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10 Things to Know Before Getting Gynecomastia Surgery in Maryland

Doctor examining male patient for gynecomastia surgery in Salisbury and Berlin, MD

If you’ve been living with enlarged male breasts, you’re not alone—and you’re not without options. Gynecomastia affects a significant number of men, from adolescents to older adults, often leading to discomfort, self-consciousness, and difficulty feeling confident in fitted clothes or shirtless situations. While diet and exercise help in some cases, excess glandular tissue or stubborn fat may require a more direct approach.

That’s where gynecomastia surgery comes in. Whether you’re exploring male breast reduction in Salisbury or Berlin, MD, understanding what’s involved can help you make an informed decision. At Peninsula Plastic Surgery, the experienced team of board-certified plastic surgeons specializes in creating flatter, more masculine chest contours that align with your goals.

Before You Commit: Here’s What You Should Know

Let’s walk through the 10 most important things to know before getting gynecomastia surgery in Maryland, so you can feel informed, confident, and prepared every step of the way.

1. Gynecomastia Is More Common Than You Think

Many people assume gynecomastia is rare, but that’s not the case. Studies show that 30–60% of men will experience it at some point in their lives.

The causes of gynecomastia can include hormonal shifts, genetics, weight fluctuations, or certain medications. Understanding how common it is—and what leads to it—can help reduce the stigma and encourage more men to explore treatment options.

2. It’s Not Just Fat—True Gynecomastia Involves Glandular Tissue

Not all cases of enlarged male breasts are caused by fat alone. True gynecomastia includes firm, glandular tissue that doesn’t shrink with exercise or diet.

This is why liposuction alone may not be enough to correct the issue. A surgical treatment for gynecomastia, which involves removing the glandular tissue, is often necessary to achieve a long-lasting, natural-looking result.

3. The Procedure Is Customized to Your Needs

Gynecomastia surgery isn’t a one-size-fits-all operation. Your surgeon will choose the appropriate method—liposuction, tissue excision, or both—based on your anatomy.

If there’s excess skin, it may also be removed for a smoother result. Regardless of the technique, the aim is always to achieve a flat, contoured, masculine chest.

4. Choose a Board-Certified Plastic Surgeon

Selecting a qualified provider is a key part of achieving safe, satisfying results. At Peninsula Plastic Surgery, Dr. Perrotta, Dr. Luppens, and Dr. Kerestes bring specialized experience in plastic surgery for men.

Each board-certified plastic surgeon on the team has received extensive training and follows the most rigorous care protocols. When you trust a certified expert, you set yourself up for better outcomes and reduced risks.

5. You’ll Have a Thorough Consultation and Pre-Op Plan

Before surgery, you’ll meet with your surgeon for a detailed consultation. This includes a physical exam, a review of your medical history, and a conversation about your goals.

As part of understanding how to prepare for gynecomastia surgery, you’ll receive a personalized quote and an explanation of the surgical approach recommended for your case. A pre-op appointment follows, where photos are taken, consent forms are signed, and all final details are confirmed before your procedure.

6. Understanding What Happens on Surgery Day

Your gynecomastia surgery will be customized based on the extent of tissue removal needed and your overall anatomy. The surgery can involve liposuction, direct excision of glandular tissue, or a blend of these approaches.

For your comfort and safety, your surgeon will choose between local anesthesia with IV sedation or general anesthesia, depending on the procedure’s complexity. Most surgeries take between one to two hours and are performed using small, carefully placed incisions to help reduce visible scarring.

7. Recovery Is Usually Straightforward

Most patients find the recovery after gynecomastia surgery easy to manage. Swelling, soreness, and bruising are common but usually begin to subside within just a few days.

Many people return to work or daily tasks within one to two weeks. Pain is generally mild and can be controlled with prescribed or over-the-counter medication.

8. Scars Fade Over Time

Like any surgical procedure, gynecomastia surgery does involve some scarring. However, incisions are small and usually placed in hidden or discreet areas.

With proper healing, most scars fade significantly over 6 to 12 months. Your surgeon will also provide aftercare tips to help improve scar appearance.

9. Results Are Often Permanent

Once the glandular tissue is removed, the results are typically long-lasting. Unless there are future hormonal changes or major weight gain, the chest contour should remain stable.

This makes male chest contouring a reliable and lasting solution. Patients often report improved confidence and body image after recovery.

10. You’ll Know What to Expect After Gynecomastia Surgery

Before heading home, you’ll be given clear instructions on what to expect after gynecomastia surgery and how to care for your chest during recovery. This includes guidance on wearing your compression garment, managing mild discomfort, and watching for any unusual symptoms or complications.

These steps are essential for supporting proper healing and maximizing your results. Regular follow-up appointments with your surgeon will help track progress and address any concerns along the way.

Why Consider Male Breast Reduction?

Choosing gynecomastia surgery isn’t just about physical change—it’s often about restoring confidence and reclaiming comfort in your own skin. Benefits include:

  • A flatter, firmer, and more masculine chest appearance
  • Increased confidence when shirtless or wearing fitted clothing
  • Relief from discomfort caused by excess tissue or skin
  • Improved body symmetry and posture
  • Long-term improvement without constant maintenance

For many men, this procedure represents a turning point—both emotionally and physically.

Who Is a Good Candidate for Gynecomastia Surgery?

Ideal candidates for gynecomastia treatment include:

  • Healthy men and teens with enlarged male breasts due to glandular or fatty tissue
  • Individuals who haven’t had success with exercise or weight loss alone
  • Those seeking male breast reduction in Salisbury or Berlin, MD for long-term results
  • People with stable weight and realistic expectations
  • Non-smokers or those willing to quit during recovery

If you’re feeling unsure, rest assured that your surgeon will provide a personalized assessment to help you determine whether this option aligns with your health and goals. For more guidance or to schedule a consultation, contact us at Peninsula Plastic Surgery today.

Take the First Step Toward Confidence

If you’ve been dealing with gynecomastia and are ready to feel more confident, male breast reduction in Salisbury and Berlin, MD offers a safe and effective solution. The experienced team at Peninsula Plastic Surgery is here to support you through every step—from exploring your options to achieving the results you deserve.

Ready for a flatter, more masculine chest? Call today. Our team is here to answer your questions and help you take the first step toward lasting confidence and comfort.

In downtown Salisbury, Maryland, conveniently located 2 hours outside of Baltimore & Philadelphia is the main office of Peninsula Plastic Surgery, a truly comprehensive plastic surgery center.

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This form should not be used in the event of an emergency, please call 410-546-0464 for the physician on call or dial 911. 

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