Gynecomastia consists of uni- or bilateral hypertrophy of mammary glands in men. Quite commonly, the problem may also occur during puberty due to hormonal abnormalities or other reasons. Regardless of its origin, gynecomastia is a very embarrassing problem. The treatment may involve aspiration of excess fat or additional reduction of glandular tissue should the problem involve this type of tissue as well. Excess skin may also be removed in the case of breast sagging. Optimum treatment is decided upon by the physician during an individual consultation with the patient.

Anesthesia and the course of the surgery

The surgery is performed under general anesthesia which eliminates all discomfort the patient might experience otherwise. The surgery is supervised by an anesthesiologist.

The procedure lasts for about 2-3 hours, and the patient is required to stay at the clinic for another 24 hours. Several surgical techniques are available, and the decision regarding the incision method is made following individual consultations. Sutures are removed on the seventh day after the surgery.

Examinations required

  • bleeding time and coagulation profile
  • hematology, ESR and blood type, creatinine
  • urinalysis
  • blood glucose
  • Breast ultrasound
  • ECG


Anemia, diathesis, uncontrolled hypertension, chronic diabetes, purulent inflammation of skin and mucosal membranes, alcohol abuse, use of anabolic steroids.