Male Breast Reduction for Gynecomastia in Tyler, Texas

Gynecomastia is the enlargement of male breast tissue on one or both sides. It is common, and it often does not improve with diet or exercise.

Dr. Raven Henderson performs male breast reduction to remove excess fat and glandular tissue and restore a flatter, more natural chest contour, with discretion and respect for your privacy.

Anesthesia

Local or tumescent anesthesia with sedation, or general anesthesia

Setting

Our office-based surgical facility in Tyler, or a local hospital if desired

Typical recovery

About 1–2 weeks to return to desk work; compression garment for several weeks

Privacy

Private consultation; virtual or in-person

Understanding Gynecomastia: What Causes It?

Gynecomastia can result from many factors, including hormone changes during puberty or aging, weight gain, genetics, certain medical conditions such as liver disease, some medications, and recreational drugs such as anabolic steroids and marijuana. In some cases, a cause is never found.

Because some causes are treatable, it is important to address any underlying hormonal or medication-related factors with your primary care provider before surgery.

Are you a candidate for male breast reduction?

You may be a good candidate if:

  • Your chest has been enlarged for a period of time and has not improved
  • Underlying causes such as medications or hormonal conditions have been evaluated and addressed
  • You are in good general health and at a stable weight
  • You do not use anabolic steroids or other substances linked to breast tissue growth

Dr. Henderson will examine you, discuss your goals, and recommend the right procedure for you.

How Male Breast Reduction Works

The approach depends on what is causing the enlargement. Fat is removed with liposuction. Firm glandular tissue is removed through a small incision, usually at the edge of the areola. If you have extra skin, a technique that removes skin may be needed. The goal is a flat, natural-looking chest contour.

Surgery is performed with general anesthesia or with local or tumescent anesthesia and sedation, depending on your needs and the extent of the procedure.

Anesthesia Options for Gynecomastia Surgery

We offer multiple levels of anesthesia at our office-based surgical facility, from local to general anesthesia, and Dr. Henderson is known for awake procedures. For appropriate candidates, male breast reduction can be performed awake with tumescent anesthesia and oral, IM, or IV sedation. Your sedation can be adjusted to keep you comfortable and relaxed, and you are always able to protect your own airway, with no breathing tube needed. General anesthesia is also available.

The setting can be our office-based surgical facility or a local hospital if you prefer. Pricing varies based on the facility. Learn more about awake procedures.

What is the recovery time for male breast reduction surgery?

  • First days: Expect swelling, bruising, and soreness. Walking is encouraged.
  • Compression garment: You will wear a compression vest for several weeks to support healing and reduce swelling.
  • Return to work: Many patients with desk jobs return in about 1–2 weeks.
  • Exercise: Avoid chest and upper-body workouts until Dr. Henderson clears you, usually around 4–6 weeks.
  • Final result: Swelling settles over several weeks to months.

Risks and Safety

Risks include bleeding, fluid collection, infection, contour irregularities, asymmetry, scarring, changes in nipple sensation, and the possibility that tissue may return if the underlying cause is not resolved. Dr. Henderson will review these risks and your specific plan during your consultation.

Male Breast Reduction Before & After Photos

REAL PATIENTS  •  REAL RESULTS

See photos of real RCH Plastic Surgery patients who gave written consent to share their results.

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Results shown are not a guarantee. Individual results vary based on anatomy, health, and healing.

Frequently Asked Questions

Will gynecomastia go away on its own?

In some cases, such as adolescent gynecomastia, it can improve over time. When it has persisted, particularly in adults, surgery is often the most reliable treatment.

Can exercise or diet fix gynecomastia?

Weight loss can reduce chest fat, but it cannot remove glandular breast tissue. If the tissue is glandular, surgery is usually needed.

Where are the scars?

Incisions are small and typically placed at the edge of the areola or in hidden locations. Dr. Henderson will describe them at your visit.

Can it come back after surgery?

Removed tissue does not regrow, but remaining tissue can enlarge if there is weight gain or exposure to certain medications or substances. Addressing the cause helps protect your result.

Is male breast reduction covered by insurance?

We are out of network with all insurance plans. If you desire insurance to cover your male breast reduction, call your insurer to get a list of in-network plastic surgeons.

How private is my consultation?

Your consultation is private and confidential. You can start with a virtual consultation or meet in person.

What does male breast reduction cost in Tyler, TX?

Cost depends on the procedure, the implant or technique chosen, and your individual plan, so pricing is personalized. Dr. Henderson provides a detailed estimate at your consultation. Several payment options are available, including an in-house installment plan, CareCredit, and Alphaeon. See payment options. Pricing also varies based on the facility where your procedure is performed: our office-based surgical facility or a local hospital, if you prefer.

Schedule Your Male Breast Reduction Consultation in Tyler, Texas

Dr. Raven Henderson and the team at RCH Plastic Surgery will help you decide what is right for your body and goals. You can book online, call us, or ask about a virtual or in-person consultation.

Contact our Tyler, TX office today:

Serving Tyler, Longview, Nacogdoches, Lufkin, Jacksonville, and all of East Texas.

Dr. Henderson offers several ways to pay, including an in-house installment plan, CareCredit, Alphaeon, and personal loan options. See all payment options.

Every surgery carries risk, including bleeding, infection, scarring, anesthesia-related complications, and the possibility of revision surgery. Dr. Henderson reviews the risks specific to your procedure and your health history during your consultation. Individual results vary.

Related Procedures

Liposuction  |  Female Breast Reduction  |  Awake Procedures

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