Chest of a man with gynecomastia


Because of weight gain or natural genetics, the male body can accumulate fatty deposits above the pectoral muscles.

Male breast reduction, or gynecomastia surgery, can be an excellent surgical treatment for men uncomfortable with the look of their chest.

At our San Antonio, TX, practice, Dr. Constance Barone uses her artistic eye and surgical precision to create smoother, flatter chests.

The Types of Gynecomastia

Gynecomastia is the enlargement of breast tissue in men or boys. The condition causes breasts to become larger, and often asymmetrical. There are two types of gynecomastia:

True Gynecomastia

This type of gynecomastia is caused by an excess of glandular tissue in the male breasts due to hormonal imbalances between estrogen and testosterone. This extra tissue buildup often begins in puberty due to fluctuations in estrogen and testosterone. This kind of gynecomastia may resolve on its own one to two years after puberty, but it can also be treated with the surgical removal of breast tissue.


In pseudogynecomastia, enlarged breasts are due to the buildup of fat around, behind, or underneath the nipples rather than hormonal issues, such as an excess of estrogen. While certain weightlifting techniques and pectoral exercises can tone the chest and improve the appearance of the male breasts, liposuction is an effective plastic surgery option that can sculpt the area into more masculine contours. 

The Onset and Causes of Gynecomastia

Gynecomastia may develop in newborns, boys going through puberty, or men.

Most male infants are born with somewhat enlarged breasts due to exposure to the mother's estrogen. However, the effects of the estrogen typically wear off quickly, and swelling typically goes down in two to three weeks.

Hormone changes during puberty, such as an imbalance of testosterone and estrogen, can cause gynecomastia, but swelling of the male breast typically goes away after a few months to a couple of years.

In men, gynecomastia is most commonly due to:

  • Aging
  • Reduced testosterone
  • Use of anabolic steroids
  • Anti-androgens to treat prostate cancer
  • High estrogen levels and low testosterone levels due to obesity

Our Dramatic Male Breast Reduction Results

Before treatment
After treatment
Following male breast reduction surgery with our San Antonio plastic surgeon, patients can expect to see full results and reduced swelling within a few months. Scarring is minimal, patients feel increased confidence when they are not wearing shirts, and they find that clothing fits better.

A More Masculine Physique Can Be Yours Contact Dr. Constance Barone in San Antonio Today

Whether due to estrogen or testosterone levels, obesity, or the natural effects of aging, if your breast enlargement is making you feel self-conscious, Dr. Constance Barone can provide you with a procedure that smooths your chest and improves your contours. She uses advanced techniques to perform gynecomastia surgery, prioritizes patient privacy, and is board certified by the American Board of Plastic Surgery, making her a prime choice for your surgical procedure.

To get started on your male breast reduction surgery, fill out our online form or call our San Antonio office:

(210) 614-0400

We Help Patients Achieve What They've Envisioned "Very confident and straight to business"


Enrique Correa

San Antonio TX


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Front desk team 10/10 answered all my calls and were friendly. Dr. Constance is a professional she’s very confident and straight to business which I love i visioned the desired result and she got it done the way she treated me let me know she really cared.

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Beatrice Cole

San Antonio TX


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So amazed with my results. Hands down BEST PLASTIC SURGEON EVER!!!!! San Antonio is lucky to have her. Her attention to detail and professionalism is unmatched. She has the best bedside manners and aftercare, truly cares about her patients... So pleased, will definitely recommend to all my family and friends.

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Addressing Gynecomastia How Male Breast Reduction Is Performed

Our board-certified plastic surgeon artfully adjusts her surgical technique to address each man's unique body shape and goals. Gynecomastia surgery may involve simple liposuction alone, or may also include the removal of excess skin tissue.

4D Vaser LipoSelection

Dr. Barone can use the 4D hi-def VASER® LipoSelection technique to precisely remove fat from the treatment area so we can better achieve the body contouring results you desire. This technique also results in less severe side effects and a faster recovery period.

VASER LipoSelection uses an ultrasound-assisted cannula to liquefy fatty deposits in the pectoral area. Once the excess fat has been liquefied, our surgeon gently suctions it out, creating a smoother, flatter chest area.

Explore VASER Liposuction

Tissue Removal

If a man has excess breast tissue and skin that contributes to undesirable pectoral contours, our surgeon can remove it. Often performed in conjunction with liposuction, Dr. Barone uses small incisions for this plastic surgery procedure and is usually able to hide scars in the darkly colored skin of the areola.

To find out if liposuction, breast tissue removal, or a combination of the two is right for you, contact our San Antonio, TX, practice to request your initial consultation.

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The Awake Technique

For both liposuction and tissue removal, Dr. Barone uses the awake technique. Rather than using general anesthesia or IV sedation, patients are given a local anesthetic and are kept awake during their treatments. Patients will feel no pain and can recover in our offices much faster than with IV sedation.

Gynecomastia and Breast Cancer

Some patients are concerned that gynecomastia is a sign of breast cancer, but gynecomastia is a benign condition. Research shows that cancer is diagnosed in only 1% of men with breast enlargement. Though the risk for breast cancer is extremely low, we will discuss this concern during your consultation at our San Antonio practice and ensure that you are healthy before proceeding with treatment.

Paying for Gynecomastia Surgery

Your medical insurance may contribute to the cost of gynecomastia surgery if you meet certain requirements, such as if malignancy is suspected or the enlargement causes chest pain. When used for cosmetic reasons, your insurance will not cover your surgery. However, we offer procedures at reasonable rates and accept financing options through CareCredit® and Alphaeon® so you can pay for your surgery in affordable monthly installments.

We accept cash, checks, and most major credit cards, so paying for your surgery is easy.

Benefit From Our Amazing Staff and Surgeon "Honest and upfront."


Jenny Hicks

San Antonio TX


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Very friendly staff and inviting facility. Dr. Barone was honest and up front with her answers to my questions which I appreciate as well as her professionalism.

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Sandra Urrabazo

San Antonio TX


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There aren’t enough words to express how incredibly pleased I am with my results. Dr. Barone is an excellent surgeon and her staff is awesome! The overall experience far exceeded my expectations and I am extremely happy.

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Dr. Constance Barone

Dr. Constance Barone

Dr. Constance Barone in San Antonio, TX, and her team pride themselves in delivering safe, compassionate care tailored to your individual needs. She has been voted one of the Top Plastic Surgeons in America and her professional affiliations include:

  • American Society of Plastic Surgeons
  • American College of Surgeons
  • American Academy of Cosmetic Surgery

To schedule a consultation and learn more about how Dr. Barone can help you achieve your aesthetic goals, contact our office online, or call (210) 614-0400.

Contact Us Today

"Rating our experience with a perfect score is not enough. The care and attention we received from Dr. Barone and her team was as close to perfection as one can ask for." Jacqueline W.

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San Antonio Office

9502 Huebner Rd
Ste 202
San Antonio, TX 78240

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