Gynecomastia Surgery in Vancouver, BC

Restore Confidence with a Masculine Contour

Gynecomastia surgery at 8 West Clinic is designed to permanently remove excess chest tissue and sculpt a flatter, more masculine chest contour. Whether caused by hormones, genetics, weight fluctuations, or medication, gynecomastia (enlargement of a man's breast tissue and/or fat) can affect men of all ages — often impacting confidence and comfort in clothing or physical activity. Our board-certified plastic surgeon specializes in advanced, scar-minimizing techniques tailored to your anatomy and goals, ensuring natural, athletic-looking results with minimal downtime and lasting confidence.

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Introduction to Gynecomastia

Gynecomastia is a common condition where excess glandular breast tissue, fat, or both develop in the male chest, creating a fuller or more feminine appearance. This can occur at any age and often persists despite dedicated fitness efforts, making it resistant to diet and exercise alone.

At 8 West Clinic, gynecomastia correction is customized based on whether the underlying cause is glandular tissue, excess fat (lipomastia), or a combination of both. Our surgeons assess skin quality, chest structure, and degree of tissue excess to determine the least invasive yet most effective approach. From precision liposuction to direct gland excision or full chest contouring with nipple reshaping.

Our medical team is highly trained in male chest aesthetics and cutting-edge surgical technology. We prioritize discreet scarring, natural masculine definition, and a smooth, supported recovery journey with comprehensive aftercare guidance from start to finish.



Click below to learn more about Gynecomastia.

Meet Dr. Masschelein

Dr. Geoff Masschelein, MD, FRCSC, is a board-certified Plastic and Reconstructive Surgeon at 8 West Clinic, specializing in breast and body aesthetics with a focus on chest contouring and gender-affirming top surgery. Trained at Western University’s Schulich School of Medicine and Dentistry, Dr. Masschelein combines advanced surgical expertise with an empathetic, patient-centred approach to deliver natural, balanced results that enhance both form and confidence.

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Benefits of Gynecomastia Surgery

Gynecomastia surgery offers long-term physical and psychological benefits, not only reshaping the chest for a lean, masculine contour but also restoring confidence in clothing, activities, and self-image. Results are permanent when paired with a stable lifestyle, and most patients return to daily life within days.

Key Benefits:

  • Flatter, firmer, more masculine chest shape
  • Permanent removal of excess glandular tissue and/or fat
  • Confidence wearing fitted shirts, swimwear, or going shirtless
  • More definition of the pectoral region
  • Minimal scarring with advanced surgical techniques
  • Improved comfort during workouts and daily movement
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SuRgery Techniques

Types of Gynecomastia Surgery

Treatment options are selected based on whether fat, glandular tissue, or both are present. Our surgeons choose the least invasive and most anatomically precise technique for optimal definition and minimal scarring.

Peri-Areolar Excision
Ideal for moderate glandular gynecomastia, this technique involves a small, hidden incision along the edge of the areola to remove firm breast tissue directly. It achieves a natural flattening while keeping the incision nearly invisible.
Double Incision Chest Excision with Nipple Grafting
Recommended for severe gynecomastia or cases requiring excess skin removal. This involves a full chest reshaping, including repositioning or grafting of the nipple-areola complex for a defined, masculine chest contour.
Liposuction for Lipomastia
Used when excess fat, not glandular tissue is the cause. Microcannula liposuction sculpts and contours the chest through tiny incisions, suitable for patients with good skin elasticity and minimal gland content.
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Frequently Asked Questions

What is gynecomastia surgery?
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Gynecomastia surgery is a procedure that removes excess glandular breast tissue, fat, or both to create a flatter, more masculine chest contour. It is not weight-loss surgery, it specifically targets true male breast enlargement that cannot be fixed through exercise alone.

Am I a good candidate for gynecomastia surgery?
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You may be an ideal candidate if you have persistent chest fullness despite healthy weight, stable hormones, and an active lifestyle. Candidates should be in good health, non-smokers (or willing to temporarily stop), and seeking a permanent, confidence-restoring solution.

What causes gynecomastia?
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Gynecomastia can be caused by hormones, genetics, medications, weight fluctuations, or puberty-related development. It’s extremely common and often unrelated to body fat or fitness levels, which is why surgery is the gold-standard solution for permanent correction.

Will exercise or fat loss fix gynecomastia?
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In most cases, no, If there is glandular tissue present. While lipomastia (fat-only fullness) may improve slightly with weight loss, true gynecomastia involves dense gland tissue that cannot be reduced naturally and only surgery can remove it.

What does recovery from Gynecomastia surgery look like?
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Most patients return to desk work or school within 3–5 days. A compression garment is worn for a few weeks to support healing and enhance contour. Strenuous workouts and chest training are typically paused for 4–6 weeks.

Are the results from Gynecomastia surgery permanent?
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Yes — once glandular tissue is removed, it does not grow back. However, significant weight gain or hormonal imbalances can affect future chest appearance. Maintaining a stable, healthy lifestyle protects your results.

Will I have visible scars resulting from Gynecomastia surgery?
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Scars are minimal and strategically placed. Peri-areolar incisions are hidden at the edge of the nipple, while liposuction-only cases use tiny incisions. In larger cases, scars are discreetly placed and designed to fade significantly over time.

Will Gynecomastia surgery affect nipple sensation or muscle function?
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Temporary changes in sensation are normal during healing, especially with gland removal. In most cases, sensation returns within a few months. Chest muscle function is not affected and most patients report increased comfort while exercising post-surgery.

Get the Conversation Started

Tell us what you’re interested in and we’ll introduce you to your dedicated Patient Care Manager who will be reaching out for a pre-assessment call⁠.