What does the procedure involve?
Gynecomastia is the enlargement of the male breast caused by excess fat, glandular tissue or both. Surgery corrects this contour to restore a flatter, more defined and proportionate chest.
The technique may include liposuction, gland removal or a combination of both, depending on the predominant tissue and the elasticity of the skin.
When do we recommend it?
- Aesthetic discomfort when dressing or in social situations.
- Persistent volume that does not improve with exercise or weight loss.
- Chest asymmetry.
- Desire for a more defined masculine contour.
Not every gynecomastia is treated the same way
Before surgery we analyse whether the problem is fatty, glandular or mixed. That difference changes the technique and the type of result you can expect.
Recovery overview
Compression garment
Worn to help the skin adapt to the new chest contour.
Daily life
Most patients return quickly to non-physical work.
Progressive exercise
Physical activity is reintroduced according to follow-up and progress.
Cleaner result
Residual swelling subsides and chest definition becomes more visible.
Gynecomastia in Barcelona: diagnosis before surgery
Not every enlarged male chest is the same, and the treatment depends on what it is made of:
- Glandular gynecomastia: there is firm breast tissue behind the areola. It can only be removed surgically; neither diet nor exercise reduces it.
- Pseudogynecomastia or lipomastia: the volume is fat. Liposuction is usually enough, sometimes VASER to improve skin retraction.
- Mixed: the most common type in adults. Liposuction is combined with removal of the gland through a small incision at the lower edge of the areola.
- With excess skin: after major weight loss it may be necessary to remove skin, with longer scars.
Before surgery, treatable causes are ruled out: medication, anabolic steroids, hormonal imbalances, liver or thyroid problems. In teenagers, pubertal gynecomastia often resolves on its own within one or two years, so it is usually best to wait unless it is very pronounced or greatly affects daily life.
Gynecomastia surgery takes between one and two hours, and most patients return to office work within a few days, wearing a compression vest for several weeks. Read the full guide to gynecomastia surgery in men.
The consultation is free and discreet, at Av. Diagonal 399 (Eixample, Barcelona) or by video call. The same surgeon who assesses you operates on you and sees you until you are discharged.
Risks and complications of gynecomastia surgery
Every operation carries risks. Most complications are uncommon and can be treated, but you have the right to know them before deciding: they are part of the informed consent you will sign with Dr. Liuzza. For gynecomastia surgery, the most relevant are:
- Haematoma or seroma: the most common complication; the compression garment and, if needed, a drain resolve it.
- Contour irregularities: a depression under the areola or residual excess; corrected with a touch-up in a minority of cases.
- Asymmetry: small differences between sides.
- Changes in nipple sensation: usually temporary.
- Periareolar scar: usually discreet; it may thicken.
- Recurrence: if the cause persists (medication, hormones, weight gain) the tissue can grow back.
How we reduce these risks
A complete pre-operative work-up (blood tests and anaesthetic assessment), surgery in an authorised healthcare centre with an accredited operating theatre, meticulous surgical technique, antibiotic and anti-thrombotic prophylaxis when indicated, clear written instructions and direct follow-up by the surgeon herself at every check-up. If after surgery you notice fever, increasing pain, bleeding or sudden swelling, contact the clinic without waiting for your next appointment.