Gynecomastia Surgery in Seattle, WA
Gynecomastia, or enlarged male breast tissue, is a common condition among men. However, for many, it’s a source of frustration and self-consciousness. This condition can affect men of all ages and body types. Even with regular exercise and a healthy lifestyle, it can be impossible to reduce this tissue through the strictest diet and most rigorous workouts alone.
As a board-certified plastic surgeon with advanced training in reconstructive and aesthetic surgery, Dr. Alexander Gougoutas offers gynecomastia surgery in Seattle, WA. With his experience and skill, he helps men achieve natural-looking results that complement their physique and embolden their confidence.
Get In TouchSee Results From Actual Patients: Gynecomastia Surgery Before & After Pictures


This 18 year-old patient had correction of severe gynecomastia with skin tightening and free nipple grafting.


This patient from Renton, WA had correction of mild left-sided gynecomastia with combination of liposuction and direct excision of breast tissue. Post-operative photos taken at ~ 3 months.
What Our Patients Have to Say: Gynecomastia Surgery Testimonials
“I have great respect for Dr. Alexander Gougoutas not only as a surgeon but also as a human being. He is very skilled at both the technical and artistic aspects of plastic surgery. He presents as calm, steady, intelligent, compassionate and creative.”
Gynecomastia Surgery Cost in Seattle
The cost of gynecomastia surgery in Seattle varies depending on factors, including the complexity of your procedure, the amount of tissue being removed, the surgical techniques used (excision, liposuction, or both), and the surgeon’s expertise.
Dr. Gougoutas performs fully customized male breast reductions using advanced techniques with consistently excellent outcomes. The estimated price range for gynecomastia surgery at his practice is between $6,500 and $13,750, although this can vary depending on individual needs.
During your consultation, Dr. Gougoutas will create a personalized surgical plan and provide you with pricing details.

Why Choose Dr. Alexander Gougoutas for Your Gynecomastia Surgery in Seattle?
Dr. Alexander Gougoutas is a board-certified plastic and reconstructive surgeon and has extensive experience in aesthetic and reconstructive breast and chest surgeries.
With a background in microsurgery and cancer reconstruction, Dr. Gougoutas possesses a superior understanding of human breast anatomy and how to improve its contours while maintaining function and improving form.
Dr. Gougoutas believes that open communication and patient education are essential for good outcomes and an exceptional experience. He takes the time necessary to understand your goals and clearly explain your options so you can make informed decisions about your treatment. Part of his care model is helping you feel confident and supported throughout your entire surgical journey. His reputation for both innovative and compassionate care has made Dr. Gougoutas one of Seattle’s most trusted providers for men seeking gynecomastia surgery.
Book Your Gynecomastia Consultation Today
Restore a more defined, masculine chest contour and experience renewed confidence. Contact the office of Dr. Alexander Gougoutas at (206) 320-6138 or complete our online contact form to schedule a consultation today.
What Is Gynecomastia Surgery?
Gynecomastia surgery, also known as male breast reduction, is a procedure designed to remove excess glandular tissue, fat, and sometimes skin from the chest to create a flatter chest contour.
Gynecomastia has many possible causes, including normal hormonal fluctuations. In fact, most males experience temporary gynecomastia during infancy, adolescence, and older age due to maternal hormones, pubescent hormones, and declining testosterone, respectively. Other causes include genetics, certain medications, long-term cannabis usage, weight gain, or, rarely, medical conditions. By far, however, most cases of gynecomastia are idiopathic, which means there is no clear cause.
Because there are so many potential causes of gynecomastia, a complete medical history and physical exam are critical. A full laboratory work-up is recommended to rule out all possible causes.
Gynecomastia should be distinguished from Pseudo-gynecomastia, which is when overdeveloped male breasts are not caused by glandular tissue, but by excess fatty tissue. In either case, when excess tissue persists, surgery may be the most effective solution.
The goal of gynecomastia surgery is to restore a more masculine appearance by removing excess tissue and reshaping the chest contours. Depending on the patient’s anatomy, this may involve liposuction, surgical excision, or a combination of both techniques.
For many men, the procedure can dramatically improve confidence and comfort in clothing, at the gym, and in social scenarios.

Benefits of Gynecomastia Surgery
Benefits of gynecomastia surgery may include:
- A flatter, more masculine chest contour
- Improved chest definition and symmetry
- Removal of glandular tissue that cannot be reduced through diet and exercise
- Greater confidence when wearing fitted clothing or going shirtless
- Improved body proportions
- Enhanced comfort during physical activity
- Long-lasting results
- Possible reduction in pain or discomfort
For many patients, the psychological benefits of gynecomastia surgery can be just as meaningful as the physical improvements.
Am I a Good Candidate for Gynecomastia Surgery?
You may be a good candidate for gynecomastia surgery if you:
- Are in good overall health
- Are at a stable body weight
- Have persistent enlargement of breast tissue that does not respond to exercise or diet
- Feel self-conscious about your chest’s appearance
- Do not smoke or are willing to stop before surgery
- Have realistic expectations about what surgery can achieve
- Have had all treatable causes of gynecomastia ruled-out
To determine if you’re a good candidate for gynecomastia surgery, schedule a consultation with Dr. Gougoutas today by calling (206) 320-6138.
How Is Gynecomastia Surgery Performed?
Gynecomastia surgery is an outpatient procedure, performed under deep IV sedation.
There are a few common surgical approaches to gynecomastia. Most procedures involve either surgical excision, liposuction, or a combination of both. During your consultation, Dr. Gougoutas will discuss which method is most appropriate for your unique case.
Liposuction
For patients whose gynecomastia is primarily caused by excess fatty tissue, liposuction can be used to remove fat and sculpt the chest.
During liposuction, Dr. Gougoutas makes small incisions and inserts a thin tube called a cannula. This instrument gently breaks up and suctions out excess fat. Dr. Gougoutas deftly maneuvers the cannula to shape a natural-looking chest contour.
Liposuction has several advantages, including minimal scarring and a relatively quick recovery period. For younger patients with excellent skin elasticity, liposuction alone can smooth and flatten the chest. However, liposuction on its own may not be sufficient if significant glandular tissue or excess skin is present.
Excision
When dense glandular tissue or excess skin is present, surgical excision is usually necessary.
This technique allows Dr. Gougoutas to directly remove firm, overdeveloped glandular tissue within the breast. During this procedure, the nipple-areola complex can also be repositioned or reshaped if needed, and excess skin can be removed for a flat, taut chest aesthetic.
In many cases, a combination of liposuction and excision provides the most comprehensive, natural-looking result.
How to Prepare for Gynecomastia Surgery
Dr. Gougoutas will provide detailed instructions prior to your procedure. These may include:
- Stop smoking. Nicotine interferes with proper blood flow and can significantly impair healing and increase the risk of complications, such as tissue necrosis, infection, and blood clots. You’ll need to quit at least three weeks before and for three weeks after surgery.
- Avoid certain medications or supplements that increase bleeding risk.
- Arrange for someone to drive you home after surgery. It’s also a good idea to have someone around to help with meal preparation, medication schedules, errands, and other tasks for at least the first few days following surgery.
- Prepare a comfortable recovery area at home. Have healthy snacks, water, comfortable clothes, pillows, and books or movies close at hand in your recovery area.
- Plan time away from work and strenuous activities.
Gynecomastia Surgery Recovery & Aftercare
After surgery, you’ll be monitored in a patient recovery area until you are ready for discharge. Dr. Gougoutas and his team will provide you with detailed post-operative instructions. Please follow these instructions carefully to ensure optimal recovery and minimize the risk of complications. It’s also essential to attend all follow-up appointments so Dr. Gougoutas can monitor your progress.
You will need to wear a compression garment for several weeks. This garment supports the healing tissues, reduces swelling, and helps to encourage smooth chest contours free of irregularities.
Most patients can return to desk-based work within about one week, though this varies based on the extent of surgery and the patient’s comfort level. Short walks around the house are encouraged to promote circulation.
Strenuous activity, heavy lifting, and upper-body exercise are prohibited for several weeks until Dr. Gougoutas confirms it is safe to return to normal activities.
What Results Can I Expect From Gynecomastia Surgery?
Initially, results may be obscured by bruising and swelling. As these resolve over the following weeks and months, your results will become more apparent. As tissues heal and settle, the chest will appear flatter, firmer, and more sculpted.
Most patients find that their results allow them to feel more comfortable in clothing, while playing sports and performing other physical activities, and in other situations where they previously felt self-conscious.
Gynecomastia surgery results are typically long lasting. Maintaining a stable weight and a healthy lifestyle are important to preserve your results long term.
Is gynecomastia surgery permanent?
The results of gynecomastia surgery are typically long lasting because the excess glandular tissue that causes the condition is removed. However, in rare cases, significant weight gain, certain medications, or hormonal changes may affect the appearance of the chest or lead to recurrence.
Can gynecomastia return after surgery?
Recurrence is very uncommon once glandular tissue has been removed, especially when patients maintain a stable weight and a healthy lifestyle. If you are concerned about gynecomastia recurrence, don’t hesitate to bring this up during your consultation with Dr. Gougoutas.
Will gynecomastia surgery leave scars?
All surgical procedures involve some degree of scarring. However, incisions for gynecomastia surgery are usually small and carefully placed to minimize visibility. Over time and with proper scar care, these scars tend to fade significantly. Silicone gels and strips improve the appearance of scars in the early stages of healing, and proper sun protection can help prevent them from darkening.
When can I return to exercise?
You can usually resume light activity after around two weeks, but strenuous exercise and heavy upper-body workouts should be avoided until cleared by Dr. Gougoutas.
Will exercise get rid of gynecomastia?
No. Exercising the pectoral muscles won’t affect the glandular tissue. In fact, it may make it more noticeable. In the case of excess fatty tissue, spot reduction is typically unlikely with exercise. Sometimes, even reducing overall body fat doesn’t resolve pseudogynecomastia.
What causes gynecomastia?
Common causes of overdeveloped breast tissue in males include hormonal shifts during puberty or aging, certain medications, excessive alcohol, or drug use (e.g., marijuana, anabolic steroids).
Will I have a surgical drain after my gynecomastia surgery?
Most likely, yes. Removal of the excess breast tissue seen in gynecomastia, particularly when combined with liposuction, can produce a lot of inflammatory fluid. The surgical drain removes this fluid, allowing for quicker healing of the surgical site. The surgical drain will typically remain in place for three to five days and is removed in the clinic.
Book Your Gynecomastia Consultation Today
If you are ready to achieve a flatter, more masculine chest contour, gynecomastia surgery may be the solution. Dr. Alexander Gougoutas is a board-certified plastic surgeon with extensive training in reconstructive and aesthetic body contouring procedures. He has helped hundreds of men restore their chests and their confidence.
To schedule your private consultation, call (206) 320-6138 or complete our online contact form today.