Blog
June 15, 2026

Surgical techniques used in gynecomastia surgery include: * **Liposuction:** This technique is used to remove excess fat from the chest. * **Mastectomy:** This technique is used to remove excess glandular breast tissue. * **Skin excision:** This technique is used to remove excess skin from the chest.

Every gynecomastia requires an individual approach, as different forms of chest enlargement require different surgical techniques.

In gynecomastia surgery, choosing the correct method is key to achieving a natural and aesthetic result. For patients where fatty tissue predominates, liposuction is often sufficient for removing excess fat and sculpting the chest. When enlarged glandular tissue is present, surgical excision is necessary, allowing for precise removal of tissue under the nipple. The best results are often achieved by combining both techniques, as this creates a flatter and more defined chest appearance. In more pronounced cases of gynecomastia or with excess skin, additional skin correction may also be required.

Most common surgical techniques

  • liposuction of adipose tissue
  • Surgical removal of glandular tissue
  • liposuction and excision combination
  • Excess skin removal
  • Chest reshaping for a more defined look

The planning of the procedure is based on the patient's individual anatomy, skin quality, and their aesthetic expectations. During the procedure, the surgeon pays special attention to the transitions between the breast and surrounding tissue, as these details create a harmonious appearance. Scars are typically small and discreetly hidden along the edge of the areola or in natural skin folds. After surgery, mild swelling is usually present, which gradually subsides within a few weeks. Individually chosen surgical techniques ensure long-term results and improved appearance and self-confidence.

What influences the choice of technique?

  • amount of fatty and glandular tissue
  • Skin quality and elasticity
  • grade of gynecomastia
  • patient's physical constitution
  • Wishes regarding the final aesthetic outcome

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