Male Breast Reduction

The appearance of “man boobs” can be embarrassing for men of any age, and particularly has a negative psychological impact on teenage boys. Whether due to genetics, weight gain or hormone fluctuation, male breast development (gynecomastia) is an extremely common condition among men that can occur at virtually any phase of life. Male breast reduction can restore more streamlined, masculine lines to the chest again so you never have to dread taking your shirt off.

Recognized as a male breast reduction specialist and one of the top cosmetic surgeons in the Mobile-Pensacola metro area, Dr. James Koehler is a board certified cosmetic surgeon serving patients from Gulfport to Gulf Shores and beyond. In addition to gynecomastia surgery, Dr. Koehler offers a wide range of cosmetic surgery procedures for both men and women, and is known for his caring commitment to a patient-first approach.

Contact us online or call our Fairhope, Alabama practice at 251-929-7850 to schedule your male breast reduction consultation today.

Are You a Candidate?

If you feel self-conscious about having “man boobs,” have noticed an overall softening throughout the chest area or simply want to achieve a more muscular look through your torso, you may be a candidate for gynecomastia surgery. The ideal candidates should also be at or near their target weight and enjoy good general physical and mental health overall. It’s also important to have realistic expectations about your results.

About Male Breast Reduction

The male chest is associated with a firm, muscular profile, so any appearance of softness that disguises these lines can be detrimental to your self-image. There are really two concerns that fall under the umbrella term of gynecomastia:

  • True gynecomastia is the abnormal development of glandular breast tissue, and may appear in one or both sides of the chest. Although most often associated with hormone fluctuations such as those seen in newborns or during adolescence, gynecomastia can develop at any age due to genetics, steroid use and other factors.
  • Pseudogynecomastia is the growth of fatty tissue throughout the chest, and is commonly seen in men who are overweight. While the “man boob” look may, to the outside observer, seem like exactly the same issue, the problem is related to excess fat storage than actual breast tissue.

In either case, gynecomastia surgery can remove excess skin and tissue throughout the chest to reveal firm musculature and strong lines again.

Please visit our Real Patient Photo Gallery to see before and after pictures of real men just like you after undergoing male breast reduction.

Gynecomastia Surgery Costs

At our practice, the cost of male breast reduction ranges from $3,000 to $6,000, although this amount may vary depending on your specific goals and whether additional procedures are performed at the same time. In all but the most extreme cases, male breast reduction is generally considered an elective cosmetic procedure, so gynecomastia surgery is rarely covered by health insurance providers. Dr. Koehler and his staff are happy to answer any questions you may have about cosmetic surgery pricing and help you fully understand the costs associated with your gynecomastia surgery.

Meet Dr. Koehler

Educated at the University of Alabama and in practice for over 15 years, Dr. Koehler is a board-certified cosmetic surgeon who is devoted to providing exceptional results.

Meet Dr. Koehler

What to Expect

The first step in resolving gynecomastia is scheduling a consultation with Dr. Koehler. During this time, you can explain your goals for gynecomastia surgery, and Dr. Koehler can conduct a physical evaluation in order to ensure your candidacy.

Depending on the nature of your gynecomastia, Dr. Koehler may use one of two approaches during surgery:

  • If glandular breast tissue is present, surgical excision is necessary. Typically, this begins with a small incision that follows the curve of the areola (the pigmented area around the nipple), through which Dr. Koehler can remove the breast tissue. Any excess skin is also removed for a smooth, firm look.
  • In men with fatty chest deposits rather than glandular breast tissue, liposuction alone may be sufficient to accomplish a significant amount of breast reduction. Liposuction can also be included with surgical excision to further refine chest contours.

Dr. Koehler will discuss both of these options at your consultation, as well as give you a recommendation about which approach he feels will work best for you. Gynecomastia surgery can also be combined with other cosmetic procedures at the same time, such as including male breast reduction as part of post-weight loss body contouring.

Risks and Complications

Male breast reduction is generally considered a low-risk procedure. However, because any surgery carries a chance of complications, Dr. Koehler will go over all the risks and benefits with you before your procedure so you’re fully informed about what to expect. Possible side effects include a negative reaction to anesthesia, unfavorable scarring or irregular contours, although these concerns are rare.

Your New Look

Male breast reduction offers the advantage of almost immediate gratification, as you should notice a difference in your appearance right away after your surgery. Dr. Koehler will ask you to wear a compression vest for the first several days, followed by a compression undershirt for 3 to 4 weeks.

Most men are able to resume their normal routines within 1 to 2 weeks, and other physical activity in 4 to 6 weeks. Results can be long-term as long as your current weight is maintained, although the aging process may impact the appearance of your chest along with the rest of your body as time passes. In addition to the physical changes, men often notice a significant improvement in their self-confidence following gynecomastia surgery.

Dr. Koehler has the right combination of surgical skill and focus on patient care to help you feel and look your best. Please don’t hesitate to contact us online and schedule your gynecomastia surgery consultation today, or call us at 251-929-7850.


Male Breast Reduction for Gynecomastia
Service Type
Male Breast Reduction for Gynecomastia
Provider Name
Dr. James Koehler,
7541 Cipriano Ct.,Fairhope,Alabama-36532,
Telephone No.(251) 929-4051
Board certified cosmetic surgeon Dr. James Koehler explains how gynecomastia surgery, also known as male breast reduction, can eliminate man boobs.