Gynecomastia
Enlargement of the male breast is common, and it is not a question of willpower — glandular tissue does not respond to training or diet. Surgery removes the gland and the surrounding fat and restores a flat, masculine chest contour.
At a glance
How it is performed
Assessment first distinguishes true glandular tissue from fat, since the treatment differs. Where a firm gland is present behind the nipple it must be excised; where the excess is predominantly fat, liposuction alone can be sufficient. In most cases the two are combined in the same operation.
Gland excision is performed through a short incision at the lower border of the areola, where the scar blends with the pigment border. Liposuction is added through two small access points to blend the chest into the flanks and armpit so that the result is a contour, not a crater.
A compression vest is worn afterwards for several weeks. Most men return to office work within a week and to full training after four to six weeks.
Who is it for
- Men with persistent breast enlargement that has not changed for at least a year.
- Patients who avoid swimming, the gym or fitted shirts because of chest shape.
- Stable weight, where the problem is clearly glandular and fatty tissue rather than general overweight.
- Men in whom hormonal or medication-related causes have been excluded or treated first.
Recovery timeline
- Days 1–3
Compression vest worn continuously; soreness and swelling are managed with simple analgesia.
- Week 1
Return to desk work for most patients.
- Weeks 2–4
Swelling settles and the chest contour becomes visible.
- Weeks 4–6
Return to the gym, beginning with lower body and cardiovascular work.
- Months 3–6
Final contour; the areolar scar fades.
Risks & honest expectations
- Contour irregularity or over-resection producing a hollow behind the nipple.
- Fluid collection (seroma) and bruising.
- Temporary change in nipple sensation.
- Asymmetry between the two sides — small differences are normal.
- Infection and delayed healing are uncommon.
The information on this website is for general information only and is not a substitute for a personal medical consultation. Every surgical procedure carries risks; outcomes vary from person to person. Content is reviewed by Dr. H. Seçkin Öksar, Board Certified Plastic, Reconstructive and Aesthetic Surgeon.
Questions about this procedure
Can training or medication fix it?
Not once true glandular tissue has formed. Exercise reduces fat around it, which can even make the gland more obvious.
Will there be a visible scar?
The incision sits at the lower edge of the areola, where the colour change hides it. It is usually difficult to see once healed.
When can I go back to the gym?
Lower body and cardio at around four weeks, chest and upper body training at six weeks, on the surgeon's advice.
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