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Man wearing a t-shirt

Gynecomastia Versus Chest Fat: Which do I have?

Gynecomastia is the appearance of female-like breasts in a male. For a gynecomastia specialist such as myself, determining who has it and who doesn't is straightforward.

What You Need to Know About Gynecomastia and Good Posture

What You Need to Know About Gynecomastia and Good Posture

Poor posture and gynecomastia go hand in hand. Most patients seen at my Austin Gynecomastia Center have poor posture. The reason for this is obvious—slouching of the shoulders and bending at the back camouflage or hide the prominence of your chest. Unfortunately, this leads to both mental and physical compromise. People who slouch don't look as good as they can if they sat up straight. Slouching gives off signals of insecurity and a lack of confidence.

What You Need to Know About Revision Gynecomastia and What I Learned Recently

What You Need to Know About Revision Gynecomastia and What I Learned Recently

The photos associated with the blog say a lot. I saw these two patients the same week, and they share a similar story. Both had previous surgery and they both came from far away. On the day I examined [...]



There are many people out there on the “fence” when it comes to gynecomastia treatment. They have learned much from the Internet and forums, but they still hesitate to engage in treatment. Factors such as [...]

A Quick Reminder Of What We Do At The Austin Gynecomastia Center

Post-Semaglutide (Wegovy) Plastic Surgery: Gynecomastia Treatment After Semaglutide Weight Loss

There is a deep connection between weight gain, gynecomastia, and semaglutide used for weight loss.



This patient is someone who I operated on yesterday. I reached out to him on post-operative day one to check that he had no acute complications and that he was cleared to return home. As a reminder, most of the patients treated at the Austin Gynecomastia Center are [...]

Gynecomastia Complications

Gynecomastia Complications

Complications are related to any surgery procedure, gynecomastia included. Thankfully, compared to the serious complications that can occur with some procedures, gynecomastia complications are all non-life threatening and generally easy to manage [...]

Types of Gynecomastia Tissue

Types of Gynecomastia Tissue

I just did a simple search on the internet for gynecomastia tissue, and in a few scrolls down the page, I realized there needs to be more clarity out there. To me, the answer is straightforward, and this is likely because [...]

The Top 10 Benefits of Gynecomastia Surgery

The Top 10 Benefits of Gynecomastia Surgery

There is a reason why gynecomastia treatment is one of the most popular cosmetic surgery treatments for men—men strongly desire to remove female-like breasts from their lives. [...]

When Is Gynecomastia Bad Enough to Get Surgery?

When Is Gynecomastia Bad Enough to Get Surgery?

I often get the question, “Is my gynecomastia bad?” As a point of reference, I have performed almost 5,000 surgical cases of gynecomastia at the Austin Gynecomastia Center here in Austin, Texas, and [...]

scar tissue formation after gynecomastia

Scar Tissue Formation After Gynecomastia Surgery: Common Things Occur Commonly

My essential gynecomastia paper published in 2022 found that the most common reason for a revision procedure was the development of scar tissue. This had never been [...]

a patient with puffy nipples

Why Does My Gynecomastia Look Better When It’s Cold?

Gynecomastia is defined as the appearance of female-like breasts in a male. You know it when you see it. Instead of a flat chest contour with small nipple-areola complexes [...]

Picture of Male smiling - Gyno Horros blog

Gyno Horrors

The treatment of gynecomastia is not risk-free, and there is no such thing as no complications. Thankfully, in expert hands, the risks are minimal and considered minor [...]

Abdominal Etching

Why I’m Not a Fan of Abdominal Etching: Before and After

Abdominal etching refers to a liposuction technique and possible fat transfer to create the appearance of sculpted abdominal muscles. This procedure interests many as they believe innovation in technology can do anything fast to get the look they desire. Why put in the time and effort to optimize your weight and build larger abdominal muscles when you can just pay for a procedure for the same results [...]

Weight loss and Gynecomastia

My Chest Looks Smaller After Gynecomastia Treatment

I’m writing this now as I just got off the phone checking in with a patient whose procedure I had done yesterday. I called to tell him that he looks good and offer him congratulations on his new chest. Although happy, he told me that he felt his chest looks so much smaller now. I then gave him reassurance that his result is perfectly normal, and he only has reasons to be super excited about the future. [...]

Weight loss and Gynecomastia

Can Weight Loss Make Gynecomastia Go Away?

This is a common myth that is unfortunately not true. I would love for you to lose weight and for your gynecomastia to disappear, but it doesn’t work that way. This fine young man illustrates the impact of weight loss with gynecomastia present. In his case, he lost 41 pounds, and to his dismay, he still had gynecomastia. [...]

man smiling in city after Gynecomastia

When is Skin Removal After Gynecomastia Necessary?

Gynecomastia comes in various shapes and sizes. Surgeons have been educated that women with large or sagging breasts means a breast reduction or lift is necessary. What about a man who has something similar? Is the treatment removal and tightening of the skin with visible scars? Should surgeons approach the treatment of men and women similarly? [...]

Aging and Gynecomastia

Aging and Gynecomastia: What to Know

There are several subgroups of gynecomastia patients such as puberty, hormone use in fitness, obesity and medications. Little has been written regarding a not uncommon category of patients who are over fifty years old. I have struggled to give it a name. OMG or "old man gynecomastia"? Senior gynecomastia? Gynecomastia of advanced age? None of these terms make me feel good as a gynecomastia surgeon and patient who has a few miles on him. [...]

Gynecomastia Success

What are the key ingredients to successful gynecomastia treatment?

Austin, Texas is considered the Music Capital of the World by many. Some folks believe it is also the Gynecomastia Capital of the World. The Austin Gynecomastia Center treats over 400 cases each year and consults with thousands more. We are quickly approaching the 5000-patient procedure milestone. This makes for the potential of learning much from such an enormous volume of patients. [...]

Gynecomastia Pain

What does it mean to have painful gynecomastia?

Gynecomastia, or the condition of having female-like breasts in a man, is a common condition afflicting millions of men worldwide. It is caused by an imbalance of the sex hormones testosterone and estrogen, it’s a harmless medical condition, but the mental consequences are very real. It is most often caused by an imbalance of hormones around the time of puberty or developed after the use of substances in bodybuilding, fitness, or anti-aging. [...]

Man doing a push up

Is Gynecomastia Surgery Without Scarring on the Chest Possible?

Gynecomastia treatment has a history of various approaches for best results. It's nice to have options, but sometimes too many options can confuse those seeking the best form of treatment offering reliable, safe, and predictable outcomes. I have spent the past 15 years at the Austin Gynecomastia Center tinkering with various options to determine what works best for my patients and me. The clear winner is the approach […]

Man jogging down dirt road

Tips For Successful Gynecomastia Surgery Recovery

After the many gynecomastia surgeries I have completed at the Austin Gynecomastia Center, I want to offer gynecomastia surgery recovery tips that will answer many of the common questions that I am asked. Once I refined the art of gynecomastia treatment, my focus shifted to the care of patients AFTER gynecomastia surgery. I have experienced the benefits of aftercare with all my wonderful gynecomastia patients, and I am grateful to them […]

Body Builder lifting weights

When Can I Get Back To The Gym After Gynecomastia Surgery?

The Answer May Surprise You Our society doesn't always appreciate the benefits of being in good shape. Thankfully, many guys frequent the gym and engage in healthy, everyday exercise in one form or another. This is a good thing and should be a part of everyone's routine for mental and physical health benefits. There is nothing better than exercise to make one feel good on many levels. That's probably why so many men ask, "When can I get back to […]

Attractive man with long hair

Why Do We Get Gynecomastia Surgery?

It's a simple question. We know that gynecomastia negatively impacts our daily lives — not for everyone, but for many guys who have it. It's a benign condition, meaning it won't harm us physically. But it gets into our heads, which becomes the fundamental problem with gynecomastia. We try to ignore it, deal with it on our own. We try to hide our gynecomastia by wearing clothes that camouflages the female-like breasts, and we avoid situations that may reveal our […]

weight scale

Can Being Overweight Cause Gynecomastia?

There is very little written about the relationship between weight and gynecomastia. This is important because of the high rate of obesity in our society. Does weight gain cause gynecomastia? If so, does weight loss result in the disappearance of gynecomastia? As a very busy gynecomastia surgeon, I observe firsthand the relationship between weight gain and gynecomastia. When a man gains weight it often accumulates in areas above their waists, like the abdomen, flanks, shoulders, face, and — yes — […]

Gynecomastia surgeon Dr. Caridi

Is Your Doctor Qualified To Treat Gynecomastia?

I founded the Austin Gynecomastia Center over a decade ago to accomplish a personal goal: simplify the diagnosis and treatment for gynecomastia with surgery. This needed to happen because it was quite obvious to me that there was too much confusion and misunderstanding regarding the condition. There wasn't a "standard" general approach, even amongst surgeons. How many boys have been told when they were young, "Don't worry, the gynecomastia will go away on its own," only to suffer the consequences […]

Dr. Caridi

Dr. C Opens Up About His Own Gynecomastia Treatment

I thought you all would enjoy reading about my experience with gynecomastia treatment surgery. Yes, I had treatment for what I called "older guy" gynecomastia. I'm still trying to think of a name for my type of gynecomastia that doesn't make it sound old or insignificant. I haven't written about it publicly until now. I never had gynecomastia personally until I hit the age of sixty. I was always in relatively good shape and I had a good body image […]

man doing pull ups

Can Exercise Get Rid of Gynecomastia?

Do chest exercises for gynecomastia actually help? Before talking about the effectiveness of chest exercises instead of surgery for gynecomastia , let's back up to the big picture. Gynecomastia is the appearance of a female-like breast in a man. The condition won't physically hurt you — it's all about how it looks. How do you know if you have gynecomastia? For most men, it's obvious when you have a feminine chest because there is a much thicker layer of tissue […]

Smiling gynecomastia surgery patient

Why Get Your Gynecomastia Treated

This is a wonderful case to illustrate why gents get gynecomastia surgery and why I do so much of it. This young man and I crossed paths some years back and I found him full of personality and motivation. He had significant gynecomastia as you can clearly see in his pre-operative photos. I was not able to get any formal post-operative photos but he did send me some periodic selfies to update his progress. The saying "a photograph is worth […]

Cause of puffy nipples infographic

Puffy Nipples After Gynecomastia Surgery

What Do You Do If You Have Puffy Nipples After Gynecomastia Surgery? We know that puffy nipples are related to gynecomastia and that the only treatment for gynecomastia is surgery involving the removal of the tissue and the contouring of the chest so the result is smooth and masculine with small and flat areolas. Unfortunately, some men continue to have puffy nipples after gynecomastia surgery. Why does this happen? What does it mean and what can you do about it? […]

bodybuilder working out in gym

Best Treatment For Bodybuilder's Gynecomastia

Gynecomastia is diagnosed by the appearance of female like breasts in a male. The number 1 cause of gynecomastia is tissue leftover from the changes of puberty. The second most common cause arises from the use of hormones / prohormones and supplements in the body building or fitness community. Bodybuilders gynecomastia is distinctly different from all other forms of gynecomastia. The presentation and treatment are different, and I will explain how I manage these patients at the Austin Gynecomastia Center […]

examples of gynecomastia

Do I Have Gynecomastia?

4 Ways To Know Many men are completely confused as to whether or not they have gynecomastia, and it's not fair that answers aren't easier to find. You may even be asking yourself right now, "Do I have gynecomastia?" Don't worry, I can help. I'm proud to share with the world what I have learned by treating thousands of men during my 30-year career. That's why I founded the Austin Gynecomastia Center, with a mission to simplify diagnosis and improve […]

signs of gynecomastia

Scar Tissue Development After Gynecomastia Surgery

At the Austin Gynecomastia Center, I have had the privilege of performing well over 350 gynecomastia treatment surgery cases a year and have done so for quite some time. This has allowed me the opportunity to learn from my patients — after all, we call it a doctor's "practice" for a reason. Recent advances in the treatment of gynecomastia has gone a long way to reduce complications and improve the quality of the results. Fortunately, significant problems after gynecomastia treatment […]

two factors for successful gynecomastia infographic

Two Essential Factors for Successful Gynecomastia Surgery

Gynecomastia, often called man boobs, is a condition that results in the appearance of female-like breasts on men. Although gynecomastia is not a medically harmful condition, it is most certainly a mentally harmful condition that afflicts millions of men. It's normal for someone with gynecomastia to feel embarrassment and anxiety, often for long periods of time. When evaluating the decision of whether or when to seek gynecomastia treatment, it's important to take a look at the two essential factors for successful […]

two men jumping into a pool

How to Make the Most of Your Gynecomastia Treatment

How to rock your gynecomastia result and transition physically and mentally. Gynecomastia, also known as "man boobs," is a condition where a man's chest has the appearance of feminine breasts. This situation wears you down. It saps your confidence and your ability to fully engage the best in life. Each year the Austin Gynecomastia Center liberates about 350 men who have suffered from the miserable gynecomastia existence. Now what? What do you do after surgery for gynecomastia? How do you […]

Body mass index illustration

Gynecomastia and BMI for Men

Is Body Mass Index (BMI) Important for Gynecomastia Surgery? There are many ways for your doctor to measure how healthy you are. They will probably ask you how you're feeling, and they may run tests to measure how well your body is working. When you're considering gynecomastia surgery, there are many factors we consider to make sure this surgery is right for you. One thing we will look at is your Body Mass Index, or BMI. What is BMI? BMI […]

Before and after Gynecomastia surgery

Managing Excess Skin After Gynecomastia Surgery

Treatment for Gynecomastia Without Large Scars After years of practice and thousands of satisfied gynecomastia treatment surgery patients, I have learned the diagnosis and treatment of gynecomastia is pretty straightforward. The treatment of gynecomastia is the same in almost all cases, except for those patients who have excess skin with saggy tissue. These patients sometimes require skin removal treatment, meaning I need to remove excess skin and reposition the nipple-areola complex. This is a much bigger procedure with a longer […]

Side effects illustration

Risperdal Gynecomastia Lawsuit : What You Need To Know

I am not an attorney and I don't like to get involved in legal matters, but you should know about the class action Risperdal gynecomastia lawsuit against Johnson & Johnson. Risperdal is an antipsychotic medication that has been used by people of all ages and genders. It is one of numerous drugs and medications that may cause side effects of enlarged male breasts a.k.a. gynecomastia. Here are some details on the Risperdal lawsuit as it relates to developing Gynecomastia. Several thousand […]

Men's health magazine cover

Men's Health Magazine Does A Story On The Austin Gynecomastia Center

This late summer edition of Men's Health magazine features a story about gynecomastia surgery at the Austin Gynecomastia Center. We had the good fortune of having them come visit us for several days to see firsthand how we care for our gynecomastia patients, so they can spread the word about this unfortunate condition affecting men. When first approached for this article, I thought this would be a great opportunity to get the word out about gynecomastia. I wanted them to […]

Dr. Caridi with male breast reduction patient

Loose Skin After Gynecomastia Surgery

Since establishing the Austin Gynecomastia Center many years ago, I have learned quite a lot about the diagnosis and treatment of gynecomastia, a benign but very troubling male condition. Surgery for gynecomastia was presented in my formal plastic surgical training in a confusing, somewhat subjective and arbitrary way. There were several classifications and algorithms that attempted to determine which form of treatment was best for the many varied presentations of gynecomastia. Fortunately, through my experience I discovered that most forms […]

Mondors Disease on male chest

Mondor's Disease: A Fairly Common Condition After Gynecomastia Surgery

There is not much written about gynecomastia surgery and Mondor's disease. I prefer using the word "condition" rather than disease because disease sounds so terrible and makes it seem worse than it is. The condition is benign (not harmful) and self-limited, which basically means it will go away on its own – sort of like a pimple. In my vast experience with gynecomastia, I have concluded that this condition is fairly common after gynecomastia treatment and is the second most […]

Gland removal Gynecomastia surgery

What You Need to Know About Unilateral Gynecomastia, or "One-Sided" Gynecomastia

Gynecomastia is defined as the appearance of a female like breast in a male. It is related to excess proliferation of breast tissue due to an imbalance of the sex hormones estrogen and testosterone. While it is a benign condition that will not physically harm the individual, it can have a profound negative impact mentally. It's important for men with gynecomastia to seek treatment for gynecomastia with surgery. Gynecomastia typically presents as two-sided or "bilateral" growth, but in small percentage […]

Closeup on enlarged male breast

Are Painful Rubbery Male Breast Lumps Behind The Nipple A Sign Of Gynecomastia?

For all you out there combing the Internet for information about gynecomastia, it's important to know that you don't need to feel a "rubbery" substance or have a painful lump behind the nipple in your chest to have gynecomastia. In fact, the vast majority of gynecomastia surgery patients don't have male breast lumps or "nuggets" under their chest and have no pain. Gynecomastia, by definition, is the appearance of a female like breast in a male, which is commonly referred […]

Signs of gynecomastia

Secondary Gynecomastia Treatment: "Bringing It Home" at the AGC With Gynecomastia Revision

After 3 decades of plastic surgery practice and 3,200 gynecomastia treatment surgery cases performed, I'm often asked to evaluate and treat gynecomastia patients who have had previous treatment and are not satisfied with their results. In what is known as gynecomastia revision surgery or a gynecomastia revision, the most common issues that I am asked to evaluate in this setting are incomplete treatment or under treatment. These patients continue to have complaints of fullness of the chest, puffy nipples or […]

Male chest with puffy nipples

How are Puffy Nipples and Gynecomastia Related?

Causes and Treatment of Puffy Nipples in Men The definition of gynecomastia – also known as puffy nipples, Gynecomastia, or man boobs — is not based on any particular type of tissue on your chest. It is most simply defined as "the appearance of a female-like breast in a male." You don't have to have hard tissue or lumpy rocks that you can feel under your areolas. If your chest is rounded and prominent like a woman's, you most certainly […]

Man overwhelmed by steroid side effects

Gynecomastia From Steroids – What You Need To Know

I had a young man yesterday who had undergone two previous treatments for gynecomastia with surgery and continued to have fullness of his chest with puffy nipples. He was without a doubt a bodybuilder with a big, strong muscular frame and his case made me think about all the men who develop Gynecomastia from steroids. He was a perfectly nice guy from out of town who had come to the Austin Gynecomastia Center for surgical treatment after I reviewed his […]

Gynecomastia male candidate

The Dangers Of Hiding Gynecomastia

I've recognized a pattern of poor posture in the vast majority of gynecomastia surgery patients. It's a coping mechanism that helps people hide something that is very embarrassing. For gynecomastia patients, hiding gynecomastia by slouching the shoulders hides the prominence of breasts with or without a shirt. On more careful analysis, some patients not only slouch their shoulders, but also bend their spine in the mid thorax to create what I call the "double fold." In the photo above, you […]

Teen writing a letter

Teen Gynecomastia – "I'm Too Nervous To Talk About It"

Dear Mom and Dad, I think I have gynecomastia and I'm too nervous to talk about it. It's kinda weird. I remember when I was going through puberty, Dad had said that I was going to develop some facial hair and that my voice was going to change. At first I thought that was strange but then I looked at my older classmates and thought it would be nice to be cool like them. The idea of shaving seemed so […]

Example of male chest with gynecomastia

Gynecomastia Definition – What Is Gynecomastia? Do I Have It?

I'm often asked for a gynecomastia definition. Simple. Gynecomastia is the appearance of a female-like breast in a man. This is why the condition is derogatorily referred to as "man boobs." There is confusion about what gynecomastia is and how to deal with it, but this confusion comes from misunderstandings, marketing, manipulation, and greed. In reality, it's all very straightforward. The #2 question we get after "what is gynecomastia" is "do I have gynecomastia?" If your chest looks fuller and […]

Medical pills

Gynecomastia Treatment Without Surgery – Is It Possible?

"Is it possible to get gynecomastia treatment without surgery?" I hear this all the time from gynecomastia surgery patients all over the world. There are many guys out there who have some form of gynecomastia that robs them of a good quality of life and they want something done about it. With careful research, the obvious solution stands out: the only form of treatment that works is a surgical procedure to remove the tissue and contour the chest. Diet, exercise, […]

Money on table

How Much Does Gynecomastia Surgery Cost?

When it comes to gynecomastia treatment surgery, "gynecomastia surgery cost" has always been the most searched for item on the Internet, second only to symptoms. After determining that one has gynecomastia, the next step is to consider treatment options. The natural instinct is to scour the Internet looking for the least expensive, most effective treatment out there. Unfortunately, when the only cure for the condition is a surgical procedure to contour the chest and remove the offending tissue that makes […]

Indian gynecomastia patient

Gynecomastia In India

In my dozens of years as a surgeon, I've performed surgery for gynecomastia on patients from around the world, yet the medical community still cannot quantify the prevalence of gynecomastia. Yet for whatever reason, I have a huge following of patients suffering from gynecomastia in India. It may relate to the availability of my educational materials on the web to patients in India, while patients suffering in other countries with poor web access or strict Internet censorship may not be as […]

Man doing sit-ups

What Is Pseudogynecomastia? Does Gynecomastia Go Away With Weight Loss?

I'm fortunate to have treated several thousand patients with gynecomastia surgery at the Austin Gynecomastia Center. Beyond the physical symptoms of gynecomastia, there simply isn't much scientific research addressing the true cause of this condition, other than the basic observation that almost all patients have an imbalance of the sex hormones estrogen and testosterone. One of the most common questions I get asked deals with the relationship between gynecomastia and fat. Often, the confusing term pseudogynecomastia comes up. What is the incidence of […]

AGC certificate

The Austin Gynecomastia Center® Receives Its Long Awaited Trademark!

The Austin Gynecomastia Center represents all the good that can come from the new digital world that we live in. I couldn't imagine reaching those in need without the ability to spread the word through the Internet and Social Media. In sheer numbers, that equates to two hundred cases a year, thousands received treatment for gynecomastia with surgery in total and millions educated through my videos and Internet content. The map in my office now has pushpins from patients all […]

Gynecomastia surgery patient results

Amazing Recovery From Gynecomastia

This young man previously had his gynecomastia surgery elsewhere. He reached out to me, complaining of continued fullness and what he thought were unusual scars located on both sides of his chest. I Skyped with him on several occasions to discuss my findings and to make a recommendation for his full recovery from gynecomastia. To his disappointment, I confirmed that the surgical approach was indeed unusual and that I could see the persistent fullness. Due to his previous experience with […]

Male gynecomastia candidate

Is It Gynecomastia Or Is It Fat?

Is it gynecomastia or fat? I must get this question at least 20 times a day from all over the world. There are folks everywhere who are familiar with the Austin Gynecomastia Center and our reputation of always telling the truth without sugarcoating anything. For the longest time, I have been an advocate eliminating the term "pseudogynecomastia" because it implies that there can be "false gynecomastia" — the appearance of a female like breast in a man that is from […]

gynecomastia in obese patients

Gynecomastia and Obesity – Is There A Connection?

There was a small study conducted years ago that found a correlation between gynecomastia and obesity: obesity occurred more frequently in patients with gynecomastia than in the general population. But we cannot draw a conclusion from these results because the scale of the study was not large enough. The true answer to the connection between gynecomastia and obesity is further complicated by the fact that the United States is in the midst of an obesity epidemic. Based on body mass […]

Person undergoing male breast reduction surgery

Chest Contouring And Gynecomastia Treatment At The Austin Gynecomastia Center (Zones 2 and 3)

I came across this picture and realized the importance of sharing my professional insight on chest contouring to treat the fullness of the lateral chest during gynecomastia surgery. Most folks wouldn’t recognize the term “gynecomastia” but mention “man boobs” and people get the picture. Not good. I developed the Austin Gynecomastia Center Zone Classification system after treating hundreds of patients and realizing that they all had fairly consistent patterns of fullness that fell into these subcategories. In the image above,

Glands removed via Gynecomastia surgery

VASER™ Shrinks Gynecomastia Gland By A Factor Of 7

I've been performing gynecomastia surgery for a long time. The procedure itself hasn't changed – remove the gynecomastia gland and sculpt the chest area – but my techniques are always evolving. Now that I've started using the Vaser system, I've found that the Vaser shrinks gynecomastia gland by a factor of seven! The only downside is that patients no longer see the full size of the Gynecomastia gland that was removed. When I first started treating gynecomastia several decades ago, […]

Syringe injected in male breast

Seroma Formation After Gynecomastia Treatment: What You Need To Know to Avoid It and Treat It

Seromas are bound to be an issue for some, especially at a busy gynecomastia treatment surgery practice that treats patients from all over the world. The big questions that come up are: What are the consequences of a seroma? And how do you treat it, especially if you are from out of town? A seroma is a collection of watery fluid in the area of the chest that is treated by your surgeon to remove the gynecomastia tissue and contour […]

Male breast reduction patient lying down

Male Breast Reduction: Top Male Plastic Surgery Trend

Gynecomastia is big now. Thank goodness. This was a condition that many guys couldn't even name. They just thought they were weird. Well, there is a name associated with the condition and awareness of gynecomastia – or male breast reduction – is increasing thanks to the Internet and folks who have helped put it on the map, myself included. I write about it a lot. I have many videos showing gynecomastia treatment and typical results from treatment. There is less […]

Man after Gynecomastia surgery treatment

What Result Can I Expect After Treatment Of My Gynecomastia?

This is an obvious concern for most patients – what are the results after surgery for gynecomastia. In describing treatment outcomes, I always say that gynecomastia is like a sandwich: the bread slices are the skin on the top and the muscle below, and the gynecomastia is the meat in between. Successful treatment of gynecomastia means removing as much of the meat as possible and contouring the appropriate Zones of the chest, leaving a nice smooth layer of normal fatty […]

Man holding pills

Prohormones And Gynecomastia – How Do You Treat It?

The most common cause of gynecomastia seen at the AGC is residual chest fullness that doesn't go away after puberty as it usually does in 85 percent of males. This is a bummer. It's particularly difficult for a growing boy who is learning about life and sexuality between the ages of ten and 15. During these years, it becomes quite clear to them that having breasts is associated with girls, not boys. It won't be long before they realize that […]

Examples of Gynecomastia

The Gynecomastia Brotherhood

Having gynecomastia is no fun. It's something that you have to deal with day in and day out. Over time, it wears you down and it begins to affect every aspect of your life: how you think about yourself, how others perceive you, and how you interact with the world around you. Guys generally live with this alone. This is not something that is shared with others, even those with whom you are most close. I started the Austin Gynecomastia […]

Shirtless male torso

What if Previous Gynecomastia Treatment Did Not Meet Your Expectations?

I receive email inquiries and Virtual Consultations from all over the world about everything that has to do with gynecomastia. A common patient concern is with previous gynecomastia surgery, or male breast reduction treatment, that has produced disappointing results. The following is a real email I received that describes this situation better than I can: "I have had Gynecomastia since puberty. I tried diet and exercise but was never able to rid myself of the problem. I made the decision […]

Better safe than sorry infographic

Botched Gynecomastia

I had an interesting conversation with a patient recently about gynecomastia surgery, or male breast reduction. I couldn't figure out why he kept asking me questions about my ability to achieve the goals that I had set out before him. I reassured him that I felt very comfortable that I could take on his moderately challenging case and achieve the result that I had described. "I can't give you a 100 percent guarantee, but I feel confident that we can […]

Dr. Caridi with surgical instrument

Is the Vaser Treatment of Gynecomastia A "Game Changer" At The Austin Gynecomastia Center?

Vaser treatment for gynecomastia is a liposuction machine that contours fat with ultrasonic (sound) energy. This is different from standard liposuction that uses a cannula (tube) attached to a suction machine. Liposuction machines such as Laser, Power Assisted, Ultrasound, among others, are all alternatives to achieve the same endpoint, but Vaser has clearly been revolutionary at the AGC: I have used it in over fifty gynecomastia treatment surgery patients with impressive results, and this coming from someone known to be […]

TSA representative illustration

Gynecomastia Vests And The TSA

Treatment for gynecomastia with surgery at the AGC is routine. I perform over 125 cases a year for patients all over the globe. One thing they all have in common is the gynecomastia compression garment they use for the first three weeks after treatment. This helps with the swelling, the healing, and the compression feels good. The downside of the garment is that it can be uncomfortable to some patients particularly in the area around the underarms. But what do gynecomastia […]

Results after gynecomastia surgery

Gynecomastia Treatment After Surgery Day 1

Many patients want to know what to expect after gynecomastia surgery in terms of recovery, pain and discomfort, and their ability to care for themselves. Here are two examples of gynecomastia treatment after surgery. As you can see from these pictures, there are two patients who had standard treatment at the AGC and are seen the next day afterwards. You can see that swelling and bruising is minimal and that these guys are walking around in minimal to no pain. Yes, […]

Plastic Surgeons for Gynecomastia

How To Choose The Best Gynecomastia Surgeon

Without a doubt, this is the most important consideration in the treatment of gynecomastia. The surgeon is going to determine the success or failure of your gynecomastia surgery procedure. Experience, price and location are very important in the decision making process. Considering that there are many medical practitioners who say they treat gynecomastia, how can you best evaluate a surgeon to determine if they merely dabble in gynecomastia, or are "crunchers" — surgeons who perform over 100 cases a year […]

Pre surgery examination on gynecomastia patient

The Zone Classification System At The Austin Gynecomastia Center

I have devised a Gynecomastia Zone Classification System system at the Austin Gynecomastia Center that has been very useful in communicating with and treating gynecomastia surgery patients. After my first 500 cases of gynecomastia, it became clear to me that there are very consistent zones of the male chest that can show signs of fullness, yet not all patients have the same combination of these zones. Developing this classification system has allowed my patients to effectively communicate the areas of […]

Meat being grilled

Is SmartLipo Really An Effective Treatment For Gynecomastia?

The most challenging gynecomastia treatment surgery cases I work on involve the consequences of SmartLipo treatment. SmartLipo is a liposuction device that is laser based and has been heavily marketed for over a decade as the ultimate form of liposuction because it claims to do everything anyone could want—no anesthesia, no bruising or swelling and perfect results every time! Is SmartLipo for gynecomastia and effective treatment? A decade later, the evidence tells me quite a different story. As a Senior […]

Cogs in the brain infograph

How Does Living With Gynecomastia Affect My Every Day Life?

Having gynecomastia is no fun. I was drawn to performing treatment for gynecomastia with surgery after realizing how much gynecomastia negatively affects those who have it (not to mention their friends and loved ones). Living with gynecomastia is a daily issue—from deciding what to wear every morning to avoiding social situations that could result in embarrassment. So how does living with gynecomastia affect my every day life? After treating as many gynecomastia patients as I have, I can answer that […]

Male Tubular Breast condition

Gynecomastia And Tubular Breast Condition

I know it when I see it, and believe me, I have seen a lot of men with gynecomastia and tubular breast condition while performing their gynecomastia surgery at the Austin Gynecomastia Center. Now, what exactly is a tubular breast? A tubular breast is a condition where the tissue beneath the nipple areola complex herniates or pushes through the areola. It looks elongated, narrow and very full. The surrounding chest area may or may not be full as well. It […]

Older man using a laptop

At What Age Am I Too Old To Get Gynecomastia Treatment?

If you spend any time on my website learning about gynecomastia, also known as "man boobs," you will observe that most of the gynecomastia before and after photos on the site are patients 35 years and younger. Someone recently asked me about the gynecomastia surgery age range and if his age of 56 meant he wasn't a candidate for treatment, even though he has lived with it his entire life. The short answer is that there really is no age […]

Man wearing a t-shirt

The Importance Of Good Posture After Gynecomastia Treatment

Posture after gynecomastia surgery is important to consider. Gynecomastia patients almost always exhibit poor posture—shoulders shrugged and back bent. I completely understand why you assume this posture—you have been conditioned to hide something that is a major source of humiliation and embarrassment. There are consequences to this poor posture—you appear introverted, reserved, and not at all confident. Is that the way you want to appear to others? Patients who have stayed in this bent position for many years can become […]

Man touching his chin thinking

Should I Have My Gynecomastia Procedure Revised?

I have spent a lot of my time around gynecomastia surgery and gynecomastia revision. For over a decade, I have operated on about 150 people a year. There are some things that I have learned that I am happy to share that with you. Men who suffer from gynecomastia obviously want the tissue removed—it can be like a cancer the way it concerns those who have it. Even adjusting to the new chest contour can be a challenge for some […]

Man with head in hands

Gynecomastia And Body Dysmorphia Disorder

Links have been made between gynecomastia and Body Dysmorphia Disorder or BDD, a body image disorder characterized by frequent thoughts about perceived flaws in appearance. These thoughts are difficult to control and can consume the individual so much that it interferes with daily functioning. Although most people complain about imperfections in their appearance, those with BDD have a different experience. It is said to exist in about 1% of the general population and in up to 30% of those who […]

gynecomastia illustration

What Are The Non-Surgical Alternatives To Make Gynecomastia Go Away?

Having Gynecomastia is not fun and many men are looking for a non-surgical gynecomastia treatment. Admitting you have it is not easy. Even the prospect of seeking the advice of an experienced medical practitioner is not something that would be considered "first choice." There is the uncomfortable call to the office and the prospect of having to tell a stranger what you have. Certainly, an email from your computer or laptop is a bit easier as it's not face to […]

Teen standing on a beach

What Is The Youngest Age To Consider Treatment For Gynecomastia?

What is the youngest age for gynecomastia surgery? Puberty is the time when a young boy begins to develop the characteristics of a man. Both testosterone and estrogen play a role in these changes. This is the time of breast bud development in both males and females. Typically, the bud that develops in males disappears in about one year. The most common cause of gynecomastia is the persistence of this fullness after a time when it should have gone away—this […]

Male body illustration

Complications from Gynecomastia Surgery

Gynecomastia surgery complications are almost unheard of. You are not going to be risking life and limb with gynecomastia treatment surgery performed by an expert surgeon. Hematoma is the collection of blood at the site of surgery, and may require removal if significant enough. Seroma formation is body fluid accumulation at the site of surgery that may require needle removal periodically until it stops. Infection is rare. Contour irregularities are typically minor and are not uncommon. Over removal and under removal […]

Austin Gynecomastia plastic surgeon Dr. Caridi

Who Is A Gynecomastia Expert?

Who is a gynecomastia expert? "I have done some research, but everyone seems to be a gynecomastia expert." "How do I know who is the "best" doctor?" There is no formal specialized training in gynecomastia surgery. Almost all board certified plastic surgeons have seen and probably treated some gynecomastia patients. It's part of their "scope of practice" — part of their formal training. Having said that, who is the best at treating this condition? My answer to this question is […]

Man running on a street

If I Have Gynecomastia, Should I Lose Weight?

This is a common question from my gynecomastia surgery patients. You would think that all these guys are overweight but this is often not the case. Gynecomastia and weight loss can actually make the chest fullness look WORSE! Why would this be? The answer is that most gynecomastia cases are some combination of fat and glandular tissue. If the amount of fat shrinks around the glandular tissue as you loose weight, the result is a prominence of the gland which […]

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