Gynecomastia, or Male Breast enlargment, is a common condition that can affect men of all ages. Male breast development, or the colloquial term "man boobs" can be the result of hormonal changes or imbalance, heredity conditions, disease, or the use of certain drugs. Gynecomastia can cause significant emotional distress, sometimes physical pain, and decreased self confidence. Some men may even avoid certain physical activities or clothing, and it can affect intimacy.
Gynecomastia is idiopathic, or unknown cause, in the majority of the cases. If you've had this condition since puberty, it's likely that. If you recently developed breast enlargement in one or both breasts, Dr. Bidros will first refer you to an endocrinologist to work up the cause of new development. Sometimes, it's a new drug or medication you started taking (associated drugs are listed below).
Gynecomastia can also develop with age or weight gain. As we increase our adipose, or fatty tissue, circulating hormones are converted into estrogen causing an imbalance of our hormones and increased growth of the breast tissue or fat around our chest area.
The severity of gynecomastia is graded in 4 levels. So the surgical treatment will differ accordingly. Also, Dr. Bidros will take in consideration the size of nipple and areola, excess skin, density of the tissue, and overall appearance of the chest.
Dr. Bidros is considered as one of the top Houston plastic surgeons that specialize in Gynecomastia treatment. Dr. Bidros uses specialized minimally invasive technique that reduces scaring and speeds recovery. Several years ago, he and KRBE radio personality Eric Rowe tried to shed light on this subject that can be embarrassing to some men. They wanted to highlight how common this condition is and how easily it can be fixed.
At his Houston office, board-certified plastic surgeon, Dr. Rafi Bidros, helps men regain their confidence with male breast reduction surgery. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases, the position and size of the areola can be surgically improved and excess skin may be reduced. Dr Bidros will need to examine you and layout the best surgical plan. In some occasions, this can be treated in the office under local anesthesia. Schedule your consultation today.
"Belt Lipectomy, Gynecomastia and Lipo - Houston, TX - I am very hesitant to post but I have enjoyed reading the reviews of others and hope that someone will read this review and it will help them. I lost 100lbs about 10 years ago through exercise and eating right. I have wanted this surgery since then but have not been in a space that I could afford it. Well i finished grad school in 2010 and have been working a full time job since. I consulted with a PS in Dec of 2012 and had a pretty bad experience so i put the surgery off choosing instead to spend money on a personal trainer who really helped a lot but of course no amount of exercise can cure this loose skin.I found Dr. Bidros through a friend and when I saw him in office I knew it was right. He was incredibly kind and very knowledgeable. He answered my questions willingly and his staff was super friendly. My surgery is about 8 days away and I am VERY excited but also scared. There is a great amount of grieving I am doing in regards to my body as it is. This body that I have disliked for so long I am now kinda sad to see it go. Not sad enough to cancel the operation though :)"- T. / RealSelf / Mar 31, 2013
"Living with Gynecomastia brought many years of insecurity and embarrassment. The idea of having surgery was a bit scary and opted for other non-evasive alternatives, but soon realized that there was no true alternative other than surgery. After several years of doing research and visiting several doctors, I found it difficult to proceed until I met Dr. Bidros. He was knowledgeable and took his time to explain every step of the process unlike other doctors who were too brief with me in the past and left me with many unanswered questions. After surgery, I finally felt relief and more comfortable with myself. Surgery was on a Thursday and I was back to work on Monday. Pain wasn?t really there other than that sore feeling you get after hitting the gym.I highly recommend Dr. Bidros because he did an outstanding job. The incisions are practically invisible and the end result is better than what I expected. I like to thank his staff Jackie, Connie, Mandy, and Sonia for being supportive and patient with answering my questions. Thank you again for your excellent customer service and experience."- O.J. / Google / Oct 25, 2016
"Living with Gynecomastia brought many years of insecurity and embarrassment. The idea of having surgery was a bit scary and opted for other non-evasive alternatives, but soon realized that there was no true alternative other than surgery. After several years of doing research and visiting several doctors, I found it difficult to proceed until I met Dr. Bidros. He was knowledgeable and took his time to explain every step of the process unlike other doctors who were too brief with me in the past and left me with many unanswered questions. After surgery, I finally felt relief and more comfortable with myself. Surgery was on a Thursday and I was back to work on Monday. Pain wasn’t really there other than that sore feeling you get after hitting the gym.I highly recommend Dr. Bidros because he did an outstanding job. The incisions are practically invisible and the end result is better than what I expected. I like to thank his staff Jackie, Connie, Mandy, and Sonia for being supportive and patient with answering my questions. Thank you again for your excellent customer service and experience."- O.J. / Google / Apr 01, 2017
Gynecomastia Surgical Technique
Dr. Bidros has refined the minimally invasive technique for gynecomastia treatment. This technique is used for the most common shapes of gynecomastia. It involves Tumescent infusion, Tissue Seperation, and Stab Gland Resection. Dr. Bidros uses a specialized cannula to achieve proper separation. This technique reduces the potential concavity or "operated look" Patients can enjoy taking off their shirt without notable scar visibility.
Patients that have significant skin laxity or may require skin reduction. This procedure will leave some scars that will fade with time. Patients can enjoy wearing a T-shirt with confidence until scars fade.
Excision may also be necessary if the areola will be reduced, or the nipple repositioned to a more natural male contour. Incision patterns vary depending on the specific conditions and surgical preference. Sometimes gynecomastia is treated with both liposuction and excision.
Dr. Bidros will also perform adjacent tissue lipo suction to shape the chest. Additional options of Implant insertion or fat grafting is also available to shape the pectoral muscles.
Gynecomastia During/After Surgery
Patients are typically more comfortable during general anesthesia for more extensive gynecomastia. Limited resection can be performed under local anesthesia and oral sedation if indicated.
After surgery, dressings will be applied to your incisions over absorbable sutures. Elastic bandage or support garment may be used to minimize swelling. Drains are typically not necessary unless continuous resection of dense breast is performed which is much less common.
Gynecomastia surgery is usually with very little pain. Most patients only take narcotic pain medicine the first night as needed and wean off to tylenol or advil very quickly. Since muscle is not involved in surgery, return to normal activity occurs rapidly. Dr. Bidros does recommend wearing the compression garment or tight fitting under garment for 2-3 weeks.
Although results are immediately visible. Swelling takes some time to go down. We typically obtain post op photos at 3 months when results are about 90% complete.
Plan Your Procedure
- Average Cost
- $4,900 - $7,800
What Causes Gynecomastia: As described above, majority of gynecomastia has an unknown cause, or associated with increased adiposity or hormonal imbalance. Medications can cause hormonal imbalance and/or directly associated with gynecomastia. These medications may possibly have some association described in the medical literature but not confirmed by us. Medication such as ketoconazole, cimetidine, gonadotropin-releasing hormone analogues, human growth hormone, human chorionic gonadotropin, finasteride and dutasteride, estrogens and antiandrogens such as bicalutamide, flutamide. Spironolactone, verapamil, amlodipine, and nifedipine; risperidone, anabolic steroids, alcohol, opioids, efavirenz, alkylating agents, and omeprazole. There are also many herbal formulations as well as THC that are also associated with male breasts.
With Minimally Invasive technique, scarring is limited and almost imperceptible once completely healed. Hypertrophic scarring and keloid can occur in those patient with high risk scarring. Special tape and scar treatment is utilized to obtain best scars possible.
Once surgery is scheduled, an in-depth pre operative visit will take place to answer many specific questions, prescriptions given, photos obtained and go over the details so that you are ready for the day of the procedure