Type
Body Contouring
Duration
2 hours
What's included
6 deliverables in this treatment
- Pre-operative consultation and hormonal assessment review
- Glandular tissue excision via periareolar incision
- Optional vibration liposuction of chest (combined procedure)
- General anaesthesia by specialist anaesthesiologist
- Compression vest post-operatively
- Follow-up appointments included
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.
About this treatment
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:…
Good to know
- Excision only
- 45,000 Kč
- With liposuction
- 55,000 Kč
- Scar placement
- Periareolar (hidden at areola border)
- Results
- Permanent — glandular tissue does not regrow
Who is this for?
Men with persistent enlarged breast tissue unresponsive to diet and exercise, especially those experiencing self-consciousness or discomfort
Preparation required
Pre-operative hormone blood test required. Avoid blood-thinning medications 2 weeks prior. Arrange transport home and assistance for the first 24 hours.
About the clinic
Reviews, team and credentials
Independent review links and clinic-reported team information.
39 clinic reviews
From independent platforms
Clinical team
The plastic surgery department is led by MUDr. Alexander Vatľak, supported by patient coordinators Kateřina Foitová (+420 602 306 601) and PhDr. Alena Mikolášková (+420 724 728 352). The dermatology and laser hair removal department operates under board-certified dermatologists providing medically supervised aesthetic treatments including botulinum toxin, hyaluronic acid fillers, PRP therapy, mesotherapy, and…
Languages: Czech, English, German
What clients say
"{"author":"Simona L.","date":"2026-06","source":"ISCARE website reviews","text":"Thrilled by the pre-operative examinations — quick appointments, modern equipment, and a very human approach. Post-surgery it felt like a hotel. The staff were warm and patient."}"
"{"author":"Aleš H.","date":"2026-06","source":"ISCARE website reviews","text":"Excellent experience across multiple departments including blood testing. Friendly, professional, and respectful staff. I highly appreciate the human approach and the pleasant atmosphere."}"
Treatment highlights
- Pre-operative consultation and hormonal assessment review
- Glandular tissue excision via periareolar incision
+4 more items in What's included
Glandular tissue excision from 45,000 Kč. With vibration liposuction of the chest: 55,000 Kč. Includes consultation, surgery, anaesthesia, and follow-up.