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What causes gynecomastia?

Most of the time there is no identifiable trigger. There may be a hormonal imbalance that causes the finding. Some medications, particularly in older men, may cause gynecomastia. Smoking marijuana can cause gynecomastia. More concerning causes are typically associated with other medical conditions that are going on. Dr. Shermak will determine if more studies or further workup are needed.

What can I expect from male breast reduction surgery?

Gynecomastia is a condition in men describing the presence of breast tissue – either fatty or glandular – in one or both sides of the chest. Gynecomastia treatment ranges from liposuction, to removal of the breast tissue through an incision around the nipple, to larger excisional procedures of breast tissue and skin that may be necessary for massive weight loss patients in particular. Nipple reduction may also be necessary.

Most often, only small, inconspicuous incisions are necessary to achieve a flatter chest and a more satisfying contour, either undressed or in fitted clothing. More individualized approaches may be necessary for men who have undergone significant weight loss. For many men with gynecomastia who suffer quietly, hiding themselves under baggy shirts, male breast reduction surgery can be a powerful experience in increasing a positive self-image, helping men feel more comfortable working out at the gym or enjoying the beach with their chest exposed.

Who is a good candidate for male breast reduction surgery?

Good candidates are men in good health, both mentally and physically, who are dissatisfied with their appearance and who have realistic expectations about their outcomes. Teenagers may present for the procedure as well as men in advanced age. Dr. Shermak will meet with you to plan for surgical correction.

How do I know I don’t have breast cancer?

Male breast cancer accounts for 1% of all breast cancer. Men with a significant family history are more concerning, as well as men who present with findings in only one breast and not both. Dr. Shermak will meet with you to determine if further studies need to be done to determine if cancer is present. It is rare, but needs to be considered.

What is the recovery like for male breast reduction surgery?

Surgery is often performed on an outpatient basis. One may experience temporary discomfort, swelling, or numbness. Most men resume light activity within a week and drive within 10 days. More vigorous activity should wait for one month.

Additional procedures for a full body makeover

The way you look and feel directly affects your self-confidence. In addition to treating Baltimore male breast reduction patients, Dr. Shermak takes care of many abdominoplasty, liposuction, and body lift patients. Please visit these pages to learn more about the other cosmetic procedures offered.

What is my first step? Schedule a Consultation

We invite you to call Dr. Shermak’s plastic surgery office at 410-616-3000 to schedule your personal, comprehensive consultation today. You may also browse through our online library of success stories in the before and after photography section of this website.

1304 Bellona Avenue, Lutherville-Timonium, MD 21093

Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
including Baltimore breast augmentation & liposuction

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View Update Virtual Consultation

We are officially open, thanks to Governor Hogan!

We welcome new patients and are looking forward to performing elective surgical procedures, starting the week of May 11.

This is a new day, with new safety protocols. Our goal is to keep everyone safe and respect the continued risk COVID-19 presents. For this reason, we will be instituting the following protocols:

  • We will have Sandy stationed at our entryway with sterilizer and a COVID-19 survey for our new patients to fill out. Sandy will also check your temperature and collect your paperwork at the door – our medical intake form can be filled out prior to your coming to the office, or you can fill it out after you arrive.
  • Please bring a mask for any in-office visits. If you are coming for surgery, please bring a paper mask if you have one. For any other visits, cloth masks or paper masks are fine.
  • We need any patient waiting to be seen to wait in your car until we can safely accommodate you in an exam room. We need to respect social distancing and are spacing our patients out to assure safety.
  • We can only allow the patient to come in to the office for examination. Friends or family will need to wait outside the office.
  • For those assisting our postoperative patients on the day of surgery: we ask that you kindly wait in your car and we will call you in to discuss postoperative instructions.
  • I am continuing to schedule Virtual Consultations which is exciting and new! Check out my Resources section or header at drshermak.com to get started!

I look forward to seeing you soon!


As of July 1st, the staff members at The Plastic Surgery Center of Maryland will no longer routinely be wearing masks following the state guidelines per Governor Hogan.

All of our staff members are vaccinated.

If any patient would prefer that the medical staff member caring for them wear a mask, please let us know and we will gladly do so.

We treat patients with compormised immune systems and we need to be respectful of their needs.

We are asking patients who are not fully vaccinated to please wear masks while in our office so that we may continue to safely accomodate our patients with weakened immune systems.

Thank you!

Virtual Consultation