable, and very knowledgeable. His work is undeniably marvelous he is a true expert! It is life changing and I am very grateful for Dr. Berman and his staff. They put their patients first, I would recommend them to anyone who has/have been suffering with gynecomastia 1000% he is your guy! Thank you so much!!
    Luis Navarro
  • Magical713116
    Dr. Berman and his team were incredible to work with. The entire process was transparent and stress-free. All the steps and information about the procedure were fully walked through beforehand and Dr. Berman himself is always available and easy to contact for questions throughout the post op process. I would highly recommend Dr. Berman!
  • wumh
    Wonderful experience with Berman Cosmetic Surgery & Skin Care Center. Dr. Berman was a wonderful surgeon, and the staff was always helpful and kind. They ensured I had a smooth prep, surgery, and follow-up. I am so glad I chose Berman Cosmetic Surgery & Skin Care Center and would highly recommend to anyone.
  • Alex O
    Highly professional and personable staff. Dr. Berman was able to walkthrough procedure for gynecomastia well and operation went smoothly and successfully.
    Alex O
  • Thoughtful769745
    Quick and smooth experience, satisfied with results and Dr. Berman is accessible for any questions throughout. Staff is very professional and welcoming from initial consult, surgery, and consequent follow ups.
  • Terrific451207
    Dr. Berman and the staff are exceptional. They were very professional and detailed with procedure and Dr. Berman even texted me daily after the procedure to check on. I have another follow up, however, I am thankful and happy with results.
  • Nick K
    Dr. Berman and the rest of his team have been nothing but perfect throughout the entire process, from the consultation to the post-ops. I could not be happier choosing Dr. Berman as the results were way above anything I could expect, even comparing to other surgeons through RealSelf. Dr. Berman is a top notch surgeon and it's evident in the results of his work.
    Nick K
  • Clayton987
    It passed my expectations! The staff was very helpful and friendly. Dr Berman made the process very simple and reassuring so that I would feel comfortable. Also assisting in all after care made everything so much better. Will definitely recommend to anyone looking to get work done.
  • happypatient2022
    Dr. Berman is awesome. I can’t say enough good things about him. Very skilled at what he does and makes you feel at ease. Extremely pleased with the results and it’s only been a few weeks. Made a great decision by trusting him!
  • Tasteful770595
    I am in my mid-20's and have been bothered by my gynecomastia for a long time. The puffiness of the nipple-areolar complex made me very self conscious, I always avoided situations in which I would need to be shirtless and avoided wearing t-shirts and so on. It even affected my posture. Even though some people including my wife had told me I looked fine, it always bothered me and weighed on my mind. That is why I sought the help of Dr. Berman. When I initially spoke with him he carefully explained the gynecomastia surgery to me before I decided to do it and helped me feel very comfortable with my decision. The gynecomastia surgery itself could not have been a smoother or easier process. It was done in an extremely clean office with very friendly staff and of course Dr. Berman helping me feel comfortable every step of the way. The surgery was done under local anesthetic, I felt no pain or discomfort and went home about an hour after it concluded. The recovery process was also smooth, Dr. Berman had prepared me for what to expect. While there was some mild discomfort for a couple of days after surgery it was easily managed with over the counter pills. Within a couple of days I was totally back to my normal routine. While the immediate results of the surgery were evident and life-changing, after a couple of weeks when some mild swelling had subsided, I was even more thrilled. I can't overstate how much of a game changer this was for me, I no longer feel self conscious when shirtless or while wearing a t-shirt or any tight fitting shirt. Anyone who has suffered from gynecomastia will know exactly what I mean. My only regret is that I didn't do it sooner and I could not be more thankful to Dr. Berman and his team.
  • Witty521506
    Dr. Berman has given me the best gynecomastia procedure I could have asked for. The day I met him I automatically chose him over all the other surgeons due to many reasons. He genuinely cares and is very professional.
  • michaelsingleton
    Very professional and knowledgeable staff who were very accommodating. Dr. Berman is a wonderful surgeon who offers personal follow ups regularly pre and post op with detailed directions and information critical to my recovery. Located in a good location with modern facilities.
  • Riggles2707
    Excellent surgeon. Took care of my gynecomastia. I am now more confident. There is also very little pain involved afterwords. I was worried that i would be heavily injured, but I wasn't. The steady hands of Berman are great.
  • Rafa Zaragoza
    I had been dealing with gynecomastia since I was a teenager, and finally decided to do something about it. After checking different doctors for the procedure, I decided to go with Dr. Berman, and I could not be happier. He and his staff were very responsive to all my comments and questions. It has been a month and a half and it already looks great! I wished I had done it sooner.
    Rafa Zaragoza
  • When in at the beginning on June for my consultation DR. Berman took the time out to not only understand but listen to what I wanted. Allie and Taylor are amazing as well. When in today 06/27/2018 to get my reduction done can’t be any happier with my results THANK YOU DR. Berman so much
  • I had an outstanding experience with Dr. Berman. He explained in detail the surgery and what the recovery process would be like. He was not pushy and took his time to make sure I was comfortable with the process. He even texted me for a couple days after surgery to make sure I was doing well. I am very happy with my results.
  • Years ago my right chest swelled up after having smoked marijuana. I knew that it was gynocomastia but I told myself I'd just let it be. Little did I know I was plagued and was never really comfortable in my skin. I constantly noticed that my right chest was poking through all of my shirts. I was embarrassed by it. There were certain shirts that I could no longer wear. I changed my whole wardrobe to mostly black clothes to hide my chest. As soon as I decided to do something about it I researched online and found Dr. Berman's Office. I went in for a consultation and knew that this is what I needed. Dr. Berman did an amazing job and I am so happy that I decided to move forward with the surgery and chose Dr. Berman!
  • For more most of my life, I’ve been very self conscious about my appearance. My fuller chest made wearing clothes a difficult thing. I finally decided to look into this procedure. I found Dr. Berman Based on experience and good reviews. Dr. Berman made me feel confident he could help me. The procedure went seamless and after two months I couldn’t be happier that I chose Dr. Berman and the procedure. I would highly recommend Dr. Berman for anyone suffering similar to my situation.
  • Dr. Berman is the best in the DMV area. It’s embarrassing for guys to talk about this, but I had been struggling with gyno for 7 years so I just had to get it out. Dr. Berman made me feel comfortable and at ease and the surgery went great. He is a master surgeon and at a week out from surgery my chest is definitely flatter and I am already back to a normal lifestyle. Invest in yourself and go see Dr. Berman if you are struggling with this and want to be able to take your shirt off at the beach and pool.
  • patient072701
    Prior to my Gynecomastia surgery, I was self-conscious about my chest. My friends and family tried to reassure me that there was nothing wrong with the way it looked. I still felt uncomfortable taking my shirt off at the pool, and wear tight clothing. After doing some research and finding that I was a victim of this hormone disorder, I came across cosmetic surgeons in my area that performed Gynecomastia. Doctor David E. Berman is a god. With his magic touch, my confidence was boosted! I was finally able to take my shirt off and feel good about myself. I had a few pre-surgery appointments with him where he went over all the guidelines and made sure that I consented. On the day of the surgery, I went in and came back more relaxed than ever. After the surgery, there were drains hanging from my sides which tend to hurt just a little, but It was bearable and I managed to avoid painkillers and nausea medication. I encourage anyone who feels self-conscious about their chest and is a victim of Gynecomastia to undergo surgery. It's truly a life saver. Thank You, Dr. Berman, for all your time and effort.
  • fai sha
    This doctor is amazing! I had a Gynecomastia surgery with Dr. Berman and I was very impressed by his knowledge, professionalism, and his attention to detail. Dr. Berman will follow up with you and stay in contact through phone or email throughout the whole process; I was hesitant about getting the surgery done at the beginning, but  I am very glad that i went through with it. Dr. Berman is the real deal! if you need something done, he is your man!
    fai sha
  • Modest1713
    Absolutely amazing experience with Dr. Berman and his staff. I was only going to his office for more information about the procedure and I immediately felt comfortable and safe about going through with the surgery. Well since i had such a great experience, i decided to get my surgery only a week or two after I had my consultation. He has been great since DAY ONE!  Dr. Berman is a really great Doctor and full of knowledge. He certainly made sure that any questions I had were either answered in person via text, which I have never met any professional doctor to give out their cellphone number to their patients. Dr. Berman a fantastic Doctor and a all-around great person; his actions alone really shows that he truly cares about his patients happiness and well being. GREAT DOCTOR!
  • bo2812
    Helped me in a very professional manner, was very descriptive and helpful through the whole process. The way i was treated from the first appointment , all the way to my current post-ops has been amazing. The staff is very friendly. Would highly recommend!
  • XyzSteve22
    If your a guy suffering from Gynecomastia and are looking for a surgeon I highly recommend Dr.Berman for the job. You won't be disappointed with his work and the procedure is worth having done from my personal experience. Dr.Berman made me feel comfortable the day of my surgery and during all my visits. Results were seen immediately after surgery. I choose Dr.Berman after doing a lot of research on the web, reading all the reviews and watching a YouTube video of him performing liposuction. I liked the fact that he was gentle and commented that it was not necessary to be rough as you see other doctors do in their video.

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