San Antonio · 78229
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Ayala Plastic Surgery - John Ayala, MD
4499 Medical Dr #316, San Antonio, TX, 78229
Gynecomastia Surgery in San Antonio
Compare Gynecomastia Surgery providers in San Antonio across San Antonio, New Braunfels, Boerne, and neighboring areas, with typical local pricing and public Google ratings for each one. See the range before you call.
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Gynecomastia Surgery in San Antonio typically costs $4,950-$8,100 per treatment ($4,950-$8,100).
Top Gynecomastia Surgery providers in San Antonio
San Antonio · 78212
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Eric S. Schaffer, MD FACS
1303 McCullough Ave Suite 363, San Antonio, TX, 78212
San Antonio · 78229
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Dr. Matt Bindewald, Plastic Surgeon San Antonio
7950 Floyd Curl Dr Suite 1009, San Antonio, TX, 78229
San Antonio · 78258
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Ablavsky Plastic Surgery: Dr. Michael Ablavsky
19296 Stone Oak Pkwy Suite 102, San Antonio, TX, 78258
San Antonio · 78249
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Baumholtz Plastic Surgery
4083 De Zavala Rd, San Antonio, TX, 78249
San Antonio · 78257
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Hill Country Plastic Surgery
4 Dominion Dr Building #1, San Antonio, TX, 78257
Shavano Park · 78249
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Micallef Plastic Surgery
4372 N Loop 1604 W #200, Shavano Park, TX, 78249
New Braunfels · 78130
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Prestige Cosmetic Surgery
505 N Union Ave, New Braunfels, TX, 78130
San Antonio · 78209
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San Antonio Plastic Surgery Institute - Decherd & Isakson
414 W Sunset Rd Ste 215, San Antonio, TX, 78209
This page lists 9 Gynecomastia Surgery providers across Shavano Park, New Braunfels and nearby areas. 3 of them have public Google ratings shown above.
Pricing shown is estimated based on San Antonio regional averages unless marked "Provider verified." Ratings and review counts are public Google ratings. Always confirm pricing directly with the provider.
What is a Gynecomastia Surgery?
Gynecomastia surgery flattens and reshapes a male chest where breast tissue has developed. Most procedures combine liposuction to remove fatty tissue with direct removal of the firm glandular tissue behind the nipple, usually through a small incision at the edge of the areola. When there is significant loose skin, skin is removed as well, which adds scarring. It is a same-day procedure under general anesthesia or heavy sedation.
The key distinction is what the tissue actually is. Firm, rubbery tissue behind the nipple is glandular, and it will not respond to liposuction alone, diet, exercise, CoolSculpting or any fat treatment. Soft, fatty fullness sometimes can be treated with liposuction alone. A surgeon can usually tell the difference in an examination, and most patients have some of both.
One thing to take seriously before any cosmetic consultation: enlargement on one side only, rapid growth, a hard or fixed lump, skin dimpling or nipple discharge needs medical evaluation first, because male breast cancer exists. Gynecomastia can also be driven by medications, anabolic steroids or hormonal conditions, and an unaddressed cause can bring it back after surgery.
How much does a Gynecomastia Surgery cost in San Antonio?
Gynecomastia surgery in San Antonio typically starts at $4,950 and ranges up to $8,100 depending on how much glandular tissue and skin needs to be addressed.
Liposuction‑predominant case
Small gland excision
Starting at $5,500
Gland excision with liposuction
The most common combination
$6,500‑$8,000
With skin removal
Larger cases, nipple repositioning
$8,000‑$9,000+
Last updated August 2026. Estimates reflect San Antonio regional averages and Get Clear Beauty provider data — read how we estimate prices.
What to ask your provider
- Is my tissue glandular, fatty, or both, and how does that change the plan?
- Have we ruled out a medical cause, medications, hormones, anything that should be evaluated first?
- Where exactly will the incisions be, and what will the scars look like at one year?
- Will I need a drain, and how long will I wear the compression vest?
- What is your revision policy if the contour is uneven or the result recurs?
- Is any of this potentially billable to my insurance in my specific case?
Frequently asked questions
Can I fix this with liposuction or CoolSculpting instead?
It depends on what the tissue actually is. If your chest fullness is soft and fatty, liposuction can treat it and non-invasive fat reduction may help. If there is firm, rubbery tissue behind the nipple, that is glandular and it will not respond to fat treatments of any kind. A surgeon can usually tell the difference during an examination, and most people turn out to have some of both.
Will it come back?
Once the gland is removed it does not grow back. What can change the result is a new cause. Significant weight gain, anabolic steroid use or a hormonal change can create new fullness. This is why surgeons want to know why it developed in the first place before operating.
Does insurance ever cover this?
Sometimes, and only in specific circumstances. Some carriers cover documented glandular gynecomastia that has persisted, causes pain, and meets their own criteria, while many classify it as cosmetic and exclude it outright. Coverage depends entirely on your individual policy, so confirm with your insurer directly. The prices shown here are cash prices.
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