If you’ve ever felt self-conscious about the appearance of your chest, you’re not alone. Gynecomastia commonly known as enlarged male breasts—affects up to 60% of men at some point in their lives. Whether due to hormones, weight fluctuations, or medications, it can deeply affect confidence, body image, and daily comfort.Fortunately, gynecomastia surgery offers a lasting, …
If you’ve ever felt self-conscious about the appearance of your chest, you’re not alone. Gynecomastia commonly known as enlarged male breasts—affects up to 60% of men at some point in their lives. Whether due to hormones, weight fluctuations, or medications, it can deeply affect confidence, body image, and daily comfort.
Fortunately, gynecomastia surgery offers a lasting, transformative solution. At Dr. Janak Parikh’s Houston practice, men of all ages are reclaiming their confidence through personalized, precision-based chest contouring procedures tailored to their anatomy and lifestyle.
What Is Gynecomastia?
Gynecomastia is the enlargement of male breast tissue caused by hormonal imbalance specifically, increased estrogen or reduced testosterone. It can affect one or both sides of the chest and may develop during puberty, adulthood, or due to certain medications or medical conditions.
Common Symptoms:
- Puffy or enlarged nipples
- Breast tenderness or sensitivity
- Firm or rubbery mass beneath the nipple
- Uneven chest appearance
It’s important to distinguish true gynecomastia (enlarged glandular tissue) from pseudogynecomastia, a more common condition caused by excess fatty tissue without significant glandular growth.
Gynecomastia vs. Pseudogynecomastia
While both conditions create the appearance of an enlarged chest, their causes and treatments differ slightly:
- Gynecomastia (true): Hormonal imbalance leads to growth of firm glandular tissue beneath the nipple.
- Pseudogynecomastia: Caused by excess fat accumulation, often from weight gain, aging, or genetics—without true glandular proliferation.
Treatment:
Most pseudogynecomastia cases can be effectively treated with liposuction alone, using small, precise cannulas to sculpt the chest. For true gynecomastia, Dr. Parikh often combines liposuction with direct gland excision to remove firm tissue behind the nipple.
For patients with loose or sagging skin, Dr. Parikh enhances results with Renuvion skin tightening, an advanced technology that uses helium plasma and radiofrequency energy to contract and firm the skin from within—creating a smoother, more athletic contour without the need for long incisions.
What Causes Gynecomastia?
Gynecomastia can result from a variety of factors, including:
- Hormonal shifts (puberty, aging)
- Steroid or testosterone use
- Certain medications (anti-androgens, antidepressants, heart or prostate meds)
- Alcohol or drug use
- Medical conditions (liver disease, kidney failure, tumors)
Even after the underlying cause resolves, the excess tissue often remains—making surgical treatment the most effective, permanent option.
How Gynecomastia Surgery Works
Gynecomastia surgery also known as male breast reduction removes excess glandular tissue, fat, and skin to create a flatter, more masculine chest. Dr. Parikh uses advanced, minimally invasive techniques to minimize scarring and deliver natural-looking results.
Procedure Techniques:
- Liposuction: Targets fat deposits using a fine cannula; ideal for pseudogynecomastia or mild cases.
- Excision: Removes firm glandular tissue directly through a discreet incision near the areola.
- Combination Approach: Used in most cases for optimal contouring and chest symmetry.
- Renuvion Skin Tightening: Adds internal skin contraction for a smooth, defined chest—especially beneficial for patients with mild skin laxity after fat removal.
Surgery Facts:
- Performed under local or general anesthesia
- Outpatient procedure (same-day discharge)
- Duration: 1–2 hours
- Minimal downtime and discomfort
Recovery & Results
Recovery Timeline
- Return to work: 3–5 days
- Resume light exercise: 2–3 weeks
- Resume intense workouts: 4–6 weeks
- Wear compression garment: 3–4 weeks post-surgery
Mild swelling and bruising are normal but fade quickly. Results are visible within days and continue to refine as the tissues settle over several months.
Most men feel significantly more confident wearing fitted shirts, going to the beach, or working out—often for the first time in years.
Ideal Candidates for Gynecomastia Surgery
You may be a good candidate if:
- You’re physically healthy and at a stable weight
- You have firm, elastic skin and realistic expectations
- Your chest fullness is not due to a temporary condition or medication
- You feel self-conscious about your chest appearance
During your consultation, Dr. Parikh will assess your chest anatomy, skin quality, and glandular composition to determine whether you have true gynecomastia, pseudogynecomastia, or a combination of both—then design a treatment plan tailored to your needs.
Benefits of Gynecomastia Surgery
- Restore a flat, masculine chest contour
- Wear fitted clothing with confidence
- Enhance comfort at the gym, pool, or beach
- Eliminate self-consciousness during intimacy
- Improve posture and overall body image
- Enjoy smoother, tighter skin with Renuvion-assisted precision tightening
For many men, this procedure is transformative both physically and emotionally, helping them feel stronger, more confident, and at ease in their own skin.
Ready to Regain Your Confidence?

Ready to Regain Your Confidence?
FAQs
Will my gynecomastia return after surgery?
Not usually. Once glandular tissue is removed, it does not return unless triggered by significant hormonal changes, steroid use, or medical conditions.
Is the procedure painful?
Most patients report only mild soreness that resolves within a few days and is easily managed with medication.
Are the results permanent?
Yes—results are long-lasting when you maintain a stable weight and avoid hormone-altering substances.
Will there be scars?
Dr. Parikh places incisions in discreet areas, such as along the edge of the areola. Scars fade with time and typically become nearly invisible.
Is the procedure covered by insurance?
Most cases are considered cosmetic and not covered. However, if gynecomastia causes significant pain or distress, partial coverage may be possible. Flexible financing options are also available.





