Understanding Gynecomastia
Gynecomastia is a condition in which male breast tissue becomes enlarged, often due to hormonal imbalances, weight fluctuations, certain medications, or genetics. It can affect one or both sides of the chest and may cause discomfort, self-consciousness, or difficulty wearing certain clothing.
Dr. Iyengar offers precise, effective gynecomastia surgery to restore a flatter, more masculine chest — helping men feel confident and comfortable in their appearance. Gynecomastia surgery—also known as male breast reduction—removes excess tissue and fat to create a flatter, more masculine chest contour.
When should I consider surgery for Gynecomastia?
If you’ve noticed persistent fullness in your chest that doesn’t improve with diet or exercise, or if you avoid certain activities or clothing due to embarrassment, you may be a strong candidate for surgery.
This procedure is often chosen by men who are healthy, close to their ideal weight, and looking for a long-term solution to improve their appearance and confidence.
What are the details of this procedure?
Dr. Iyengar customizes each gynecomastia procedure based on the underlying cause and severity. Treatment may involve:
- Liposuction to remove excess fatty tissue
- Excision to remove glandular breast tissue or correct skin redundancy
In some cases, both techniques are combined to achieve optimal contour. Incisions are small and strategically placed to minimize visibility and support a natural-looking result.
Why choose Dr. Iyengar for this procedure?
As a board-certified plastic surgeon with a reconstructive background, Dr. Iyengar understands both the physical and emotional aspects of gynecomastia. He offers discreet, effective treatment using modern surgical techniques that reduce downtime and produce a well-defined chest.
What does recovery look like?
Most patients return to light activity within a few days and resume full activity within 2–4 weeks. A compression garment is typically worn during recovery to minimize swelling and support healing.
Once swelling subsides, patients enjoy a more contoured chest appearance and often report a significant boost in confidence and comfort in their daily lives.
Check out how our patients looked before and after.
Check out galleryCheck out what our patients have to say.
Aimee S.
There isn't a bad thing I can say about Dr. Iyengar or my experience. I found Dr. Iyengar after I had been to a friend's consultation up in Bellevue. I heard her quote and options, and knew I wanted to be closer to home for my procedure. I got in for my consultation the same week as I had inquired about my procedure. Dr. Iyengar won me over with the fact that we both grew up in Puyallup, we share a love for Olive Garden breadsticks, he is friendly, knowledgeable, has an incredible bedside manner, taking time to answer questions and get to know your needs, professional, and funny. From consultation to 3 weeks post op, and everything in between has been an experience that I would recommend to family and friends, and have recommend to anyone that asks. If you're going back and forth, do yourself a favor and stop looking. Dr. Iyengar is your guy!! My BFF and I are proof that this guy is THE. BEST.
Lawrence W.
I was having trouble getting a grip on some hand tools, and at a restaurant that used round table ware rather than flat and edged utensils I notice I couldn't seem to hold them from rolling. My primary physician referred me to Dr. Iyengar. Probably one of the better 20 mile appointments I've had.Dupuytren's contracture, is the culprit the good doctor diagnosed and showed how it prevents my hand from lying flat on a table top because the little, and ring finger were closing on the palm. I mentioned that the middle finger of that hand also locked often with some pain associated with the nuisance. "We can take care of these two procedures today if you'd like" he offered and it made sense if he was willing, I'd travelled 20 miles for the diagnosis, getting the cure at the same time was more than just good sense.
In less than an hour, a pain free hour, the troublesome contracting cord had been freed up and a needle shot of a drug, perhaps cortisone, though I've forgotten, and I was on my way to the physical therapist to learn what I could do following up on the minimal surgery.
From the time I entered the office until I left was a pleasant and friendly exchange of information and personal stories. I didn't wait long, so short I could not get through reading the diplomas and advanced training and education certificates hanging on the walls that Dr. Iyengar has garnered from his studies and surgical skills.
The good doctor keeps a friendly atmosphere for staff and patients, for me 20 miles no longer seemed inconvenient. I'll see him for the followup and look forward to that. You'll be in good hands with Dr. Iyengar and staff.
Lisa R.
I have lived my entire adult life self conscious of my neck sagging and double chin. Dr. Iyengar took such good care and gave me a tight neck and for once in my life I have a jawline! I had a neck and lower face lift with lipo in my chin.
Liza C.
From my very first consultation, I was blown away by the level of care and professionalism at this practice. Every single team member, from the front desk to the medical coordinators and assistants, was friendly, attentive, and truly made me feel at ease. The customer service is top-notch!
Dr. Iyengar is exceptional. His experience, skill, and depth of knowledge shine through in every interaction. His bedside manner is warm and reassuring, and he takes the time to truly listen to your goals without ever being pushy. He’s incredibly responsive and makes you feel confident and cared for from day one. Honestly, his fresh perspective combined with his expertise is a major positive!
The aftercare has also been outstanding! Thorough, diligent, and consistently supportive. I’ve felt cared for every step of the way.
My entire experience has been nothing short of excellent. I’d highly recommend this practice to anyone looking for a team that’s professional, compassionate, and truly invested in your care. They set the bar high!
Jenny M.
I’m incredibly grateful that I was referred to Dr. Iyengar for my breast reconstruction surgery. From the very first consultation, he has been an absolute blessing throughout the entire process. His kindness, super friendliness (a rare trait), helpfulness, caring nature, and outstanding service are truly remarkable. Additionally, his extensive knowledge and confident responses to my questions, along with his ability to treat me with personable care, make him an exceptional surgeon.
Quality care in all realms of plastic and reconstructive surgery.
We see our patients as individuals, not just cases on the schedule. Dr. Iyengar makes every effort to get to know his patients personally and thoroughly understand their goals. This personalized approach ensures that every patient receives the highest quality care and achieves the results of their dreams! Dr. Iyengar executes every procedure with precision, integrity and utmost care.
Request a consultationGot questions about gynecomastia procedures?
Is gynecomastia caused by being overweight?
Can exercise get rid of gynecomastia?
Will there be visible scars?
Is this surgery only for cosmetic reasons?
Are the results permanent?
