Dr. Macias is AMAZING!! She is so caring and kind. She listens to her patients and seems to really love her job and cares about her patients. I would highly recommend her. Her staff also has been very wonderful and caring all the time!

Benefits of Male Breast Reduction Surgery
A gynecomastia procedure offers several physical and emotional benefits, including:
- Flattens and sculpts the chest for a more masculine contour
- Boosts confidence in social and intimate settings
- Eliminates discomfort caused by excess breast tissue
- Enhances clothing fit, allowing for a wider range of styles
- Provides permanent results as long as a stable weight is maintained
For men struggling with enlarged breast tissue, male breast reduction surgery can be a life-changing procedure that restores confidence and comfort.


Who Is a Good Candidate for Gynecomastia Surgery?
You may be a good candidate for gynecomastia surgery if you:
- Have excess chest tissue that does not improve with diet and exercise
- Are at a stable weight and in good overall health
- Experience self-consciousness or discomfort due to excess breast tissue
- Have realistic expectations about the results
- Are a non-nicotine user or are willing to quit before surgery
During your consultation, our surgeons will evaluate your condition and recommend a customized surgical approach to achieve the best possible outcome.
Before & Afters
The Male Breast Reduction Procedure Process
Gynecomastia surgery is tailored to each patient’s needs, depending on whether the enlargement is caused by excess glandular tissue, fatty tissue, or both.
1. Anesthesia & Preparation
- The procedure is typically performed under general anesthesia for patient comfort.
- Our surgical team will monitor your vitals and safety throughout the procedure.
2. Removal of Excess Tissue
- If the enlargement is due to excess glandular tissue, the surgeon will make a small incision around the areola to remove the glandular tissue.
- If the enlargement is caused by excess fat, liposuction may be used to remove fat deposits via tiny incisions on the chest.
- In cases where both glandular and fatty tissues are excessive, a combination of techniques will be used for optimal results.
3. Skin Tightening & Chest Contouring
- If significant excess skin is present, additional skin tightening may be performed.
- Once the desired chest shape is achieved, incisions are carefully closed and covered with compression bandages.
Procedure Time:
One to two hours

Recovery and Aftercare
- Same-Day Discharge: Most patients go home the same day with a trusted adult.
- Compression Garment: Worn for four to six weeks to reduce swelling and support healing.
- Mild Discomfort & Swelling: Managed with prescribed pain medication.
- Return to Work: Most patients return to work in five to seven days, depending on their job.
- Physical Activity: Light walking is encouraged, but strenuous activities should be avoided for four to six weeks.
- Final Results: Swelling subsides over three to six months, revealing a flatter, more sculpted chest.
Following your surgeon’s postoperative instructions will ensure optimal results and a smooth recovery.
Results: What to Expect After Male Breast Reduction
- Noticeable improvement immediately after surgery
- Final results become visible within three to six months
- Long-lasting outcome with weight maintenance
- Minimal scarring, as incisions are small and placed strategically
Most patients experience a significant boost in confidence and feel more comfortable in fitted clothing and social settings.
Risks and Considerations
Gynecomastia surgery is a safe and effective procedure, but like any surgery, it carries potential risks, including:
- Temporary swelling, bruising, and sensitivity
- Mild scarring, which fades over time
- Temporary loss of sensation in the nipple area
- Rare complications such as bleeding, infection, or fluid buildup
Choosing a board-certified plastic surgeon reduces risks and ensures a safe procedure with optimal results.

Real Patient Testimonials/Reviews
Dr. Downs and The Centre, P.C. staff are wonderful to work with for questions/concerns prior to and after surgery during recovery period. Dr. Downs consults with patient prior to surgery to confirm understanding of what results are important to them.
Additionally, Dr. Downs personally follows up after surgery to ensure that things are going well after discharge which I was extremely impressed by. The office/surgical center provides a more discrete and personalized patient environment with a separate door entrance for the follow-up appointment the day after surgery as well.
I’ve been going to the Spa for a few years now and have always had a positive experience with my services and staff. Everyone is always kind and informative. Ashley Kweder has easily been my favorite cosmetic injector! She has always been able execute everything I wanted, keeping me well informed and being absolutely the sweetest! Highly recommend
Dr. Macias and her staff helped make this very personal decision easy and comfortable. They took the time to listen and answered all my questions. I was very nervous about having breast surgery but after it was done I was so happy with the results. She truly nailed it. I would highly recommend Dr. Macias to anyone considering any cosmetic surgery.
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
Dr. Downs is fantastic. He is very knowledgeable and communicates very effectively. The staff made this experience comfortable for me. I am very happy and pleased with the results.
It has been officially 5 week since my tummy tuck and breast lift. After losing 150lbs I knew I needed this done but never thought it would be possible. After meeting with Dr. Downs and his team my dreams started to seem like reality. Five weeks ago we completed 1 of my 2 suggested surgery’s. My recovery so far has been extremely easy with little to no pain. Dr. Downs has been just the best. He took his time and explained every part of my surgery and what I could expect. It was a pleasant surprise to wake up from surgery and find out he didn’t have to make the vertical incision down my stomach due to all the my weight loss, and lose skin. I’m so happy Dr. Downs is who I decided to go to for this surgery. Can’t wait for him to complete my project.
From the time I walked in the door to the moment I walked out, I felt respected, seen and heard! The staff are kind and gentle and I will never go anywhere else for the things I need. Dr. Macias is outstanding.
I was recently hospitalized last week for a finger infection. I ended up having surgery and Dr. Downs was my doctor. Very good bedside manner and great doctor. He takes his time to explain things to you. I really liked that. And went to his office for my follow up. All the staff were so sweet and professional.
Dr. Downs and his staff are amazing!
He took me on as a patient after another surgeon botched me.
Dr. Downs will take the time to review everything with you and let you know what your options are.
His staff are wonderful and they make you feel so comfortable!
You will be in great hands with Dr. Downs and his team!
I was referred to The Centre by the on call hand Doctor that reviewed my ER case after I split my thumb open. From setting up my appointment to being taken care of by the staff, it was a pleasant experience. Each member of the team I met was attentive, very forthright with any information I needed & were an absolute pleasure to be around. Dr. Downs has an amazing staff!
Dr. Downs and whole team at Centre PC have been amazing! They listened to me as I told them my desired results, provided different options for me, based on years of industry knowledge and worked alongside me as I navigated the headaches of insurance. I couldn’t be happier with my experience there and would highly recommend them to anyone looking to make some positive change in their life!
Schedule
Your Consultation
Today!
Take control of your confidence with male breast reduction at The Centre, P.C. Call 574-968-9100 (Option #2) to book your consultation today.

Frequently Asked Questions
About Male Breast Reduction in Mishawaka, IN
Gynecomastia surgery may involve glandular tissue removal, liposuction, or a combination of both to achieve a flatter, more masculine chest.
In most cases, insurance does not cover gynecomastia surgery unless it is deemed medically necessary. A preapproval process, including photos and medical records, may be required.
Scarring is minimal, as incisions are placed discreetly around the areola or in natural chest creases. Scars fade significantly over 12–18 months with proper care.
Swelling peaks in the first few weeks and gradually subsides over three to six months, revealing final results.
Temporary numbness or hypersensitivity can occur and usually resolves within a year. Permanent changes in sensation are very rare.
To discuss your gynecomastia treatment options, call 574-968-9100 (Option #2) to book a consultation with our expert surgeons.








