Gynecomastia Surgery (Male Breast Reduction)

Gynecomastia surgery at AESTHGERY Plzeň permanently removes enlarged male breast tissue with a natural, masculine chest contour as the result. The operation is performed under general anaesthesia through a periareolar incision — along the edge of the areola — keeping the final scar minimally visible. MUDr. Kamila Šormová combines tumescent liposuction to remove the fatty component with subcutaneous mastectomy to remove the firm glandular tissue. Drains are placed and removed after about five days, and elastic compression garments are worn for eight weeks to support healing. The clinic stay is one day, with full recovery in approximately two to three weeks.

Gynecomastia — benign enlargement of the male breast gland — affects a significant share of men and resists exercise, because the firm gland under the nipple is not fat. Surgery is the definitive treatment, and combining two techniques in one session is the key to a natural result. **Combined technique:** At AESTHGERY the operation is performed under general anaesthesia through a periareolar incision, run along the lower edge of the areola where the healed scar blends into the natural pigment border and is minimally visible. Tumescent liposuction first removes the fatty component and feathers the edges of the treated zone into the surrounding chest, then subcutaneous mastectomy removes the firm glandular disc beneath the nipple. Addressing both components prevents the residual puffiness (gland left behind) or saucer-like depression (over-resection) that single-technique approaches risk. **Drains and compression:** Drains evacuate post-operative fluid and are removed after approximately five days. An elastic compression vest is worn for eight weeks — it presses the skin evenly to the new chest contour, prevents bleeding and fluid collection, and supports smooth healing. **Stay and recovery:** The clinic stay is one day. Most men return to desk work within days and to full activity, including chest training, gradually over two to three weeks and beyond as advised. The result is permanent: removed gland does not grow back, although significant weight gain or hormonally active medication could affect the chest again. **Candidates:** Men with persistent breast enlargement after puberty, or developed later in life, once underlying hormonal or pharmacological causes have been considered. At the Thursday consultation Dr. Šormová examines the ratio of gland to fat and confirms the surgical plan and individual quote.