Gynecomastia (enlarged male breasts) can be due to excess fat, glandular tissue or both. When the issue is mainly fat, liposuction alone can flatten the chest. When glandular tissue is present—often felt as a firm disc under the nipple—excision is usually needed for a flat contour. This is often done through a small incision at the edge of the areola so the scar is inconspicuous. Liposuction and gland removal are frequently combined: lipo removes fat from the chest and surrounding area, and gland excision removes the firm tissue under the nipple.

In cases of significant skin excess (e.g. after major weight loss), skin removal may be recommended in addition, with longer scars. We tailor the plan to your anatomy. We may also suggest checking hormones or medications that can contribute to gynecomastia, so recurrence is less likely.

At The Sculptique Aesthetics we examine your chest, assess whether the enlargement is fat, gland or both, and discuss your goals. We will explain the recommended technique, incisions and recovery so you can make an informed decision.

A compression garment is typically worn for several weeks to support healing and reduce swelling. We will advise on activity, when you can resume exercise and how to care for the incisions. Swelling and bruising ease over two to four weeks. Strenuous chest exercise is usually avoided for a few weeks to protect healing.

Results are long-lasting when you maintain a stable weight. Removed fat and gland do not grow back. Weight gain can cause new fat elsewhere. If hormonal or medication causes were identified, addressing them helps reduce the chance of recurrence. We will give you a clear aftercare plan and follow-up.