Gynecomastia consists of an increase in chest tissue in men. It can affect one or both breasts. Although certain drugs or medications and some medical issues can be linked to the overdevelopment of male breasts, in the vast majority of cases, there is no known cause.

First Consultation

During the first consultation, a general evaluation of your health status will be conducted. The size and shape of your breasts will also be assessed, taking a series of measurements and photographs that will allow us to plan the surgery. We will inquire about possible substances that may have caused the gynecomastia in your case, such as anabolic substances, marijuana, or medications.

The most appropriate surgical techniques for your specific case and the postoperative care you should follow will be explained.

You should be as honest as possible, clearly state your expectations, and ask any questions that may have arisen.

Surgery and Anesthesia

Gynecomastia surgery is usually performed under GENERAL Anesthesia and requires a 24-hour hospital stay. However, there are small gynecomastias, primarily fatty (without mammary gland), that could be performed under local anesthesia and sedation. The approximate duration of the surgery is about two hours.

Through a small incision in the breast, we will insert a cannula to inject serums containing drugs that will allow us to perform liposuction of the breast fat we want to remove and also reduce the risk of bleeding. Once the liposuction is completed, and through an incision located in the lower half of the areola (if skin removal is not required) or around the entire areola (if skin removal is required), we will approach and remove the mammary gland.

Once the surgery is completed, a compression garment (thoracic girdle) will be placed, which you will have been previously instructed to bring to the operating room on the day of the surgery.

Postoperative Care

 The day after the surgery, the first dressing change will be performed, and the possibility of removing the drains will be assessed.

The postoperative period is usually not painful, and patients often complain of intense muscle soreness that is easily manageable with regular analgesics.

You may experience numbness or decreased sensitivity in the nipple, which will progressively recover in the following weeks.

Bruising and swelling may occur, which is normal and will decrease over time. It is important to avoid sunlight on the bruised area to prevent pigmentation.

You can return to your usual life within a few days, avoiding strenuous activities, especially lifting weights and engaging in sports activities.

The compression garment should be worn for one month, 24 hours a day, removing it only for personal hygiene and dressing changes in the consultation.

It is important to avoid smoking for at least two weeks before and after the surgery.