What is gynecomastia and how do we treat it?

Gynecomastia is the enlargement of breast tissue in men, which can be caused by hormonal factors, genetics, or medications. At Dr. Fakin's clinic, we correct this problem surgically to remove excess glandular tissue and/or fat.

What scars does gynecomastia surgery leave?

The incisions are usually made around the edge of the areola or in very discreet areas. If combined with liposuction, the scars are minimal.

What is the recovery like after gynecomastia surgery?

Daily activity can be resumed within a few days. It is recommended to wear a chest support belt for several weeks, and to resume intense exercise after 4–6 weeks.

Is the result of gynecomastia surgery permanent?

Yes. The removed glandular tissue does not grow back. As for excess fat, maintaining healthy habits helps preserve the results long-term.

Can gynecomastia surgery be combined with liposuction of other areas?

Yes. In some cases, we take advantage of the procedure to improve the abdomen or flanks, achieving a more harmonious body contour.

Gynecomastia:
reduces breast tissue
and redefines the male contour

Book your free consultation

Name *

Phone *

Email address *

Message

I have read and agree to this website’s Privacy Policy. View policy

I authorise MADRID PLASTIC SURGERY GROUP SL to process my personal data so that it can send me information by any means about training actions, initiatives or services that the center launches and that may be of interest to me.

Gynecomastia
breast tissue reduction

Gynecomastia
Surgery to correct excess breast tissue and redefine the chest contour

MADRID | ZURICH

Book your free consultation

The gynecomastia It is a condition characterized by the breast tissue enlargement in the chest. It can affect one or both sides of the chest and, in some cases, cause physical discomfort or discomfort with the appearance of the chest.

Increased volume in this area can be due to glandular tissue (true gynecomastia) or fat accumulation in the pectoral area (pseudogynecomastia). Both situations can result in a more prominent chest appearance.

The gynecomastia surgery It allows for the removal of excess breast tissue and the redefinition of the chest contour. The goal of the procedure is to achieve a flatter, more proportionate chest, tailored to each patient's anatomy.

DURATION 45 – 80 minutes
DISCHARGE FROM THE CLINIC Same day
RETURN TO WORK 3 days

DURATION 45 – 80 minutes
DISCHARGE FROM THE CLINIC Same day
RETURN TO WORK 3 days

SOCIALLY PRESENTABLE 2-3 days
ANESTHESIA Local / Sedation / General
FULL RECOVERY 1 month

SOCIALLY PRESENTABLE 2-3 days
ANESTHESIA Local / Sedation / General
FULL RECOVERY 1 month

Indications

When can gynecomastia surgery be considered?

Gynecomastia surgery may be considered when there is a persistent increase in breast tissue that does not improve with weight changes or exercise. This condition can cause physical discomfort or aesthetic concerns for some people, especially when the breast volume is disproportionate to the rest of the body. Common situations include:

Increased glandular tissue in the breast
Localized fat accumulation in the pectoral area
Asymmetry between both sides of the chest
Sensitivity or discomfort in the nipple area

The procedure is planned after an individualized medical assessment, taking into account the anatomy, the origin of the breast enlargement and the patient's expectations.

Causes and diagnosis of gynecomastia

Gynecomastia can have various causes and is not always associated with a specific disease. In many cases, it is idiopathic gynecomastia, meaning that no specific medical cause is identified. However, it can also be related to hormonal or metabolic factors.

Possible causes include:

Hormonal imbalances
Significant weight changes
Use of certain medications
Anabolic steroid use
Some endocrine diseases

The diagnosis is usually made through clinical examination and imaging studies, such as breast ultrasound, which allow differentiation between glandular gynecomastia and fat accumulation in the pectoral area.

Techniques used to treat gynecomastia

Surgical treatment is tailored to the type of tissue causing breast enlargement.

Removal of glandular tissue

When there is true gynecomastia, The procedure involves removing the glandular tissue located behind the nipple.

The incision is usually made at the lower edge of the areola, allowing access to and removal of the tissue. The resulting scar is typically concealed in the natural transition between the areola and the breast skin.

Liposuction of the pectoral area

When the increase in volume is mainly due to fat accumulation (pseudogynecomastia), a liposuction of the pectoral area. This procedure allows for the removal of excess fat and improves the contour of the breasts.

In many cases, liposuction is combined with the removal of glandular tissue to achieve a more uniform result.

Correction of excess skin

In situations where there is excess skin around the nipple, a procedure can be performed periareolar mastopexy, This procedure allows for skin tightening and improved breast contouring. Scars are typically located around the areola and tend to be discreet.

Real case results
before and after gynecomastia

Gynecomastia:
Frequently Asked Questions

What is gynecomastia and when is surgery recommended?

Gynecomastia is the enlargement of breast tissue in the chest area. Surgery is usually recommended when breast volume does not improve with weight changes or exercise and causes physical discomfort or aesthetic concerns.

Does gynecomastia surgery completely remove excess breast tissue?

The procedure removes glandular tissue and, when necessary, excess fat from the pectoral area. The goal is to achieve a flatter, more proportionate chest contour.

Does gynecomastia surgery leave visible scars?

The incisions are usually small and are normally located at the lower edge of the areola or in small entrances used for liposuction, so the scars are usually discreet.

How long does recovery take after gynecomastia surgery?

Most patients can resume their normal activities within a few days. However, full recovery usually occurs gradually over approximately four weeks.

Are the results of gynecomastia surgery permanent?

The results are usually long-lasting, especially if a stable weight and healthy lifestyle habits are maintained.

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every procedure.

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is never standardised. The team takes the time to understand each patient's expectations, carefully assess their anatomy, and develop a surgical plan tailored precisely to their individual case. This personalised structure allows us to maintain the highest standards of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and an optimised recovery process. Through meticulous planning and advanced technology, the clinic is able to achieve harmonious results that remain true to each patient’s identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.