At Regeneris Elite Men’s Center, we provide cutting-edge, non-invasive gynecomastia procedures that enable men to attain the sculpted chest and the confidence they need. Uncomfortable and embarrassing male breasts don’t have to be an issue anymore. Thanks to the application of cutting-edge awake procedures, surgery has never been safer and more precise.
Our expert cosmetic plastic surgeon, Dr. Edwin Ishoo, has developed the revolutionary technique of ChestSculpt that reduces the surplus glandular and fatty tissue with minimal scarring and downtime. He has performed a great number of male breast reduction procedures. We aim to tailor each treatment program specifically to the individual needs of each patient.
If patients experience any of the listed symptoms, they may have a gynecomastia:
Smoking can postpone recovery and introduce an additional risk of complications. Patients either need to be non-smokers or be willing to abstain from smoking at least four weeks before surgery.
Hormonal disturbances or hereditary factors often trigger gynecomastia, and therefore, surgery becomes the best option.
This treatment is suitable for patients who desire a sharper definition of the chest area with minimal recovery and scarring.
Dr. Ryan Welter, founder of Regeneris Elite Men’s Center, was invited by Boston’s 98.5 The Sports Hub to explain gynecomastia and the ChestSculpt procedure.
Watch this interview to see how our awake technique delivers safe, precise, and confidence‑building results.
The average cost of ChestSculpt male breast reduction in Boston, MA, ranges between $7,000 and $12,000. This includes the doctor’s fee, the use of a local anesthetic, the recovery period, and compression wear during the recovery period. The final cost will be impacted by a multitude of factors, including the necessity of correction, the simplicity of the technique, and the use of add-on treatments. Because each case is unique, patients should schedule a consultation with Dr. Edwin Ishoo to receive a personalized quote and discuss their individual treatment plans.
Gynecomastia is a medical condition characterized by the abnormal enlargement of breast tissue in males. It is caused by a hormonal imbalance—most commonly an increase in estrogen activity relative to testosterone—which leads to the growth of glandular breast tissue.
Gynecomastia can develop for several reasons, including normal hormonal changes during puberty or aging, the use of certain medications (such as antidepressants, anabolic steroids, or testosterone), substance use (including alcohol or recreational drugs), and underlying medical conditions like kidney disease or hyperthyroidism. In some cases, increased sensitivity to estrogen—not just elevated levels—can stimulate breast tissue growth.
Common symptoms include visible breast enlargement, fullness, and sometimes tenderness or pain. Excess breast tissue and skin may also cause irritation, chafing, or skin infections. In rare cases, nipple discharge may occur in one or both breasts.
Gynecomastia is a common condition and can affect males at different stages of life. It occurs in approximately 50–60% of adolescent boys due to the normal hormonal fluctuations of puberty and often resolves on its own over time.
Older men are also at increased risk, as testosterone levels naturally decline with age, which can lead to hormonal imbalance. Newborn infants may develop temporary gynecomastia caused by exposure to maternal estrogen, though this typically resolves within a few weeks or months.
Men who are overweight or who use certain medications or substances are more likely to develop gynecomastia as well. While the condition is often temporary, persistent or worsening breast enlargement should be evaluated by a medical professional to determine the underlying cause and appropriate treatment.
“Puffy nipples” are most commonly caused by a buildup of glandular breast tissue located directly behind the nipple. This added tissue pushes outward on the areola, causing the skin to stretch and creating a raised, swollen, or “puffy” appearance.
In some cases, puffy nipples may be related to a condition known as tuberous breast. While this condition is more common in females, it can also occur in males. With tuberous breast anatomy, the nipple-areolar complex may appear enlarged and protruding, often with thinner areolar skin that bulges outward. In these cases, puffy nipples can be present even with little or no underlying gynecomastia.
A proper evaluation is important to determine the underlying cause and the most appropriate treatment approach.
Gynecomastia is the enlargement of male breast tissue caused by a hormonal imbalance, leading to the growth of true glandular breast tissue—often along with some fat. This condition typically requires medical evaluation and may require surgical treatment to remove the glandular tissue.
Pseudogynecomastia, by contrast, refers to the appearance of enlarged male breasts caused solely by excess fat, without any underlying glandular breast tissue. It is most commonly seen in overweight or obese men and may improve with weight loss and exercise alone.
The term pseudogynecomastia is generally used to describe a diffuse fatty enlargement of the male chest that contains no true breast tissue. However, in Dr. Ishoo’s clinical experience, this condition is relatively uncommon. With careful examination, most men presenting with breast enlargement—including those who are overweight—have some degree of glandular tissue. This tissue often has a firm or “gritty” texture, similar to a female breast, and is distinctly different from normal subcutaneous fat.
Even after liposuction, small areas of fibrous stromal breast tissue are frequently found, resembling the fibrous tissue typically located beneath the areola. This distinction is important, as the presence of glandular tissue influences both diagnosis and the most effective treatment approach.
In some cases, gynecomastia can resolve on its own—particularly in adolescents going through puberty. When the condition is caused by temporary hormonal fluctuations, the excess breast tissue may gradually diminish without treatment.
However, gynecomastia that persists beyond puberty or is related to medications, lifestyle factors, or underlying medical conditions often does not resolve on its own. In these cases, a medical evaluation is recommended to identify the cause and determine whether treatment is needed for full resolution.
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