Gynecomastia
Surgery
Male breast reduction in Austin, performed by board-certified plastic surgeon Dr. Andre Levesque. A flat, masculine chest — tailored to the grade and type of gynecomastia you have.
Gynecomastia surgery, tailored to your tissue
Gynecomastia is enlarged male breast tissue — and it’s far more common than most men realize. It can be glandular (a firm, disc-like button of tissue directly under the nipple), fatty, or a combination of the two. It’s usually driven by normal hormonal shifts — puberty, aging — and sometimes by medications, supplements, or weight changes. What it is not is a problem you can reliably diet or train away: true glandular tissue simply doesn’t respond to the gym.
The goal of surgery is a naturally flat, masculine chest with a tight nipple-areola contour and the smallest scar the anatomy allows. Because the right operation depends entirely on how much tissue you have and what it’s made of, Dr. Levesque — a board-certified plastic surgeon experienced in VASER high-definition body contouring — examines you in person and matches the technique to your grade and tissue type. There is no one-size-fits-all gynecomastia operation.
The four grades of gynecomastia
Surgeons grade gynecomastia by how much breast enlargement is present and whether there is excess, sagging skin. Grade guides the plan — the more tissue and skin involved, the more the operation shifts from liposuction toward excision and skin tightening.
Grading conventions vary between surgeons; the principle — matching technique to tissue and skin — is what matters. Your exact plan is set at your in-person exam.
How Dr. Levesque treats it
These approaches sit on a ladder from least to most involved. Dr. Levesque uses the least invasive option that will fully correct your chest — and combines them when your tissue calls for it.
Periareolar gland excision
The firm glandular button is removed directly through a small incision hidden at the lower edge of the areola (the Webster approach). This is the only reliable way to remove true gland, which liposuction cannot.
Best for: firm, localized glandular tissue with little fat.VASER liposuction
Ultrasound energy (VASER) emulsifies fat precisely before it’s removed through tiny access points, sculpting the chest and feathering the edges for a natural, athletic contour with minimal scarring.
Best for: predominantly fatty enlargement (pseudogynecomastia).VASER liposuction + gland excision
The most common combination: VASER removes and sculpts the fatty component and loosens the tissue, then the firm gland beneath the nipple is excised through the same discreet periareolar incision.
Best for: the typical mixed gland-and-fat chest (Grade I–II).VASER + subcutaneous mastectomy & skin/nipple work
For severe cases with excess skin, the breast tissue is removed (subcutaneous mastectomy) and redundant skin is tightened. The nipple-areola is kept alive on a pedicle when possible; in the most severe cases it is removed and replaced as a free nipple graft, then resized and positioned for a masculine chest.
Best for: Grade III–IV with significant skin excess.High-definition chest sculpting
For men who want more than a flat chest, Dr. Levesque can take the result a step further using high-definition (hi-def) body sculpting principles pioneered by Dr. Alfredo Hoyos — with whom Dr. Levesque trained directly.
Once the gynecomastia is corrected, VASER is used to etch the natural borders of the pectoral muscles, and your own fat — harvested during the liposuction — can be grafted onto the pec and deltoid muscles to add size, projection, and shape. The result isn’t just a flat chest; it’s a defined, athletic, muscular contour that looks natural in and out of a shirt. This is entirely optional and planned around your goals, your build, and how much definition you want.
A contouring surgeon, not a one-technique clinic
Dr. Andre Levesque is a board-certified plastic surgeon with a focus on high-definition body contouring, including VASER liposuction. Gynecomastia is a contouring problem as much as a removal problem — leave too much and the chest stays full; take too much and you create a hollow “crater” deformity around the nipple. Getting a flat, natural, masculine result takes judgment about exactly how much gland and fat to remove and how to feather the edges. Dr. Levesque performs your surgery himself, from planning to follow-up.
What to expect
Surgery day
An outpatient procedure, usually 1–2 hours under sedation or general anesthesia. You go home the same day in a compression vest.
First weeks
Most patients return to desk work in about a week. You’ll wear the compression vest for a few weeks to control swelling and shape the chest; soreness eases steadily.
Your result
Swelling resolves over the following weeks and the final flat contour continues refining over a few months. Removed gland does not return; staying weight-stable protects your result.
Pricing
The range reflects how involved your operation is — milder cases treated with VASER liposuction and gland excision sit near the starting price, while higher grades that require skin excision and nipple work run toward the top. Dr. Levesque gives you a transparent, itemized quote at your consultation. We perform gynecomastia as a self-pay procedure and don’t bill medical insurance. Financing is available through CareCredit, Alphaeon, Cherry, and PatientFi — see the full price menu.
Frequently asked questions
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