When it comes to undergoing the surgeon's knife, this reality star is a frequent flyer.

But Jax Taylor has bravely publicly revealed he need a male breast reduction and even shown the process of Vanderpump Rules.

On Wednesday his surgeon, Dr. John Layke, from Beverly Hills Plastic Surgery Group revealed why Jax opted to have surgery.

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New man: Jax Taylor's surgeon has revealed why the singer had a male breast resduction (he is seen here in October after the operation)

The surgeon told People the 37-year-old star was having body image issues due to his gynecomastia which is enlarged male breast tissue - often dubbed 'manboobs' or 'moobs'.

Jax and his surgeon believe it was caused by supplement use.

Dr. Layke said: 'Who knows what's in some of those supplements, but it caused excess breast tissue and hardened nodules under the nipple.

'They can be very painful to the touch, and he was concerned with the way they looked in a tight T-shirt.

Go to DR: On Wednesday his surgeon, Dr. John Layke (pictured) revealed the 37-year-old star was having body image issues due to his gynecomastia which is enlarged male breast tissue - often dubbed 'manboobs' or 'moobs'.

'The decision was made to bring him into the operating room and remove that little disc of tissue that's below the areola.'

Jax was very candid about his surgery and the cameras followed him into the operating room earlier this season on Vanderpump Rules - he does, however, refuse to call his surgery a breast reduction

The star said in an episode in December: 'I want to make this very clear that this is not a breast reduction. A lot of men have this, especially a lot of body builders when they are taking supplements.'

Pumped up: Jax and his surgeon believe it was caused by supplement use

Had to come out: The doctor said, 'The decision was made to bring him into the operating room and remove that little disc of tissue that's below the areola'

Open book: Jax was very candid about his surgery and the cameras followed him into the operating room earlier this season on Vanderpump Rules - he does, however, refuse to call his surgery a breast reduction

While Jax has had two nose jobs, the gynecomastia surgery made him the most nervous, he said on Vanderpump Rules.

'I am nervous for surgery. They are cutting right over my heart. Hopefully, this time they will get it all and I won't have to go through this again.'

After having his surgery, girlfriend Brittany Cartwright - who had a breast enlargement with the same doctor earlier - doted on him.

Scary stuff:While Jax has had two nose jobs, the gynecomastia surgery made him the most nervous, he said on Vanderpump Rules

Support system: After having his surgery, girlfriend Brittany Cartwright - who had a breast enlargement with the same doctor earlier - doted on him

Friends Tom Schwartz and Tom Sandoval were not as sweet, giving Jax gag gifts including a tank top and top from Hooters.

Jax also had to have surgery repeatedly on his nose, his surgeon also told People.

'Jax originally came in and wanted something a little more refined.

Can't stop, won't stop: Even as he came to, the reality star could not help but make jokes ,grabbing at his girlfriend's breasts

Going for laughs: Friends Tom Schwartz and Tom Sandoval were not as sweet, giving Jax gag gifts including a tank top and top from Hooters

'It had too much of a hump, it was curved, the tip dropped.

'He wanted something that was still masculine - he didn't want a feminine nose, but he wanted it to be a more refined structure of what he already had.'

Jax then walked into a wall during the healing process requiring a second surgery: 'One of the cartilage grafts that I had placed dislodged, so we went back in to fix that.'