
For men living with enlarged breasts, gynecomastia surgery offers a way to restore confidence and create a flatter, more masculine chest. At James Rough, M.D. Plastic Surgery, Dr. Rough combines surgical expertise with compassionate, personalized care to help you feel comfortable in your own skin again.
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Gynecomastia is the medical term for enlarged male breasts. This condition is one that can result in a feminine chest due to abnormally growing breast tissue. Many times, gynecomastia is related to an underlying hormonal condition. It may also be caused by certain medications, steroids, weight gain, or genetics. Men with this issue typically feel embarrassed, most commonly in situations where the chest is exposed, such as by the pool or in the gym.
Board-certified plastic surgeon Dr. James Rough offers gynecomastia treatment in the form of surgical breast reduction for men in Tucson, AZ. If you are dealing with gynecomastia, we invite you to schedule a consultation at James Rough, M.D. Plastic Surgery


For gynecomastia surgery, MicroAire® power-assisted liposuction is usually utilized. While you are under general anesthesia, liposuction reduces excess pockets of fat from the chest wall. Next, any loose skin will be removed to produce a taut look. The nipple area and surrounding areola will then be surgically reshaped and placed into a proportionate position. In most cases, this treatment strategy requires an incision close to where the glandular tissue collects. Once the fat and loose skin have been addressed, Dr. Rough will pull and tighten the remaining skin, commonly pairing skin-tightening treatments such as Morpheus8, BodyTite, J-Plasma, and Quantum RF with removal and excision to achieve improved results.
Gynecomastia surgery typically combines advanced techniques for optimal results:
Dr. Rough customizes the surgical plan to each patient, ensuring natural-looking, balanced results.
Gynecomastia surgery may be recommended if you experience:
Emotional distress, low self-esteem, or social discomfort due to chest appearance

If you are frustrated with the effects of having swollen breast tissue, we invite you to contact our Tucson, AZ office and schedule a consultation with Dr. Rough to learn about gynecomastia treatment. Once you've had male breast reduction for gynecomastia, you can feel confident showing off your chest again. Call James Rough, M.D. Plastic Surgery to schedule an appointment today.
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Men who undergo gynecomastia surgery often enjoy:

You may be a good candidate if you:
Gynecomastia treatment may not be ideal for men whose breast enlargement is caused solely by medication or hormonal imbalance without correcting the underlying issue.

After surgery, most patients return home the same day. You’ll wear a compression garment to reduce swelling and support your new chest shape.
Some bruising and discomfort are expected during the first week, but these gradually improve.
Dr. James Rough is a board-certified plastic surgeon with advanced training at UCLA and specialized body contouring experience under Dr. Alfredo Hoyos. Known for his calm presence and compassionate care, Dr. Rough creates results that are both natural and transformative. His bilingual team (English & Spanish) ensures every patient feels heard, supported, and understood.
True gynecomastia involves glandular tissue, which feels firm beneath the nipple, while fat deposits feel softer. A consultation with Dr. Rough will determine the difference.
Yes, results are long-lasting if you maintain a healthy lifestyle. Significant weight gain, certain medications, or hormone changes could affect results.
Discomfort is normal in the first few days, but is managed with prescribed medication. Most patients describe recovery as manageable.
Incisions are placed discreetly around the areola or chest fold and typically fade over time.
Light walking is encouraged right away, but strenuous chest workouts should be avoided for at least 4–6 weeks.

















