Glandular hypertrophy (True Gynecomastia)
Removes the firm, enlarged glandular tissue behind the nipple, which does not respond to exercise or diet.
Breast Surgery
Surgical Treatment of Gynecomastia
Safe reshaping of the male chest for a harmonious body.
Restores Male AnatomyRemoves excess glandular tissue and fat
Confidence BoostHelps relieve men of daily self-consciousness
Long-lasting ResultProvided a stable body weight is maintained, the surgically removed gland does not regenerate
Discreet IncisionsIncisions are made around the nipple or as small openings up to 4mm (depending on the method)
Overview
Safe reshaping of the male chest for a harmonious body
Gynecomastia is a condition affecting men, characterised by increased breast volume. It usually affects both breasts and rarely just one. Gynecomastia can be safely corrected by a plastic surgeon.
It is classified as:
- True gynecomastia: characterised by excess glandular tissue.
- False gynecomastia (lipomastia): characterised by excess fatty tissue.
Most cases are a mix of both.
Gynecomastia
WHAT WE CORRECT
How is gynecomastia treated?
The procedure aims for the reduction of a feminine appearance in the male chest, regardless of the underlying cause (hormonal disorders, heredity, certain medications or sudden weight fluctuation). It offers substantial benefits in the following cases:
Localised fat accumulation (Pseudogynecomastia)
Reduces stubborn fat in the chest area (often using modern liposuction), sculpting the chest.
Skin laxity & excess
Addresses sagging skin that can result from significant weight loss or chronic chest stretching, offering immediate tightening.
Puffy Nipples
Corrects the aesthetic appearance of a strongly protruding areola and nipple, restoring them to a flat, natural position.
Beauty by Design
A firmer, more masculine chest contour.
Gynecomastia surgery removes excess glandular tissue and fat to restore a flatter, firmer male chest contour.
Preparation before the procedure
Preparation before the procedure
Prior to surgery, a medical examination is carried out, the medical history is recorded and any conditions that could cause complications are ruled out. Additionally, as with any surgery, stopping smoking before the procedure is recommended.
TECHNIQUE
How gynecomastia correction is performed — step by step
Anaesthesia
General anaesthesia is required in the case of true gynecomastia. In the case of pseudogynecomastia, local anaesthesia may also be used, as the patient undergoes liposuction only.
Incisions
A circular incision is typically made below the nipple, at the skin border, in order to remove all the glandular tissue. If the problem is resolved solely through liposuction, the scars are one on each side and are very small — up to 4 millimetres.
Tissue Removal
Excision of the gland and/or aspiration of fat is performed.
Closure
Sutures are absorbable if glandular excision is performed. Alternatively, they are removed after 1 week if only liposuction is performed.
Procedure Details
Gynecomastia at a glance
- Duration of surgery
- Approximately 1 hour
- Anaesthesia
- General anaesthesia (true) / Local (pseudo)
- Pain
- Usually mild. Manifests as a sensation of "pulling" or swelling in the first few days and is managed with common analgesics
- Suitable season
- There is no unsuitable season for the surgery
- Age requirement
- Can be safely performed from the age of 14
- Result
- Visible from the very first day, though the final result usually requires 2 to 3 months
AFTER SURGERY
What to expect after the procedure – Recovery
Support and Protection
The patient will need to wear a special elastic vest for at least 1 month.
Return to activities
Recovery is almost immediate. The patient will be able to drive normally and visit the gym after 4 weeks.
Personalised
Approach
Approach
Results
Before & After — Gynecomastia.
Representative gynecomastia cases. Results are always assessed in the context of the patient's anatomy, type of gynecomastia and personal goals.
Glandular tissue removal — flat chest
Liposuction — chest sculpting
FAQ
Frequently asked questions about gynecomastia.
Yes, the result is usually long-lasting. The glandular tissue removed surgically during the procedure cannot regenerate. However, to maintain a sculpted, flat result in the long term, the patient should avoid extreme weight fluctuations (which would increase local fat again) and the use of certain substances (e.g. anabolic steroids) that disrupt the hormonal profile.
In the first decades of life, the only issue is cosmetic — and inevitably carries significant psychological impact. However, after the age of 40, there is an increased risk of malignancy, which unfortunately carries a much worse prognosis than in women.
If it is pseudogynecomastia (i.e. only fat), proper nutrition and targeted chest exercises can significantly improve the appearance. However, if there is hypertrophy of the glandular tissue (true gynecomastia), the glandular tissue does not burn and does not regress with any form of exercise or diet. In these cases, surgical removal is the main effective solution.
Start with a personal consultation.
Discuss your needs, goals and available options with the doctor, so that a safe and personalised plan can be formed.
Results vary from person to person and cannot be guaranteed. Suitability for any treatment is determined by the doctor after a personal consultation.