Expert Male Chest Contouring at Plastic Surgical Associates

At Plastic Surgical Associates in Fort Collins, gynecomastia treatment is performed with precision and discretion. Board-certified plastic surgeon Dr. Diane Duncan and her skilled team specialize in creating natural, masculine results through minimally invasive body contouring. Using advanced techniques and 3D imaging, they design customized plans that restore confidence and symmetry for men from Fort Collins, Denver, and beyond.

What Is Gynecomastia?

Gynecomastia refers to the benign enlargement of male breast tissue. While some breast tissue is normal (typically 2–5 grams behind each nipple), gynecomastia is characterized by more than 2 cm of palpable glandular tissue. Hormonal imbalances, medications, certain health conditions, or genetic factors can contribute to its development. It’s a common concern that can affect the following:

  • Newborns: 60–90%, due to maternal hormones

  • Adolescents: 50–70%, often resolving within 1–2 years

  • Adult men: 30–50% overall

  • Men over 50: Up to 65%, due to age-related hormonal changes

Gynecomastia surgery can address:

  • Excess glandular or fatty breast tissue

  • Puffy or protruding nipples

  • Uneven or asymmetrical chest contour

  • Skin laxity following weight loss

  • Persistent fullness unresponsive to diet or exercise

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Why Choose Plastic Surgical Associates for Gynecomastia Treatment?

Advanced Surgical and Minimally Invasive Options

Dr. Duncan offers both traditional and radiofrequency-assisted liposuction (RFAL) to remove fat while tightening skin. For patients with glandular enlargement, precise glandular resection is performed to achieve a smooth, natural chest contour.

3D Imaging for Precision Planning

During your consultation for male breast reduction in Denver & Fort Collins, we capture detailed 3D images of your chest to evaluate symmetry, tissue composition, and volume. This allows us to model potential outcomes and align your expectations with achievable results.

Customized Outcomes for Natural Masculine Definition

Some patients prefer a completely flat chest; others want a subtle contour. Dr. Duncan tailors every result to your individual taste, ensuring a balanced, natural appearance that fits your frame.

Comprehensive and Compassionate Care

From your first visit through recovery, our experienced nurses and surgical team ensure your experience is private, respectful, and comfortable. We take pride in restoring not only your chest contour but also your confidence.

Gynecomastia Real Patient Story

This 22-year-old lost almost 100 pounds over a year. He became frustrated by the lack of response to diet and exercise; his “man boobs” made him very self-conscious. He hoped for an improvement so he not feel awkward when he was not wearing a shirt.

Left: 22-year-old after massive weight loss.

Right: Patient six weeks following radio frequency-assisted liposuction to the male chest.

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man running shirtless

The Benefits of Gynecomastia Surgery

  • Flatter, firmer, more masculine chest appearance

  • Improved self-confidence and body image

  • Minimal scarring with small, hidden access points

  • Long-lasting results

  • Correction of asymmetry or nipple protrusion

  • Can be performed under light general anesthesia

  • Enhanced comfort in clothing and physical activities

Am I a Good Candidate for Gynecomastia Treatment?

Men aged 20 or older who experience persistent breast fullness or discomfort are often good candidates.

Weight loss alone won’t correct true glandular enlargement. During your consultation, Dr. Duncan will evaluate your chest structure, medical history, and goals to recommend the ideal approach.

If significant glandular tissue (>2–5 grams) is present, surgical excision is often necessary for the best results. If you have a family history of breast cancer, tissue can be sent for pathology.

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What to Expect During Gynecomastia Surgery

Your visit begins with 3D imaging and a detailed exam to determine the balance of fat and glandular tissue. The procedure typically follows these steps:

  1. Local or light general anesthesia is administered.

  2. Small incisions (usually two to three) are made: one lateral and one at the areola’s base.

  3. Radiofrequency-assisted liposuction removes excess fat and tightens the skin.

  4. Glandular tissue is excised if necessary.

  5. The area is smoothed and shaped for symmetry and a natural contour.

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Recovery and Results

Patients should arrive an hour before surgery. You’ll wear a compression vest 24 hours a day for one week, then at night for six more weeks. Mild swelling and bruising may occur but typically resolve within two weeks. Avoid heavy lifting or overhead exercise for six weeks. Most patients return to work within a few days, noticing an improved contour almost immediately. Final results are refined over several months as tissues settle.

Gynecomastia Techniques

The procedure is customized based on tissue composition:

  • Fat-Predominant: Treated effectively with liposuction or RFAL.
  • Glandular-Predominant: Requires surgical excision of firm breast tissue.
  • Mixed-Type: Combines techniques for optimal reduction and contour.

Complementary Procedures

  • RFAL Chest Tightening: A minimally invasive procedure for addressing skin laxity.
  • Liposuction: Ideal for refining chest, abdomen, or flank contours.
  • Body Contouring After Weight Loss: Addresses excess skin and asymmetry.
  • Abdominal Contouring: Enhances overall upper body balance.

Gynecomastia Frequently Asked Questions

Is gynecomastia dangerous?


Most cases are benign, but sudden or asymmetrical breast growth should be evaluated to rule out underlying conditions.

Can exercise or weight loss correct gynecomastia?


No. While fat may decrease with exercise, glandular tissue often remains and requires surgical removal to achieve a flat contour.

Are the scars visible?


Scars are small and strategically placed, usually along the areola’s edge and in natural skin folds, making them nearly invisible over time.

Can gynecomastia return after surgery?


Recurrence is rare but possible if new hormonal changes or weight fluctuations occur.

Is there a link to male breast cancer?


Yes, although the risk remains low, at approximately 1 in 833. Men with BRCA1 or BRCA2 mutations or multiple female relatives with breast cancer have a higher risk.

How much tissue is removed?


The goal is to remove excess fat and gland while maintaining smooth, natural skin; similar to a breast reduction for women, but customized for the male chest.

Take the First Step Toward Confidence

A more masculine chest is possible with precision care and advanced techniques. Schedule your consultation at Plastic Surgical Associates to learn how gynecomastia treatment can help you look and feel your best.

Common Questions About Gynecomastia

As I have gotten older, I’ve developed male breasts that I never used to have. The skin hangs down a bit. I’m worried that if the fat is removed, then I’ll have even more loose skin.

Left: 62-year-old with pendulous male breasts.

Right: 6 weeks following RF-assisted liposuction and scarless lift with Dr. Duncan.

Dr. Duncan uses radiofrequency devices to tighten the soft tissue and skin without needing to cut skin out. Not only is the contour flat, but loose skin is lifted and tightened.

I’ve seen that this is a technique that Dr. Duncan has pioneered, but I don’t really understand how it works.

As we age, the collagen connections between fat cell, the skin, and underlying fascia loosen and attenuate. The tissue goes from firm to floppy, and hangs down. The radiofrequency devices target these collagen fibers within the fat. As the subcutaneous tissue draws together, the overlying skin follows.

I’ve seen a plastic surgeon that told me I need to have actual breast tissue cut out; he says liposuction won’t remove it.

Left: 26 year old with true gynecomastia.

Right: 6 weeks following RFAL by Dr. Duncan.

There was no need for an additional incision; fibrous tissue was able to be removed following RF ablation with a liposuction cannula.

I want to have this done but I don’t want a lot of recovery time or telltale scars.

Left: 44 year old before treatment.

Right: Patient 48 hours postop, before returning to work.

Our newest technology is a device called J-Plasma. This is used in conjunction with liposuction. There is minimal bruising and swelling. Patients can return to work in 2 days wearing a compression garment.

Schedule a Consultation

Start your journey with personalized guidance, expert insights, and a clear plan tailored to your goals for natural, confident, long-lasting results.

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