Gynaecomastia

What we can improve.

During your consultation, we examine the area beneath the areola, fat distribution and skin quality. We ask about how it has developed, any discomfort, medication and the use of supplements or hormones. Some cases need tests or an endocrine assessment before surgery is considered.

If enlargement is recent, painful or clearly one-sided, its cause should be investigated. Surgery is considered when the condition is stable and addressing the contributing factors has not been sufficient, or when volume that bothers you persists.

Options and scars.

Fat can be treated with liposuction. When there is firm glandular tissue, it usually needs removing through a small incision along the areola's edge. Both techniques are often combined to address volume and create a smooth transition to the rest of the chest.

If the skin is very stretched, additional skin removal may be necessary. I will explain where the scars would sit and what changes are reasonable. The aim is not to remove as much as possible beneath the nipple, but to achieve an even contour without hollows.

What recovery involves.

The first few days

Tightness, bruising and swelling are common in the first few days. You will wear a compression garment as advised and can walk. Avoid sudden movements, putting weight through your chest or exercising simply to test whether you have recovered.

Returning to your routine

A desk job may be resumed in around one to two weeks, depending on the extent of treatment. Chest training, lifting and intense sport usually wait around four to six weeks and an appropriate review. Small incisions do not mean that the internal tissues have finished healing.

How the result develops

Firm or sensitive areas around the areola may persist for several weeks. The contour becomes clearer as swelling settles. At follow-up appointments, we distinguish these changes from differences that need additional care.

Safety and possible risks.

Balanced removal of fat and glandular tissue helps reduce irregularities, hollows and differences between the sides. We also assess the skin so that we do not promise complete retraction where substantial laxity is present.

Complications we monitor include bleeding, fluid collections, infection and changes in nipple sensation. Sudden swelling on one side or increasing pain needs assessment. If a hormonal cause or the use of substances that encourage gynaecomastia continues, enlargement can recur; investigating the cause is therefore part of treatment.

What we will discuss.

• When the enlargement started.
• Which medicines and supplements you use.
• Whether fat, glandular tissue or excess skin is the main component.
• When you would like to return to the gym.

Keep exploring.

Revisión inicial del contenido: Dr. Luis Martín Suárez · 2026-09-13

Timeframes are a guide. The technique, suitability and aftercare are agreed during consultation according to your case and progress.