Gynecomastia

Glandular Tissue in the Male Chest

Gynaecomastia surgery treats enlargement of the male breast caused by firm glandular tissue, often with a contribution from fat. The gland is removed through a small incision, commonly at the edge of the areola.

• Firm gland is distinguished from fatty fullness, because the two are not treated the same way.
• Medical causes are considered before an operation is planned.
• The amount of gland left under the nipple is judged so the areola is not left hollow or stuck down.

Fat Removal Alongside the Gland

Where fat adds to the fullness, liposuction can contour the chest around the gland excision. Skin that has been stretched may not tighten fully, and that limit is discussed if the excess is long-standing.

• Liposuction alone is not relied on when a firm gland disc is present.
• The two sides are assessed separately, because enlargement is often uneven.
• Skin redundancy, if significant, may need a longer scar than an areolar incision.

Planning a Flatter Chest

The procedure is done under anaesthesia. A compression garment is usual afterwards. Swelling can make the chest look uneven at first, so the contour is reviewed as it settles.

• You are told whether gland excision, fat removal, or both are proposed.
• Activity limits protect the chest wall and the small scars.
• Follow-up checks symmetry, nipple sensation and how flat the contour has become.

Gynaecomastia surgery at Estecenter in Istanbul removes gland and fat for a flatter chest, after checking that the enlargement is suitable for an operation.