Gynecomastia Surgery (Male Breast Reduction)

Gynecomastia surgery at GISANT reduces enlarged male breast tissue to restore a flatter, more masculine chest contour. The operation is performed under general anaesthesia and takes roughly 60 to 90 minutes; where the enlargement has a significant fatty component, liposuction is combined with the excision of glandular tissue. Access is usually through a discreet peri-areolar incision, keeping scarring minimal. Patients stay one night, wear an elastic compression dressing for the first four to five days and have stitches removed at seven to ten days. The procedure addresses the persistent breast tissue that diet and exercise alone cannot resolve.

Gynecomastia — the development of enlarged breast tissue in men — can result from hormonal factors, certain medications, or fatty deposition associated with being overweight. Where the condition persists despite weight loss and exercise, surgical correction is the definitive treatment. At GISANT the procedure costs CZK 35,000 and is tailored to the makeup of the enlargement. When the breast enlargement is predominantly glandular, the surgeon excises the firm breast tissue through a peri-areolar incision placed at the lower border of the areola, where the resulting scar is well concealed. When a significant fatty component is present — common in cases associated with overall weight — liposuction is combined with the excision to refine the chest contour and feather the edges into the surrounding tissue for a smooth, natural result. The operation is performed under general anaesthesia and takes approximately 60 to 90 minutes. Patients stay one night after surgery. An elastic compression dressing or vest is worn for the first four to five days to control swelling and support the chest as it heals, and stitches are removed between days seven and ten. Bruising and swelling settle over the following weeks, with the final contour emerging as residual swelling resolves. A return to strenuous activity and sport is staged over the recovery period as guided by the surgeon. Gynecomastia surgery is suited to men with enlarged breast tissue that has not responded to weight loss, particularly where the appearance causes self-consciousness. A consultation establishes whether the enlargement is glandular, fatty or mixed, which determines the surgical approach. Blood-thinning medication is discontinued before surgery and a pre-operative examination is required for general anaesthesia.