Gynecomastia in Madrid and Zurich
PD Dr. Richard Fakin / Plastic Surgery /
Inverted Nipple Correction for a balanced and masculine chest
Madrid | Zurich
A nipple correction surgery might be needed after a breastfeeding period or due to an inverted nipple (nipple retracted beneath the dermis). This being a safe and effective surgical procedure. More than 20% of men and women suffer this condition, likely provoking a negative effect in the way they perceive their self-image.
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 scar management in gynecomastia
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.
Real patient cases – before and after a gymecomastia
Gynecomastia: Frequently Asked Questions
What is gynecomastia, and how do we treat it?
Gynecomastia is the enlargement of male breast tissue, which may be caused by hormonal, genetic or medication-related factors. At Dr. Fakin’s clinic we treat it surgically by removing excess glandular tissue and/or fat.
What scars does gynecomastia surgery leave?
Incisions are usually made at the edge of the areola or in very discreet locations. If liposuction is added, additional scars are minimal.
What is recovery like after gynecomastia surgery?
Most patients can return to normal daily activities within a few days. A compression vest is worn for several weeks, and intense exercise can usually resume after 4–6 weeks.
Are the results of gynecomastia surgery permanent?
Yes. Removed glandular tissue does not grow back. When fat is removed, maintaining healthy habits helps preserve the outcome long-term.
Can gynecomastia surgery be combined with liposuction in other areas?
Yes. In some cases we combine it with abdominal or flank liposuction to enhance overall body contour.
