Gynecomastia Surgery in Upland & the Inland Empire

Gynecomastia is an overgrowth of glandular breast tissue in males, from teens to adults. It is often tied to an imbalance between estrogen and testosterone, though it can also develop without a clear cause. Extra fat on the chest, certain medications and weight gain can play a part too.
While gynecomastia is usually not a sign of disease, it can make men self-conscious at the gym, the pool or in a fitted shirt. Male breast reduction surgery removes extra fat and gland tissue to create a flatter, more masculine chest. Men across Upland, Ontario, Fontana and the wider Inland Empire come to us to learn whether it is right for them.
Who is a good candidate?
- Men or older teens with chest fullness that has not improved over time
- Those whose chest stays enlarged despite diet and exercise
- Men who feel self-conscious about chest shape in clothing or shirtless
- Healthy adults at a fairly stable weight
- Non-smokers, or those willing to stop before and after surgery
- Anyone whose enlargement on one side has been checked by a doctor first
Dr. Smiley's technique and philosophy
Dr. Smiley usually treats gynecomastia with two steps. First, tumescent liposuction is used to contour and remove extra fat across the chest. Second, the firm, fibrous gland tissue that liposuction cannot remove on its own is taken out directly through a small incision at the lower edge of each nipple. That incision generally heals well and is hard to notice once it fades.
His approach is conservative. The goal is to remove what is needed to flatten and shape the chest without doing more than necessary, so the result looks natural for your build.
What to expect
Consultation
Your first appointment is at our Upland office at 330 East 7th Street. Dr. Smiley will examine your chest, ask about medications and health history, and explain the plan. If only one side is enlarged, further testing may be recommended before surgery, since breast cancer, though uncommon, can occur in men. Call (866) 372-3288 or text (714) 403-7092 to set up a visit.
The procedure
Gynecomastia surgery is performed in an accredited surgical facility, never at the Upland consultation office. Most men go home the same day.
Recovery
You will wear a compression garment on your chest for about two weeks to help control swelling. Exercise is usually limited for about three to four weeks. Many men return to office work within a week or so. Swelling continues to go down over the following months. Everyone heals differently, so follow Dr. Smiley's guidance for your own timeline.
Before & after photos
Real patients of Dr. Smiley. Results vary; individual results depend on anatomy, health and healing.








See the full Gynecomastia (Male Breast Reduction) before & after gallery on dr-smiley.com
Risks and safety
Possible risks include bleeding, fluid buildup, infection, scarring, contour irregularities, uneven sides and changes in nipple sensation. Anesthesia also carries risk.
Dr. Smiley reviews these risks during your consultation and answers your questions. Results vary, and no specific outcome can be promised.
Frequently asked questions
Will gynecomastia go away on its own?
In some teens it fades after puberty. In adult men it often stays. If chest enlargement has lasted a long time, surgery is the main way to remove the gland tissue.
Is gynecomastia surgery covered by insurance?
Some insurance plans pay for male breast reduction, while others call it cosmetic. Check with your insurer about their requirements.
How long do I wear a compression vest?
Most men wear a chest compression garment for about two weeks. Dr. Smiley will tell you exactly how long based on your healing.
When can I lift weights after male breast reduction?
Exercise is usually limited for about three to four weeks. Ease back into chest workouts only after Dr. Smiley clears you.
Book your consultation in Upland. Call (866) 372-3288 or text (714) 403-7092. Consultations are complimentary.
Learn more about this procedure on Dr. Smiley's main site: Gynecomastia (Male Breast Reduction) at dr-smiley.com.