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Gynecomastia Surgery: Restoring a More Confident Masculine Chest

By: Dr. Lawrence Iteld

6/23/2026

For many men, excess fullness in the chest can feel frustrating, especially when it doesn’t change with diet or exercise. You can be doing everything right and still notice your chest looks soft or enlarged. In many cases, this is gynecomastia, a condition involving excess glandular tissue, fat, or both.

For some men, this goes beyond appearance. Terms like “man boobs” get used casually, but if you’re dealing with them, it can feel embarrassing and hard to ignore. It affects how you dress, how you move, and how comfortable you feel in everyday situations.

Gynecomastia surgery allows me to reshape the chest with precision, creating a flatter, more defined contour that looks natural and fits your body. It improves how you look and how you feel about yourself.

What Is Gynecomastia?

Gynecomastia is the enlargement of male breast tissue, and it can affect one or both sides of the chest. It often develops due to hormonal changes, genetics, weight fluctuations, or certain medications.

This isn’t always a fat issue. Many patients have firm glandular tissue beneath the nipple that won’t respond to exercise, no matter how consistent you are with working out.

When Surgery Becomes the Right Option

I usually see patients after they’ve already put in the work. They’ve improved their diet and fitness but still feel like their chest doesn’t match the rest of their body.

Surgery becomes a practical option when fullness persists, when there’s firm tissue beneath the skin, or when the chest feels out of proportion. Most importantly, it’s about how you feel. If you’re avoiding certain clothing or situations, it’s worth addressing.

A more defined chest isn’t about removing everything; it’s about creating balance and a natural contour that fits your body.

How I Approach Gynecomastia Surgery

Every case is different, so the approach is tailored to your specific situation. Some patients have more fatty tissue, others have dense glandular tissue, and many have a combination of both.

In most cases, I combine liposuction to refine contour with direct removal of glandular tissue. If the skin needs adjustment, I incorporate that into the plan.

The goal isn’t simply to flatten the chest; it’s to create a smooth, natural transition so the result looks balanced and consistent with your body.

Why Precision Matters

This is a procedure where details matter. Leaving glandular tissue behind can limit results, while removing too much can create an unnatural contour.

A natural outcome depends on removing what should be removed while preserving enough structure to maintain a masculine shape. That level of precision comes from careful planning and surgical judgment.

Recovery: Thoughtfully Planned

Recovery is something I plan carefully because it directly impacts how you feel and how you heal.

With my Smart Recovery™ approach, the  focus is on minimizing discomfort, controlling swelling, and getting you moving early without the use of narcotics. Most patients are back to light activity within a few days and gradually return to exercise over the following weeks.

When recovery is planned properly, patients are often surprised by how manageable it feels.

Results That Look Natural

The goal isn’t just a flatter chest; it’s a more defined, masculine contour that looks appropriate for your body.

When done well, the result doesn’t draw attention to itself. It simply looks right, whether you’re in a fitted shirt, at the gym, or on the beach.

For many patients, the change isn’t just physical. It’s a noticeable shift in how they carry themselves and how comfortable they feel day to day.

Taking the Next Step

If you’re considering gynecomastia surgery, the first step is a consultation. As a board-certified plastic surgeon in Chicago, I take a personalized approach to make sure your plan aligns with your anatomy and goals.

Please contact one of my patient coordinators at [email protected], call us at 312.757.4505, or use our  convenient https://driteld.com/contact-us. We’ll help you better understand your options and create a plan that aligns with your goals.

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* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.