Press Release: Robert D. Wilcox, M.D. Completes Over 1000 Gynecomastia Surgeries



Top Dallas Plastic Surgeon, Dr. Robert Wilcox, completes 1,000th Gynecomastia Male Breast Reduction Surgery


DALLAS, TX June 17, 2019 /Press Release/ — Dr. Robert Wilcox (, a board-certified DFW plastic surgeon, has recently completed his 1000th Male Gynecomastia Breast Reduction surgery, making him one of the Top 3 Plastic Surgeons in the country to specialize in this life changing procedure for men.

Gynecomastia is a condition that develops in men that involves a buildup of fatty tissue and often painful glandular tissue in the chest. Some common causes of gynecomastia can be fluctuations in hormones and men who have had significant changes in their weight. It is not uncommon for this condition to develop between the ages of 11 and 15 years old. This is typically the stage of puberty that causes hormonal activity. Gynecomastia can be difficult to address even with diet and exercise. To eliminate excess breast tissue, patients often turn to male breast reduction also known as gynecomastia treatment. With gynecomastia treatment, patients can achieve a slimmer, more masculine appearance and begin to feel more confident.


Dr. Wilcox has pioneered a new technique for Gynecomastia surgery over 10 years ago which sets his Practice apart from other Plastic Surgeons in his field.  “I was trained like all other Surgeons in the standard Gynecomastia technique in which incisions are made on the front of the male patient’s chest around the areola, this can lead to complications and scarring.  I was sure there was a better way to perform this surgery” says Wilcox.  By making small incisions on the side of the Patient’s chest instead, also with this technique both the fatty tissue and the glandular tissue are addressed and can be removed. Dr. Wilcox can perform his Gynecomastia surgeries with far less complications and greater results than previously available outcomes. With patients visiting his Plastic Surgery practice from all over the World, Dr. Wilcox is highly sought after for Gynecomastia surgeries, as he performed 184 of these procedures last year where most surgeons perform between 4-8 of these procedures.


Dr. Robert Wilcox is a leading Plastic Surgeon in Texas. Dr. Wilcox entered private practice in Plano and North Dallas in 1992. In 1998, he made the decision to design and build a world-class surgical facility/clinic/skin care center to complement his increasingly global practice. He has patients from six continents and has published and presented numerous scientific articles in the United States and abroad. He is a respected member of the Plastic Surgery community and served as the past President of the Dallas Society of Plastic Surgeons.  At the Plastic & Cosmetic Surgery Center of Texas, we offer male plastic surgery procedures to help men achieve their cosmetic goals while preserving their natural masculine qualities. To learn more about our treatments or to schedule a consultation, visit our Practice online at or call 972-441-4440.

Tips To Prepare For Gynecomastia Surgery

Dr. Wilcox’s Tips to Prepare for Gynecomastia Surgery in Plano, TX


Gynecomastia surgery is one of the most common elective procedures for men. This is due in part because gynecomastia affects men of all ages. While excess fat and tissue in the breasts do not pose a health concern, it can take a toll on one’s confidence and lead to feelings of body shame. The good news is that gynecomastia surgery is a successful approach for many men dealing with this condition. If you are preparing for this procedure, here is what you need to know:


Choose a Trusted Surgeon

When opting to go under the knife, you want to make sure that your body is in good hands. The best hands for gynecomastia surgery tend to be those of a board-certified plastic surgeon. This level of training ensures that your doctor can not only address the current situation but understand the root cause–such as imbalanced hormones–so that the condition does not return. At the Plastic & Cosmetic Surgery Center of Texas, our board-certified plastic surgeons have the experience and training to ensure that you achieve the results you deserve.


Understand Your Budget

One of the most crucial steps to preparing for this procedure is to know what kind of financial commitment you are ready to make. Due to the fact that each gynecomastia procedure cost is calculated on an individual basis, you can expect your pricing to be discussed during your consultation. Our office gladly accepts a wide range of payment options, including convenient financing, so your procedure can be within financial reach.


Determine Your Condition

While some men will have excess breast tissue, others will have excess fat and others still will have both. Loose skin around the areola is another common concern. Determining your specific condition is important for understanding the best method of treatment. After all, gynecomastia surgery is not a one-size-fits-all approach. As a result, it’s important to speak with your doctor regarding the best plan for your needs.




Commit to a Healthy Lifestyle

For many men, gynecomastia is caused by too much fat. While it may be embarrassing to admit at first, the good news is that it’s fairly simple to change your lifestyle for the long-term. Healthy eating, regular exercise, and reduced alcohol consumption can all go a long way to improving your body’s shape. Additionally, healthy surgical candidates are likely to have faster healing and recovery after surgery than their unhealthy counterparts.


Preparing for gynecomastia surgery does not have to be complicated. In fact, it’s easier than ever to take proactive steps to ensure your procedure is a success. At the Plastic & Cosmetic Surgery Center of Texas, we understand how important it is to feel prepared for your surgery. We have already helped countless men in and around Plano with their gynecomastia procedure and now we are ready to do the same for you. If you have questions and are ready to learn more, do not hesitate to contact us at 972-441-4440.

Complete Guide To Gynecomastia (Enlarged Male Breasts) In Singapore

Complete Guide To Gynecomastia (Enlarged Male Breasts) In Singapore

We all think that when it comes to breasts, they’re a concern pertaining only to the fairer gender. However, men do have breasts – even milk ducts.

With high testosterone levels produced puberty, for the vast majority of men, the breast tissue does not develop like it does for their female counterpart.

There are 2 types of conditions that affect men in Singapore.

The first is gynecomastia, which is a medical condition – men with such condition have more prominent glandular tissue present, often as a result of hormonal imbalance.  When it comes to man boobs for the majority of men, they are usually a mixture of both fat and breast tissue enlargement.

The second condition is pseudogynecomastia, which is the accumulation of excess fat tissues on the chests.

Gynecomastia: Enlarged Male Breasts

For gynecomastia, the cause of the condition is an excess of glandular male breast tissue due to hormone imbalance.

Unlike fat tissue, glandular tissue is firmer and more fibrous, and it also does not respond to diet changes nor exercise.

Gynecomastia Symptoms: Soft Lumps & Tenderness

Feel for soft lumps in your breasts. In true gynecomastia, glandular breast tissue may develop in one or both breasts.

This tissue may be located directly behind the nipple. To check for the symptom, gently feel your breast with your fingertips.

Should you suffer from gynecomastia, you should feel a soft, rubbery lump in one or both breasts.

Gynecomastia may occur in just one breast or both breasts at a go. And with the size of the lump varying, it may not be the same in both breasts.

Breast buds which signal the start of puberty, are typically the size of a nickel or quarter in puberty-aged boys.

Take note of tenderness. Gynecomastia may cause your breasts to be tender and sore, especially when you touch or press on them.

If your breasts are causing you a significant amount of pain or discomfort, it is advisable to make an appointment with your doctor right away.

Causes of Gynecomastia: Natural Hormone Changes, Puberty & Health Conditions

An imbalance of hormones triggers gynecomastia. A decrease in the amount of the testosterone level compared with estrogen leads to the condition.

The decline in testosterone levels can be caused by conditions that block the effects of or reduce testosterone.

It may also be a condition that increases your estrogen level. Several factors can upset the hormone balance, and these include the following:

Natural hormone changes

The hormones testosterone and estrogen not only control the development but it is a maintenance of sex characteristics in both men and women.

Testosterone takes control of male traits, such as muscle mass and body hair, while Estrogen takes control of female traits, including the growth of breasts.

Most people associate estrogen as an exclusively female hormone, but the truth is, men also produce it — though generally in small quantities.

However, when male estrogen levels are too high or are out of balance with testosterone levels, this can cause the condition, gynecomastia.

Gynecomastia during puberty

Enlarged male breasts are caused by hormone changes during puberty is relatively common.

In most cases in Singapore, the swollen breast tissue will go away without treatment within six months to two years.

As for Gynecomastia in men, the prevalence of this condition peaks again between the ages of 50 and 69 with at least 1 in 4 men in this age group being affected.

Health conditions

Several health conditions can cause gynecomastia by tilting the normal balance of hormones. These include:

  • Any of the conditions that interfere with normal testosterone production, such as Klinefelter’s syndrome or pituitary insufficiency, can be associated with gynecomastia.
  • Hormone changes that occur during the normal course of ageing can cause gynecomastia, especially in overweight men.
  • Some tumours, such as those involving the testes, adrenal glands or pituitary gland, can produce hormones that alter the male-female hormone balance.
    In this condition, the thyroid gland produces too much of the hormone thyroxine.
  • Kidney Failure. About half the people being treated with regular hemodialysis experience gynecomastia due to hormonal changes.
  • Liver Failure And Cirrhosis. Hormonal fluctuations related to liver problems as well as medications taken for cirrhosis are associated with gynecomastia.
  • Malnutrition And Starvation. When your body is deprived of adequate nutrition, testosterone levels drop, but estrogen levels remain constant. As such, this causes a hormonal imbalance. Unfortunately, Gynecomastia may persist despite resuming normal nutrition.

Common Gynecomastia Questions

Here are some common questions on gynecomastia:

1. Can Beer, Chicken, Eggs And Soya Beans Cause Gynecomastia?

Hoppy beers like IPA (Indian Pale Ale) contain phytoestrogen, a plant-based estrogen hormone. The common myth is that drinking too much of them will cause estrogen levels to skyrocket.

The truth is, the phytoestrogen levels are too low to create any hormone imbalance. The consumption of beers or any alcohol in excess can be detrimental to your overall health and thus, should be avoided.

Soy contains isoflavones, a class of phytoestrogens which may mildly mimic the hormone estrogen. The effects of soy isoflavones on estrogen levels are complex, but in general, soy is safe to be consumed in moderation.

As such, eggs, milk and other food products that contain hormones are safe for consumption when taken in moderation.

2. Can Steroid Eliminate Enlarged Male Breasts?

Anabolic steroids contain a lot of testosterone, which many may consider a solution since the key cause of enlarged male breasts is hormone imbalance where estrogen levels are higher.

Sounds like a solution right? Wrong.

Apart from other potential health issues, steroid use is the primary trigger for gynecomastia.

When you’re on steroids and then go off them, this results in testosterone levels fluctuating, causing an increase in your estrogen level.

This often leads to fat development in the chest area. As such, never self-medicate as this can cause your hormones to go out of whack.

Should you notice signs of gynecomastia, always seek appropriate and qualified doctor advice.

3. Does Andropause/Male Menopause Cause Gynecomastia?

Studies have shown that male menopause or andropause happens in men aged 50 or older when testosterone production drops.

Testosterone fuels changes during puberty and affects a man’s mental and physical energy as well as regulates other key evolutionary features.

As the levels of testosterone drops, it causes a hormonal imbalance and these may eventually lead to the development of enlarged male breasts.

4. Is Gynecomastia An Early Sign Of Breast Cancer?

Breast cancer is not only a concern for women since men can contract it too, albeit rarer in men. Gynecomastia, however, is not a sign of breast cancer.

Furthermore, excessive breast development and breast cancer are not found to be correlated.

When a person slims down, he will tend to see an overall reduction in size.

However, should you be suffering from true gynecomastia, your chest fullness will only look more prominent after other parts of your body have shrunk.

The only way to treat this part of your body is through a surgical intervention with gynecomastia surgery.

5. How To Get Rid Of Gynecomastia

Gynecomastia is a dual component problem as these excessive breasts glands and fat tissues, unfortunately, cannot be eradicated through diet and exercise alone, but with gynecomastia surgery.

6. Gynecomastia Grades On Excess Male Breasts

Enlarged male breasts tissue is divided into four different “grades”, based on the severity of the problem.

Gynecomastia Grade 1: The initial stage is characterised by minor breast enlargement without the development of excess skin. The excess skin, at this stage is found around the areola which is the coloured tissue that is surrounding the nipple.

Gynecomastia Grade 2: As the gynecomastia condition enters into the next stage, there will be a development of moderate breast enlargement without the development of excess skin. However, with enlarged male breast tissue, it now extends beyond the areola, with a minor degree of enlargement. Despite the enlargement, it is still imperceptible when a loose shirt is worn.

Gynecomastia Grade 3: Without treatment, the gynecomastia exacerbates and enters the 3rd stage. At this stage, there will be moderate breast enlargement with the development of excess skin. As the enlarged male breast tissue extends further into the breast zone, the male chest starts to look slightly like the feminine breasts and at this stage, the condition becomes clearly noticeable by others.

Gynecomastia Grade 4: As the gynecomastia enters the final stage, the condition is further aggravated with breast enlargement and excess skin. At this stage of the gynecomastia condition, patients will find that their chest appears similar to that of woman’s breasts. By now, the enlarged male breast tissue has become very noticeable and would be impossible to hide.

7. Will the skin sag after gynecomastia?

Most of the patients have degrees of gynecomastia that are not excessively saggy, as such, in these instances, the skin elasticity will ensure that the skin snaps appropriately into a more aesthetically pleasing position.

It is also important to wear the compression garment as it will help in guiding the skin back to the desired position.

8. Is recurrent of gynecomastia common after gynecomastia surgery?

When a gland is removed through the procedure, it is permanently removed and does not recur. The maintenance of post-surgery is also crucial in maintaining post-surgery results, and this includes adopting a healthy lifestyle that includes diet and exercise.

If you have any questions, feel free to ask me!

Gynecomastia Vs. Pseudogynecomastia

Gynecomastia Vs. Pseudogynecomastia

It’s natural for men to worry if their breasts start to enlarge or swell. They’ll turn to the Internet, but land on articles on pseudogynecomastia instead.

Gynecomastia Vs. Pseudogynecomastia

What is Gynecomastia?

For enlarged male breast or gynecomastia, the nipples on a normal male chest are small and flat, and you can see the pectoralis muscle move whenever you flex the area. However, men with gynecomastia will have more rounded breasts, and the nipples seem swollen or puffy. Your breast will also feel tender and may feel more uncomfortable with each passing day.

Gynecomastia is caused by hormonal imbalance. All men produce some amount of estrogen, but when you produce more than the “normal” amount, that may lead to the development of excess breast tissues. This affects 1 out of 2 teen boys, and 2 out of 3 men above 50 years old, when hormone levels are affected by sexual development, thyroid problems, or as a side effect of some medications.

There are 4 grades in gynecomastia classification, with the mildest being just a local swelling around the nipple area, and the most severe showing a pronounced rounded appearance similar to a female breast.

What is Pseudogynecomastia?

Genetically, men tend to accumulate fat in the chest and abdomen area – your arms and legs may look slim, but you bulk up in your torso. When fat builds up behind and around the breast area, the chest appears puffy and swollen. This is clinically known as lipomastia, adipomastia, or pseudogynecomastia.

The more estrogen you have, the more your body tends to store fat. Interestingly, fat also causes your body to produce the aromatase enzyme, which can convert testosterone into estrogen and slow down your metabolism.

Unfortunately, a lower metabolism will also mean you burn less fat, and this triggers a vicious cycle where you store more and more fat on your chest area and worsen your hormonal imbalance.

Gynecomastia vs Pseudogynecomastia

Both conditions display similar physical traits an enlarged, chubby chest. The difference lies in what’s underneath. Gynecomastia is caused by overdevelopment of glandular tissues that comprise of fat tissues and glands, mostly as a result of hormonal imbalance and pseudo-gynecomastia is caused by excess fat accumulation. Only your doctor can confirm what you really have through a clinical assessment.

However, one clear sign that you have real true gynecomastia is you can feel a firm mound of glandular tissue around your areola area and painful to touch. For some, the nipple may even feel sensitive.  But if it’s pseudogynecomastia, the entire breast is evenly enlarged.

Gynecomastia Vs. Pseudogynecomastia

Gynecomastia Surgery And Treatment

Both gynecomastia and pseudogynecomastia won’t hurt your health, but it can affect your self-confidence and damage your pride. Men can become very self-conscious about their chest, and in severe cases, may be bullied or ridiculed by other people for having “man boobs.”

You may try to get rid of it through chest exercises or a low-estrogen diet, but that rarely works.  If you have gynecomastia, no amount of exercising will get rid of that you could even be perfectly fit, and still have a pronounced chest.

The only clinically proven treatment to date for gynecomastia is gynecomastia surgery that involves the permanent removal of excess glandular and fatty tissues. What is important also when considering gynecomastia surgery, is the surgical experience and results achieved by the doctor.  A well-trained and experienced doctor will be able to not only help you to get rid of unwanted tissues permanently but also to contour your chest, making it look defined and sculpted but also improve the appearance of the nipples.

If you have pseudogynecomastia, it may take months or even years of dedicated workouts to see results.  The alternative option for some is to surgically remove the excess fat via means of VASER LIPO  as the fatty tissues can sometimes be too stubborn and hard to be eradicated by chest presses, gym works and endless dieting.

If you have any questions, feel free to ask me!

Why Gynecomastia (Male Breasts) Is On The Rise

Why Gynecomastia (Male Breasts) Is On The Rise

Gynecomastia (male breasts) is on the rise

Gynecomastia (male breasts) is on the rise. The term gynecomastia (male breasts) is becoming more widely known, but the derogatory terms, i.e., man boobs, bitch tits, and moobs to name a few, are more descriptive and hit home with a lot of men.

Excess breast tissue is a result for men who have a hormonal imbalance. The National Institute of Health states that 65% of men will be affected at some stage in their life with some form of gynecomastia. It used to be that most men seeking male breast reduction surgery were bodybuilders who used steroids, male models, and the aging male.

Since the ‘70s and ‘80s, there has been a gradual decline of testosterone in men. And since 1980 testosterone levels in men has dropped 25%. Chances of developing diabetes, obesity, high blood pressure, high cholesterol, and gynecomastia double when testosterone levels decline.

Why are Testosterone Levels in Men Dropping?

Researchers are trying to determine why estrogen levels in men are increasing, and testosterone is decreasing by looking at current lifestyles.

You may have heard the warnings about Bisphenol A (BPA) and that it is something you want to avoid. BPA is a chemical that hardens plastic.  The chemical is everywhere; in fact, 90% of us have some in our bodies now. BPA can be in plastic containers and bottles that hold food and beverages. The FDA believed that BPA was safe until 2010 when studies showed the chemical might be risky. BPA can alter your natural hormone balance; it is linked to many health issues, including gynecomastia.

How to Avoid BPA

Many products now claim to be BPA free as consumer awareness increases.  It is advisable to store food in glass, stainless steel, or porcelain. When heating food in the microwave, do not use plastic as BPA can seep into food.

There may be BPA in the epoxy coatings in the lining of some canned foods; however, many manufacturers are removing BPA. It isn’t always noted if your canned goods are BPA free, you can check the color of the inside lining, if it is white it contains BPA, you want off white, copper color, reddish or yellow. Unfortunately, there have been instances of BPA found in some products that claim to be BPA free. For men who want to avoid BPA, it is better to eat fresh or frozen foods.

Is Soy Healthy?

Soy products have been considered a healthy food, but studies have shown significant amounts of soy may lead to gynecomastia. There was a story about a 60 year-old man with gynecomastia who was consuming 3 quarts of soy milk a day when he stopped on the advice of his endocrinologist, his man boobs disappeared. Different people have different reactions to soy; it is best to avoid any genetically modified organism (GMO) when purchasing soy; unfortunately, it is in the majority of soy products today.

Watch Your Hops!

Two alcoholic beverages a day can lower testosterone, and the hops in beer are known to contain estrogen. Not all hops are bad; it contains xanthohumol, which is known to have anti-clotting, anti-inflammatory, and antiviral properties. Note that your body metabolizes alcohol first and then may store food as fat.

For more information on this subject, you may read the entire article here.

See Your Gynecomastia Specialist for Evaluation

While all the causes for gynecomastia are not known, your gynecomastia specialist will want to review with you your lifestyle, diet, medications, and even hygiene products to rule out some of the suspected triggers of man boobs.

Click here to find a Gynecomastia specialist in your area.