Gynecomastia
Restoring a flat, masculine chest contour by addressing enlarged male breast tissue, dense gland, excess fat or both.
Book a consultation- Procedure time
- 1 to 2 hours
- Anaesthesia
- General
- Back to routine
- 1 to 2 weeks
- Results
- Long lasting
The procedure
Restoring a Masculine Chest Contour
Gynecomastia surgery removes enlarged male breast tissue, dense glandular tissue, excess fat, or a combination of the three, to restore a flat, masculine chest contour. The condition can be caused by hormonal changes, genetics, certain medications or significant weight fluctuation, and often does not respond to diet or exercise alone.
Dr. Leandro Junqueira assesses the proportion of glandular tissue to fat, skin quality and chest wall anatomy to select the appropriate combination of liposuction and direct gland excision. When skin excess is significant, additional skin removal may be incorporated to achieve a tighter, more contoured result.
Why patients choose it
Flatter Chest Contour
Removing the excess tissue responsible for a fuller, rounded chest appearance.
Combined Technique
Liposuction and gland excision used together when both fat and glandular tissue are present.
Improved Confidence
A chest contour that feels more comfortable in fitted or bare-chested clothing.
Discreet Incisions
Small, carefully placed incisions positioned to minimise visible scarring.
Suited to Varying Grades
Technique adapted to mild, moderate or more significant gynecomastia, including skin excess.
Long Lasting Results
Durable improvement when weight and hormonal factors remain stable.
Your journey
From consultation to result
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01
Consultation
Assessing the ratio of glandular tissue to fat, skin quality and any underlying hormonal or medication related causes.
-
02
Planning
Selecting liposuction, direct gland excision, or a combination, and whether skin excision is needed.
-
03
Surgery
A precise, one to two hour procedure under general anaesthesia in an accredited facility.
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04
Recovery
A compression garment supports the chest as swelling settles and the new contour becomes visible.
Treatment Options
The right combination depends on whether the enlargement is primarily fatty, glandular, or both, and whether the skin has lost elasticity.
Liposuction Alone
Suited to cases where excess fat is the primary concern, with minimal glandular tissue.
Gland Excision
Direct removal of firm, fibrous glandular tissue that liposuction alone cannot address.
Combined Liposuction and Excision
The most common approach, treating both fat and glandular tissue in one procedure.
Skin Excision for Significant Excess
Additional skin removal for patients with more pronounced sagging, often after major weight loss.
Before and After
Gynecomastia FAQ
Common causes include hormonal changes, genetics, certain medications and significant weight fluctuation. In many cases the enlargement does not resolve with diet or exercise, which is when surgery is considered.
Incisions are small and carefully placed, typically around the areola or within the natural chest contour, and generally fade well over time.
Not always. Many patients have firm, fibrous glandular tissue that liposuction alone cannot remove, which is why direct excision is often combined with liposuction.
Light walking is encouraged early on. Most patients resume light daily activity within one to two weeks, with chest training and more strenuous exercise reintroduced gradually around six weeks with medical clearance.
The tissue removed during surgery does not return, though new fat can accumulate with significant weight gain, and hormonal or medication related causes should be addressed where possible for a lasting result.