Gynecomastia Surgery in Austin, TX - Adults and Teens
Dr. Khansa is a Harvard Medical School graduate, certified by the American Board of Plastic Surgery, named an Austin Monthly Top Doctor in 2026, and specializes in gynecomastia surgery for teenage and adult men.
Gynecomastia (enlarged male breast tissue) affects millions of teens and men and can be deeply distressing. It prevents them from going shirtless, exercising comfortably, or feeling confident.
Gynecomastia surgery removes excess breast tissue and fat, restoring a masculine chest contour.
Dr. Khansa performs gynecomastia surgery with meticulous attention to natural-looking results and minimal scarring.
Schedule your gynecomastia consultation in Austin today
Ready to take the next step? Dr. Khansa offers personalized consultations with evening and weekend availability.
📍 3305 Northland Dr., Suite 210, Austin, TX 78731
📞 (512) 615-6566 (call or text)
🗓️ Schedule online below
Jump to Section
Who is a good candidate for gynecomastia surgery?
Your gynecomastia consultation with Dr. Khansa
Gynecomastia surgery techniques
Gynecomastia surgery: the procedure
Recovery after gynecomastia surgery
Gynecomastia surgery results: what to expect
Why choose Dr. Khansa for gynecomastia surgery in Austin?
What Is Gynecomastia?
Gynecomastia is the enlargement of glandular breast tissue in males. It can affect one breast (unilateral) or both (bilateral). Gynecomastia is not just fat, it's actual glandular (breast) tissue that develops due to hormonal imbalance, genetics, medications, or sometimes no identifiable cause.
Gynecomastia is NOT:
Chest fat from obesity (though obesity can worsen it)
A sign of disease or weakness
Gynecomastia is:
A common, treatable condition
Often caused by hormonal factors beyond your control
Surgically correctable with excellent results
Worth addressing: the psychological impact can be significant
What Causes Gynecomastia?
There are two main categories of gynecomastia
Physiologic gynecomastia (90% of cases)
This is normal breast enlargement that can occur in male newborns, teenagers, and the elderly. It occurs due to normal hormonal changes
Pathologic gynecomastia (10% of cases)
This is breast enlargement that occurs for reasons other than normal hormonal changes. Potential causes of pathologic gynecomastia include:
Medications: some antidepressants, antipsychotics, heart medications
Anabolic steroids
Marijuana /cannabis
Certain medical conditions that affect the liver, testicles, or thyroid gland
Certain genetic conditions
Who Is a Good Candidate for Gynecomastia Surgery?
You may be a good candidate for gynecomastia surgery if you:
Have enlarged breast tissue that bothers you
Have stable weight
Are in good overall health
Have realistic expectations
Are ready to make the decision for yourself (not due to pressure from others)
If your gynecomastia is due to medications or other substances: are willing and able to stop those medications/substances
Your Gynecomastia Consultation with Dr. Khansa
Every gynecomastia case begins with a detailed evaluation. Dr. Khansa will:
Assess how much is glandular tissue vs. fat
Check for any underlying medical causes
Discuss your goals and concerns
Explain the surgical approach
Walk you through recovery and realistic outcomes
Answer all questions about scarring and results
Evening and weekend consultations are available.
Gynecomastia Surgery Techniques
Dr. Khansa customizes the approach based on the type and amount of breast tissue:
Periareolar Incision +/- Liposuction
For cases with minimal or no skin excess
Semicircular incision around the nipple-areola complex
Glandular tissue is removed
Can be combined with liposuction to remove excess fat
Hidden incision placement minimizes visibility
Donut Incision +/- Liposuction
For cases with mild to moderate skin excess
Circular incision around the nipple-areola complex
Glandular tissue and skin are removed
Can be combined with liposuction to remove excess fat
Hidden incision placement minimizes visibility
Full mastectomy + Liposuction
For cases with severe skin excess
Circular incision around the nipple-areola complex, and incision in the fold under the breast
Glandular tissue and a large amount of skin are removed
Combined with liposuction to remove excess fat
Gynecomastia Surgery: The Procedure
Gynecomastia surgery is performed under general anesthesia as an outpatient procedure (you go home the same day).
The surgery takes 1.5 - 2.5 hours, depending on the approach and the amount of tissue to be removed
After surgery, you'll wear a compression garment for 6 weeks to support healing and reduce swelling.
Recovery after Gynecomastia Surgery
Gynecomastia recovery is relatively quick. Most men return to desk work within 3-5 days. Here's what to expect:
Days 1-3: Soreness, swelling, bruising, managed with pain medication.
Week 1: Significant swelling. Most return to desk work. Avoid lifting and strenuous activity.
Week 2-3: Swelling starts to decrease.
Week 3-4: Can resume light exercise (lower body exercises).
Week 6: Clear for most normal activities. OK to exercise.
Months 3-6: Final results visible as all swelling resolves.
Dr. Khansa provides detailed post-operative instructions and is available throughout your recovery.
Gynecomastia Surgery Results: What to Expect
Gynecomastia surgery results are immediate and dramatic for most men. You'll see the change right away, even with swelling. Final results become fully visible as swelling resolves over 3-6 months.
What you'll see:
Flat, masculine chest contour
Ability to go shirtless without embarrassment
Improved confidence and comfort during exercise
Clothes fit better
Permanent results (unless significant weight gain occurs)
Most men report a significant psychological boost. The ability to be comfortable in their own body is transformative.
Why Choose Dr. Khansa for Gynecomastia Surgery in Austin?
Harvard Medical School graduate
Certified by the American Board of Plastic Surgery (ABPS)
2026 Austin Monthly Top Doctor
Expert in all gynecomastia techniques
Understands the emotional impact of gynecomastia
Specializes in both teenage and adult gynecomastia
Meticulous attention to scar placement and minimization
Over 70 peer-reviewed publications on surgical technique
Evening and weekend consultations available
🔍 Is gynecomastia surgery covered by insurance?
In most cases, gynecomastia surgery is considered cosmetic and is not covered by insurance. However, in rare cases where there are medical symptoms (pain, skin irritation, difficulty exercising), insurance may cover part of the procedure. Dr. Khansa's team can help clarify your coverage.
🔍 Will I have visible scars?
For most patients, scars from gynecomastia surgery are well-hidden around the nipple-areola complex or in natural chest creases. Scars fade significantly over 12-18 months. Most men find the minimal scarring far preferable to living with gynecomastia.
🔍 Can I have gynecomastia surgery if I'm still a teenager?
Yes, you can. Khansa evaluates each teenage patient individually to determine if surgery is appropriate. Dr. Khansa recommends waiting 2 years (from the time of gynecomastia onset) to see if gynecomastia resolves on its own. If it does not resolve after 2 years, then it is unlikely that it will resolve on its own, and surgery is a good option at that time.
🔍 Will my gynecomastia come back?
No. Once glandular breast tissue is surgically removed, it does not grow back. However, if you gain significant weight, new fat can develop in the chest. If you take anabolic steroids, testosterone supplements or cannabis, gynecomastia could redevelop. Maintaining a stable weight and avoiding medications/substances that cause gynecomastia will keep your results permanent.
🔍 How long until I can exercise after gynecomastia surgery?
Light walking can resume the same day. Lower body exercise can resumes around 3-4 weeks. High-intensity chest exercises should wait 6-8 weeks. Dr. Khansa will provide specific clearance based on your healing.
🔍 How much pain is involved?
Pain after gynecomastia surgery is typically mild to moderate and well-controlled with prescribed pain medication. Most men describe it as soreness rather than sharp pain. Pain decreases significantly by week 2-3.
🔍 Will I need to wear a compression garment?
Yes. You'll wear a compression garment for 6 weeks after surgery to support healing, minimize swelling, and help the chest mold into its new shape. This is an important part of recovery and contributes to excellent results.
🔍 Can I shower after gynecomastia surgery?
Yes, you can shower the day after surgery. However, you cannot swim or sit in a bathtub for 3 weeks after surgery.
🔍 What if I have gynecomastia on only one side?
Unilateral (one-sided) gynecomastia is treated the same way. The affected side is addressed with surgery as needed.
🔍 How do I know if I have glandular tissue or just chest fat?
This is determined during your consultation. Dr. Khansa will examine your chest to assess how much is glandular tissue vs. fat. Glandular tissue feels firm and is located directly behind or around the nipple. Fat feels softer and distributed across the chest. If you're unsure, Dr. Khansa's examination will clarify what you're dealing with.
🔍 Should I lose weight before gynecomastia surgery?
If you have excess body weight, it's generally good to get to a stable weight before surgery so your final results are as good as possible.
🔍 How do I decrease my risk of complications after gynecomastia surgery?
There are essential steps you must take to ensure a smooth recovery after gynecomastia surgery:
Prevent infection and wound healing problems: Do not smoke, or use any form of tobacco, nicotine or vaping for 6 weeks before surgery, until 6 weeks after surgery
Accelerate your recovery: Eat a high protein diet. Drink plenty of fluids
Prevent blood clots: If you are on an oral contraceptive pill that contains estrogen, stop it 6 weeks before surgery and do not restart it until 6 weeks after surgery. You must walk at least 5 times a day, starting on the evening of surgery
Prevent pneumonia: Take deep breaths throughout the day, and cough if you need to
Prescriptions: Take prescription pain medications as instructed. Do not take herbal or homeopathic medications unless approved by Dr. Khansa, as these can cause bleeding and abnormal blood pressure
FAQs
Schedule your gynecomastia consultation in Austin today
Ready to take the next step? Dr. Khansa offers personalized consultations with evening and weekend availability.
📍 3305 Northland Dr., Suite 210, Austin, TX 78731
📞 (512) 615-6566 (call or text)
🗓️ Schedule online below
3305 Northland Dr., Suite 210, Austin, TX 78731
DrKhansa@KhansaPlasticSurgery.com
(512) 615-6566 (call or text)
(281) 962-8002
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