Gynecomastia Surgery – Male Breast Reduction (Operace prsa muži)

Gynecomastia surgery at MUDr. Kučerová's Brno clinic reduces enlarged or feminized male breast tissue through a periareolar incision approach for standard cases, or a more extensive excision with skin removal for significant enlargement. The procedure is performed under general anesthesia with a 1-day hospital stay included in the all-inclusive fee. A pre-operative ultrasound examination is included to differentiate true glandular gynecomastia from pseudogynecomastia (predominately fatty tissue), which guides the surgical plan. Chest liposuction can be added in the same session to contour the surrounding pectoral area.

Gynecomastia — the benign enlargement of male breast tissue — affects an estimated 30–40% of men at some point in life, with causes ranging from puberty and hormonal imbalance to medications, anabolic steroid use, and idiopathic factors. Pseudogynecomastia, in which the enlargement is primarily fatty tissue rather than gland, has a different surgical approach. Accurate diagnosis is therefore the essential first step. At MUDr. Lucie Kučerová's Brno practice, every patient receives a pre-operative ultrasound examination (included in the price) to clearly distinguish glandular from fatty tissue and assess the gland's size and distribution. Where indicated, an endocrinological evaluation is also recommended to rule out hormonal causes before proceeding with surgery. For standard gynecomastia, MUDr. Kučerová uses a periareolar incision — placed exactly at the lower border of the areola where skin meets the darker pigmented ring — to access and excise the enlarged glandular tissue. This scar position heals with minimal visibility. For larger cases where excess skin is present in addition to glandular tissue, a more extensive skin-excision technique is required, priced at 75,000 Kč. Chest liposuction can be performed in the same surgical session for 20,000 Kč additional, sculpting the pectoral region and removing peripheral fatty deposits for a flatter, more defined result. The procedure takes one to one-and-a-half hours under general anesthesia. The all-inclusive fee covers the pre-op ultrasound, surgical consultation, anesthesia, OR time, one night's hospitalization at SurGal Clinic with meals, absorbable sutures, and the follow-up check at one week post-discharge. Recovery involves resting for 10–14 days and wearing a compression vest continuously for six weeks to minimize swelling and support tissue remodeling. Full physical activity — including gym training — may resume after four to six weeks. Most patients notice a dramatic flattening of the chest contour immediately post-operatively once swelling subsides; final results are assessable at three months.