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Dr. David Stoker board-certified plastic surgeon in Los Angeles. A question my practice frequently receives is, "What causes gynecomastia?" It's a great question, and it depends on the case. Here are the different possibilities. Breast tissue is number one. If you squeeze a male breast in the areola, you can often feel a firm nugget of tissue underneath the areola that is typically breast tissue in some patients; it can become excessive, especially after anabolic steroid use. Some of their hormonal disturbances are excessive marijuana use or the side effect of some medications. Another component of gynecomastia is fat in patients who are a little overweight or older guys. Fat is frequently a contributor to gynecomastia. Skin laxity can also be a contributor to gynecomastia, and for somebody who's lost a lot of weight or is just older in their late 50s or 60s or older, that's frequently a contributing factor. Then there's areola tissue; areola tissue can sometimes have a lot of smooth muscles, like when you get cold and tighten up. It can also sometimes have very little muscle, where the nipples tend to look very puffy. Techniques I use several techniques for male breast reduction. Los Angeles men who have relatively good skin elasticity can often achieve a handsome result from liposuction. During liposuction, I place a small incision at the lower lateral crease of the breast. Then I use a thin, hollow tube called a cannula to loosen and remove excess fat. Depending on your condition, I may recommend liposuction combined with breast tissue removal, or breast tissue removal alone. In extreme cases, such as following massive weight loss, skin removal may be necessary as well. Given all the options, it’s important to choose a surgeon who has performed many of these procedures and takes the time to examine you, understand your goals and explain your options. Candidates Healthy men of any age are considered good candidates for male breast reduction surgery. The best candidates are those who have firm, elastic skin that will reshape to the body’s new contours. Many of my patients add liposuction of the midsection as a complementary procedure to eliminate love handles and maximize results. ---------------- Top credentials, beautiful results, gorgeous office, and exceptional staff. Let us show you what makes our plastic surgery practice special. To schedule a consultation or appointment, email [email protected] or call (310) 300-1779 ----------------- BEFORE AND AFTER PHOTOS AND CONTENT UPDATES CAN BE FOUND BELOW Instagram: / stokerplasticsurgery Realself: https://www.realself.com/dr/david-sto... Yelp: https://www.yelp.com/biz/david-stoker... Facebook: / stoker-plastic-surgery-102368055337246 Website: https://www.drstoker.com StokeRX Skincare: https://stokercosmetics.com/ Keep your skin young, healthy, and rejuvenated without breaking the bank. Stoker Plastic Surgery: David Stoker, MD 4640 Admiralty Way #1000 Marina del Rey, CA 90292 Phone: (310) 300-1779