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Gynecomastia in Male Breast Reduction Surgery in Bellevue, WA (Seattle)


Dr. Marosan is the busiest gynecomastia surgeon in the Seattle-Bellevue area. This is his #1 operation in men! He creates masculine chiseled chests with no sign of surgery!

Men with gynecomastia or "man boobs" have enlarged breasts due to excessive breast tissue and fat deposits, which give them a gynecoid or feminine-looking chest. Almost all surgeons just remove the fat and gland with visible large incisions. Yes, the gynecomastia is reduced, but the chest does not look like an athletic chest that most men have in mind. Dr. Marosan, takes this to an advanced level. He uses the VASER Hi Def Lipo technique, which can create a chiseled upper body and chest instead of just flattening the chest by traditional liposuction. The thick fibrous fatty tissue of the chest is treated with the VASER first to emulsify the fat for optimum extraction. More fat is removed in a precise  way and the remaining skin is tightened. Breast tissue can be removed through the same small stealth incisions employed by Dr. Marosan. There are NO signs of surgery on the chest! you just look sculpted and muscular. In some older men or men with very large gynecomastia an additional step is needed for best results. Dr. Marosan, uses the Renuvion (J-Plasma) for subdermal skin tightening avoiding any additional incisions. 

After fat is removed during reduction surgery, in some candidates with less developed chest muscles, the fat is then treated and injected into the upper pectoralis major muscle to further enhance muscular bulk to the chest. Fat is aggressively removed from the lateral chest wall between the anterior border of the latissimus dorsi muscle and the lateral pectoralis major muscle.  As a result, a man will have a smooth,  muscular, sculpted chest defining the pectoralis major muscles. The midline of the chest is sculpted to further define a muscular chest including the natural depression between the deltoid and pectoralis muscles.

Surgeon and Facility Fees

from $7,500.00

Recovery Time

1-2 Weeks

Average Procedure Time

3-4 Hours

Post-op Follow-up

Next Day

Procedure Recovery Location


During/After Surgery

Male breast reduction surgery uses intravenous anesthesia with the tumescent technique and is performed in our AAAASF accredited surgical facility. The operation lasts  1-3 hours. It is normal to have minimal bruising and swelling around the chest area for the first couple of weeks. A compression garment with special foam pads inside it must be worn for 3-4 weeks to help with reshaping and healing. Most patients are able to return to their normal routine after a few days but must avoid any strenuous physical activities, especially ones that will put pressure on the chest. Results are highly satisfactory for most patients, regaining their confidence in situations where their chests are bared.

Best decision ever! - I have intimate knowledge of the plastic surgery industry and I chose Dr. Marosan as my surgeon for gynecomastia excision and High Def Vaser body sculpting liposuction. In my opinion he is the only true expert in High Def Vaser Body Sculpting Liposuction in the Pacific NorthWest. No one else has the meticulous attention to detail and takes the time to produce the the amazing lasting results....

R. RealSelf

Highly Recommend Dr. Marosan, MD - Dr. Marosan, MD came highly recommended and I am completely satisfied with the results of my surgery. I was apprehensive when I was diagnosed with gynecomastia; but Dr. Marosan was the right choice for me. From my initial consultation, surgery, and follow-up appointments have been flawless. Dr. Marosan and his entire staff are polite and professional.

J. RealSelf

Ab Etching Dramatically Increased my Motivation! - In Sep 2021 I had VASER Hi-def lipo, gynecomastia, and abdominal etching work performed by Dr. Marosan. Being former military, I previously tried to just force body discipline by 5am sessions with a personal trainer, random gym apps, CrossFit (twice), but still couldn't get (and maintain) my body the way I wanted. I knew I didn't need the motivation of group support, and if I could just find the right catalyst then I could do this on my own. So I bought a Tonal machine for at home workouts, and went in for the procedure with the objective that the surgery was just the start of my fitness journey (for immediate visual motivation), versus the end (ie no more work needed). I was fortunate to live right down the street from a respected true master of his craft who could do this work on me! Dr. Marosan fully explained what would happen, why he would do certain things, and equally important why he would not do other things that I'd found online (like sculpting a sixpack into the abdominal fat so I'd look like Batman 24/7). Not much to share on the procedure itself, I remember going in and laying on the table, and next thing I know I was getting up and wheeled out to my ride. I did have a few drainage tubes for a week which were a pain to manage for bathroom trips, and the garment/foam isn't the most comfortable, but once the tubes came out and the swelling went down things greatly improved.A year after surgery and I know that seeing the difference in my body has helped me make better dietary choices, and has kept me motivated with my workouts. This was definitely one of the best decisions I've made for myself, as I see the results every single day and know that it's 100% up to me to continue the work to highlight the impact of the sculpting even more. As I put in more work (nutrition & exercise), I now see the impact faster, and the benefit is more pronounced. If you're on the fence, just treat yourself & go in for a consultation, you won't regret it!(my pics are on his website gallery)

F. RealSelf

Gynecomastia surgery - 3 months later and I could not be happier with the result! - I previously had gynecomastia surgery and then an additional correction, both procedures were with a different doctor and both procedures did nothing but leave me with scarring. I thought it would be a good idea to try one more time and thank goodness I did! Dr. Marosan explained everything perfectly and made me feel really comfortable moving forward. 3 months later and I could not be happier with the result! I would recommend Dr. Marosan to anybody considering getting work done. 10/10

R. RealSelf

Perfect! No more gynecomastia, love handles or belly fat - Dr. Marosan made my dream come true. No more gynecomastia, no more love handles, no more belly fat. I'm the person I've always wanted to be. Everyday I look at myself in the mirror and thank my lucky stars that I met Dr. Marosan.

B. RealSelf


Total Reviews


Average Rating

Surgical Technique

Dr. Marosan does not recommend endocrine testing for most patients and there are no medications or exercise which will make the condition go away. Dr. Marosan uses the VASER Hi Def Lipo and Power X cannulas to remove the fat via small inconspicuous stealth incisions within the  areolas, right under the nipples and arm pits. If glandular tissue needs to be removed, he uses the same small 1 cm areolar incision. He is able to reduce even "C cup" breasts without skin excision and no extended visible scar placement on the chest.

Additional Services and Pricing

Additional Services


Gynecomastia with Reuvion


VASER Hi-Def Supine Male Package

(Gynecomastia with Tissue Excision, Vaser Hi-Def Lipo of Upper/Lower Abdomen, Lateral Chest Walls, Waist, Hip-Rolls, Mons Pubis)


VASER Hi-Def Lipo 360 and Gynecomastia with Tissue Excision

Is This Gynecomastia?

This condition must not be confused with a false gynecomastia, also known as pseudogynecomastia, in which the enlargement is caused by fat deposits instead of breast tissue development. The plastic surgeon will be able to determine this by physical examinations at the initial consultation. If it is a case of excessive fat tissues on the chest, the approach in treatment is the same when removing  excess fat tissues in any part of the body. Proper diet and exercises are recommended afterwards.

Will My Pecs Show?

This depends on your surgeon's technical ability and artistic skills to sculpt the chest. Gynecomastia, unfortunately, hides the normal chest muscles that lie underneath the layers of overdeveloped breast tissue and fat. With a male breast reduction surgery, all excess fat and breast tissues will be removed and the pectoralis muscles will become  visible. Dr. Marosan goes beyond this basic technique. The muscle can be bulked up with injections of fat into the upper pectoral muscles.  It is very important to contour the lateral chest wall and reveal the lateral pectoral line and muscle edge and all the fat is removed to reveal the anterior border of the latissimus dorsi muscle. With proper diet and exercise after the surgery, men will be able to tone and strengthen their chest muscle to further enhance the chest’s natural masculine shape. You can go shirtless with confidence, there will not be any telltale signs of surgery.

Is Lipo A Must?

Liposuction is the primary approach in extracting fat around the glandular tissues. Once the desired chest sculpting is achieved, the gland under the areola (which causes puffy nipples) is removed through the same small liposuction incision within the areola. Dr. Marosan uses the VASER Hi Def Lipo technique to sculpt the chest. Even in patients who do not think they have fat, Dr. Marosan finds that liposuction is still an integral part of the treatment to give the best possible outcome.

Will There Be Scars?

Dr. Marosan's technique does not leave any visible scars! This is important in males who have no chest hair or choose to shave the hair off the chest. If the breast reduction technique uses liposuction, the incisions will be minimal and will be placed within the areola (the dark skin around the nipple). Another incision is placed in the arm pit. These are closed with one suture!  These scars are not visible when healed. There are no scars on the breast and chest as often seen in photos of other plastic surgeons' technique.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.