Gynecomastia is a condition that causes the breast tissue to develop excessively in boys and men. This happens when there is an imbalance between the amount of estrogen (female hormone) and that of testosterone (male hormone). When a boy goes through puberty or when the body of an older man produces less testosterone, the balance of the two hormones changes.


Sometimes, when this happens, a higher percentage of estrogen causes the development of male breast tissue.


Other causes of gynecomastia: obesity, hyperthyroidism (too much thyroid hormone), malnutrition, chronic liver disease (cirrhosis), familial or spontaneous genetic mutations.



The assessment of the patient with gynecomastia involves a detailed history, physical examination, and his or her expectations regarding treatment outcomes.


Dr. Pascal will examine the patient’s bust, to determine the personalized technique according to the specifics of the condition and will explain, step by step, the procedure to which he will be subjected.


The gynecomastia operation lasts 1-2 hours. Depending on how big the mammary gland is, there are several techniques:

    1. Liposuction (minimum scars of 2-3 mm);
    2. Excision of the periareolar mammary gland (removal of the mammary gland through the lower area of ​​the areola); the scar is minimal, difficult to see between the areola and normal skin;


The combination of both methods (in rare and severe cases in which it is a very large mammary gland, incisions must be made and implicitly scars remain around the areola, between the areola and the inframammary groove).


The operation requires general anesthesia or intravenous sedation.



A day of hospitalization may be required.



In the treatment of gynecomastia, the complications that can occur are those specific to any surgery: allergic reactions, hemorrhage, hematoma, infections, etc.

Following the operation, the scars are small and placed in such a way that they are imperceptible.

The pain is minimal and regular painkillers can be given.



The patient is advised to wear an elastic bandage and not to be exposed to the sun for three weeks.




The patient can resume daily activity 2-3 days after surgery.


Light exercises can be started progressively 2 weeks after the operation date.


The edema and bruising will not go away until a few weeks later.


Massage of liposuctioned areas with the name of lymphatic massage can be started immediately after the disappearance of bruises and swellings.


The results of the operation will be completely visible after at least 6 months, when the resulting scars will fade.