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Dr. Linder's Blog


Category: Gynecomastia

Popular Plastic Surgery Procedure For Men

male plastic surgery

Early this month (March 8, 2017), FoxNews.com published a piece on “The 5 Most Popular Plastic Surgeries For Men” by Stephanie Bucklin, which was based on the American Society for Aesthetic Plastic Surgery’s statistics on the most popular plastic surgery procedures of 2016. One of the top procedures for men was male breast reduction (gynecomastia surgery).

In my Beverly Hills practice, I am presented often with men who are looking to restore a more naturally masculine appearance to their chest. Gynecomastia is a very common occurrence among men; however, there isn’t one single cause for this condition. There are several factors that have been studied that may cause gynecomastia, including a high level of estrogen, Klinefelter Syndrome (chromosomal abnormality), hyperthyroidism (overactive thyroid gland), aging (causes low levels of testosterone), and steroids, which can manipulate testosterone and estrogen levels.

The great news is we can treat this condition in a discreet and relatively painless manner. If you have gynecomastia, don’t let it keep you from feeling confident.

To schedule your consultation with Dr. Linder and learn more about male breast reduction (gynecomastia surgery), call our office at (310) 275-4513 in Beverly Hills or fill out our online contact form today.




Male Breast Reduction Procedure

gynecomastiaI was presented a 23 year-old male who was self-conscious about the size of his breasts. During the consultation and examination we discussed how to remove the excessive glandular breast tissue and fat by performing gynecomastia surgery. The procedure was performed under general anesthesia supervised by a board-certified anesthesiologist.

The photo to the right shows three weeks post-op, and as you can see the enlarged breast has been reduced and are well balanced. The patient is extremely happy with his appearance and will continue to follow my postoperative instruction for a few more weeks (light actives can be resumed – no heavy lifting).

To schedule your consultation with Dr. Linder or learn more about gynecomastia surgery or male breast reduction, call our office at 310-275-4513 or fill out our online contact form today.




Male Body Contouring Beverly Hills

I was presented with a 23-year-old male who was looking to reduce the size of his chest and stomach area. During the consultation, we discuss the amount of glandular tissues behind the nipple areolar complex and his fatty tissue extending along the chest wall. His other concern was the lower abdominal area that was bothersome to him.
After setting the expectation, we performed the procedure called gynecomastia surgery to the chest area. The patient has excellent skin tone in the abdominal area, allowing us to liposuction the fatty area and smoothing and contouring his mid-section.
The patient to the left is now four weeks post op and is healing nicely. He is extremely happy with his results.
If you would like more information regarding male plastic surgery or want to set up a consultation today, call us at 310-275-4517 or fill out our online contact form.
The patient since his surgery has had to follow up appointments and as you can see by the post op photos below his results are excellent.
4 Month Post Op

4 Month Post Op


7 Months Post Op

Male breast reduction

Over the past year, I have seen an increase in the procedure gynecomastia. Gynecomastia surgery is a procedure to reduce enlarged male breasts. I believe the stigma for cosmetic surgery for men has disappeared, and men are excited to correct the size and shape of their breasts.

male breast reduction To the left is an example of a  25-year-old male patient that I performed gynecomastia surgery on about 3 months ago. The patient is very happy with the results, and his confidence is extremely high.

For men who feel self-conscious about their over  sized breasts, this procedure can help restore self-confidence and appearance. For more information, contact our office at 310-275-4513 or fill out our online contact form.


Unliateral Gynecomastia Procedure

Male Breast Reduction

I was presented a 22-year-old male that was complaining about enlargement and pain in his right breast area. During the consultation and examination, it was determined that he had a benign enlargement of the right breast resulting from a proliferation of the glandular component of the breast.

The surgery was scheduled, and the procedure was a unilateral gynecomastia performed with the patient under general anesthesia supervised by a board-certified anesthesiologist. The photo to the right shows four weeks post-op, and the enlarged breast has been reduced to balance with his left breast.

For more information or to schedule a consultation with Dr. Linder, you can call us at 310-275-4513 or fill out our online contact form.










Clarifying Expectations, View Before & After Photos

Plastic Surgery Before and After Photos

Before and after photos are an excellent way to understand and help clarify expectations when determining the type of plastic surgery procedure one may be considering. For the past 15 years in my practice, I have recognized the benefit of before and after photos and have been honored to have thousands of my patients choose to share their positive experiences with others on my website.

I encourage new patients that are considering plastic surgery to not only seek out a board-certified plastic surgeon, but also take the time to view the plastic surgeon’s before and after photos to get a realistic idea of possible outcomes from these photos.

Liposuction Before & After

Tummy Tuck Before & After

Gynecomastia Before & After


Breast Augmentation Before & After

Breast Augmentation Before & After

Gynecomastia: Does Marijuana Use Promote It?

Given the establishment of a booming marijuana trade, plastic surgeons in Colorado are beginning to wonder if mile high guys may see more patients asking about gynecomastia to see if they can rid themselves of the hated “man boobs.”

Having gynecomastia surgery is not just ego. A guy’s fleshy chest can interfere with normal development because the typical patient does not want to take off his shirt or even wear a tee shirt. During the teen years, guys with man boobs are teased and ridiculed without mercy. Many have come to the their gym lockers and found a bra hanging on it.

(Look at some gynecomastia before and after pictures.)

Most men are as, or more, sensitive to the flatness of their chests as they are to the shape of their nose. As you may know, rhinoplasty was the leading facial procedure among men during 2013, according to the ASPS.

But where does the marijuana use enter the picture? The substance has been shown to lower the male hormone, testosterone, at least in animals.

(Learn more about the gynecomastia procedure and recovery.)

Doctors note that gynecomastia develops during the teen years when an imbalance takes place between the male and main female hormone, estrogen. But lowering an already low level of testosterone with marijuana is not the wisest move.

Other studies have shown high estrogen levels in many drinking water supplies. Other scientists have found some prescription drugs also linked to gynecomastia.

(Read more about the gynecomastia-pharmaceutical link.)

Still other scientists have found common products – like some hair shampoo – and too many female hormones in drinking water supplies responsible for the rise in “man boobs.”

(Read more about Man boobs and estrogen in drinking water.)

Moreover, the numbers of gynecomastia procedures are up, says the latest plastic surgery statistics. According to the American Society of Plastic Surgeons, (ASPS), 21,000 male breast reduction procedures were performed in 2013, a five percent increase over the previous years.

The American Society for Aesthetic Plastic Surgery (ASAPS) counted 22,638 gynecomastia procedures for 2013 and noted it was the 4th leading procedure for men among the members of their organization.

Gynecomastia Beverly Hills

We see patients weekly here in our Beverly Hills office presenting with gynecomastic symptoms, including feminizing breast problems, including increased retroareolar breast tissue, gynecomastic tissue, lipodystrophy and adiposity of the entire chest wall.  These men present with similar problems.  They are frustrated that they are unable to wear T-shirts without having prominent nipple areolar complex protrusion through the shirt.  They are very frustrated with also being unable to take off their shirts at the pool setting due to the increased breast tissue found.  Weight loss may be helpful, but in general is not able to completely resolve the problem of severe gynecomastia with gynecomastic feminized tissue production.  There is an increased predominance of gynecomastic tissue in patients who have taken several medications and steroids as well as marijuana use.  Our typical patients as seen in photo gynecomastic 170A frontal view, present with protrusion of the nipple areolar complex as well as increased fatty tissue extending from the anterior axillary line along the midline and down to the inframammary fold.  These patients do well with a combination of liposuctioning using tumescent technique as well as direct partial subcutaneous lumpectomy of tissue in the retroareolar region.  Notice on side view, Photo 190, that the patient actually has a conical pendulous appearance to the breast with protrusion of the nipple areolar complex due to herniation of the gynecomastic tissue causing an outpouching of the nipple.  This is very distressing to men especially wearing tighter T-shirts in that it appears that they have “breasts or male breasts.”

The after-photo from both of these patients presents at eight weeks.  The only incision made was through the periareolar from the 3 o’clock to 9 o’clock position at which the patient has had tumescent lipectomy of the entire chest wall with a small cannula, 2.5 mm, and then a partial subcutaneous mastectomy of retroareolar breast tissue with care not to form a depressive deformity under the nipple areolar complex by over-excision of the tissue.  It is important that the gynecomastic tissue is sent to pathology for diagnostic purpose to rule out any form of premalignancy or malignancy.

Gynecomastia presentation has increased significantly over the last decade.  These patients are extraordinarily happy with the results of removal of this breast tissue through a periareolar excision and are well accepting of that scar.




Today is an unusual day in that we will be performing three out of four surgeries on men.  They will undergo gynecomastic surgery.  Two patients have significant gynecomastia with significant amounts of glandular thickened breast tissue in the retroareolar area and one of the males will also have lipo sculpting of the abdomen, hips and flanks.  The second male has gynecomastia only in one breast which is very atypical; has unilateral left breast enlargement with enlargement if the nipple areolar complex due to the gynecomastic tissue in his left chest.  The third patient is undergoing excisional biopsy of a large tumor growing out of the left deltoid shoulder area.  This male has had increasing growth over the last six months of a 6 x 6 cm tumor that will be removed from the deltoid region.  It is unusual to have three men in one day, as the majority of patients who present for plastic surgery of the body are women.

Total Male Makeover


The patient to the left presents with massive weight loss, weighing over 340 pounds, having had a laparoscopic banding procedure (gastric bypass surgery), lost over 140 pounds, now weighs 200 pounds even. He has massive amounts of skin from the chest area extending to the lateral breast and extending down to the pannus. He will undergo a partial subcutaneous mastectomy with tumescent lipectomy, lipo-sculpting of the lateral chest area as well as a full panniculectomy or large abdominoplasty with umbilical hernia repair with our general surgeon as well as lipo-sculpting of the hip region.

The second photograph shows the patient undergoing a partial mastectomy. Tissue is being removed in the retroareolar plane, extending to the fascia over the pectoralis major muscle. Once this tissue is removed, complete lipo-sculpting of the rest of the chest from the infraclavicular, parasternal, inframammary into the lateral anterior axillary line was performed. Subsequently, at this time a mastopexy or lift will not be performed. We will determine how much skin tightening occurs and then on a separate stage several months from now a breast lift may be required in order to tighten up representative skin. Looking at the pannus, there is a massive overhang. He does have an umbilical hernia on examination and the general surgeon will be repairing this. In the operating room he was found to have rectus diastasis. The muscles were plicated. The hernia was repaired.

The postoperative photo here on the operating table shows the chest is softened immensely. There is great smoothing out of the chest wall as well as reduction of the lipodystrophy of the lateral breast chest area. Notice the incision is hip-to-hip and there are three drainage tubes in. The abdominal wall is now flat. The patient has done extraordinarily well.

The photograph shows the actual 25 pounds of tissue that was removed from the abdominal wall as well as the liposuctioned fat from the lateral chest and hips.

Patients present after massive weight loss laparoscopic banding procedures for tummy tucks, paniculectomies and gynecomastic surgeries or possible breast lifts. This is an excellent example.