Male Breast Reduction / Gynecomastia Surgery

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…

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…

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…