Gynecomastia (Male Breast Reduction Aesthetics)

Gynecomastia is the feminine and protruding appearance of the chest area in men due to an increase in breast tissue (gland) and/or fat tissue. Beyond being an aesthetic issue, it can create significant effects on self-confidence, posture, clothing choices, and social life.

The goal of gynecomastia treatment at ClinicHaus is not just reduction, but to reshape the chest wall with masculine contours, create natural transitions in the side-wall and near-sternum areas, and restore aesthetic proportion.

Why Does It Occur? (Main Factors)

• Physiological periods: Puberty, advanced age (most pubertal gynecomastia may regress)

• Hormonal imbalances: Disruption in the testosterone–estrogen balance

• Drugs and substances: Some antidepressants/antipsychotics, anti-androgens, spironolactone, finasteride, anabolic steroids, some heart/ulcer medications; excessive alcohol and some illicit drugs

• Systemic conditions: Thyroid, liver/kidney diseases; tumors (rare)

• Weight gain: Accumulation of fat tissue in the breast (pseudogynecomastia)

In the clinical evaluation, endocrinological tests are requested when necessary; if there is an underlying cause, it is managed first.

Gynecomastia Types and Grades

• Glandular (True) Gynecomastia: Increase in the breast gland is prominent

• Fat-tissue dominant (Pseudogynecomastia): Weight/fat increase is dominant

• Combined type: Gland + fat increase together

Grading (frequently): * Grade I: Limited enlargement, no sagging * Grade II: Moderate enlargement, slight sagging * Grade III: Significant enlargement, excess skin/sagging is prominent

The grade and tissue composition determine the technique to be applied and the scar location.

Who is it Suitable For?

• Those whose weight control is relatively stable,

• Those experiencing protrusion/visual discomfort in the chest area,

• Those whose breast protrusion persists despite exercise,

• Adult patients whose health condition is suitable for surgery.

• In adolescence, a waiting period and medical evaluation may be necessary to confirm persistence.

Pre-Operative Evaluation (ClinicHaus Protocol)

• Tissue analysis: Gland/fat ratio by palpation and, if necessary, ultrasound

• Grading and skin quality: Sagging, areola diameter, skin elasticity

• Photo-planning: Multi-angle standing images and target description with contour simulation logic

• Laboratory/Endocrine: Requested in necessary patients

• Expectation management: Scar locations, corset duration, return to sports, and combinations

Treatment Options and Surgical Techniques

1) Vaser Liposuction (In Fat-Tissue Dominant Types)

• Fat cells are liquefied with ultrasonic energy; bleeding and trauma are reduced

• 360° contour adjustment is made with small entry points (side wall and lower fold transitions)

• A natural masculine shadow is given near the pectoral border without excessive hollowing

• Scars are millimetric and at hidden points

2) Gland Excision (True Gynecomastia)

• The gland tissue is generally removed through a half-moon incision hidden at the lower edge of the areola

• If necessary, peripheral transitions are softened with Vaser (step-off is prevented)

• The periareolar scar is camouflaged in the color transition

3) Combined Approach (Most Common)

• Gland removal + Vaser liposuction; both thins the chest circumference and provides a flat–masculine appearance

4) Cases with Excess Skin/Sagging

• In Grade III cases, skin tightening or limited mastopexy-like lifting plans for excess skin

• Scar locations are explained in detail beforehand; the shortest and best-camouflaged scar possible is targeted

Anesthesia: Generally general anesthesia (sedation + local in suitable cases) Duration: Approximately 1–2 hours Discharge: Most patients the same day Corset: Special medical corset for 3–4 weeks (according to clinical protocol)

Post-Operation Recovery – Realistic Timeline

• 0–48 hours: Elastic bandage/corset; mild-moderate pain, edema is normal

• 3–7 days: Return to daily work (desk job); bruises start to fade

• 2nd week: Walking/basic activities become comfortable; sutures are absorbed or removed

• 3rd–4th week: Light sports; upper body weight exercises gradually

• 6th–8th week: Return to pectoral-dominant resistance exercises (with physician approval)

• 3rd month: Edema is largely resolved; contour settles

• 6th month: Final shape/scar maturation; result is stable

Care notes:

• Use the corset for the recommended hours and duration

• No pool/sauna for the first 10–14 days; showering is planned according to your physician

• Personalized recommendations for massage/lymphatic drainage and scar management products are given

Advantages of Gynecomastia Surgery

• Flat, firm, masculine chest wall

• Smooth silhouette in T-shirts and thin clothing

• Increased self-confidence in sports and posture

• Smooth skin and soft transitions with Vaser

• In most cases, minimal scarring, quick return to social life

• Risk of recurrence is low in gland excision; however, the fat component may increase if there are future weight/hormonal changes (realistic information)

Possible Risks and Management

As with any surgical procedure; edema, bruising, asymmetry, seroma, temporary numbness, differences in scar quality may rarely be seen. ClinicHaus precautions: Atraumatic dissection with Vaser, safe hemostasis, appropriate drain/compression, close follow-up; targeted mini-revision plan in necessary cases.

Common Combinations

• Vaser liposuction of the abdomen and waist (love handles): Upper body V-shape effect

• Areola reduction: In those with a large diameter

• Energy-based applications for skin tightening (in selected cases)

• Weight management and training guide: Lifestyle support for the permanence of the result

Frequently Asked Questions – Short Answers

Will there be scars? Entry points are small and hidden; in gland excision, the scar is camouflaged at the areola border. Pain level? Mild-moderate in the first few days; controlled with prescription painkillers. Sports, when? Walking on day 3–5; upper body weight training at 4–6 weeks + physician approval. Does it recur? Recurrence is low in areas where the gland was removed; but weight/hormone changes can increase the fat component. When does the result settle? Noticeable in 4–8 weeks as swelling subsides; final contour in 3–6 months. Can it be done without losing weight? Yes, if there is excess local fat; but the result is sharper in patients near their ideal weight.

Why ClinicHaus?

• Natural masculine contour target, specific to male chest anatomy

• Millimetric contour management and soft transitions with Vaser Hi-Def

• Scar hidden in the areola line in gland excision

• Comprehensive pre-evaluation + photo-planning

• Structured corset–care–follow-up protocol

• An approach that prioritizes the balance of “technical success + aesthetic proportion”

Meet the ClinicHaus Experience in the Gynecomastia Procedure

ClinicHaus provides services at international standards with its surgical team specialized in male aesthetics and body contouring. In gynecomastia operations, the goal is not just breast reduction, but to rebalance body proportions and highlight muscle lines.

A detailed evaluation is made for each patient; the most appropriate method is determined by analyzing the type of enlargement (fat tissue, gland tissue, or combination). ClinicHaus’s experienced surgeons work with Vaser Liposuction technology, adhering to the principles of minimal trauma and maximum symmetry.

Throughout the post-operative process, the patient is followed step-by-step, and recovery is supported with special care protocols. The ClinicHaus difference lies not only in technical success but in natural, balanced, and masculine results. Discover the ClinicHaus experience to confidently shape your aesthetic appearance and feel strong again.