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Home/ Treatments/ Gynecomastia

Gynecomastia

medium shot man measuring chest

Gynecomastia Surgery - Male Breast Reduction

Gynecomastia surgery eliminates enlarged male breasts (often called "man boobs" or "moobs") by removing excess glandular tissue and fat to create a flat, masculine chest contour. This condition affects 40-60% of men at some point in life and can cause significant embarrassment, avoiding activities like swimming or going shirtless.

The procedure is life-changing - most men report dramatic improvement in confidence and quality of life. Results are permanent (if weight remains stable), allowing you to wear fitted shirts and swim without self-consciousness.

What Causes Gynecomastia?

  • Hormonal Imbalance: Estrogen/testosterone ratio disrupted (most common - 60% of cases)
  • Medications: Steroids, antidepressants, heart meds, chemotherapy
  • Puberty: Temporary hormonal surge (resolves spontaneously in 75% of teens by age 18)
  • Aging: Testosterone decreases after age 50
  • Weight Gain: Excess body fat converts to estrogen
  • Idiopathic: No identifiable cause (25% of cases)

Gynecomastia vs Pseudogynecomastia

True Gynecomastia (Glandular)

  • • Firm rubbery tissue under nipple
  • • Feels like a disc or pebble (1-2 inches)
  • • Cannot be reduced by diet/exercise
  • • May be tender/sensitive
  • • Requires surgical gland excision

Pseudogynecomastia (Fat Only)

  • • Soft, fatty tissue (no hard disc)
  • • Entire chest area enlarged
  • • CAN improve with weight loss
  • • Not tender
  • • Liposuction alone may suffice

Note: Most men have MIXED gynecomastia (gland + fat) requiring both liposuction and gland excision.

Grading System

Grade I: Minimal Enlargement

Small button of glandular tissue under areola. No skin excess.

Treatment: Gland excision through small incision at areola edge

Grade II: Moderate Enlargement

Breast tissue extends beyond areola. Minimal skin excess.

Treatment: Gland excision + liposuction

Grade III: Marked Enlargement

Significant breast tissue with moderate skin excess.

Treatment: Gland excision + lipo + skin tightening

Grade IV: Severe (Feminine Breasts)

Large breasts with substantial hanging skin excess.

Treatment: Skin excision required (results in visible scars)

The Procedure

Step 1: Liposuction

Small cannulas remove excess fatty tissue around gland and chest perimeter. Creates initial flattening.

Step 2: Gland Excision

Incision at lower edge of areola (semicircular cut blends with color change). Rubbery gland tissue carefully removed with scissors/scalpel. Leave thin layer to prevent crater/nipple inversion.

Step 3: Nipple Reduction (if needed)

If nipples puffy/enlarged, excess tissue trimmed from behind nipple to create flat, masculine appearance.

Step 4: Closure

Dissolving sutures close incision. Compression vest applied (wear 4 weeks 24/7). Surgery takes 1-2 hours.

Recovery Timeline

Day 1-7

Compression Vest On: Wear 24/7. Moderate swelling, bruising. Some drainage. Mild discomfort (feels tight). Can shower day 2-3.

Week 2-4

Return to desk work week 1-2. Swelling 50% resolved. Chest looks flatter but still swollen. Avoid upper body exercise.

Week 6-8

Resume all exercise including chest workouts. Swelling 90% gone. Can go shirtless! Scars pink but fading.

Month 3-6

Final Result: Chest completely flat and masculine. Scars matured to thin white lines at areola edge (barely visible). Wear fitted shirts confidently!

Important Pre-Surgery Requirements

Before surgery, your doctor will order:

  • Hormone Blood Test: Check testosterone, estrogen, thyroid, prolactin levels
  • Mammogram/Ultrasound: Rule out breast cancer (rare in men but possible)
  • Medication Review: Stop steroids/supplements that may have caused gynecomastia
  • Weight Stabilization: Reach goal weight before surgery (fat regrowth if gain weight after)

Red Flag: If gynecomastia appeared suddenly or one-sided only, requires medical evaluation before considering surgery

Why Choose Soufia Clinic?

  • Lifetime Warranty
  • JCI Accredited Safety
  • VIP Airport Transfer
  • Luxury Hotel Stay

Maintaining Results

Gynecomastia surgery is permanent - removed gland tissue cannot grow back. However:

  • Maintain stable weight: Gaining 20+ lbs can cause fat accumulation in chest
  • Avoid steroids: Anabolic steroids cause gynecomastia recurrence
  • Manage hormones: If caused by medication, work with doctor on alternatives
  • Build chest muscle: Strength training creates defined pecs enhancing flat chest appearance

Ready to Change Your Life?

Get a free, no-obligation consultation and treatment plan today.