Gynecomastia is the growth of breast tissue in men, and it is common enough that Salem Plastic Surgery in Winston-Salem puts the figure at roughly 40 to 60 percent of men on its own patient education page. It turns up in newborns, in boys going through puberty, and again in older men, and hormone shifts, weight and certain medications all sit on the list of possible causes. The operation itself has been settled for years and barely varies from one Triad operating room to the next: the surgeon excises glandular tissue through a small incision near the areola, uses liposuction to blend the chest contour, and takes skin when there is enough of it to matter. Which means the decisions actually left to a patient sit somewhere other than technique. Around Greensboro they come down to three things: which board certified the surgeon, whether you go to sleep, and whether anyone in the room is curious about why the tissue grew. Here are six practices across Guilford and Forsyth counties.
Greensboro Plastic Surgery: general or local anesthesia, priced separately
Dr. Collier Pace, MD, FACS, is certified by the American Board of Plastic Surgery and founded this Green Valley Road practice, serving Greensboro since 2020 with a long publication record in hand surgery alongside the cosmetic work. The office sits at 802 Green Valley Rd, Greensboro, NC 27408, at 336.600.5258. Its gynecomastia page lists prices. General anesthesia runs $8,000 to $9,000, local anesthesia runs $3,500 to $4,500, the procedure is listed at two hours, and recovery at four weeks. That gap of roughly $4,500 is about anesthesia rather than surgical skill, so ask at the consultation which cases qualify for the local option. One more thing to know before you call: the practice’s Insurance Policies page states Dr. Pace has chosen not to contract with any insurance carrier, so everything is billed out of network, as a courtesy, and can take longer to process.
Coley Cosmetic & Hand Surgery Center: a different pair of boards, and an in-office operating room
Dr. H. Christopher Coley works out of 3625 N Elm Street, Suite 120, Greensboro, NC 27455, at 336-617-8645. His own site describes him as double board certified, in General Surgery by the American Board of Surgery and in General Cosmetic Surgery by the American Board of Cosmetic Surgery, and fellowship trained in hand and microsurgery. That is a different credential from the American Board of Plastic Surgery that the other Greensboro surgeons here hold, and the point is simply to know which one you are booking rather than to assume they are the same letters. Male breast reduction here is done on an outpatient basis under general anesthesia at the practice’s own Greensboro surgery center. Incisions are placed around the areola and along the underside of the chest, and on selected patients Coley uses a vertical mammoplasty approach for less scarring. Price comes only after a consultation, with CareCredit financing available.
Renaissance Center for Plastic Surgery & Wellness: what comes out, and through which incision
Dr. Mary Ann Contogiannis, MD, a board-certified plastic surgeon, runs this practice at 211 State St, Greensboro, NC 27408, at (336) 333-9022, a few minutes north of downtown in the State Street shops district. Her gynecomastia page spells out the mechanics step by step: glandular tissue comes out through a small incision at the lower edge of the nipple, and fatty tissue comes out through that same incision with a cannula, rather than through a second site. Surgery is performed under general anesthesia in an AAAHC-accredited outpatient facility, which is worth asking about anywhere you consult, since accreditation describes the room and its safety standards rather than the surgeon’s training. On money, the page notes that most cosmetic surgery is not covered by insurance, and the practice points patients to Alphaeon or CareCredit. It states the non-smoking expectation plainly too.
Best Impressions Plastic Surgery: in practice on Pasteur Drive since 1982
Dr. David C. Best, certified by the American Board of Plastic Surgery, opened his Greensboro private practice in 1982 and is still at 600 Pasteur Drive, Greensboro, NC 27403, at (336) 852-0300. He is a Greensboro native who attended Elon College and Bowman Gray School of Medicine, completed his internship and general surgery residency in Charlotte, and did his plastic surgery residency at Butterworth Hospital in Grand Rapids, Michigan. Gynecomastia appears on the practice’s surgical procedures list, which is organized around where the operation happens. Minor work and upper-lid procedures are done in the office; anything needing fuller anesthesia goes to an outpatient facility with overnight capability if it is needed. Call the office for gynecomastia details and pricing. Four decades in one city is a long continuous record.
Salem Plastic Surgery: three surgeons, and galleries filed by who operated
This one is in Winston-Salem, North Carolina, at 1345A Westgate Center Drive, 27103, open Monday to Friday 8:30 a.m. to 5 p.m., at 336.768.8483. The city is worth stating, because a search for a Salem plastic surgery practice will also hand you results in Massachusetts and Oregon. Scott L. Tucker, MD, Hampton A. Howell, MD, and Kelsey M. Lloyd, MD, practice together, and gynecomastia sits in a dedicated Male section beside male facelift, liposuction for men and Smartlipo. The before-and-after library is filed by individual surgeon, with separate gynecomastia galleries for Dr. Tucker and for Dr. Howell. You can see whose results you are looking at before you book a consultation. The procedure description covers fat, glandular tissue and, in more involved cases, excess skin. Ask about pricing when you call.
Atrium Health Wake Forest Baptist: where the cause gets worked up first
The academic system files gynecomastia as a condition, and that shapes the first appointment. Its gynecomastia page says surgeons weigh the underlying cause, age, tissue elasticity and skin redundancy before recommending a surgical approach, and that additional lab or radiology testing may be required before the plan is set. That is the difference between a cosmetic consultation and a workup, and it matters when medications or a medical condition are part of the picture. The surgical description: direct excision of glandular tissue with the scars hidden, liposuction to improve the chest contour, skin excision when there is significant excess, one to two hours, outpatient, and a compression garment for several weeks. Triad patients do not have to drive to Winston-Salem for the consultation. The system’s plastic surgery clinic is at 1565 North University Parkway, Suite B, High Point, NC 27262, at 336-713-0200.
Before You Book
First, check where the practice is. Two practices that come up in gynecomastia searches around Greensboro have no Greensboro office: CARE Plastic Surgery is in Cary, more than an hour east, and Charlotte Gynecomastia Center is in Charlotte. Both are real practices with real surgeons; neither one is in the Triad.
Second, ask which board. Four of the six here hold certification from the American Board of Plastic Surgery. Coley Cosmetic holds the American Board of Surgery plus the American Board of Cosmetic Surgery, which is a different certifying body with a different training pathway. This is not a verdict on anyone’s results, and it is not a claim about what any board permits. It is simply a thing to know rather than assume, and every practice will tell you which certification its surgeon holds if you ask.
Third, ask about anesthesia before you ask about price, because at Greensboro Plastic Surgery the two differ by roughly $4,500 on anesthesia alone. Ask every practice you call whether a local-anesthesia version of the operation is on their menu, and if not, why not for your case. Nothing else on this list will move a quote as much.
Fourth, ask whether anyone intends to look for a cause. If a medication or an underlying condition is driving the tissue growth, finding that out before surgery changes the plan, and it is the one thing a price list cannot tell you. The hospital system is explicit that lab or imaging work may come first; the private practices describe a cosmetic consultation. Both are legitimate paths, and they are not the same appointment.
Finally, two practical notes. Ask where the operation happens: an in-office operating room, a separately accredited outpatient facility, and a hospital are three different settings with three different fee structures, and the facility fee is often the part a phone quote leaves out. And if you are in High Point, the Wake Forest clinic on North University Parkway is an in-town option rather than a drive to Greensboro or Winston-Salem. None of this work is covered by insurance by default, so budget for a consultation fee and get the facility and anesthesia fees in writing before you commit.
This article describes what local businesses offer and, where noted, what they say about their own services. Greensboro Vibe does not endorse any treatment for any condition, and nothing here is medical advice. Please talk with your doctor or another qualified clinician before starting something new.
