Gynecomastia means enlarged breast tissue in men. It can be caused by gland tissue, fat or both. Fat can respond to weight loss, but gland tissue does not. Surgery removes the gland and, if needed, the extra fat through small incisions, for a flatter chest.
Gland, fat or both?
Pseudo-gynecomastia is mainly fat and often improves with weight loss. True gynecomastia is a firm disc of gland tissue behind the nipple that stays even when you are lean. Most men have a mix of both. The surgeon checks this during the consultation.
Common causes
- Hormonal changes during puberty; in many teenagers it disappears by itself.
- Weight gain.
- Some medicines and anabolic steroids.
- Sometimes a medical condition, which is why a doctor should assess it first, especially if it appears suddenly or on one side.
How the surgery works
Through small incisions, often at the edge of the nipple, the surgeon removes the gland tissue. Liposuction shapes the chest and removes extra fat. If there is a lot of loose skin, for example after big weight loss, some skin may also need to be removed.
Recovery
| When | What usually happens |
|---|---|
| Day 1 | You usually go home or to the hotel the same day, wearing a compression vest. |
| Days 3 to 5 | Check-up; most men can walk around Istanbul comfortably. |
| Weeks 1 to 2 | Back to office work for most men. |
| Weeks 4 to 6 | The vest is worn day and night; light training can usually start again. |
| About 6 weeks | Chest training and heavy lifting are usually allowed again. |
| 3 to 6 months | Swelling has settled and the final chest contour is visible. |
Will it come back?
Removed gland tissue does not grow back. Weight gain, steroids or certain medicines can enlarge the remaining tissue, so keeping a stable weight helps keep the result.
Planning your stay in Istanbul
Gynecomastia surgery at Esthebeyond costs from €2,750, all-inclusive, with about 4-5 days in Istanbul. If you only have extra fat on the chest and belly, liposuction alone may be enough. Send photos of your chest from the front and the side for a personal plan.
This article is general information and does not replace your surgeon's personal advice.
Sources
Have a question? Message us on WhatsApp, our coordinator will reply.
Updated: · Information on this website is general and does not replace a medical consultation.