
Gynecomastia Surgery Cost - Gyno Price in Texas
Dr. Michael Baumholtz, a dual board-certified Plastic and Reconstructive Surgeon in San Antonio, TX, has extensive experience treating men with gynecomastia, the enlargement of male breast tissue. This condition can cause both physical discomfort and significant self-consciousness. For many men, surgery provides a long-term solution, but understandably, one of the first questions asked is: “How much will it cost?”
Discussing cost openly helps patients plan realistically, not just financially but emotionally. Cost reflects the quality of care, the skill and training of the surgeon, and the resources behind a safe, predictable operation. As Dr. Baumholtz reminds patients, “It’s never just about the number; it’s about what that number represents.”
What Gynecomastia Is
Gynecomastia involves an overgrowth of male breast tissue, sometimes fatty, sometimes glandular, often both. It may develop during puberty, as a side effect of medications or hormone imbalance, or for no identifiable reason at all. Many men describe years of embarrassment, wearing oversized shirts, avoiding pools or gyms, or even avoiding intimacy because of how their chest looks or feels.
Surgery can address the physical issue, but equally important, it can restore a sense of comfort and confidence.
Why Men Choose Surgery
The motivation is rarely cosmetic vanity. Most men want a flatter, firmer chest that looks proportional to their body and feels consistent with how they see themselves. Others want relief from pain or irritation caused by excess breast tissue. Dr. Baumholtz sees men from across Texas who describe their decision as “finally getting back to normal.”
Surgical Expertise Matters
Not all gynecomastia surgeries are the same. Dr. Baumholtz’s dual board certification in both General Surgery and Plastic Surgery, along with fellowship training in Hand and Microsurgery, gives him the technical range to manage everything from mild gland removal to complex revision cases.
He uses a minimal-incision approach combining liposuction and arthroscopic debridement, a technique that reduces scarring while effectively removing both fat and glandular tissue. For more advanced cases, he performs mastectomy with free nipple grafting, ensuring contour, proportion, and long-term stability.
The Texas Context – Local Insights
In San Antonio’s warm, active climate, men are often motivated by lifestyle. Patients talk about wanting to feel comfortable shirtless again, at the gym, by the pool, or simply at home. Many travel from across the state to see Dr. Baumholtz because of his balanced, straightforward approach: no sales tactics, no exaggerations, just honest guidance and skilled surgery in a safe environment.
What’s Included in the Cost of Gynecomastia Surgery
Surgeon’s Fee
This fee reflects training, experience, and the time spent personally managing your care. Unlike some large practices where patients see assistants post-op, Dr. Baumholtz personally performs all consultations, the surgery itself, and follow-up visits. His fee includes detailed pre-operative planning and the long-term support that defines his practice.
Facility and Anesthesia Fees
Surgery is performed in an accredited surgical facility under the care of a board-certified anesthesiologist. These fees cover the operating room, surgical staff, monitoring systems, anesthesia, and recovery care, all essential for patient safety.
Additional Costs
Compression garments, postoperative visits, and specialized disposable surgical tools (for example, liposuction cannulas and arthroscopic debrider tips) are typically included. Patients are seen frequently after surgery, both in person and via telehealth when appropriate.
Factors Affecting Gynecomastia Surgery Cost
- Technique Used: Minimal-incision liposuction with arthroscopic tissue removal vs. open excision with nipple grafting.
- Severity of the Condition: Mild cases are less involved; severe cases with loose skin require longer surgery and higher cost.
- Complexity or Revision Surgery: Prior surgery, asymmetry, or scar tissue may require more planning and operative time.
Typical Gynecomastia Surgery Costs in Texas
Pricing for gynecomastia surgery varies based on the technique used, the complexity of the case, and individual patient factors.
Please refer to the Costs page for the most up-to-date pricing information.
Why Insurance Rarely Covers Gynecomastia Surgery
Gynecomastia surgery is almost always considered cosmetic by insurance carriers. Even when the condition causes emotional or physical distress, approval is uncommon.
At Dr. Baumholtz’s private practice, surgery is self-pay, allowing patients to move forward without insurance restrictions or delays. Financing options are available to make treatment accessible and predictable.
See Before and After Photos of Gynecomastia Surgery
What Patients Receive Beyond the Price Tag
🗸 Safety
All surgeries are performed in accredited facilities with board-certified staff. Safety and professionalism are non-negotiable.
🗸 Natural Contour and Minimal Scarring
Dr. Baumholtz’s minimal-incision approach prioritizes proportion and shape, not just tissue removal. The goal is a balanced, natural-looking chest, not a “surgical” look.
🗸 Comprehensive Follow-Up
Postoperative care includes frequent visits and telemedicine access. Dr. Baumholtz personally follows patients through recovery to ensure a safe, confident return to normal activity.
Why San Antonio Patients Choose Dr. Michael Baumholtz
- Dual Board Certification: Expertise in both General and Plastic Surgery.
- Specialized Technique: Liposuction plus arthroscopic debridement for precision and minimal scarring.
- Revision Expertise: Frequently referred complex or secondary cases from other practices.
- Direct Surgeon Access: Dr. Baumholtz handles all consultations and follow-ups himself.
- Transparent Communication: No overpromises, only informed, realistic discussions about results and risks.
The Emotional Impact
For many men, the results go beyond physical change. Gynecomastia surgery often marks the end of years of frustration and self-consciousness. Patients describe renewed comfort, confidence, and freedom, being able to wear fitted shirts, go to the gym, or swim without hesitation.
FAQs About Gynecomastia Surgery
What is recovery like after gynecomastia surgery
Recovery usually involves wearing a compression garment, mild soreness, and some swelling for a few weeks. Most men return to daily activities within a few days and resume exercise gradually after clearance from Dr. Baumholtz.
Can exercise alone get rid of gynecomastia
For true gynecomastia, which includes glandular tissue, exercise alone cannot resolve the condition. Surgery is the only definitive treatment when excess gland tissue is present.
Will the results of surgery be permanent
In most cases, the results are long lasting. However, weight gain, hormonal changes, or use of certain medications may affect the chest contour over time.
Is there visible scarring after surgery
Dr. Baumholtz uses minimal incisions whenever possible. Scars are typically small and placed in discreet locations, becoming less noticeable as they heal.
What age is appropriate for gynecomastia surgery
Surgery can be considered once breast development has stabilized, often in the late teens. Many men also undergo surgery in adulthood, even decades later, with excellent outcomes.
How soon can I return to physical activities
Walking is encouraged right after surgery, but strenuous exercise or heavy lifting should be avoided until cleared by Dr. Baumholtz, usually a few weeks postoperatively.
Does gynecomastia surgery affect nipple sensation
Temporary changes in nipple sensation are common but often improve as healing progresses. In rare cases, changes may be longer lasting, depending on the extent of surgery.
Medical References
- Gynecomastia - StatPearls (NCBI, U.S. National Library of Medicine)
https://www.ncbi.nlm.nih.gov/books/NBK430812/ - Enlarged Breasts in Men (Gynecomastia) - Mayo Clinic
https://www.mayoclinic.org/diseases-conditions/gynecomastia/diagnosis-treatment/drc-20351799 - Male Breast Reduction (Gynecomastia) - Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/locations/eau-claire/services-and-treatments/plastic-and-reconstructive-surgery/breast-services/male-breast-reduction - Enlarged Breasts in Men (Gynecomastia) - Augusta Health
https://www.augustahealth.com/disease/enlarged-breasts-in-men-gynecomastia/ - Gynecomastia: What It Is, Causes, Diagnosis & Treatment - Cleveland Clinic
https://my.clevelandclinic.org/health/symptoms/16227-enlarged-male-breast-tissue-gynecomastia - Breast Plastic Surgery - Eau Claire Mayo Clinic Health System
https://www.mayoclinichealthsystem.org/locations/eau-claire/services-and-treatments/plastic-and-reconstructive-surgery/breast-services - Enlarged Breasts in Men (Gynecomastia) - Mayo Clinic Health Network (KU Health System)
https://www.kuh.ku.edu.tr/mayo-clinic-care-network/mayo-clinic-health-information-library/diseases-conditions/enlarged-breasts-in-men-gynecomastia
In Summary
Gynecomastia surgery is an investment in self-confidence and comfort. Costs vary depending on anatomy, surgical technique, and complexity, but every procedure performed by Dr. Baumholtz includes his full involvement, accredited facilities, and patient-first care.
For the latest cost information, please refer to the Costs page on Dr. Baumholtz’s website to ensure patients always receive accurate, up-to-date details in one consistent place.
Further Reading
- Read Dr Baumholtz Blog on How To Get Rid Of Puffy Nipples In Men: Surgical And Non-Surgical Options
- Read Dr Baumholtz Blog on Male Chest Surgery Without Scars The Truth About Minimal Incision Gynecomastia Surgery
- Read Dr Baumholtz Blog on Chest Liposuction or Gland Removal for Gynecomastia or Both
- Read Dr Baumholtz Blog on Causes and Solutions for Man Boobs


