I founded the Austin Gynecomastia Center over a decade ago to accomplish a personal goal: simplify
the diagnosis and provide treatment for gynecomastia with surgery in Austin. 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 for years, even decades. This bad advice
resulted in no treatment, poor treatment, and even gaslighting. They made you think you were crazy
to worry about your chest! These are the burdens of living with gynecomastia.
Choosing the right doctor is always important, and choosing the right gynecomastia surgeon is
essential to your successful treatment. I have listed below some of the things that I believe are
important to help you make a good decision regarding your surgeon.
You need to do your basic homework — is your surgeon a true plastic surgeon or someone calling
themselves a plastic surgeon? Unfortunately, it happens all the time. Does your Austin gynecomastia surgeon have high
quality credentials and practice surgery in approved facilities for the safe conduct of treatment?
Does your surgeon understand the psychological implication of gynecomastia — do they
Remember to take the time to look at reviews. If a surgeon’s reviews are terrible, this is a
clue to their success in treatment and managing gynecomastia patients. Not everyone who seeks
treatment posts a review, but reviews will give you an idea about what to expect and which doctors
If your surgeon doesn’t have real, genuine information on their website, this is a clue that
they are simply repeating the standard information out there. You don’t want a cut and paste
surgeon. It will become clear to you which surgeons are experts and which are inexperienced by
reading their websites and watching them on YouTube.
It never hurts to ask! Make a list of your questions so you remember to ask them all. Trust me,
I’ve been asked everything, and there are no stupid questions when it comes to your health.
Don’t just wonder and worry. It’s always better to ask and know for sure.
If you are told “gynecomastia treatment is easy”, I would ask them “why is it
easy?” Listen to their answer and see if it makes sense based on what you know. If you engage
their practices and you sense an air of unprofessional behavior or they are unorganized, I suggest
keep on looking.
If your surgeon offers only liposuction for your gynecomastia this is a big red flag. Liposuction for gynecomastia is
an important component in the successful treatment of gynecomastia, but it can’t be the only
tool in the toolbox. If you want your gynecomastia gone for good, it will take more than just
I have shown over the years that treatment almost always (98%) involves removal of tissue under the
nipple-areola complex at the very least. If not, you will continue to have puffy nipples and gland
you can feel. Any surgeon using only lip to treat their gynecomastia patients is doing them a
There is no non-surgical treatment for gynecomastia. The gold standard treatment is removal of the gynecomastia tissue and appropriate contouring of the chest with liposuction. Energy based
treatments like BodyTite™, Thermage™, and VelaSmooth™ will not treat gynecomastia. They are a
guaranteed waste of your time and money.
You cannot manage your gynecomastia with diet, exercise, pills, medications, potions, or
lotions. This will not happen. I have never known anyone who had gynecomastia one day and
not the next who didn’t have a procedure to remove the tissue.
In most gynecomastia cases, skin removal treatment is unnecessary. However, it can take years of
experience to know when skin removal is needed and when it isn’t. Take a look at
before-and-after images of cases similar to yours. If your surgeon recommends skin removal and you
have seen results similar to your chest without big scars, you need a second opinion. There is no
taking those scars back.
Very high or low cost for treatment tells you something. Low cost usually means no experience.
High cost means they have no experience — if they are going to treat you with the
possibility of you not having a good result, they will at least have made money from you. Make
sure that the cost reflects experience and positive results. The cost of treatment will be
substantial, which is to be expected when dealing with an important medical procedure.
If your surgeon offers only local anesthesia this often means they are operating out of their
offices or an uncertified facility. There is nothing good about this. Worse yet, gynecomastia
patients may have a fear of anesthesia and these surgeons are working your fear for their
business. If a so-called gynecomastia surgeon offers local anesthesia and nothing else, head for
Make sure that your surgeon will do all the right things and do them the right way. Unless you
are a serious bodybuilder with no body fat, gynecomastia tissue removal without the additional
contouring of the chest with liposuction will result in a poor appearance of your chest or
worse. You do not want to replace your gynecomastia with a “donut” deformity.
Treatment that involves a circular scar around the nipple-areola complex is not a great option
for many reasons. It will not “lift” your nipple-areola complexes, and it often
results in a scar that looks like a pizza pie. It can make your nipple-areola complexes smaller,
but this is often not necessary. Standard gyo treatment will accomplish this without the scars.
If your surgeon doesn’t focus on the post treatment gynecomastia recovery, they simply
haven’t learned that this is a critical time that requires patient understanding and
engagement to ensure a great result. After the procedure itself, the key to a great result is
managing the healing process. That’s why we do everything we can to promote healing,
manage scarring, and provide the best possible experience.
If your surgeon has done less than 10 cases in their career, or if they clearly
“dabble” in treatment, I would consider a surgeon who has more experience and has
a clear interest in gynecomastia. You learn by doing. Doctors who have been able to follow up
with gynecomastia patients over a long time period will know that their methods are successful.
If you have an uncomfortable consultation with your surgeon and you feel the personal connection
is not there, I would visit with several others. It will become obvious when you come across a
surgeon who has the right mojo. Trust your instincts, particularly when you have seen the
YouTube vids and websites of those who are considered the heavy hitters.
Staying local may be convenient, but it doesn’t even remotely guarantee you the high
quality results you expect. That’s why I treat patients from across the country and all
over the world. It’s worth traveling to get the level of treatment you deserve.
I have been truly impressed in the way gynecomastia patients are keen to know when things are off
or fishy. Their instincts are typically spot on. State-of-the-art gynecomastia treatment is a
revolution compared to treatment 40 years ago. There has been no better time than now to benefit
from treatment so you can start your new life free from the gynecomastia burden.
Ready to start your journey toward freedom from gynecomastia? Schedule
your free online consultation today.
Our team at AGC is here to answer your questions, assist with scheduling your appointment, or help you with any other matters related to your treatment. Book your consultation online for specific questions regarding a personalized surgical plan.
A further detailed discussion with Dr. Caridi and his team will follow this inquiry. If you are seeking more general information or are a previous patient needing to contact medical staff, always feel free to call our office.
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