Gynecomastia Surgery: What Every Man Should Know

Why Talk About Gynecomastia Surgery?

Gynecomastia surgery, often referred to as male breast reduction, has become one of the most sought-after procedures for men in the U.S. and globally. This condition, which causes enlarged breast tissue in men, can affect confidence, posture, and even lifestyle choices. Whether caused by genetics, hormones, or weight fluctuations, gynecomastia can make many men feel uncomfortable in their own skin.

At Two Palms, our South Texas clinic dedicated to men’s health, we see firsthand how gynecomastia surgery restores not only a masculine chest contour but also self-assurance and freedom. This guide will walk you through everything you need to know: causes, treatment options, procedure details, recovery expectations, and why choosing the right surgeon matters.

What Is Gynecomastia?

Gynecomastia is the medical term for enlarged breast tissue in men. Unlike excess fat deposits (known as pseudogynecomastia), true gynecomastia develops from a combination of hormonal imbalances—often an increase in estrogen or a decrease in testosterone.

This condition isn’t just cosmetic. Some men experience tenderness, swelling, and emotional discomfort. Studies show that up to 60% of men will face gynecomastia at some point in life, whether during puberty, adulthood, or later years.

Understanding what gynecomastia is—and why it develops—is the first step in deciding whether gynecomastia removal surgery is the right option for you.

Common Causes of Gynecomastia

Several factors can contribute to gynecomastia:

  • Hormonal changes: Testosterone levels naturally decline with age, while estrogen can increase, leading to tissue growth.
  • Medications: Certain prescriptions, including anti-anxiety drugs, steroids, and even some antibiotics, can trigger breast tissue development.
  • Weight gain: Excess fat can mimic breast tissue growth, complicating diagnosis.
  • Genetics and puberty: Teenagers often develop temporary gynecomastia during hormonal surges.

Identifying the underlying cause helps your surgeon determine the most effective treatment plan for long-term results.

Who Is a Good Candidate for Surgery?

Not every man with gynecomastia requires surgery. Ideal candidates typically:

  • Struggle with persistent breast tissue despite diet and exercise.
  • Are in overall good health without serious medical conditions.
  • Experience emotional distress or physical discomfort from chest appearance.
  • Maintain stable weight and realistic expectations about outcomes.

If you find yourself avoiding beaches, gyms, or fitted shirts due to gynecomastia, you may benefit from male chest sculpting surgery.

Treatment Options: Surgical vs. Non-Surgical

Many men initially try non-surgical gynecomastia treatments such as exercise, weight loss, or hormone therapy. While these approaches can help with fat reduction, they cannot eliminate glandular tissue.

That’s where surgery becomes the gold standard. Surgical options include:

  • Liposuction: Removes excess fat from the chest area.
  • Glandular tissue removal: Targets dense breast tissue through small incisions.
  • Combination approach: Most patients require both for the best results.

Two Palms also offers complementary men’s health treatments like Bro-tox - Botox for Men and 360 Liposuction for Men, which can enhance body contouring beyond gynecomastia surgery.

The Gynecomastia Surgery Procedure

At Two Palms, gynecomastia surgery is performed with precision and discretion. Here’s what you can expect:

  1. Anesthesia: Typically local with sedation or general anesthesia, depending on your needs.
  2. Incisions: Small and strategically placed around the areola or chest crease.
  3. Tissue removal: Excess fat and glandular tissue are removed via liposuction and excision.
  4. Sculpting: The chest is contoured to achieve a firm, masculine shape.
  5. Closing incisions: Dissolvable stitches or surgical adhesives minimize scarring.

The entire procedure usually takes 1–2 hours, with most patients returning home the same day.

Recovery Timeline and Expectations

Recovery from gynecomastia removal surgery is generally smooth but requires following your surgeon’s post-op instructions:

  • First 24–48 hours: Expect swelling, soreness, and compression garment use.
  • First week: Light walking is encouraged, but avoid heavy lifting.
  • Two weeks: Bruising fades; discomfort lessens significantly.
  • Four to six weeks: Return to gym and full activity.
  • Long-term: Results become more defined as swelling subsides.

Following your surgeon’s guidance ensures safe healing and optimal results.

Gynecomastia Surgery Results: What to Expect

The transformation is often dramatic. Patients report improved body proportions, greater clothing choices, and renewed confidence. Our gallery of Before & Afters demonstrates how gynecomastia surgery results look natural and masculine.

Most men maintain results permanently, provided they maintain a stable weight and avoid medications or substances that can trigger recurrence.

Benefits Beyond Aesthetics

While the cosmetic changes are undeniable, benefits go deeper:

  • Confidence boost: Many men feel comfortable shirtless for the first time in years.
  • Improved posture: A more sculpted chest encourages better body alignment.
  • Freedom in activities: From swimming to working out, you’ll enjoy more mobility.
  • Mental health: Reduced anxiety and improved self-image often follow surgery.

Risks and Considerations

As with any surgical procedure, there are potential risks:

  • Infection or delayed healing.
  • Visible scarring.
  • Asymmetry between sides.
  • Numbness or sensation changes.

The good news? Choosing a skilled surgeon minimizes complications. At Two Palms, Dr. Hersi specializes in men’s procedures, making safety and precision a top priority.

Cost of Gynecomastia Surgery in South Texas

The cost of gynecomastia surgery depends on:

  • Technique used (liposuction only vs. gland removal).
  • Anesthesia and surgical facility fees.
  • Post-operative care and compression garments.

While most insurance plans don’t cover cosmetic procedures, Two Palms offers flexible Payment Plans to make treatment accessible. We’ll discuss personalized pricing during your consultation.

Why Choose Two Palms for Gynecomastia Surgery?

Two Palms is more than just a surgery center—it’s a men’s health hub. Here’s why patients choose us:

  • Expertise: Dr. Hersi has years of experience in advanced men’s chest sculpting.
  • Privacy: Confidential consultations and discreet recovery support.
  • Comprehensive care: We also offer solutions like Hair Loss Medication and body contouring for complete men’s wellness.
  • Commitment: Learn more on our About Us page to see why men across South Texas trust us.

Take Control of Your Confidence

Gynecomastia is a common condition, but it doesn’t have to define you. With gynecomastia surgery at Two Palms, men across South Texas are reclaiming their bodies, confidence, and freedom.

If you’ve been considering surgery, now is the time to act. Schedule a consultation with our team and discover how our advanced techniques, compassionate care, and dedication to men’s health can help you feel comfortable in your own skin again.

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