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A small amount of breast tissue is naturally present in men. However, when that breast tissue overdevelops or gets large in a man, it can create the appearance of a feminine breast. In addition to increased breast volume, gynecomastia can stretch and sag the breast skin and widen the areola (the darkly pigmented skin around the nipple).
Gynecomastia can be caused by natural changes in hormone levels, such as during puberty. It is a relatively common occurrence during puberty and resolves without treatment in most cases within about a year.
Some men develop gynecomastia due to genetics, age, or other hormone imbalance issues. There are many different medications (most of them are prescription medications) that can cause gynecomastia, including some anti-anxiety medications, antidepressants, antibiotics, and heart medications. Anabolic steroids (used by athletes to help build muscle), alcohol, and many illegal drugs (even marijuana) can also cause gynecomastia.
A very similar change in appearance can happen to a man’s breast when excess fat accumulates in the chest region. This commonly occurs with weight gain and is called pseudogynecomastia.
Both gynecomastia and pseudogynecomastia can cause significant embarrassment and impair self-confidence. Those affected may feel uncomfortable with taking off their shirt at the pool. They may wear extra layers to hide the fullness of their chest.
Some lifestyle changes may help correct the breast enlargement. However, if these changes do not adequately help, then gynecomastia surgery can be considered.
There are several different names used for gynecomastia surgery, including male breast reduction and reduction mammaplasty. Regardless of the name used, there are 3 main tools Dr. Rodriguez uses to remove breast tissue and improve chest contour in males with gynecomastia:
Liposuction
Through several tiny puncture incisions made in discrete locations (such as the armpit), fat and breast tissue can be removed from the chest using a liposuction cannula. This sucks the fat and breast tissue out from under the skin, creating a flatter chest appearance.
Breast tissue excision
Through a small incision hidden in the areola, breast tissue can be removed more aggressively. This is often called a periareolar excision.
Skin excision
When there is excess skin at the breast or the breast sags, skin excision may be required. This will help tighten and flatten the chest contour. It also provides a way to move the nipple and areola to the correct position, higher on the chest, so they are no longer pointing downwards.
Dr. Rodriguez may combine these 3 tools in different ways to achieve the best possible result. This surgery is done under general anesthesia. You can go home the same day of surgery.
Why Choose Dr. Rodriguez?
Dr. Abigail Rodriguez blends advanced surgical expertise with refined artistry to create results that look natural, balanced, and enduring. Known for her compassion, transparency, and commitment to patient education and safety, she provides individualized care supported by a state-of-the-art facility, enhanced recovery protocols, and comprehensive follow-up—all designed to ensure you feel cared for, confident, and understood throughout your transformation.
Widely regarded as a top board-certified plastic surgeon in Houston and beyond, Dr. Rodriguez's excellence has been recognized by Newsweek as one of America's Best Plastic Surgeons and by Texas Super Doctors multiple times. She is trusted for her meticulous precision and genuine dedication to helping patients look and feel their most authentic and confident.
If you are a man with gynecomastia (or pseudogynecomastia) in the Houston area, you may be a candidate for gynecomastia surgery with Dr. Rodriguez. Contact Dr. Rodriguez’s team to make a consult if you:
Have overdeveloped breasts
Have larger breasts
Are self-conscious about your chest appearance
Avoid activities due to concern about your chest appearance
Have already tried eliminating reversible causes of gynecomastia
Are at a healthy weight
Have realistic expectations for this surgery
Are a non-smoker and do not use nicotine
Have all health conditions under reasonable control
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Flexible Financing For Every Budget
Paying for your procedure shouldn't stand in the way of feeling confident and comfortable in your skin. We offer flexible financing options, including CareCredit® and PatientFi®, to help make your treatment more manageable and accessible.
Our team will guide you through your options and support you during every step of your transformation.
After surgery, you will be instructed to wear a compression garment to help support the chest. Most of the swelling will take several weeks to go down. After about a week, most patients can return to work. For some patients, very light exercise can be resumed around 4-6 weeks after surgery. You should not start weightlifting or any other intense workouts for about 8 weeks after surgery.
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Gynecomastia Surgery Results
An improvement in the chest contour will be noticeable right after surgery, but it will take several weeks for most of the swelling to go down. It will take a couple of months to see the full change in contour.
Will it come back?
Usually not, but it depends on the cause of the gynecomastia, your lifestyle and weight going forward, and other factors. Most patients have good long-term results if they maintain a healthy weight and avoid things that may have initially caused the gynecomastia.
A Reputation Built on Results
Had a little surgery on my ear to stitch up a tear. Dr Rodriguez and her staff made me feel so relaxed...
Janet James
Awesome experience !! Just like I read all those reviews dr Abigail makes you feel so comfortable and...
Romina Lopez
I had an amazing experience during my consultation with Dr. Abigail Rodriguez and her patient care coordinator,...
Britney Alexander
Tuve la bendición de ponerme en manos de la Dra. Abigail Rodríguez para mi abdominoplastia y liposucción,...
Don’t hesitate to contact Dr. Abigail Rodriguez if you’re interested in learning more about breast reconstruction in Houston. We’re here to help you achieve a look that makes you feel more comfortable in your body.