Cosmetic Surgery > Male Cosmetic Surgery > Gynecomastia

Gynecomastia

Gynecomastia surgery, performed by a Specialist Cosmetic Surgeon, is a safe procedure that delivers natural results. The specialist surgeon will work meticulously on the shape of your chest. Dr Weiss, specialist in cosmetic surgery in Paris (Hauts-de-Seine), invites you to discover the answers to the main questions about gynecomastia.

Definition

Gynecomastia involves an increase in chest volume in men that is disproportionate to their build.

This condition causes a significant male complex that often begins in adolescence and follows the man throughout his life, worsening over time.

There are 3 types of gynecomastia:

  • Glandular: where the mammary gland has developed excessively, requiring investigation for hormonal causes,
  • Fatty gynecomastia (adipomastia): where breast volume increases due to excess fat,
  • Mixed gynecomastia: where both glandular volume is increased and excess fat is present.

Who is gynecomastia surgery for?

Gynecomastia is extremely distressing and a source of significant social avoidance. Its cause most often remains undetermined (idiopathic).

In rare cases, gynecomastia is hormone-dependent, hence the need for pituitary hormone testing (prolactin) before each procedure.

Sometimes gynecomastia is hereditary with a genetic cause.

Other causes include certain liver diseases, anabolic steroid use, or alcoholism.

Dr Weiss, Specialist Plastic and Cosmetic Surgeon in Paris, will guide you to find the best solution suited to your needs.

What is the solution to reduce chest volume?

The only truly effective solution is surgical gynecomastia treatment.

For true gynecomastia, weight loss programmes or physical exercise are unfortunately of limited effectiveness.

Surgical principles of gynecomastia treatment

The surgery is well-established for this type of procedure.

Modern techniques allow for natural, harmonious, and long-lasting results.

The surgical technique most commonly involves, for glandular gynecomastia, removal of the gland through a short sub-areolar incision, or for predominantly fatty gynecomastia, liposuction.

In extreme cases where the volume to be removed is very significant, especially after major weight loss, the excess skin cannot resorb naturally: here, the surgeon will remove excess skin in a second stage; in this case, Dr Weiss will perform a peri-areolar mastopexy, resulting in a scar around the areola.

Gynecomastia surgery is truly a tailor-made procedure.

Important
Dr Weiss personally operates on both sides using proven surgical techniques.

The effects of gynecomastia surgery

The effects are spectacular and permanently change the shape of your body.

Most often this is a procedure that resolves problems permanently, except in cases of significant weight fluctuations or possible hormonal disorders.

Wait at least 6 months to assess skin retraction before considering any complementary procedure.

In the case of liposuction, scarring is negligible.

In the vast majority of cases, psychological and aesthetic results are excellent.

Possible associated surgical procedures

Chest reshaping Mastopexy

Alternatives to gynecomastia surgery

  • Abstention

The procedure begins from the very first consultation with establishing mutual trust and a deep understanding of the surgical process.

Dr Weiss will answer all your questions with precision.

Dr Weiss will perform a thorough anatomical examination, assessing existing breast volume, proportions relative to your build, skin quality, and glandular type.

Before gynecomastia surgery, a breast ultrasound (sometimes with mammography) is essential to differentiate between glandular and fatty increase.

Blood tests must include a hormonal panel with prolactin, testosterone, LH and FSH, liver function tests, and testicular examination.

  • Dr Weiss operates personally in an operating theatre with maximum safety
  • The operation is performed under general anaesthesia
  • Duration: 1 to 1.5 hours

Dr Weiss personally ensures the post-operative follow-up.

  • No nursing care required
  • 3 days of rest recommended
  • Physical discomfort for two weeks
  • Compression garment (bolero) to be worn as directed
  • Dissolvable sutures
  • Gradual return to sport from week 3
  • Results visible immediately, final stabilisation after 3 months

The 4 key benefits of gynecomastia surgery

1Outpatient procedure
2Minimal pain
3Minimal social downtime
4Stable and generally permanent results