what is Gynecomastia?
At Plastic Surgery of Houston, we perform male breast reduction surgery to remove excess fat and tissue from the breast(s) caused by gynecomastia. While the cause of gynecomastia is unknown, most medical professionals believe it is related to an imbalance of estrogen and testosterone in the male body. Many men with this condition feel less confident and are too embarrassed to remove their shirt in public. Houston, TX board-certified plastic surgeon, Dr. Jay Shenaq's skillful hands can sculpt the chest to look more masculine, and the result can be a more muscular, toned chest that restores confidence and self-esteem.
What Are the Benefits of Gynecomastia Treatment?
For many men, gynecomastia, or extra breast tissue, may be bothersome and embarrassing. To target this concern, male breast reduction surgery (gynecomastia treatment) in Houston, TX at Plastic Surgery of Houston can yield life-altering improvements with many amazing advantages that involve:
- Offers a slimmer, stronger appearance
- Frees you from needing to stay clothed at the pool or beach
- Takes out extra fat tissue in the pectoral area
- Adds definition to the chest
- Heightens self-esteem and confidence
- Reshapes and contours the chest
- Recovery period is short
- Makes working out and physical activity easier
- Gives you outcomes that are noticeable and lasting
- Gives you a more toned, masculine vibe
What Causes Gynecomastia?
Gynecomastia develops when there is an imbalance between estrogen and testosterone, but hormones aren’t the only factor involved. The condition can also be linked to lifestyle choices, certain medications, and underlying health conditions. While it often appears during puberty or with aging, it may also be triggered by other influences that disrupt normal hormone activity or affect breast tissue growth. Some of the most common causes of gynecomastia include:
- Use of anabolic steroids or androgens
- Substance use such as marijuana or heroin
- Medical conditions like hypogonadism or hyperthyroidism
- Tumors that impact hormone levels
- Medications such as chemotherapy or anti-anxiety drugs
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do i qualify for gynecomastia surgery?
The best candidates for male breast reduction surgery have been diagnosed with gynecomastia and have tried other treatments such as diet, exercise, or medication. The most favorable candidates are those who are in good health but need assistance getting rid of excess fat and tissue in the breasts. Patients with other medical conditions should discuss their medical history thoroughly with a surgeon prior to surgery.
how does gynecomastia surgery work?
A male breast reduction surgery is an effective method of treatment for gynecomastia. Usually performed as an outpatient procedure with local anesthesia, the surgeon will use a combination of liposuction and tissue excision to decrease enlarged male breasts and remove any unnecessary fat and tissue. Using liposuction, fat is removed through small incisions made on each side of the chest, at the edge of the areola, or within the armpit, depending on the best and safest technique to meet your cosmetic needs.
what to expect after gynecomastia surgery
Gynecomastia can affect one or both of the breasts, in different ways. In most cases, it is not a serious condition, but it can cause some physical ailments such as back pain and emotional stress from embarrassment. Male breast reduction surgery not only removes excess breast tissue, but also sculpts the chest for a more masculine look. In more severe cases of gynecomastia, patients may require a tissue excision. During a tissue excision, the surgeon is able to remove more tissue and skin than with liposuction alone.
Following male breast reduction surgery, no matter the technique used, you will experience bruising and swelling on and around the chest area for the first couple of weeks. Although you may feel sore after gynecomastia treatment, this will subside after a few days. Some men may experience a loss of sensation in the chest area, but this is only temporary. Each patient will experience a different healing process and should follow the surgeon’s care instructions for optimal results.
Gynecomastia FAQ
How much does male breast reduction cost?
Gynecomastia is a medical issue that is best handled by a skilled surgeon. For this reason, Dr. Shenaq urges you to focus on how to get your best results over costs. To help make your surgery fit your budget, Plastic Surgery of Houston takes several payment methods. We can also help you find low-interest medical financing. While male breast reduction is usually not covered by health insurance, it is worth contacting your insurer to confirm.
How can I tell if I have gynecomastia?
Gynecomastia is excess breast tissue growth in the male chest, which can cause tenderness, swelling, and pain. Some patients might have false gynecomastia (also known as pseudogynecomastia), so Dr. Shenaq encourages patients to lose weight by following an exercise plan and healthy diet before seeking treatment for gynecomastia. If you still have enlarged breasts at a healthy weight, Dr. Shenaq will perform an examination and order diagnostic tests. This may include a mammogram, blood tests, or a biopsy to rule out other conditions like an infection or the breast tissue (mastitis) or cancer.
Can gynecomastia be treated with exercise or pills?
Male breast reduction surgery is the most effective treatment for gynecomastia. Currently, the Food and Drug Administration (FDA) has not approved any medications to treat gynecomastia. While they aren't approved for gynecomastia, a few breast cancer medications (Tamoxifen or Raloxifene) may give you minimal improvements. Strength training to increase the pectoral muscles cannot reduce the excess breast tissue and could even make the breasts appear larger.
Will this fix puffy or pointy nipples?
Puffy or pointy nipples may be caused by glandular gynecomastia. If you are concerned about this, be sure to tell Dr. Shenaq during your consultation. He will personalize your surgical plan to select the best incision pattern and technique to correct your nipples. Large areolas can also be corrected in surgery for gynecomastia. It is crucial to be open and honest with Dr. Shenaq about your concerns and wants during your initial consultation, so He can ensure you are happy with your results.
What are the potential risks and side effects of gynecomastia surgery?
While male breast reduction surgery is generally safe and effective, it is important to discuss potential risks and side effects with Dr. Shenaq during your consultation. Common side effects may include temporary bruising, swelling, discomfort, and numbness in the treated areas. More serious risks can include infection, poor wound healing, scarring, and uneven contours or asymmetry. Dr. Shenaq will provide detailed pre-operative and post-operative instructions to minimize these risks and ensure a smooth gynecomastia recovery process at Plastic Surgery of Houston.
Will I have visible scars after gynecomastia surgery?
Scarring after gynecomastia surgery is usually minimal since most incisions are made around the edge of the areola or in natural chest creases. These locations help camouflage the scars, and with proper healing, they often fade significantly over time. Dr. Shenaq also provide scar care recommendations to support smoother, less noticeable results.

Shirts Optional
Although gynecomastia is a common condition that is not life-threatening, it may cause you to feel insecure about your appearance. If you suffer from gynecomastia and are considering male breast reduction surgery, please schedule a consultation to learn more about your treatment options. We will work closely with you to create a care plan that best suits your needs and cosmetic goals.