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Gynecomastia is a common condition where the male chest develops excess glandular tissue, fat or both. This can create the appearance of a fuller chest that resembles a female breast shape. Many men find this physically uncomfortable, emotionally distressing or confidence limiting. Gynecomastia surgery restores a flatter, firmer and more contoured chest that reflects a masculine physique.
At the practice of Dr. Matteo Vigo, gynecomastia treatment is approached with medical precision and an understanding of male body proportions. The goal is always a natural looking, athletic and balanced chest with minimal scarring and long lasting results.
Understanding gynecomastia
Gynecomastia can appear during adolescence or adulthood. It may develop due to hormonal imbalance, genetics, certain medications, weight fluctuations or unknown reasons. For many men, it remains unchanged even with diet and exercise. The tissue is often firm or resistant, which makes surgical correction the most effective solution.
Gynecomastia presents in different forms. Some men have mainly excess fat while others have firm glandular tissue beneath the nipple. Many have a combination of both. Dr. Vigo carefully assesses the chest to determine the exact type, because each requires a different surgical approach.
How gynecomastia affects men
Men often describe their concerns in several ways:
- Avoiding fitted shirts
- Feeling uncomfortable removing their shirt at the gym or beach
- Noticing puffiness around the nipples
- Seeing projection under clothing
- Difficulty achieving a flat chest even with weight loss
- Loss of confidence in social or intimate situations
Gynecomastia surgery can improve not only the physical appearance, but also the emotional well being of men who have struggled with this condition for years.
Surgical treatment options
Gynecomastia correction usually involves one or both of the following techniques.
Liposuction
Liposuction removes excess fat from the chest. It is ideal for men whose gynecomastia is primarily caused by fatty tissue. A fine cannula is used through tiny entry points to sculpt a flatter and more athletic contour. Liposuction alone is often not enough for glandular gynecomastia, but it creates smooth transitions in the chest shape.
Gland removal
Glandular tissue is firm, rubbery and cannot be removed with liposuction. It requires a small incision at the edge of the areola. The gland is carefully excised to remove puffiness or projection. The incision is positioned in a natural border so it remains discreet.
Combined approach
Most men benefit from a combination of liposuction and gland removal. This allows both the soft and firm components to be addressed for a smooth, masculine and natural result.
What happens during the procedure
Gynecomastia surgery is typically performed under general anaesthesia. The procedure lasts one to two hours depending on the complexity. Dr. Vigo uses careful techniques to reduce trauma, preserve natural contour lines and support clean healing.
After the surgery, a compression garment is worn to minimise swelling and support the new chest shape. Most men return to daily activities within a few days, although physical workouts should be paused for a short period.
Results you can expect
Gynecomastia surgery provides:
- A flatter chest
- A firmer and more athletic contour
- A reduction in nipple puffiness
- A more confident body posture
- Natural and balanced results
As swelling decreases, the final contour becomes more visible. Most men feel immediate relief and confidence from having a chest that aligns with their masculinity.
Who is a good candidate
Gynecomastia surgery may be suitable if you:
- Have persistent chest fullness that does not improve with exercise
- Are bothered by the shape of your chest
- Want a flatter and more masculine appearance
- Are in good general health
- Have realistic expectations regarding scars and healing
Dr. Vigo provides an honest and detailed evaluation during consultation so you understand which technique is most appropriate.
Long term benefits
Once glandular tissue is removed, it does not usually return. The results are long lasting if the patient maintains a stable weight and healthy lifestyle. Many men find that clothing fits better and physical activities feel more comfortable. The surgery can have a significant positive impact on self esteem and body confidence.