Gynecomastia
Dr. Richard Fakin / Breast Surgery / Gynecomastia
Gynecomastia
Madrid | Zurich
Excess breast tissue in men, known as gynecomastia, might be cause of psychological distress and pain; patients may worry they have a feminine looking chest. The abnormal growth of the male breast may be caused by a glandular disorder (gynecomastia vera) or by excess fat accumulation behind the nipple (pseudo-gynecomastia). Surgical gynecomastia correction removes the hardened tissue behind the nipple and alleviates pain, all while reshaping the area’s contour, defining a more masculine and symmetric chest.
Length
45-80 min
Discharge
same-day
Fit to go back to work
3 days
Fit for everyday activities
2 – 3 days
Anaesthesia
Local/Sedation/General
Recovery time
1 month
Gynecomastia causes and diagnosis
The most common cause of gynecomastia is idiopathic, meaning there are no concrete medical reasons to explain the disorder. In some other cases, gynecomastia is related to endocrinological disorders, substantial weight fluctuations, excessive addictive substances consumption, certain drugs or sustained anabolic intake. The patient will be diagnosed using sonography and will have an endocrinological test done. True gynecomastia is diagnosed if a mammary gland disorder is found, or a pseudo-gynecomastia if caused by accumulated excess fat.
To learn more about our gynecomastia procedures, see our Instagram posts

Surgical techniques and scars

A glandular tissue excision behind the nipple, via an incision below the areola, is the most habitual procedure. The scar has a demi-spheric shape in the areola’s hyperpigmented area and is almost totally invisible.
Liposuction is usually performed as a complementary procedure to sculpt a more balanced and symmetrical chest contour. Results will be further enhanced by the retraction of the skin after the intervention. Pseudo-gynecomastia can be treated with liposuction without the need for an open excision.
A periareolar mastopexy removes the excess skin around the nipple area. The reconstructed nipple is positioned to fit its natural location, reducing its size and shaping it in an oval for a more masculine look. Scars are almost invisible between the hyperpigmented circle and the skin around it.
To learn more about our gynecomastia procedures, see our Facebook posts
Before and after, real cases

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ZURICH
Limmatquai 2
8001 Zurich Switzerland
Where to find us
Madrid
Calle Velázquez 109 1º Izquierda Madrid Spain
+34 91 056 79 33
madrid@drrichardfakin.com
Zurich
Limmatquai 2 CH 8001 Zurich Switzerland
+41 78 206 44 88
zurich@drrichardfakin.com