Gynecomastia

Chest Sculpting

Gynecomastia Surgery in Portland Metro Oregon

At Oregon Cosmetic and Reconstructive Clinic, we provide surgical treatment for treatment of gynecomastia in the Portland Oregon Metro Area. Our team is led by Dr. Tina Jenq, board-certified plastic surgeon with over 15 years of experience.  In this clinic, a calm space places your comfort, goals, and well-being first. In addition, our clinic provides a peaceful setting and gives you personalized care every step of the way. Located in Happy Valley, with close proximity to Clackamas, Milwaukie, and Lake Oswego.

Whether you’re just beginning your journey or already know what you want, we’re here to guide you. This decision is personal. So Dr. Jenq works closely with you to create a surgical plan that matches your chest to the rest of your body.

What Is Gynecomastia?

Gynecomastia is a condition where males develop extra breast tissue. It can happen on one or both sides of the chest. Often for many people, this causes embarrassment, discomfort, or difficulty wearing certain clothing.

What Causes Gynecomastia?

Gynecomastia can occur at any age and may be caused by:

  • Hormone changes (especially low testosterone or high estrogen)

  • Certain medications or supplements

  • Use of steroids or marijuana

  • Weight gain or obesity

  • Medical conditions such as liver, kidney, or thyroid problems

  • Most often however, gynecomastia occurs idiopathically, meaning not from any defined disease

Workup Starts With Your Primary Care Provider

Before considering surgery, it’s important to understand why the breast tissue developed. The initial workup for gynecomastia should be done by your primary care provider (PCP).

Your PCP may:

  • Do a physical exam

  • Check your medication and supplement list

  • Order blood tests to check hormone levels

  • Refer you for imaging (like ultrasound or mammogram) if needed

If your provider rules out underlying medical causes and the tissue does not go away with time or medication, they may refer you to us to explore surgical treatment options.

Gynecomastia Surgery Options

Surgery is often the best treatment when the extra tissue is permanent or bothersome. The right procedure depends on how much tissue and skin you have.

1. Liposuction Only

  • Best for mild cases caused by fatty tissue

  • Uses a small tube to suction out fat

  • Small incision and fast recovery

2. Subcutaneous Mastectomy

  • Removes firm glandular tissue beneath the nipple

  • Incision placed around the edge of the areola

3. Mastectomy with Free Nipple Graft

  • Used for larger or more severe cases

  • Extra breast tissue and skin are removed

  • Nipple is replaced as a skin graft in a flatter, more natural spot on the chest

4. Mastectomy with Skin Removal

  • For patients with loose or sagging skin

  • Skin and tissue removed in an elliptical shape

  • Scar is placed along the bottom border of the chest muscle for a clean look

Patients Choose Us for Drainless Gynecomastia Surgery in Portland, Oregon

Traditionally, surgeons placed small plastic drains under the skin after surgery. These drains removed fluid that can collect in the space between tissue layers.

However, in drainless surgery, quilting sutures instead carefully attach the lifted skin and fat layer back down to the underlying muscle layer.  With closure of the layers, the empty space where fluid would normally collect is eliminated.

As a result, the tissue layers stick together more evenly. This helps:

  • Reduce fluid buildup
  • Improve contour
  • Stabilize the skin flap
  • Support smoother healing

What to Expect from Surgery

  • Surgery is done under general anesthesia

  • It’s an outpatient procedure, so you go home the same day

  • Most surgeries take 2-3 hours

  • A compression garment is worn after surgery to reduce swelling and shape the chest

Recovery After Gynecomastia Surgery

  • Most patients return to light activities in 5 days

  • Back to work in about 2 weeks (depending on your job)

  • Avoid heavy lifting and chest workouts for 4–6 weeks

  • Swelling and tightness improve over several weeks

  • Final results become more noticeable as the chest heals

Why Choose Dr. Tina Jenq for Male Breast Reduction?

Dr. Jenq, a board-certified plastic surgeon, has over 15 years of experience. She also performs all surgeries herself, never passing care to trainees or technicians. Every step is done with attention to safety, comfort, and a natural result. So whether you need a small correction or full chest reshaping, we’re here to help you feel like yourself again.

Ready to Take the Next Step?

If you’re ready to explore surgical treatment, we’re here to help.

Call us or request an appointment online to schedule your private consultation.