Serving Fayetteville, Rogers, Springdale, Bentonville, and the Northwest Arkansas area

Excess breast tissue in men, a condition known as gynecomastia, can be physically uncomfortable and emotionally distressing. It may persist despite weight loss and healthy habits, often due to genetics, hormone fluctuations, or the side effects of certain medications. At our Little Rock practice, Dr. Michael Spann offers male breast reduction surgery designed to restore a flatter, firmer chest contour with natural-looking results. We provide personalized, discreet care in a supportive environment where your comfort is always prioritized.

Removes glandular tissue and excess fat

May include liposuction for smaller cases

Permanent removal of excess breast tissue

Most patients return to work in about a week
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Gynecomastia surgery, also known as male breast reduction, is a surgical procedure that removes excess breast tissue, fat, and sometimes skin from the male chest. Depending on the severity of the condition, the procedure may involve direct excision of glandular tissue, liposuction to remove fatty deposits, or both. The goal is to create a firmer, flatter chest contour that feels more in line with your body and self-image.
The procedure is typically performed under general anesthesia and takes one to two hours. For many patients, Dr. Spann uses liposuction alone through small, discreet incisions. When glandular tissue is dense or excess skin is present, he may make a small incision around the areola to directly remove the tissue. The incisions are closed with absorbable sutures, and a compression garment is applied to minimize swelling and support the chest during healing.
Gynecomastia surgery is intended to treat:


Many men choose gynecomastia surgery to restore a more traditionally masculine chest shape. Beyond physical results, the procedure often brings increased confidence, emotional relief, and greater ease in clothing and social situations. Dr. Spann designs every surgery around the individual, prioritizing subtle, natural-looking results.
You may be a candidate for surgery if you are a healthy non-smoker with persistent male breast tissue that has not responded to weight loss or other lifestyle changes. It is important that any underlying hormonal or medical conditions are stable or have been ruled out. Dr. Spann will evaluate your history and anatomy to ensure the procedure is safe and suited to your goals.

Most patients return to desk work or light activity within 3 to 7 days. Swelling, bruising, and mild discomfort are normal and typically managed with over-the-counter or prescription pain relief. A compression garment should be worn for several weeks to support healing and optimize your final result. Strenuous activity and chest exercises are restricted for about 4 to 6 weeks. Dr. Spann will provide detailed aftercare guidelines and check your healing at post-operative visits.

Initial results are visible within days, though swelling may obscure the final contour for a few weeks. As healing progresses, the chest appears flatter, firmer, and more proportionate. Most patients report long-lasting improvements in self-esteem and body confidence. Maintaining a stable weight and healthy lifestyle will help preserve your outcome over time.
Dr. Spann offers a respectful, highly individualized approach to gynecomastia surgery. With years of experience in aesthetic and reconstructive plastic surgery, he focuses on creating natural-looking results with minimal scarring and downtime. Our boutique practice in Little Rock and Fayetteville offers privacy, compassion, and expertise to help you feel fully supported through every step of your journey.
True gynecomastia involves the presence of glandular breast tissue, not just fat. During your consultation, Dr. Spann will evaluate your chest with a physical exam and review your history to determine the cause and best treatment approach.
Yes. Once the glandular tissue is removed, it does not typically grow back. However, maintaining a stable weight and avoiding any medications or steroids that cause hormonal changes is important for preserving your results.
If the condition is caused by a hormonal imbalance or medication, medical treatment may help. However, surgery is generally the most effective option for long-term resolution when excess tissue is already present.
Dr. Spann places incisions carefully to minimize visible scarring. In most cases, scars are small and fade significantly over time.
In some cases, yes, but only after puberty is complete and hormone levels have stabilized. Dr. Spann will help determine the best timing based on your unique situation.
The cost of your surgery will vary based on the extent of the procedure and any additional treatments you may choose. During your initial consultation at Little Rock Plastic Surgery, we will provide a detailed quote and discuss flexible payment solutions, including financing options through CareCredit and Alphaeon Credit.