Indications
Gynecomastia is the enlargement of breast tissue in men, which can have hormonal, genetic, medication-related or localized-fat causes.
Surgery is usually indicated when the enlargement persists after investigating and treating clinical causes, assessed individually with the medical team.
How gynecomastia commonly presents
- Excess glandular tissue, firmer to the touch.
- Excess localized fat, more common in cases associated with weight.
- A combination of both, assessed individually to define the technique.
Assessment
Prior investigation
Before a surgical indication, hormonal, medication-related or clinical causes are usually investigated — surgery treats the excess tissue already present.
How it is performed
Carried out in a hospital setting, under anaesthesia agreed with the team. The technique — liposuction, surgical removal of glandular tissue, or a combination of both — varies according to the predominant composition (fat or gland) and is defined before surgery.
Recovery
Swelling and discomfort in the first weeks are expected. A compression garment and a gradual return to activity, avoiding physical exertion for the advised period, are part of recovery.
Risks and factors that influence the outcome
Like any surgery, it involves risks — related to anaesthesia, healing, asymmetries or contour irregularities, among others — discussed individually.
Weight, skin quality, smoking and adherence to post-operative care affect the outcome, which varies from person to person.
Gynecomastia Surgery
Frequently asked questions
Does every case of gynecomastia need surgery?
No. The surgical indication depends on prior investigation of the causes and individual assessment — in some cases, treating the underlying cause is enough.
Can gynecomastia come back after surgery?
The removed tissue does not return, but hormonal changes, certain medications or weight gain can affect the long-term outcome.
What is the difference between gynecomastia and chest fat?
Gynecomastia involves glandular tissue, firmer to the touch; fat accumulation without glandular tissue is called pseudogynecomastia — the distinction is made during individual assessment.
The technique is always defined individually, after assessing the causes, in consultation.