Shavano Park, TX
210-997-3223

Gynecomastia

in San Antonio, Texas

Defined Masculine Contours

Gynecomastia Surgery in San Antonio: Treatment for Enlarged Male Breasts with Dr. Rokosz

Gynecomastia, or the development of excess breast tissue in men, is a common and often misunderstood condition that can lead to significant physical discomfort. Men experiencing gynecomastia may feel self-conscious about their appearance, avoid removing their shirts in public, or suffer from anxiety, frustration, or embarrassment, despite being in good physical shape.

Dr. Rokosz understands how sensitive this issue can be and offers a respectful, clinical, and compassionate environment where men can discuss their concerns and explore their treatment options without judgment. If you’re living with unwanted chest fullness or visible breast tissue, you don’t have to accept it as permanent; gynecomastia is treatable!

Shirtless bearded man looking up against clear blue sky in natural sunlight - Gynecomastia in San Antonio, TX

What Is Gynecomastia Treatment?

Gynecomastia is the benign enlargement of breast tissue in males due to hormonal imbalances or other underlying factors. This condition can affect one or both sides of the chest and may involve excess glandular tissue, fat, or both.

It’s important to distinguish between gynecomastia and pseudogynecomastia, which is caused by fat deposits in the chest due to weight gain or obesity. True gynecomastia requires more than just lifestyle changes or exercise. It often requires surgical treatment to remove the dense glandular tissue beneath the nipple and areola.

Gynecomastia Causes

There are several potential gynecomastia causes, ranging from hormonal shifts to medication side effects that need to be fully investigated prior to surgery:

Estrogen and testosterone are present in all people, regardless of sex, but when estrogen levels are too high relative to testosterone, it can lead to the growth of male breast tissue. This may occur during:

  • Puberty (often temporary)
  • Aging
  • Endocrine disorders

Gynecomastia Symptoms

The most common gynecomastia symptoms include:

  • A firm or rubbery mass beneath the nipple and areola
  • One breast appears significantly larger than the other
  • Swelling or tenderness in the chest
  • A visible, rounded, protruding chest despite a lean body type
  • Nipple sensitivity or occasional discharge (rare)

Beyond the physical signs, the emotional and social effects of gynecomastia can be profound. Many men avoid activities like swimming, working out at the gym, or wearing fitted clothing. These emotional consequences are as important to address as the physical symptoms, and they’re often what motivate patients to seek a permanent solution through surgery.

Gynecomastia Treatment Options

While lifestyle changes and medical management can help in some cases, gynecomastia without surgery is generally not effective for patients with significant or long-standing glandular tissue. The most effective gynecomastia treatment options include:

Liposuction

Addresses the excess fat along the chest. A small cannula is used to suction out fat through tiny incisions.

Direct Gland Excision Surgery

Addresses dense breast tissue that cannot be removed with liposuction. The glandular tissue is surgically removed from beneath the nipple and typically combined with liposuction to treat the entire chest.

Mastectomy

Addresses excess fat, breast gland, and redundant skin for the most severe cases of gynecomastia. Involves repositioning the nipple to a more masculine position.

Before your procedure, you’ll meet with Dr. Rokosz for a thorough consultation to discuss your medical history, concerns, and goals. Gynecomastia surgery typically lasts 1 to 3 hours, depending on the complexity of your case, and you’ll go home the same day.  General anesthesia is commonly used, but mild gynecomastia may be addressed while awake in the office with well-injected numbing medication.

Who Are the Best Candidates for Gynecomastia Treatment?

Ideal candidates for gynecomastia surgery are men who:

  • Are physically healthy, non-smokers, and at a stable weight
  • Have realistic expectations for the results of their procedure
  • Have completed a thorough medical evaluation for possible causes of gynecomastia and address these issues before surgery to avoid recurrence

During your consultation, Dr. Rokosz will evaluate your chest anatomy, medical history, and any contributing factors to determine if you are a good fit for male breast reduction in San Antonio.

What Are the Benefits of Gynecomastia Treatment?

Gynecomastia surgery provides both physical and emotional advantages for men frustrated by enlarged breast tissue. Benefits of treatment in San Antonio include:

  • Restores a flat, chiseled chest appearance
  • Boosts confidence and self-esteem
  • Allows men to feel more comfortable going shirtless
  • Removes excess tissue, fat, and skin
  • Enhances proportion, symmetry, and balance
  • Long-lasting, natural-looking outcomes

Combining Gynecomastia Treatment with Other Procedures

To take your results to the next level, Dr. Rokosz can combine your procedure with other aesthetic options of your choosing. These include:

NeoGraft is a highly precise hair restoration technique that can restore luxurious locks in areas of thinning or shedding. It is an automated form of FUE (Follicular Unit Extraction) that leaves no linear scar behind and does not involve sutures.

MrktMade_DrStallworth-92 copy

How to Begin Your Gynecomastia Treatment Journey

To get started with gynecomastia treatment in San Antonio, you will first attend an informative introductory session with Dr. Rokosz. This initial visit entails:

  • An in-depth look at your medical history, including any allergies, conditions, medications, and previous treatments
  • A physical assessment and skin quality evaluation
  • Information on the contouring techniques the doctor will use to reshape your chest
  • An overview of the procedure’s risks, recovery requirements, and costs
  • The creation of an individualized treatment plan to accomplish your goals

Once you are approved for surgery and decide to move forward, we can schedule your procedure and provide instructions on how best to prepare for gynecomastia treatment in Texas.

What to Expect on the Day of Gynecomastia Treatment

Depending on your needs, the surgery may involve:

  • Liposuction to remove fatty tissue
  • Incision along the bottom of the areola to remove firm glandular tissue
  • Excision of excess skin with the incisions strategically placed along the border of the chest muscles (severe cases).
  • Sutures are placed internally and externally to support healing and minimize scarring
  • Moderate to severe cases may require drain placement to avoid fluid accumulation after surgery

Dr. Rokosz uses meticulous technique to ensure symmetry and a masculine chest contour while minimizing trauma to the surrounding tissue.

Dark blue textured background with subtle grunge overlay and worn edges
MrktMade_DrStallworth-102 copy

Gynecomastia Treatment Recovery

Your Guide to Post-Gynecomastia Care

Recovery after gynecomastia surgery is typically well tolerated but requires patience and attention to post-operative care. Most patients follow this general timeline:

  • Immediately After Surgery: There will be swelling and bruising. Patients will experience leakage of remaining tumescent fluid. Pain is managed with prescribed medication. Compression garments are worn to support healing and reduce fluid retention for at least 6 weeks.
  • Week 1-2: Swelling and bruising improve. Drains, if present, are removed. Most patients are able to return to normal daily activities by 2 weeks.
  • Week 3-6: Increased mobility and exercise but typically no lifting, pushing, or pulling greater than 10lbs.
  • Week 6+: Final results become more visible. Any activity restrictions are lifted. Compression garments may be discontinued if swelling has resolved.
  • Month 3+: Patients are typically fully recovered but will continue to heal up to one year.

Dr. Rokosz and her team will monitor your progress through follow-up visits and provide detailed care instructions for your incision sites, compression wear, and scar management to ensure a smooth recovery.

Gynecomastia Surgery Scars

While gynecomastia surgery offers a flatter, more masculine chest contour, it does involve small incisions that result in scars. Dr. Rokosz uses careful incision placement and closure techniques to keep scarring as minimal and discreet as possible. 

Common incision locations include:

Along the Edge of the Areola

This blends well with the natural color transition between the areola and surrounding skin.

Small Incisions in the Chest Creases

Typically used for liposuction cannulas and placed in less noticeable areas.

Severe Cases

Involves an incision along the border of the chest muscles and repositioning of the nipple areolar comple.x

Scars from gynecomastia surgery will fade over time with proper care. Most men notice an improvement in their chest shape, and their confidence far outweighs the presence of these discreet scars.

logo icon divider

How Much Does Gynecomastia Treatment Cost in San Antonio?

The gynecomastia surgery cost in San Antonio can vary depending on several factors:

Whether liposuction, excision, or both are required, operating facility and anesthesia fees, compression garments and medications

Since male breast reduction is considered a cosmetic procedure, insurance typically does not cover it. However, our office offers a range of financing options to help you manage costs. You’ll receive a personalized quote after your consultation with Dr. Rokosz, where she will evaluate your condition and recommend the most effective treatment plan.

Why Choose Dr. Rokosz?

Dr. Jennifer Rokosz is a trusted provider of male breast reduction in San Antonio, known for her expertise in male body contouring and precise surgical techniques. She understands that gynecomastia is not just a cosmetic concern; it’s a condition that can deeply impact a man’s self-esteem and daily life. Her patient-first philosophy, attention to masculine aesthetics, and commitment to natural results make her a trusted provider for men seeking long-term relief from this condition.

Dr Stallworth MD standing in operating room with surgical lights overhead - in San Antonio, TX

Gynecomastia FAQ’S

  • Dr. Stallworth is truly exceptional.

    I trusted him with my facelift, and I couldn’t be happier with the results. He completely refreshed my appearance, my face looks lifted, youthful, and naturally defined.

    Eman Haswah

  • Dr. Stallworth was incredibly skilled

    Dr. Stallworth was incredibly skilled, attentive, and made me feel comfortable throughout the entire process.

    Christina Blanchard

  • Highly recommend her

    Dr Rokosz is one classy person! I just love her and highly recommend her for any plastic surgery you may need.

    Melanie Ferguson Strange

Related Content

Breast Augmentation

Read More

Breast Reduction

Read More

Breast Augmentation Revision

Read More

Contact Us Today

Schedule Your Consultation

You don’t have to live with the discomfort and self-consciousness of gynecomastia. Let Dr. Rokosz help you take the first step toward a more confident you!

Schedule a Consultation