The causes can be multiple. It is very important to schedule an initial consultation to rule out other conditions and receive guidance on the most appropriate treatment for your case.

In some cases, gynecomastia is due to a hormonal imbalance, such as an excess of female hormones (estrogens) or a decrease in male hormones (testosterone). During puberty, temporary hormonal fluctuations can lead to the development of gynecomastia. These usually resolve by the end of adolescence, although they may persist in some individuals.

In other cases, gynecomastia can be caused by certain medications, such as anabolic steroids, or the use of other substances or recreational drugs. Some underlying medical conditions can also lead to gynecomastia. Lastly, a common cause is overweight or obesity, which often leads to an increase in male breast size.

Gynecomastia correction surgery is indicated for all patients who are not satisfied with their chest contour and wish to define and improve the pectoral area. Before surgery, it is necessary to rule out any hormonal or medication-related causes of the gynecomastia.

In most cases, gynecomastia surgery involves liposuction of both breasts combined with the surgical removal of glandular breast tissue, which cannot be extracted by liposuction alone. This is typically done through a small incision along the edge of the areola.

For patients with larger areolas or significant excess skin, a circular incision around the areola may be required to tighten the area. In more severe cases, an additional incision along the inframammary fold (under the breast) may be necessary to remove the entire gland and excess skin effectively.

After gynecomastia surgery, hospitalization is usually not necessary. In certain cases, when a large amount of glandular tissue needs to be removed and excess skin must be reshaped, an overnight stay may be required.

Once at home, you should wear a compression garment or chest band day and night for at least 3 weeks. It is important to keep your head elevated and avoid strenuous arm movements for 1–2 weeks after surgery.

Gynecomastia surgery improves the shape of the chest and enhances the definition of the male pectoral area. It’s important to be aware that scars may remain visible during the first few months (and even up to a year after surgery), and changes in sensitivity or pigmentation of the areola and nipple can occur. In the initial months, you may experience some discomfort in the chest area, especially when applying pressure or performing upper body physical activity.

After the postoperative period, most patients report high satisfaction with their appearance and chest definition, achieving a more masculine contour.

Gynecomastia surgery can be combined with any other aesthetic procedure, such as abdominal liposuction or liposuction of other body areas, as well as facial treatments.