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Augusta · Evans · Columbia County
A flatter, firmer, masculine chest

Gynecomastia Surgery
in Augusta, GA

★★★★★ 5.0 594 Google reviews

Gynecomastia surgery — male breast reduction — removes the excess glandular tissue and fat that enlarge the male chest, for a flatter, firmer, more masculine contour. Performed discreetly by Dr. Troy Austin, a double board-certified plastic surgeon.

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What is gynecomastia?
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Gynecomastia Surgery

A chest that finally matches the effort.

Dr. Troy Austin, MD, board-certified plastic surgeon in Augusta, GA

Medically reviewed by Dr. Troy Austin, MD — double board-certified plastic surgeon ◆ Updated July 2026

Gynecomastia is a common condition in which excess glandular tissue or fat enlarges the male chest — and when diet, exercise, or time don’t resolve it, gynecomastia surgery (male breast reduction) removes that tissue for a flatter, firmer, masculine contour. The key point most men don’t hear: true glandular gynecomastia won’t diet away, no matter how lean you get, because it isn’t fat. At Southeastern Aesthetic Surgery in Augusta, GA, Dr. Troy Austin treats gynecomastia discreetly with liposuction, direct excision, or a combination — matched to whether your chest is fat, gland, or both.

True gyne vs. pseudogyne

Board certified

x

Dr. Austin is certified by both the American Board of Plastic Surgery and the American Board of Surgery — the judgment a natural, masculine chest result demands.

Week, back to desk work

1

Most men return to desk work in about a week, wearing a compression vest for roughly four weeks as the chest settles.

Starting price

$ 1

Liposuction-only cases start here; excision or combination surgery is more. We give you an exact, all-in quote at consultation. Financing available.

Austin
Dr. Troy Austin, board-certified plastic surgeon and supervising physician at 7 Seas Medical Spa in Augusta, GA
Dr. Troy Austin Double board-certified
Your surgeon

Discreet care, a natural result.

A masculine chest result depends on judgment — knowing when to remove fat, when the firm gland behind the nipple has to be excised, and how to keep the contour flat and even without a scooped-out or dented look. Dr. Austin is double board-certified by the American Board of Plastic Surgery and the American Board of Surgery, completed his plastic surgery fellowship at the Medical College of Georgia here in Augusta, and trained in general surgery at the Ochsner Clinic Foundation in New Orleans.

He treats gynecomastia the way most men want it handled — straightforwardly and privately — and can address it alongside other procedures for men when it makes sense.

For a lot of men this is the one thing they've hidden under a shirt for years. The goal is a flat, natural chest that just looks like you got in shape. Dr. Troy Austin
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Credentials & affiliations

  • American Board of Plastic Surgery & American Board of Surgery
  • Fellowship — Medical College of Georgia, Augusta
  • Member, ASAPS · ASPS · Georgia Society of Plastic Surgeons
Is it right for you?

When the gym isn't the answer.

Gynecomastia affects a large share of men — it can start in puberty, return with the hormonal shifts of middle age, or come from genetics, weight changes, certain medications, or anabolic steroids. If you have persistent chest fullness, puffy nipples, or a firm lump behind the nipple that stays no matter how lean you get, you may be a candidate. Good candidates are healthy men at a stable weight who are bothered by the appearance of their chest. If the fullness is purely soft fat, a liposuction or non-surgical approach may be all you need — which is the first thing Dr. Austin sorts out.

Which type do I have?
The key distinction

True gynecomastia vs. pseudogynecomastia.

This is the single most important thing to know — it decides whether you need surgery or not.

True gynecomastiaPseudogynecomastia
What it isExcess glandular tissue (± fat)Excess fat only, no gland
Feels likeA firm disc behind the nippleSoft, even fatty fullness
Diet & exerciseWon’t remove the glandCan improve with fat loss
Best treatmentSurgery — excision, often with lipoLiposuction or non-surgical fat reduction
Bottom lineUsually needs surgeryMay avoid surgery

If it’s purely fat, liposuction or CoolSculpting may be enough. If there’s a firm gland, surgery is the reliable fix — Dr. Austin examines you to tell the difference honestly.

How it's done

Liposuction, excision, or both.

Gynecomastia surgery is outpatient, under local anesthesia with sedation or general anesthesia, and usually takes one to two hours.

Liposuction — for fat

When the fullness is mostly fatty, fine liposuction through tiny incisions removes it and re-contours the chest with no visible scar.

Excision — for gland

The firm glandular tissue behind the nipple can’t be suctioned out, so it’s removed directly through a small incision at the edge of the areola, where the scar hides in the natural color change.

Combination — for both

Most men have a mix of fat and gland, so Dr. Austin often combines liposuction and excision in one procedure for the flattest, most even result.

One procedure, matched to you

Fat, gland, or both — the technique is chosen for your chest, not a one-size approach.

Recovery & results

Downtime, results & recurrence.

Recovery week by week

  • Days 1–3: mild swelling and bruising; you’ll wear a compression vest that keeps the chest flat and reduces swelling.
  • About 1 week: most men return to desk work and light daily activity.
  • Weeks 2–4: the compression vest continues (roughly four weeks total); ease back toward the gym on Dr. Austin’s timeline.
  • Weeks 4–6: chest and upper-body workouts typically resume as swelling settles and the contour sharpens.

Are the results lasting?

Once the glandular tissue is removed, it doesn’t grow back, so gynecomastia surgery is long-lasting. Significant weight gain, certain medications, or anabolic steroids can still add fat or trigger new tissue, so a stable, healthy lifestyle protects your result.

Incisions & scars

Liposuction incisions are tiny and fade to near-invisible; the excision incision sits at the edge of the areola, where the natural color change hides it. Dr. Austin keeps any scarring as discreet as the procedure itself.

The vest does the work. Wearing your compression vest as directed keeps the chest flat and the result even.

Investment

How much does gynecomastia surgery cost in Augusta?

Cost depends on whether your chest needs liposuction, excision, or both, and the anesthesia used. In the Augusta area, most gynecomastia surgery ranges from $4,500 to $9,500 all-in. Your exact quote is confirmed in writing at your consultation.

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Liposuction only (mostly fatty) $4,500 – $6,500
Excision or combination (glandular) $6,500 – $9,500
Severe cases with skin removal Quoted individually
Consultation with Dr. Austin $100

Your quote depends on the technique and anesthesia used and includes the surgery center. Gynecomastia surgery for cosmetic reasons isn’t typically covered by insurance. Financing is available through Cherry, CareCredit, PatientFi, and Alle Financing.

Beyond the chest

Handled discreetly — and completely.

Most men come in for one reason: to stop thinking about their chest. Often it’s part of a broader refresh.

A private, straightforward process

From consultation to recovery, gynecomastia care at SEA is handled discreetly and without judgment — a common procedure Dr. Austin performs regularly.

Combine where it makes sense

Gynecomastia surgery pairs naturally with body liposuction or skin-tightening with BodyTite for a fuller transformation.

Men’s aesthetics, all in one place

Many patients also explore a male facelift, Botox for men, or hair restoration — all with the same discreet, natural-result approach.

The real result is confidence. Shirts fit, the beach isn’t a problem, and you stop thinking about it.

Good to know

Gynecomastia Questions.

What is gynecomastia surgery (male breast reduction)?

Gynecomastia surgery, also called male breast reduction, removes the excess glandular tissue and fat that enlarge the male chest, creating a flatter, firmer, more masculine contour. Depending on your chest, it uses liposuction, direct excision of the gland, or a combination of both.

True gynecomastia is excess glandular tissue — a firm disc behind the nipple that won’t diet away and usually needs surgery. Pseudogynecomastia is excess fat only, which can improve with fat loss, liposuction, or non-surgical fat reduction. Telling them apart is the first thing Dr. Austin does at your exam.

In the Augusta area, liposuction-only cases run about $4,500–$6,500 and excision or combination surgery about $6,500–$9,500, with severe cases quoted individually. Cosmetic gynecomastia surgery isn’t typically covered by insurance. Your written, all-in quote is confirmed at consultation, and financing is available.

If your chest fullness is purely soft fat (pseudogynecomastia), fat loss, liposuction, or non-surgical fat reduction can improve it. But true glandular gynecomastia — the firm tissue behind the nipple — won’t respond to diet or exercise and needs surgery to remove it reliably.

Once the glandular tissue is removed, it doesn’t grow back, so results are long-lasting. Significant weight gain, certain medications, or anabolic steroids can still add fat or trigger new tissue, so a stable, healthy lifestyle protects your result.

It’s an outpatient procedure under local anesthesia with sedation or general anesthesia, usually one to two hours. Fatty fullness is removed with fine liposuction through tiny incisions; firm glandular tissue is excised through a small incision at the edge of the areola. Most men need a combination of both.

There’s no single cause. It commonly appears during puberty and again with the hormonal changes of middle age, and can also stem from genetics, weight changes, certain medications, or anabolic steroid use. In many men it simply persists after puberty.

Expect mild swelling and bruising for the first several days, managed with a compression vest worn for roughly four weeks. Most men return to desk work in about a week and resume chest and upper-body workouts around four to six weeks, on Dr. Austin’s timeline.

Good candidates are healthy men at a stable weight who are bothered by persistent chest fullness, puffy nipples, or a firm lump behind the nipple that doesn’t resolve with fitness. A consultation confirms whether surgery, liposuction, or a non-surgical option fits you best.

Liposuction incisions are tiny and fade to near-invisible. When gland is removed, the incision sits at the edge of the areola, where the natural color change hides it. Dr. Austin keeps any scarring as discreet as the procedure itself.

Service area

Serving Augusta and the wider CSRA.

Our practice sits just off River Watch Parkway in Augusta, minutes from Evans and Martinez and a straight shot from I-20. Men come to us from across Columbia and Richmond counties and from across the Savannah River in South Carolina for discreet gynecomastia surgery.

Prefer to start from home? Virtual consultations are available, a convenient first step before you travel to Augusta.

See directions & drive times
Augusta
Evans
Martinez
Grovetown
Columbia County
Hephzibah
Harlem
Appling
North Augusta, SC
Aiken, SC
Thomson
Waynesboro

Traveling to Augusta for gynecomastia surgery?

Men travel to Dr. Austin from across Georgia, the Carolinas, and beyond. Augusta Regional Airport (AGS) is roughly 20 minutes from our surgery center, and our team helps out-of-town patients coordinate scheduling and follow-up discreetly.

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Patient experiences

What our patients say.

5.0 Based on 594 Google reviews
Ratings and reviews from Google Maps

From my initial consultation through my procedure, my experience was nothing short of exceptional. Every step of the process was informative, professional, and reassuring. Dr. Austin and his entire staff were incredibly patient, attentive, and always willing to answer any questions I had. The level of customer service and hospitality exceeded my expectations. Everyone made me feel comfortable, valued, and confident in my decision throughout the entire journey. Dr. Austin’s expertise, compassion, and dedication to his patients are truly remarkable. I feel extremely blessed to have had Dr. Austin as my surgeon and would highly recommend him and his facility to anyone considering a procedure. Thank you for providing such outstanding care and an amazing experience.

I had an amazing experience with Dr. Austin and the entire staff during my implants exchange procedure. From the very beginning, everyone made me feel safe, comfortable, and truly cared for. Dr. Austin was professional, knowledgeable, and took the time to answer all of my questions, which gave me so much confidence throughout the process. The staff was kind, supportive, and welcoming every step of the way. I’m very grateful for the excellent care I received and highly recommend Dr. Austin and his team!.

I cannot say enough good things about Dr. Austin and his team!!! From the time you walk in until the time you leave they make you feel like the only patient in the building. Dr. Austin is truly wonderful. Before surgery my consult was very thorough and he answered every question I had. The medical staff and Dr. Austin made surgery day and recovery a breeze. The surgery center is immaculate with wonderful pre and post op staff which was important to me as a nurse myself. Having my surgery with Dr. Austin and his team was the best decision I ever made. Book that consultation and surgery!!! You will NOT regret it. I have never been happier with my body and my confidence is back!

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Visit us

In Augusta — and worth the drive.

Our surgery center sits just off River Watch Parkway, an easy drive from Evans, Martinez, Grovetown, and Columbia County, plus North Augusta and Aiken across the river. Augusta Regional Airport (AGS) is close by, and our team helps out-of-town patients coordinate every visit.

Southeastern Aesthetic Surgery

225 Cooper Ct
Augusta, GA 30907
(706) 854-2080
Mon–Thu 8:30am – 5:00pm · Fri 8:30am – 2:00pm

Approx. drive times

  • Martinez, GA 7 min
  • Evans, GA 11 min
  • Downtown Augusta, GA 17 min
  • North Augusta, SC 17 min
  • Grovetown, GA 22 min
  • Aiken, SC 38 min
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Stop hiding it under a shirt. A flatter, firmer chest starts with one discreet conversation.

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★★★★★ 5.0 594 Google reviews