Understanding Gynecomastia: Causes, Treatment & Recovery

Board-Certified Plastic Surgeon Serving Las Vegas, Henderson, Summerlin, and Nearby Nevada

March 10, 2026

Man showing a flatter, toned chest after male breast reduction.Gynecomastia can affect men of all ages, causing enlarged breast tissue that often leads to self-consciousness and discomfort. While diet and exercise can improve overall body composition, they cannot eliminate true gynecomastia. Understanding what causes this condition and how it can be treated is the first step toward feeling more comfortable in your appearance.

At Stephen M. Miller MD in Las Vegas, NV, board-certified plastic surgeon Dr. Stephen M. Miller helps men achieve a flatter, more masculine chest through advanced male breast reduction surgery. With extensive surgical training and decades of experience, Dr. Miller takes the time to explain your options and help you choose the treatment that best fits your goals.

What Causes Gynecomastia?

Gynecomastia develops when glandular breast tissue grows larger than normal, often because of a hormonal imbalance between estrogen and testosterone. In some cases, excess fat in the chest can also contribute to a fuller appearance.

Common causes include:

  • Hormonal changes during puberty or aging
  • Certain medications
  • Weight gain
  • Steroid or recreational drug use
  • Some medical conditions affecting hormone levels
  • Genetics

A consultation with a qualified plastic surgeon can help determine the underlying cause and whether surgery is the right solution.

How Is Gynecomastia Treated?

For men with true gynecomastia, male breast reduction is often the most effective treatment. The procedure removes excess glandular tissue and, when needed, unwanted fat to create a firmer, flatter chest contour.

Depending on your needs, treatment may include:

  • Liposuction to remove excess fat
  • Surgical removal of glandular tissue
  • A combination of both techniques for optimal contour

Dr. Miller will recommend the surgical plan that best addresses your anatomy and desired outcome.

What Is Recovery Like?

Most men return home the same day as surgery. Mild swelling, bruising, and soreness are common during the first week and gradually improve as healing progresses.

During recovery, you can expect to:

  • Wear a compression garment as instructed
  • Limit strenuous activity for several weeks
  • Resume light daily activities within a few days
  • See your chest continue to improve as swelling decreases

Schedule Your Consultation in Las Vegas

Enlarged male breast tissue can be difficult to improve through diet and exercise alone. Dr. Stephen M. Miller provides advanced male breast reduction surgery in Las Vegas, NV, and will explain your treatment options during a one-on-one consultation. 

Call 702-369-1001 to schedule your visit.

Category: Gynecomastia

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