Gynecomastia Surgery

Gynecomastia surgery at ISCARE Praha 9 removes enlarged breast glandular tissue in men — a condition caused by hormonal imbalance, medication side effects, or idiopathic factors — to achieve a flatter, more masculine chest contour. Performed by MUDr. Alexander Vatľak, the procedure combines glandular tissue excision with optional vibration liposuction of the chest when fatty tissue is also present. Pricing starts at 45,000 Kč.

Gynecomastia is the benign enlargement of male breast tissue, affecting an estimated 30–40% of men at some point in their lives. While the condition is physically harmless, it frequently causes significant psychological distress and social self-consciousness — particularly in athletic men, young adults, or those who have lost weight and find residual breast tissue persists despite exercise. At ISCARE Klinické centrum, gynecomastia surgery is performed by MUDr. Alexander Vatľak following a pre-operative assessment that includes physical examination, blood hormone profile, and if necessary imaging, to confirm the diagnosis and rule out secondary causes requiring separate management. Candidates are required to have stable breast size for at least 6 months before surgery. The surgical technique depends on the composition of the enlarged tissue. Pure glandular gynecomastia (firm, disc-shaped tissue directly behind the nipple) requires surgical excision via a periareolar incision — the scar is placed at the lower half of the areola border and becomes nearly imperceptible once healed. Fatty gynecomastia responds to liposuction alone; mixed gynecomastia (both glandular tissue and excess fat) benefits from a combined approach: glandular excision plus vibration liposuction of the chest (55,000 Kč). The procedure is performed under general anaesthesia in ISCARE's day-surgery suite and takes approximately 1–2 hours depending on the combination used. Patients typically stay for monitoring for several hours post-operatively and are discharged the same day with a compression vest to be worn for 4–6 weeks. Light activity is possible after 1 week; strenuous exercise and heavy lifting after 6 weeks. Results are permanent, as glandular tissue removed surgically does not regrow. The final contour, with resolved swelling, is visible at 3–6 months. Men with underlying hormonal disorders may be referred to endocrinology in parallel to prevent recurrence from the causative condition.