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Baumholtz Plastic Surgery
4083 De Zavala Rd
Shavano Park, TX 78249
Phone: 210-880-3708



Gynecomastia is a medical condition characterized by the enlargement of male breast tissue, caused by an imbalance in the hormones estrogen and testosterone. It is a common condition that can affect men of any age and can be caused by a variety of factors including medication use, hormonal imbalances, and obesity.

Symptoms of gynecomastia may include the following:

  • Enlarged breast tissue
  • Swelling or tenderness in the breast area
  • Nipple discharge
  • Asymmetry or unevenness of the breasts

If you are experiencing any of these symptoms, it is important to consult with a healthcare provider to determine if you have gynecomastia or another underlying condition.

Treatment Options

Treatment options for gynecomastia depend on the underlying cause of the condition. In many cases, the condition will resolve on its own, especially if it is related to puberty or weight gain. However, if the condition persists or is causing discomfort, there are several treatment options available, including:

  • Medications: Medications may be used to reduce the size of the breast tissue and to address the hormonal imbalances that are causing the condition.
  • Surgery: In cases where medication is not effective, surgery may be necessary to remove the excess breast tissue. There are several surgical procedures available, including liposuction and mastectomy.
  • Lifestyle changes: Making changes to your diet and exercise routine can help to address the underlying causes of gynecomastia, such as obesity or hormonal imbalances.

Surgical Options

Surgery is a common treatment option for gynecomastia, particularly when other treatments have not been effective. There are several surgical procedures available, including liposuction and mastectomy. During your consultation, we will carefully review your anatomy, the degree of skin excess with your gynecomastia, and your goals to create a surgical plan that best fits the situation. Typical options we might discuss include:

  • Liposuction: Liposuction is a procedure that removes excess fat from the breast area. During the procedure, a small incision is made, and a cannula (a thin tube) is inserted into the breast tissue. The cannula is used to suction out the excess fat, resulting in a flatter, more masculine chest contour. Liposuction is best for cases where the breast enlargement is primarily due to excess fat.
  • Arthroscopic Debridement: while this device is typically associated with joint surgery – Dr Baumholtz has adapted its functionality to allow for removal of the denser breast tissue through the smaller liposuction incisions. For most patients with mild to moderate skin excess – liposuction + arthroscopic debridement is the first choice for surgical options.
  • Mastectomy: Mastectomy is a procedure that involves the removal of glandular tissue from the breast. In some cases, skin and fat may also be removed. This procedure is done under general anesthesia. There are a number of skin (scar) patterns which are used to address patient needs and degree of gynecomastia excess. Once the tissue is removed, the incision will be closed with stitches. Mastectomy is best for cases where the breast enlargement is primarily due to glandular tissue or where there is significant excess skin.
  • Combination procedures: In some cases, a combination of liposuction and mastectomy may be necessary to achieve the desired result. This is particularly true when the breast enlargement is caused by a combination of excess fat and glandular tissue.

After surgery, patients will need to wear a compression garment to help minimize swelling and promote healing. Pain medication may also be prescribed to manage any discomfort. Most patients can return to normal activities within a few weeks after surgery, although strenuous exercise should be avoided for several weeks.

It is important to discuss the risks and benefits of surgery with your healthcare provider to determine if it is the right treatment option for you. Potential risks of surgery include infection, bleeding, scarring, and changes in nipple sensation.

what testing is needed before surgery?

Before undergoing surgery for gynecomastia, Dr. Baumholtz will perform a physical exam and review your medical history. We may also order additional tests to ensure that you are a good candidate for surgery and to rule out any underlying medical conditions that could impact the surgery. Based on your age or medical history – you may be asked to see your primary care doctor before proceeding.

Some common tests that may be ordered before surgery for gynecomastia include:

  • Blood tests: Blood tests may be ordered to assess your overall health and to check hormone levels. Hormone imbalances, such as low testosterone or high estrogen levels, can contribute to gynecomastia and may need to be addressed before surgery.
  • Mammogram: A mammogram is a type of imaging test that uses X-rays to create detailed images of the breast tissue. This test can help to determine the amount and location of breast tissue and rule out the presence of any underlying conditions, such as breast cancer.
  • Ultrasound: An ultrasound uses sound waves to create images of the breast tissue. This test can help to determine the amount and location of breast tissue, as well as the presence of any abnormal growths or masses.
  • Biopsy: In some cases, a biopsy may be needed to rule out the presence of cancer or other underlying conditions. During a biopsy, a small sample of breast tissue is removed and examined under a microscope.

Your healthcare provider will discuss with you which tests are needed in your individual case. These tests can help to ensure that you are a good candidate for surgery and can help to guide the surgical approach.


To learn more about the Baumholtz Plastic Surgery treatments and procedures performed by Board Certified Plastic Surgeon and Reconstructive Surgeon, Dr. Michael Baumholtz please contact us.

Dr. Baumholtz receives patients from San Antonio, Shavano Park, Texas and surrounding areas.

irma gamboa
irma gamboa
My tummy tuck journey began about 3 1/2 months ago when I had my 1st office visit with Dr. Baumholtz. Dr. Baumholtz listened to what I wanted had done, he gave me his professional opinion and his recommendations and said “yes we can do it”, never pressured me to move forward with procedure, he told me when your ready you let me know. Dr. Baumholtz is an amazing Plastic Surgeon. I’m exactly 10 weeks post op - tummy tuck today, 3/18/22, I could not had asked for more, my results are amazing and could not be any happier. Dr. Baumholtz and his staff to date have gone above and beyond with my after care, they are always their for you and you are not left alone. Renee works with Dr. Baumholtz, she is very knowledgeable and always has an answer for you. Also, where I had my surgery was at emerge plastic surgery specialty center, awesome nurses and staff, always very attentive to me before and after surgery, facility was amazing. Thank you Dr. Baumholtz, you are awesome and thank for all you have done for me, I feel like I’m on top of the world. Anyone trying to get any plastic surgery procedure, go see Dr. Baumholtz, He WILL take care of you, he is awesome. 10 weeks ago today, 3/18/22, I’m amazed and beyond thankful, I’m just so happy with my tummy tuck.
Krystal Ausmus
Krystal Ausmus
The entire staff is amazing and everyone at the surgical center is attentive, kind, and very professional. Such a great experience!
Merlinda Valdez
Merlinda Valdez
There are so many reasons why I am extremely happy with Dr. B's work; one word keeps popping up is AMAZING. Dr. B performed a breast reduction and it's been several years that I have not felt this AMAZING physically and mentally. Dr. B thank you and your staff (especially Renee) for providing the most AMAZING service with honesty, availability, and making me feel safe. I would recommend all day everyday. TOP NOTCH SERVICE.
Kriezl Gutierrez
Kriezl Gutierrez
Dr. B and his team made my experience very comfortable. I was well informed even with my own research and they are available to you pretty much 24/7. Anytime I had a question , I was able to get an answer within the same day. I’m very happy and pleased with my results!
Valerie Zamora
Valerie Zamora
Super happy with my results! Doc was super nice & loved the 3D imaging to see what my possible results could be! 10/10
veronica duran
veronica duran
I couldn’t be any happier with my results!! The entire process was such an amazing & positive experience and one I will never forget. I was treated like a person rather than a number. Everyone, from the staff at Dr. Baumholtz’s office to the staff at the surgical center were so comforting and reassuring. Renee and Katherine at the office have been more than great, and the surgical center staff were so professional and caring. All my questions & concerns were addressed and I felt like part of a family. Thank you to all who were involved on my journey!!
Emma Cantu
Emma Cantu
Mommy Make-Over. Tummy Tuck/Breast Lift Best Plastic Surgeon! Dr. Baumholtz is highly regarded as an excellent surgeon among his peers in the medical community. Every expectation of my procedure was met and exceeded. After meeting different surgeons , I chose Dr. Baumholtz because he was the MOST honest about managing my expectations, and of course because of the fact that he is a highly skilled board certified surgeon! Trust your surgeon - Thank you Dr. Baumholtz and staff !
Lisa Rivera
Lisa Rivera
Dr.B is amazing. He will answer any questions you have, he will not pressure you to make a decision your not ready to make. Going to Dr B was the best decision I made! My results are beyond what I ever imagined! Dr B has the best bedside manner! I was nervous about my breast augmentation but he put me at ease and made me feel comfortable! I would recommend him to anyone! (Which I already have) Staff is also very professional and friendly! I love Dr B and his staff!