Gynecomastia
Conveniently located to serve the areas of Boulder, CO

Gynecomastia is a condition characterized by breast enlargement in men and is primarily treated through liposuction and/or surgical removal. This condition can affect men at any stage in life, with prevalence ranging from 50% to 70% in adolescents and elderly men. (1) Gynecomastia treatment has been growing in popularity over the last several years, with the number of performed treatments growing by 17% by 2022, and another 6% growth in 2023, with over 25,000 performed procedures. (2, 3)
Dr. Nathan Roesner of Aura Advanced Skin Care & Plastic Surgery is a board-certified plastic and reconstructive surgeon dedicated to helping each patient feel comfortable and confident. He has countless years of experience, helping thousands of patients throughout the greater Denver area through the use of advanced surgical techniques, cutting-edge laser technology, and combination therapies.
To schedule your personal consultation, please reach out to our Boulder office by contacting us online or calling (303) 440-7546.
Contents
Before and After Photos
About Gynecomastia
Gynecomastia is a condition that causes male breasts to become enlarged. This condition can be treated in multiple ways depending on the cause. Treatments may include medications, hormone therapy, liposuction, or other surgical procedures. Gynecomastia can be caused by hormonal imbalances between estrogen and testosterone, as well as certain medications, aging, diet, lifestyle, genetics, and more. When gynecomastia is the result of excess fat, it may also be referred to as pseudogynecomastia. (4) This is primarily experienced in overweight patients, but this condition can persist in patients who have already lost a considerable amount of weight. With gynecomastia treatments, Dr. Roesner can help each patient improve their appearance with a flatter, more sculpted chest.
Benefits of Gynecomastia Treatment
There are many benefits to undergoing gynecomastia treatment at Aura Advanced Skin Care & Plastic Surgery. These benefits may include:
- Improved Chest Sculpt: A flatter, more contoured chest can help enhance one’s overall body proportions and physique.
- Enhanced Self-Confidence: Patients often report an improvement in their self-esteem and confidence after undergoing gynecomastia treatment.
- Alleviated Discomfort: Gynecomastia treatment can help alleviate any physical irritation or chafing caused by enlarged breasts. Additionally, this treatment can help reduce feelings of embarrassment or self-consciousness.
- Improved Clothing Fit: Patients can enjoy fitting into clothes without concerns related to the prominence of their breasts.
- Minimal Scarring: Dr. Roesner can use advanced techniques and discreet incision placements for low visibility and ease of hiding.
- Long-Lasting Effects: Specialized gynecomastia treatment results in long-lasting effects, allowing patients to experience their results for years. (5)
Ideal Candidates
Candidates for gynecomastia treatment are typically men experiencing enlarged breasts who have failed to alleviate their condition through exercise, dieting, or medications. Patients who have recently undergone a significant weight change should be near their ideal, maintainable weight and willing to adopt healthy lifestyle habits to preserve the effects of their procedure. All candidates interested in male breast reduction should be in good health with realistic expectations regarding the outcome of the procedure. Dr. Roesner will determine each patient’s candidacy at their personal consultation.
Personal Consultation
Each patient is asked to attend a consultation with Dr. Roesner to plan their gynecomastia procedure. This meeting is not only a chance for our team to get to know each patient on a more personal level, but also to help us find the best way to help them achieve their goals. Dr. Roesner will meet with each patient to discuss the details of the procedure and learn more about their treatment goals, concerns, and ideal outcomes. Patients are encouraged to ask questions openly as we want each patient to feel informed and empowered about their decision.
To schedule your personal consultation, please reach out to our Boulder office by calling (303) 440-7546 or contacting us online.
Preparation
Dr. Roesner may ask patients to undergo a medical evaluation and testing to determine whether they are in good health for their procedure and free of any underlying medical conditions that may impair healing. Patients will also need to avoid certain medications and supplements that contain blood-thinning properties. Patients should pre-arrange transportation home after their procedure and any necessary time away from work or other social commitments. Further instructions will be provided by Dr. Roesner at each patient’s consultation.
Procedure
Each procedure begins with the administration of anesthesia to ensure each patient feels as relaxed and comfortable as possible. Dr. Roesner can treat gynecomastia by performing liposuction or another surgical procedure, depending on each patient’s needs. These treatments may also be combined for enhanced results. (5)
- Liposuction: Liposuction can be used to remove fatty tissue from the male breasts while preserving the surrounding tissue. Dr. Roesner will first inject a tumescent solution into the breast tissue. The solution is composed of epinephrine, lidocaine, and saline to help minimize bleeding, numb the treatment area, and swell the fat cells. He will then use a specialized piece of equipment called a cannula to gently loosen and suction out the fat cells and contour the chest.
- Surgery: This method is primarily used for men with more glandular breast tissue in comparison to fat. Dr. Roesner will begin this method by making an incision on the lower half of the areola. He will then remove the breast tissue underneath the nipple to create a flatter, smoother chest. Once he has achieved the patient’s desired look, he will close the incision.
Gynecomastia treatment is performed on an outpatient basis, meaning each patient will be released home that same day. Each procedure time may vary, but patients can expect treatment to last a few hours.
Recovery
Following their procedure, patients will need to take time away from work and other social commitments to focus on healing. It is common to experience temporary bruising and swelling, but these effects will gradually subside on their own. Any discomfort or pain may be managed through the use of medications under the guidance of Dr. Roesner.
Depending on the nature of their career, patients can often return to work as soon as they feel comfortable, but should avoid physical exercise and other strenuous tasks for several weeks. Walking, however, is encouraged to help reduce swelling and the formation of blood clots. Dr. Roesner may ask patients to attend follow-up visits so that our team can monitor their progress.
He will also provide each patient with a set of personalized instructions with further details regarding their recovery at their consultation. Each patient should ensure they follow every instruction to facilitate a smooth recovery and ideal results.
Results

Patients will be able to see a significant difference following their procedure, but the full results of their gynecomastia treatment will become more apparent as any residual swelling subsides. Patients can experience a flatter, smoother, and more sculpted chest, alongside a more proportionate figure. Any discomfort or irritation from enlarged breasts will be alleviated. The results of gynecomastia treatment are long-lasting; however, it is important to maintain a healthy lifestyle.
Cost of Gynecomastia Treatment in Boulder, Colorado
The cost of each patient’s gynecomastia procedure can depend on several factors as each procedure is customized to address their specific concerns. Dr. Roesner will provide each patient with an all-inclusive quote at the consultation after crafting their personalized procedure.
Aura Advanced Skin Care & Plastic Surgery is also partnered with multiple reputable lending companies to help qualifying customers finance the cost of their procedure.
To unlock the cost of your procedure, please schedule an appointment by contacting us online or calling our office at (303) 440-7546.
FAQ
What causes gynecomastia?
Gynecomastia is primarily caused by an imbalance of hormones, notably the dominance of estrogen over testosterone. Other factors may include genetics, aging, diet, lifestyle, obesity, certain medications, and more.
Can gynecomastia return after my procedure?
While this procedure can help remove excess tissue and fat, underlying hormonal imbalances can potentially lead to a recurrence of gynecomastia. Patients are recommended to maintain a healthy lifestyle to maintain the effects of their procedure.
Will there be any visible scarring after my gynecomastia procedure?
Scar visibility will depend on where the incision is placed, but Dr. Roesner takes great care in discreetly placing incisions and minimizing scarring.
Can my gynecomastia procedure be combined with another?
Yes! Each patient’s gynecomastia procedure can be complemented with another treatment for more comprehensive results. Interested patients are asked to reach out to a member of our team for more information.
References
- Bailey SH, Guenther D, Constantine F, Rohrich RJ. Gynecomastia Management: An Evolution and Refinement in Technique at UT Southwestern Medical Center. Plastic & Reconstructive Surgery Global Open. 2016;4(6):e734-e734. doi:https://doi.org/10.1097/gox.0000000000000675
- American Society of Plastic Surgeons ® Endorsed Partner.; 2023. https://www.plasticsurgery.org/documents/news/statistics/2023/plastic-surgery-statistics-report-2023.pdf
- American Society of Plastic Surgeons. The American Society of Plastic Surgeons ® Procedural Statistics Data Insights Partners: 2022 ASPS Procedural Statistics Release.; 2023. https://www.plasticsurgery.org/documents/News/Statistics/2022/plastic-surgery-statistics-report-2022.pdf
- Barros ACSD de, Sampaio M de CM. Gynecomastia: physiopathology, evaluation and treatment. Sao Paulo Medical Journal. 2012;130(3):187-197. doi:https://doi.org/10.1590/S1516-31802012000300009
- Swerdloff RS, Chiu Ming Ng. Gynecomastia: Etiology, Diagnosis, and Treatment. Nih.gov. Published July 7, 2019. https://www.ncbi.nlm.nih.gov/books/NBK279105/