Another type of breast enhancement for men in Houston is gynecomastia removal. Gynecomastia is a condition of excess breast tissue in males. This is the treatment of the enlarged male breast that requires a two-step process to remove hardened breast tissue and redistribute fat for a smooth contour. Dr. Mentz makes a small puncture incision around the areola (nipple) and endoscopically cut the breast tissue into small strips so it can then be suctioned out with a thin cannula. Dr. Mentz then loosens the fat cells surrounding the breast tissue and redistributes the fat so the patient is left with a smooth surface where the knot of breast tissue previously existed.