Male Breast Reduction / Gynecomastia Surgery

Gynecomastia surgery at BEAUTY – plastická chirurgie corrects enlarged male breast tissue through one of three technique variants matched to the underlying cause: liposuction alone for fatty pseudo-gynecomastia, liposuction combined with glandular tissue excision for true gynecomastia, or a full procedure including skin excess correction and areola repositioning for severe cases. MUDr. Šorma selects the approach at consultation based on tissue composition and degree of enlargement. The procedure is performed under general anaesthesia with one-day hospitalisation.

Enlarged male breast tissue — gynecomastia — arises from one of two distinct pathologies, or a combination of both. True gynecomastia involves proliferation of the glandular breast tissue beneath the areola, causing a firm, sometimes tender disc that cannot be reduced by diet and exercise. Pseudo-gynecomastia, more accurately called lipomastia, involves an accumulation of fatty tissue in the chest without genuine glandular hyperplasia; it responds to liposuction alone. Many patients presenting to MUDr. Šorma have a mixed picture. The pre-operative consultation includes a physical assessment of chest tissue composition — distinguishing glandular from fatty components by palpation — and a review of any possible hormonal causes or medications that may contribute, such as anabolic steroids, some antihypertensives, or marijuana use. Where a hormonal cause is suspected, referral to an endocrinologist for evaluation before surgery is recommended, as the enlargement may recur if the underlying driver is not addressed. MUDr. Šorma offers three surgical approaches at BEAUTY – plastická chirurgie. For pure lipomastia, tumescent liposuction alone — using a small-diameter power-assisted cannula — is sufficient to reduce chest volume, leaving access incisions of a few millimetres that heal invisibly. For true gynecomastia, liposuction is combined with direct excision of the subareolar glandular disc through a small periareolar incision; removing the firm glandular tissue by aspiration alone is not reliable. For severe gynecomastia involving significant breast ptosis or very large volume — less common but seen in patients with a history of obesity — a more extensive procedure may involve skin excision and repositioning of the areola to a higher position on the chest, creating a longer scar but a dramatically improved contour. All procedures are performed under general anaesthesia with one-day hospitalisation. Post-operatively, a compression vest or garment is worn for several weeks to support the new chest contour and minimise swelling. Because the clinic website indicates pricing is still 'in preparation', patients should contact MUDr. Šorma's clinic directly for an individual quote following the pre-operative consultation.