Gynecomastia surgery (male breast reduction) is quoted between $5,000 and $10,000 in the United States. ASPS data puts the average surgeon's fee at $5,587, which excludes anesthesia, facility, and all other costs. The full all-in range is wide because the procedure varies significantly based on the severity of the gynecomastia and the technique used.
The sample quote
| Line Item | Liposuction Only (Grade I-II) | Excision + Lipo (Grade III-IV) |
|---|---|---|
| Surgeon's fee | $3,000 - $5,000 | $4,500 - $7,000 |
| Anesthesia | $500 - $1,000 (local + sedation) | $1,200 - $2,000 (general) |
| Facility / OR | $800 - $1,500 | $1,500 - $3,000 |
| Compression garment | $50 - $100 | $50 - $100 |
| Pathology (tissue analysis) | $0 | $100 - $400 |
| Pre-op labs | $100 - $300 | $100 - $300 |
| Total | $4,450 - $7,900 | $7,450 - $12,800 |
The split between liposuction-only and excision-plus-lipo is the primary driver. Grade I and II gynecomastia (mostly fatty tissue, minimal gland) can often be treated with liposuction alone under local anesthesia with sedation. Grade III and IV (significant glandular tissue, excess skin) requires direct excision, possibly skin removal, and general anesthesia. The technique determines the anesthesia, the facility fee, and the surgeon's fee.
Surgery Center of Oklahoma publishes an all-inclusive cash price of $4,145 for gynecomastia, which places it at the low end of the national range and provides a useful benchmark for comparing quotes.
What your gynecomastia quote should answer
- Is the technique liposuction only, excision only, or combination? This determines the total.
- What type of anesthesia? Local with sedation vs general makes a $500 to $1,000 difference.
- Is pathology (tissue sent for analysis) included? Excised glandular tissue is routinely sent to pathology.
- Is the compression garment included?
- What is the revision policy if asymmetry or residual tissue requires a touch-up?
- Is the procedure outpatient or does it include an overnight stay?
Elsewhere in the network
colombiacosmeticsurgery.com covers gynecomastia surgery in Colombia, where the all-in range is typically $2,000 to $4,500.