Gynecomastia is a condition where men experience breast tissue growth, often due to an imbalance of hormones (high estrogen and low androgen levels). This condition affects over 50 percent of adolescents with statistics narrowing down to over 3 million individuals in the US alone. Moreover, about 48 to 64 percent of males in their pubescence experience gynecomastia first when they are 10 years old. Nonetheless, the peak onset mostly appears among boys who are aged 13 and 14 years. The good thing with this teenage gynecomastia is that the fat tissues that accumulate around the breast will eventually flatten out as the person approaches adulthood. Gynecomastia, therefore, becomes a major problem when it is experienced in adulthood.

What Causes Adult Gynecomastia?

Any kind of gynecomastia is linked to increased estrogen production, which is a female characteristics hormone. High estrogen levels lead to low testosterone production that then causes pectoral fat accumulation. So, what causes these elevated levels of estrogen?


Medical Conditions

Reports indicate that a pre-existing medical condition could be the possible trigger of estrogen production in males. This mainly occurs when a man experiences a side effect after using certain medication or as a result of drug abuse. Medical conditions such as kidney failure, malnutrition, hyperthyroidism, and Klinefelter syndrome, for instance, have been directly or indirectly linked to the development of gynecomastia due to high estrogen production. If you are under an anti-retroviral, any antipsychotics, or any medication meant for prostate cancer therapy, you are also at risk of experiencing abnormal breast enlargement that could develop into gynecomastia. Use of steroids also has an after-effect that is similar to gynecomastia in some cases.



Some males also experience elevated estrogen levels if a lot of this female sex hormone is produced during puberty and then carried over to adulthood. Due to this abnormal balance in hormones, your body will create a chain reaction where the testosterone production and metabolism are lower.



Your diet could also greatly impact the development of gynecomastia because some foods are known to trigger the production of estrogen. If you drink milk obtained from a pregnant cow or eat foods high in estrogen, for instance, you might start dealing with natural breast enlargement. Some of the foods you might consider avoiding include soy products, oats, rice, beans, apples, sesame seeds, rice bran, tofu, tempeh, coffee, and carrots.


What can be done for gynecomastia?

If you are concerned about the condition or looking for more information on a male breast removal procedure, visit Aspira Plastic Surgery & Med Spa today to talk with Dr. Erella. You can do this by calling today at 512-730-3885 or scheduling a consultation on our website.

Gynecomastia, or enlarged breast tissue, is a common condition among men and doesn’t have to be severe to cause feelings of self-consciousness. If your enlarged breast tissue is hurting your confidence and you want to achieve a more masculine chest, you might be ready for a male breast reduction! Keep reading to make sure you’re a candidate.

Diet and exercise fail to show results

Almost all men experience some degree of gynecomastia during their lifetime, whether it’s after puberty, weight loss or gain, or with age. The male breast reduction is not an alternative to weight loss, but if enlarged breast tissue is resistant to diet and exercise, it might be time to consider the male breast reduction procedure.

You are in good health

Gynecomastia can be part of the natural aging process, but there are many other factors that can contribute to its development. Use of alcohol, steroids, and other drugs and medications can contribute to enlarged breast tissue. These should all be stopped prior to treatment to ensure gynecomastia does not return. The appearance of enlarged breast tissue can sometimes be caused by hormonal changes related to an underlying condition, so make sure you see your physician to ensure that you are healthy enough for treatment!

You’re ready for a surgical procedure

Being a candidate for the male breast reduction isn’t just about being physically ready, you’ll also want to make sure you’re mentally prepared for a surgical procedure. The male breast reduction involves the use of liposuction techniques to remove stubborn fat, or surgical excision to remove excess tissue. Although incisions are necessary, the procedure is a fairly simple one and can be performed under local anesthesia. Although recovery is typically short, you’ll still want to make sure you’re ready for a day or two off work to rest and recover at home.

Don’t let gynecomastia hurt your confidence any longer! Contact Aspira Plastic Surgery today and schedule your consultation with Dr. Erella to ensure that you are a candidate for treatment.

Gynecomastia, or enlarged breast tissue, is a common condition among men and can be present in varying degrees. Depending on the severity of your enlarged breast tissue, male breast reduction techniques offered at Aspira Plastic Surgery can be used to help you achieve a flatter, more masculine chest.


One of the most common causes for enlarged breasts is the presence of stubborn fat. Stubborn fat is resistant to diet and exercise, making it difficult to get rid of one your own. If stubborn fat is causing your gynecomastia, liposuction techniques alone can be used during your procedure. Liposuction only requires very tiny incisions in the treatment areas. Through these incisions, a cannula can be inserted and used to break up and gently suction out stubborn fat cells, leaving you with improved chest contours.


SmartLipo is a modified liposuction technique that not only removes stubborn fat cells, but tightens the tissue in the process. If your gynecomastia is caused by stubborn fat and skin laxity, SmartLipo might be an effective solution for you! SmartLipo uses laser energy to break up your fat cells, liquefying them for easy removal and tightening the skin with even less trauma than traditional liposuction.

Surgical Removal

If your gynecomastia is caused by excess breast tissue, surgical excision might be required. During surgical excision, excess breast tissue is removed to help you achieve a flattened chest. Surgical excision is often combined with liposuction techniques to treat more severe degrees of gynecomastia.

To determine the technique that’s right for treating your gynecomastia, contact our office and schedule your consultation with board certified surgeon, Dr. Erella.

Gynecomastia is a common condition that can affect men at any age. In some instances, such as during puberty, gynecomastia will go away on its own. But for others, especially those that are older, the condition can continue to linger! Luckily, gynecomastia can be treated with a few different male breast reduction techniques.


Stubborn fat can be difficult to remove with diet and exercise alone. When this stubborn fat is present in the breast area, it can give the appearance of enlarged breast tissue and affect your body balance. During a male breast reduction, liposuction techniques can be used to remove stubborn fat cells. Tiny incisions will be made in the sides of the breasts where a cannula can be inserted to break up and gently suction out your excess fat. If your gynecomastia is mild to moderate, the liposuction technique will likely benefit you for a more masculine chest.

Tissue excision

If your gynecomastia is caused by a significant amount of excess skin and tissue, surgical excision may be required. In this technique, an incision will be made around the areola or within the natural breast crease. A greater amount of glandular tissue and excess skin can then be removed to treat gynecomastia. This technique is usually recommended if your enlarged breast tissue is severe or if sagging skin is present due to weight loss or other factors.

Maintaining your results

Liposuction, tissue excision, or a combination of these techniques can give you a toned chest and eliminate your gynecomastia. However, it’s up to you to ensure that your results are long lasting. By maintaining a healthy weight through diet and exercise, you can help ensure that your new contour is there to stay!

For more information on gynecomastia and how it can be treated, contact Aspira Plastic Surgery today. Dr. Erella can customize a treatment plan for your unique body type and concerns.

Gynecomastia, or enlarged breast tissue, is very common among men and can affect the way they view themselves. A male breast reduction uses several different techniques to help you achieve a flatter, more masculine chest! Keep reading to find out when it might be time for gynecomastia surgery.

When Enlarged Breast Tissue is Hurting Your Confidence

If you feel uncomfortable going shirtless because of your enlarged breast tissue, it might be time for gynecomastia surgery. No matter what degree of gynecomastia you’re facing, a male reduction can help you achieve the figure you want. Some men only have slight puffiness in the breast area, while others might have more severe sagging. The appropriate techniques will be used depending on your specific concerns and their severity.

When You’ve Tried Diet and Exercise

You should always try diet and exercise first when it comes to getting rid of stubborn fat. Being within your ideal weight range is an important first step to getting the procedure. However, for many individuals, it is not enough to relieve stubborn fat deposits in the chest area. When this happens, a surgical procedure is often the most effective option.

When You’re Ready for a Surgical Procedure

Gynecomastia surgery often involves a combination of tissue excision and liposuction techniques. Some recovery and downtime will be required after the procedure and any strenuous activity should be avoided for several weeks. While gynecomastia involves a fairly short recovery, it’s important that you are ready to take it seriously in order for your body to properly heal. You should also be in good health with no conditions that would affect your healing process.

A consultation with a board certified plastic surgeon can help determine how you can benefit from gynecomastia surgery. To schedule your consultation with Dr. Erella, contact our office today.