Dallas Plastic Surgeon Dr. David Azouz: Five Post Operative Tips for your Gynecomastia Recovery

Gynecomastia surgery also known as male breast reduction surgery can be a life changing cosmetic surgery for men with gynecomastia. The postoperative recovery is essential for the best results. During a consultation with Dr. Azouz he will thoroughly explain everything you need to know about the recovery process but just in case you’re curious, here are five postoperative gynecomastia surgery steps that Dr. Azouz recommends.

1) Wait to Return to Your Daily Exercise Routine

After gynecomastia surgery, you need to give yourself a week or two before getting back into your full daily aerobic exercise routine.  This means no strenuous physical activity or exercise, allowing your body time to completely heal. However, just a few days (frequently one to two) after your surgery you will be able to add in light daily activities such as working on the computer, desk work or business meetings.

2) Wear Your Compression for your Drainless Gynecomastia Surgery

After gynecomastia surgery Dr. Azouz requires you to wear compression garments. The reason for continuous compression of the surgical area is to decrease swelling and promote proper healing.  Dr. Azouz performs gynecomastia surgery without drains. During the healing process skin retraction is promoted by Dr. Azouz’s plastic surgery techniques and compression garments.

3) Good Posture Matters

Good posture is a key factor to the recovery of gynecomastia surgery. Hunching and slouching is commonly seen in gynecomastia patients as they subconsciously are trying to hide their unwanted gynecomastia.  After you’re surgery you will have nothing to hide, standing up straight with your shoulders rolled back will promoted the healing process and decrease future postural problems.  

4) Tissue Massage at the right time

After the first three weeks of healing (or as recommended by Dr. Azouz), you should start massaging the surgical area to help soften scar tissue which helps the skin lay flat and evenly. Dr. Azouz will advise if this tissue massage can be done with your hands or a roller. The massage routine should be done several times a day during recovery as advised by your plastic surgeon Dr. Azouz.

5) Stay Appropriately Hydrated

Hydration is an important factor in the healing process. The recommended daily fluid intake is 2 liters for most patients.  Dr. Azouz will advise when a patient should increase or decrease their daily intake of fluid.  It is important to avoid salty or fried foods after surgery as they can cause fluid retention and extra swelling.  Saunas and hot tubs should also be avoided as they can lead to an increase in postoperative swelling.  Dr. Azouz guides his patients and releases them for a variety of activities including heavy exercise and use of pools, Jacuzzis and saunas.   

Want to Travel to Dallas, TX for Gynecomastia Surgery with Plastic Surgeon Dr. David Azouz?

Gynecomastia (“Gyno”) Patients fly to Dallas from all over Texas and throughout the world for surgery. Dr. Azouz’s office is conveniently located centrally in Dallas and he operates in facilities in Plano, Richardson, Dallas and Farmers Branch.  Dr. Azouz is able to perform virtual gynecomastia patients for patients traveling more than a few hours for a consultation.  A variety of hotels are located close by and often next door to surgery centers and hospitals where plastic surgeon Dr. Azouz performs gynecomastia surgery.

Schedule a Consultation

If you’re interested in gynecomastia surgery, schedule an appointment with Dr. David Azouz in Dallas, TX. Call our office at (972) 702-8888 or request your appointment online.

What are the Benefits of Male Breast Reduction?

Gynecomastia, or enlarged breast tissue in men, can be caused by several factors ranging from genetic conditions to the use of certain drugs. Regardless of the condition’s cause, men dealing with gynecomastia frequently suffer from reduced self-esteem and wish for flattened, masculine chest contours. Male breast reduction, also known as gynecomastia surgery, is a procedure designed to decrease the size of the breasts and create a more masculine-appearing chest. Gynecomastia is more common than you might think, and male breast reduction has many benefits for the patients who choose this procedure.

Improved Male Chest Contours

In addition to reducing the size of the breasts, a male breast reduction can improve the contours of your chest overall. As a well-regarded gynecomastia surgeon, Dr. Azouz understands that in addition to removing excess tissue, the chest contours can be reshaped for a better result. This gives you a natural-looking, enhanced masculine appearance.

Reduced Breast Size for Overdeveloped Breasts

In men, the breasts can become overdeveloped for a variety of reasons. This includes a hormonal imbalance, which can be genetic or taking certain medications. When these are the cause of your gynecomastia, no amount of dieting or weight loss is likely to improve the appearance of your chest. Male breast reduction is the best way to permanently reduce the size of the breasts.

Reduced Excess Fat in Male Breasts

In some cases, the appearance of male breasts may be due simply to stubborn excess fat. This appearance can persist even if you are keeping up with a healthy lifestyle. Male breast reduction can help to reduce this excess fat, giving you the masculine appearance you’re looking for.

Reduced Excess Glandular Tissue in Male Breasts

Liposuction alone is often not enough to address gynecomastia, as excess glandular tissue may also be to blame for the enlarged breasts. In these cases, Dr. Azouz can carefully and effectively reduce this excess tissue using advanced surgical techniques.

Improved Confidence and Self Esteem

For male breast reduction patients, improved self-esteem is one of the major benefits of the surgery. Gynecomastia is typically not a health concern, but the condition can be a source of embarrassment and self-consciousness for many. Male breast reduction can help restore self-confidence.

Cost of Male Breast Reduction

The cost of gynecomastia procedure depends on many factors and can only be evaluated after a consultation with Dr. Azouz. If you would like more specific details regarding all the fees involved in a cosmetic surgery procedure, contact the office of Dr. Azouz today and his helpful office staff will be able to assist you.

Combination Procedures

Liposuction is a very common procedure to combine with male breast reduction surgery. Liposuction assists in the removal of breast tissue and can be used on other areas of the upper body like the flanks, abdomen, and hips.

Male pectoral implants can be combined with male breast reduction as well. Implants are commonly used for patients with Poland Syndrome and for those with significant asymmetry in their chests.

Schedule a Consultation

To learn more about gynecomastia surgery, schedule a consultation with Dr. Azouz. Call our Dallas, Texas plastic surgery center at (972) 702-8888 or request an appointment online.

Dallas Plastic Surgeon Dr. David Azouz reviews men’s plastic surgery and explains why more men are seeking plastic surgery than ever.

Plastic surgery for men is becoming increasingly popular.  As times have changed, more males are having cosmetic plastic surgery and investing in their faces, chest, and bodies.

Men’s cosmetic surgery has expanded in both the volume and public interest.  Plastic surgery in men is incredibly popular today and blepharoplasty (eyelid surgery), gynecomastia surgery (male breast reduction), placement of pectoral implants and abdominal liposuction are some of the most popular procedures among male plastic surgery patients.

One thing is clear the taboos are over:

          Men want their bodies and face to look the best that they can.

The many options for plastic surgery procedures can be enlightening for men and can help boost confidence and encourage a better self-image. Let’s review examples of male plastic surgery and cosmetic surgery for more men.

Male Plastic Surgery for the Face:

Blepharoplasty, male eyelid surgery to rejuvenate the eyelids.

This facial cosmetic surgery for men is one of the most requested procedures. It involves the removal of excess skin on the upper eyelid and the removal of the eye bags that appear under the eyelids. 

The main benefit of eyelid surgery is that on the one hand, it eliminates the feeling of “looking tired”, can improve vision and can provide a younger look.  Dallas plastic surgeon Dr. David Azouz performs the surgery in such a way that there is no perceptible scar.

The key to eyelid surgery in men is to avoid feminizing the eyelid.

Board-certified plastic surgeon Dr. David Azouz focuses on providing men a natural and masculine look with eyelid surgery (blepharoplasty).  Another benefit of eyelid surgery is that it can improve the symmetry of the face and remove dark circles under the eyelids.  Some patients can have improvements in their vision if the skin is blocking light reaching the eye.


Neck lifts are another of the most requested cosmetic surgeries for men.

A neck lift or inferior rhytidectomy is incredibly popular in both young and older men. Both younger men and older men seek to remove their double chin through neck liposuction and desire a stronger jawline via a chin implant.  Increasing the strength of the jawline and removing the double chin can provide an overall more masculine look and a slimmer appearance.

Neck Liposuction can provide a slimmer and more masculine appearance.

Older men often desire a traditional neck lift, whereby Dr. Azouz removes excess skin and jowling of the neck.  Dr. Azouz utilizes a hidden incision around the hairline of the patient’s ears while not altering the hair of the beard or sideburns.   Dr. Azouz conceals the incisions around the back of the ear, which hides scarring.

Dr. Azouz uses advanced liposuction techniques in neck lift and facelift patients.  Removing platysmal bands can also be performed in either a neck lift or a facelift.

Men’s plastic surgery: rhinoplasty (nose job), a classic of cosmetic surgery.

Rhinoplasty can provide dramatic results by remodeling the nose to provide a more cosmetic and symmetric appearance.  A nose that is in harmony with the rest of the face can provide a more aesthetic look.  Rhinoplasty is used to remove a prominent nasal hump, refine the tip of the nose and can correct asymmetry.

Cosmetic rhinoplasty can also be combined with functional rhinoplasty to improve breathing. With functional rhinoplasty, Dr. Azouz can straighten the nasal septum and reduce the nasal turbinates.  These techniques can improve airflow through the nose, can improve a man’s sense of smell and can even reduce the incidence of sinusitis.

The fact is that more and more men are seeking rhinoplasty for both functional and cosmetic improvements.

Male Plastic Surgery for the Chest:

Eliminating male breast tissue with men’s cosmetic surgery: gynecomastia and liposuction.

Gynecomastia in men is incredibly common and can be attributed to many medications, hormones, steroids, and marijuana use.

Liposuction and removal of gynecomastia (male breast reduction) is the best surgical solution for patients who have an increase in breast tissue who want a flatter, more sculpted chest or are bothered by prominent or puffy nipples. Gynecomastia surgery is well tolerated and is performed under local anesthesia and sedation on an outpatient basis.

Most men choose to remove gynecomastia and then work out to build up the pectoral muscles.  Male pectoral implants are commonly used for patients with Poland syndrome or for those who have significant chest asymmetry. 

Dr. Azouz performs liposuction and removal of gynecomastia with quick recovery, without drains and with camouflaged incisions.

Male Plastic Surgery for the Body:

Liposuction for men is used to eliminate the accumulated fat in certain areas of the body that is stubborn and hard to lose with workouts. The most frequent areas treated are the abdomen, hips, and flanks. In men, it is common to find this accumulation of fat in the abdomen and iliac rolls as compared to the leg.  Liposuction is associated with quick recovery and is performed with local anesthesia and sedation.

Tummy tucks and lower body lifts are common for men who have lost significant weight or have had bariatric surgery in the past.  A tummy tuck can be used to remove excess skin, stretch marks and scarring.  Many men choose to perform a tummy tuck at the same time they have their rectus diastasis or hernia repair performed.  A tummy tuck can be combined with male breast reduction (gynecomastia) surgery or with liposuction. Are you a man considering having cosmetic surgery? The cost of male plastic surgery is affordable for most patients and financing options are available.  Insurance can sometimes play a role if male plastic surgery is deemed medically necessary.  Tell board-certified Dallas plastic surgeon Dr. David Azouz or get in touch with us at 972-702-8888 if you have any questions!

Cirugía de Ginecomastia en Dallas| Reducción de senos masculinos | Dr. Azouz

Entérate todo lo que debes saber sobre la cirugía de ginecomastia, cuales son sus causas y tratamiento para la reducción de los senos masculinos.

¿Qué es la ginecomastia?

La ginecomastia es una afección que causa agrandamiento del tejido mamario masculino. A menudo es una gran fuente de vergüenza y causa inseguridad en los hombres. 

¿Qué causa la ginecomastia o agrandamiento del tejido mamario en los hombres?

Durante la pubertad, las oleadas hormonales pueden conducir al crecimiento del tejido mamario masculino. Las causas comunes de ginecomastia incluyen la pubertad, testosterona, el aumento de peso excesivo, el uso de esteroides anabólicos en los físico culturistas y el uso de marihuana. Varios medicamentos como el adderall también pueden causar agrandamiento de los senos masculinos.

¿Cómo sé si tengo ginecomastia?

La ginecomastia generalmente ocurre en ambas mamas, pero los pacientes pueden tener senos asimétricos o unilaterales. Los autoexámenes de los senos generalmente muestran un montículo de tejido palpable, sensible, firme, móvil, similar a un disco, que no es tan duro como el cáncer de seno y está ubicado centralmente debajo del complejo pezón-areolar.

¿Cómo corregir la ginecomastia?

Cuando los pacientes llegan con una queja de ginecomastia, generalmente se quejan de bultos en sus senos con o sin exceso de grasa en los senos. La cirugía para reducir las mamas en los hombres generalmente implica la liposucción del exceso de grasa y/o la extirpación quirúrgica del exceso de tejido mamario glandular Es importante que su cirujano realice un examen físico adecuado de sus mamas para confirmar la ginecomastia y descartar la sospecha de cáncer de seno masculino.

¿Qué se debe hacer antes de una cirugía de ginecomastia?

Dr. Azouz aconseja suspender los medicamentos que aumentan el riesgo de sangrado, dejar de fumar y mejorar la nutrición para apoyar la curación y recuperación después de la cirugía de ginecomastia. 

¿Cómo es la cirugía de ginecomastia?

La cirugia de ginecomastia en Dallas es sencilla y se la realiza bajo anestesia local. El uso de fajas es común para ayudar a controlar el dolor, reducir la hinchazón y controlar los hematomas. 

¿Cómo es la recuperación después de la cirugía de ginecomastia?

La cirugía de ginecomastia en Dallas es sencilla y la recuperación es rápida. Los pacientes generalmente se van a casa el mismo día. La mayoría de los pacientes regresan al trabajo poco después de la cirugía y usan una faja durante aproximadamente 2 a 4 semanas para reducir la hinchazón y acelerar el proceso de curación. Al igual que con cualquier procedimiento quirúrgico, el Dr. Azouz brinda tips de cuidados posteriores a una cirugía de ginecomastia y una cita de seguimiento para garantizar los resultados ideales y una recuperación saludable.

¿Cuánto puede costar una cirugía de ginecomastia?

La cirugía de ginecomastia en Dallas puede costar entre USD 6000 a 10000 en honorarios médicos. No incluye gastos de anestesia y sala de operación. Pide tu cita para una evaluación gratuita aquí o llama al 972 702 8888

¿Qué cirujano plástico se especializa en cirugía de ginecomastia en Dallas?

Dr. Azouz se especializa en cirugías de ginecomastia en Dallas. Por más de 30 años ha realizado un gran número de cirugías de reducción de mamas en hombres en Dallas mejorando la apariencia del pecho de sus pacientes. Solicita una cita gratuita en nuestras oficinas en Dallas aquí.  Nuestro equipo de cirujanos habla español. Pide tu cita ahora al 972 702 8888

Azouz Plastic Surgery Performs Aesthetic (Cosmetic) Surgery Procedures in the Face, Breast and Body

What cosmetic procedures can be combined and why would that be beneficial?

Combining plastic surgery procedures is extremely popular and involves a plastic surgeon performing multiple plastic or cosmetic surgeries in one day.  This is a great option for patients who have many different concerns they would like to address. Dr. David Azouz is a board-certified plastic and reconstructive surgeon in Dallas, TX who performs many combination procedures to help his patients reach their goals in a safe, efficient and effective manner. Dr. Azouz is highly experienced and offers patients the benefits of a natural-appearing look with minimal scarring from his combination procedures. The most well-known combination procedure is the mommy makeover, but there are many procedures that can be combined. Facelifts, tummy tucks, liposuction, and breast surgeries are all popular surgeries that can be done together.

Benefits of Combination Procedures

There are many different benefits that come from performing two or more surgeries simultaneously. Mainly, it cuts down on the need for multiple surgery days which allows a patient one recovery. Additionally, combining procedures often cuts down on the cost of surgery and anesthesia.

Candidates for combination plastic and cosmetic surgery

The best candidates for combination surgery:

  • Require moderate improvement of the areas to be treated
  • Are in good overall health
  • Are non-smokers
  • Have realistic expectations

Dr. Azouz recommends that patients with areas that require significant skin and soft tissue resection stage their procedures rather than have them done on the same day.  The right combination of procedures can achieve the results a patient desires and this is best achieved through expressing your goals with Dr. Azouz.  Dr. Azouz is committed to performing plastic and cosmetic surgery as safely and efficiently as possible.

Combining plastic surgery with other non-plastic surgery procedures

Patients often desire to combine cosmetic and plastic surgery operations with other types of surgery including:

  • Hysterectomy
  • Removal of gallbladder
  • Functional rhinoplasty
  • Hernia repair

Dr. Azouz is able to coordinate performing cosmetic surgery with other noncosmetic surgeries with a variety of different surgeons.  Often Dr. Azouz will work with an OBGYN to perform a hysterectomy and tummy tuck together.  Hernia repairs are often performed at the same time as a panniculectomy (tummy tuck).

Recovery Time

One of the main questions Dr. Azouz is asked during his consultations with patients is how much recovery time they will need for their procedure. If a patient has multiple concerns and requires multiple procedures, this adds to time spent recovering from surgery. With a combination procedure, you get one recovery time.  A mommy makeover may involve a drain-less abdominoplasty or mini-tummy tuck, liposuction, and breast augmentation in the same day.   Men often desire liposuction of the abdomen to be done concurrently with liposuction and removal of gynecomastia of the chest.  The recovery time for each procedure is about four to six weeks until a patient can return to heavy exercise. Instead of having to heal for four to six weeks to or three different times, patients can get surgeries done on the same day so that they only go through one recovery.

How soon can you have cosmetic surgery after massive weight loss surgery (gastric bypass?

Gastric bypass induces weight loss by both restrictive and absorptive methods.   This means that a patient will eat less food and less food will be absorbed through the patient’s digestive tract.  Patients will generally have their weight fluctuate for six months after surgery.  Dr. Azouz typically recommends having a stable weight for six months prior to surgery as well.  Patients who have had bariatric surgery (gastric sleeve or bypass) are typically excellent candidates for post-bariatric body contouring.  Combination procedures are often possible and include a variety of cosmetic surgeries of the body, breast, and face.

Possible combination surgery after bariatric procedures include:

Mommy makeover

Body lift with liposuction

Tummy tuck with liposuction

Facelift with eyelid surgery (blepharoplasty)

Breast lift with breast augmentation

Liposuction and removal of gynecomastia

Cost and Recovery

Along with the cut down on recovery time, combination procedures also cut down the cost. The cost of each individual procedure varies greatly. You have to add in the surgical facility, anesthesia, and medical devices to the total cost. By getting multiple procedures done in one surgery, this cuts down on the time spent in the operating room and anesthesia costs being repeated. Dr. Azouz will give you an estimated cost of your unique combination procedure during your in-person consultation.

Popular Combination Procedures

To help his patients save on recovery time and cost, Dr. Azouz performs many of his procedures in combination with others. Due to the drain-less technique accompanying his procedures, patients can enjoy a less complex healing period. One of his most popular procedures is the Drainless abdominoplasty. Other popular combination procedures are:

  • Mommy Makeover (breast and abdomen)
  • Liposuction and Removal of gynecomastia
  • Liposuction and Abdominoplasty
  • Breast Lift and Reduction
  • Rhinoplasty and Eyelid surgery (blepharoplasty)
  • Facelift and Eyelid surgery
  • Mini Abdominoplasty and liposuction
  • Tummy tuck and labiaplasty


Schedule a Consultation

If you have multiple body concerns that you would like to address, then talk to Dr. Azouz about combination procedures. These are excellent options to get your ideal look in a quick, effective manner. You can request a consultation with our online form or give us a call at 972-702-8888.

Dallas-Plano Plastic Surgeon Dr. David Azouz Busts Several Gynecomastia Myths

Gynecomastia is a common condition that can be disturbing to many men.  Unfortunately, many myths still persist today that cause men to be discouraged when seeking treatment for gynecomastia.

Myth: ‘Pseudogynecomastia, Man boobs, Male Breasts, Gynecomastia are mutually exclusive (you have one or the other)”

Dr. Azouz:  Most men have a combination of fatty tissue and gynecomastia.  It is not uncommon for men to have massive weight loss and have true gynecomastia (pure breast tissue).  Similarly, men who are at their ideal weight may have significant fatty tissue in their chest.  Most men will have a combination of gynecomastia (breast tissue) and fatty tissue.

Myth: ‘Nipple Size is independent of gynecomastia’

Dr. Azouz: Enlarged male nipples are most often associated with underlying gynecomastia.  Patients undergoing gynecomastia surgery can often expect their nipple-areola to reduce by half to one-third of the size.

Myth:  ‘You will have Drains with Gynecomastia Surgery’

Dr. Azouz: We do not use drains in gynecomastia surgery.  This allows a more comfortable recovery without additional scarring from drain sites.

Scar with Gynecomastia Surgery “The scar is most often imperceptible and camouflaged in the areola.”  

Myth: Scarring with Gynecomastia surgery: ‘scars are multiple, large and visible’

Dr. Azouz: We only place one scar on each breast in our procedure.  The scar is most often imperceptible and camouflaged in the areola.

Myth: ‘Older men are not candidates for gynecomastia surgery’.

Dr. Azouz: Older men can have wonderful results with gynecomastia surgery.  We operate on men in their 70s and 80s routinely and have many older patients who are very happy after male breast reduction surgery.

Myth: ’Teenagers and pre-teens are not candidates for gynecomastia surgery’.

Dr. Azouz: Young adults and teens can have wonderful results with gynecomastia surgery.  We operate on boys as young as 10 and 12.  There are patients who have severe gynecomastia even before they are teenagers.  Gynecomastia surgery can be performed in even growing boys.

Myth: ’Male breast reduction is very painful’.

Dr. Azouz: Many of our patients do not take any pain pills after male breast reduction surgery.  Some patients only take Tylenol and Advil.  It is rare for a patient to ever need a refill of their pain prescription after surgery.

Contacting Us

Patients who experience gynecomastia are encouraged to contact us. We can perform a thorough examination and offer advice on the appropriate method of treatment. For more information and to schedule your consultation with Dr. Azouz at 972-702-8888, contact our office.

Will Gynecomastia Go Away Naturally or On It’s Own?

Although you commonly hear of breast reductions for women, male breast reduction is not as commonly discussed. Gynecomastia is a condition that can cause breast tissue in men to swell or enlarge. Gynecomastia presents from puffy nipples to large female appearing breasts. Approximately sixty percent of men have this condition, and many have it to the point that they choose surgical correction.  In adults when gynecomastia persists for 12 months, surgical excision and body contouring is the definitive treatment of choice.

What is gynecomastia?

Gynecomastia is a condition that can first present in puberty or after infancy, as the young man is encountering many different changes in his body. An imbalance between testosterone and estrogen can cause breast tissue to develop and grow in a male. Although the exact etiology of this condition is not always clear, steroids, recreational cannabis and other medications are believed to contribute to gynecomastia. Other factors like weight and age can also influence the development of gynecomastia.  The overwhelming cause of gynecomastia is a genetic predisposition inherited from a male relative.

To many males, especially as a young teen, this is a source of embarrassment. Many young men report not wanting to participate in sports or any team activities that require changing in front of other young men or women. Patients often report being very self-conscious of their bodies and try to hide it in various ways. Older men may also experience difficulty with self-esteem and avoid going shirtless, playing sports or wearing tight-fitting clothing. There are also men who intentionally gain weight in order to camouflage their gynecomastia.  Gynecomastia may be minor and fade away past puberty, or it may be excessive and not reduce or disappear.

Gynecomastia is also referred to as male breast tissue, gyno, or “man boobs”.  Gynecomastia is different from pseudo gynecomastia which involves lipodystrophy or abnormal fat distribution in the chest.  Most men who are afflicted with gynecomastia have a combination of both lipodystrophy and true gynecomastia.

Will gynecomastia go away naturally?

Males affected by this condition often want to know the answer to this question: Will gynecomastia go away naturally? The simple answer is it depends. For young boys, gynecomastia often goes away after puberty. However, for many children, young adults, and adults the appearance of gynecomastia may be permanent. In fact, the only proven treatment for this condition is male breast reduction, a surgical procedure. When a skilled plastic surgeon performs this procedure, it creates a permanent change in the male’s physical appearance.  Gynecomastia removal can often be achieved with one outpatient surgical procedure.

How do you choose a good plastic surgeon for liposuction and removal of gynecomastia (male breast reduction)?

Most importantly, you need a plastic surgeon you can trust and feel comfortable with. A plastic surgeon is a surgeon who has completed a minimum of 3 years of general surgery and 3 years of plastic surgery.  It is advisable to directly inquire if your plastic surgeon completed a residency in plastic surgery.

Azouz Plastic Surgery has two such plastic surgeons, who are sympathetic to your problem and skilled in performing male breast reductions. Both plastic surgeons perform gynecomastia surgery (male breast reduction) on a regular basis.  Dr. Azouz routinely does not use drains, performs gynecomastia surgery as day surgery, and often is able to achieve the desired results with imperceptible scars.  Dr. Azouz performs Aesthetic (Cosmetic) and Reconstructive surgeries of the chest and has experience in treating patients with advanced gynecomastia, Poland syndrome, placement of pectoral implants, nipple/areola reduction, and chest asymmetry.

If you are affected with gynecomastia, schedule a plastic surgery consult and call 972-702-8888 today.

Gynecomastia in Teens – Azouz MD

What is gynecomastia?

Although breasts do not develop in males like they do for females, most men are born with a small amount of breast tissue. A male’s body makes the testosterone hormone which guides his sexual growth and development with puberty. However, males also produce the female sexual growth hormone, estrogen. Endocrine studies have demonstrated a hormonal imbalance with an increase in estrogen, leading to a swelling and hypertrophy of male breast tissue. Almost 50 percent of adolescent boys develop gynecomastia to some degree and some will develop permanent gynecomastia presenting as a female appearing breast or as puffy nipples.  Some men will also present with lipodystrophy, which is an abnormal distribution of fat overlying the pectoralis muscles. Many men have a combination of both abnormal fat distribution and gynecomastia (breast tissue) appearing to be female breasts.

Gynecomastia in young adults and teens – Azouz MD

With puberty comes a number of changes to the body.  The appearance of facial hair and deepening of the voice are part of healthy male development. Sometimes, teenage boys may experience another change that comes in the form of breast tissue enlargement which is distressing and cause self-consciousness with tight-fitting clothing or when shirtless.

What causes gynecomastia?

There can be a number of factors that can cause gynecomastia in men and teens, however, the exact cause can be difficult to determine. Most cases of gynecomastia are no fault of the patient and run in families being genetic. Some factors that are felt to contribute to gynecomastia are as follows:

  • An injury to the testicles which make testosterone or disease affecting it.
  • Problems of the liver, thyroid or kidneys
  • Obesity which leads to an increase in estrogen.
  • Certain medications like those for depression, cancer, ulcers or heart disease.
  • Drugs like marijuana or steroids.
  • Dietary or herbal supplements

What are the symptoms and treatment?

Gynecomastia can initially present as a lump of fatty tissue under the nipple. The swelling in the breasts may be even or uneven.  Most patients have some asymmetry between the two breasts.

Dr. Azouz evaluates each patient with a history and physical exam.  When indicated Dr. Azouz is able to contour the chest with liposuction and removal of gynecomastia and fatty tissue.  Dr. Azouz routinely camouflages small incisions around the areola and does not use drains.  Liposuction and removal of gynecomastia is routinely performed as a day surgery and many patients report experiencing little pain after surgery.  Dr. Azouz will guide aftercare and advise patients on when to return to light and heavy physical activity.

How Old Should I Be for Gynecomastia Treatment?

Although most men experience gynecomastia, or enlarged male breasts, at some point in their lives, not every patient fits the criteria for a good candidate. This is because gynecomastia can change over time or resolve on its own, so life stage is a very important factor when looking at your options with gynecomastia treatment. As you plan your consultation for male breast reduction, here are some things to consider.

Considerations for Puberty

Because gynecomastia is most commonly caused by hormones during the body’s development, puberty can be a huge factor in deciding whether surgery is appropriate for candidates. Most men experience gynecomastia during their teenage years to some degree, but this usually resolves as the body exits puberty. For this reason, male breast reduction may be detrimental to the body as it continues to change. If you’re still within your teenage years, you should be sure to discuss your options with Dr. Azouz and explore other options if you’re still experiencing this important phase.

Considerations for Maturity

Plastic surgery is no small choice, so most plastic surgeons will be sure to discuss with their patients the repercussions of choosing their procedure. Male breast reduction can be an effective, long-term solution, but it’s not a permanent fix. Despite treatment, gynecomastia can still reoccur without the proper life changes to ensure it stays away. These can include avoiding weight gain and certain medications. Overall, patients for any plastic surgery procedure should be mature enough to understand the procedure and its ramifications on their body and their lifestyle.

What Age is Best?

This question can be difficult to answer, since every patient presents a unique case. Male breast reduction is best for patients who have outgrown puberty and still have enlarged breasts. However, many male breast reduction patients are middle-aged or older and experience enlarged breasts as a result of aging or weight gain. In any case, ideal patients have tried lifestyle adjustments to reduce their gynecomastia and are able to consent to and undergo surgery to correct it. The best way to determine whether you can benefit from gynecomastia treatment is through a consultation with Dr. Azouz.

Dr. David Azouz is a top gynecomastia plastic surgeon in the Dallas area who performs effective male breast reduction techniques at our state-of-the-art practice. To schedule a consultation to discuss your gynecomastia treatment options, contact our office by calling or filling out our online form.