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Gynecomastia Surgery — Male Breast Reduction

Type

Breast Surgery

Duration

2 hours

What's included

5 deliverables in this treatment

  • Surgical consultation and tissue-type assessment to determine liposculpture vs glandular excision
  • Procedure performed by MUDr. Alexandr Šimek (specialist plastic surgeon)
  • Anaesthesia — local tumescent for fat-only cases; general for glandular cases
  • Compression vest with foam padding pads — issued on procedure day
  • Post-operative care instructions and follow-up availability

Gynecomastia surgery at MUDr. Šimek's Olomouc practice reduces enlarged male breast tissue through two distinct approaches depending on the tissue type involved. Pseudogynecomastia — fat-only breast enlargement — is treated by tumescent liposculpture under local anaesthesia as a same-day outpatient procedure, following the same technique used in MUDr. Šimek's extensive liposuction practice. True gynecomastia — involving glandular breast tissue — requires surgical excision through discreet incisions around the areola edge, typically performed under general anaesthesia. A compression vest with foam padding pads is included in the price and worn for 3–5 weeks post-procedure.

About this treatment

Gynecomastia is the medical term for abnormal enlargement of male breast tissue. It affects an estimated 30–65% of men at some point in their lives, with two significant prevalence peaks: in adolescence (driven by the hormonal imbalance of puberty) and in middle age (associated with declining testosterone, weight gain, and certain medications). Despite being common, gynecomastia causes significant psychological distress for many affected men —…

Distinguishing true gynecomastia from pseudogynecomastia

The first step in MUDr. Šimek's assessment is determining the tissue composition of the enlarged breast. True gynecomastia involves proliferation of the ductal glandular tissue beneath the areola, producing a firm, sometimes tender disc of tissue that cannot be compressed or aspirated. Pseudogynecomastia is composed entirely of adipose (fat) tissue — soft, diffuse, and distributed across the chest in proportion to overall body fat. A mixed form (both…

Good to know

Price from
22 000 Kč
For fat-only (pseudo)
Tumescent liposculpture — local anaesthesia, same-day discharge
For glandular tissue
Excision via areola-edge incision — general anaesthesia
Compression
Vest with foam pads, 3–5 weeks (included)
Suitable ages
Adolescents (persistent >2 years) and adults

Who is this for?

Men with persistent breast tissue enlargement unresponsive to weight loss; adolescents with gynecomastia lasting more than 2 years; men self-conscious about chest shape during physical activity

Preparation required

Book consultation to confirm tissue type (glandular vs fat). Disclose all medications, especially anabolic steroids, anti-androgens, or spironolactone. For general anaesthesia cases (glandular): fast 6–8 hours before, arrange transport home. For local anaesthesia (liposculpture): no fasting required. Avoid blood thinners 10 days before in both cases.

About the clinic

Reviews, team and credentials

Independent review links and clinic-reported team information.

Clinical team

The clinic is led exclusively by MUDr. Alexandr Šimek, a board-certified specialist in plastic surgery (Czech Medical Chamber licence #84739-P; professional guarantor registration #35678/73). He trained at Palacký University Medical Faculty in Olomouc, the city in which he practises. MUDr. Šimek holds membership in the Czech Society of Plastic Surgery and the Czech Society of Aesthetic Surgery — both the principal…

Languages: Czech

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Kč 22,000