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.

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.

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.

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.

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.

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.

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.