Gynecomastia: male breast surgery

Thinking about treating your gynecomastia?

We assess whether the excess is glandular tissue, fat or a mix of both, because the technique and the result depend on it.

From: 6.500 €

ginecomastia
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Surgery duration:

90-150 minutes

Recovery time:

4 to 7 days

Synapta® protocol:

Included in Barcelona

Anesthesia:

Local or general

Hospital stay:

Same-day discharge

Social life:

In 1 week

What is gynecomastia?

Gynecomastia is the enlargement of breast tissue in men. Gynecomastia surgery, also known as male breast reduction, is a surgical procedure designed to remove excess glandular tissue and/or fat from the male chest, giving the chest back a firm, flat and well-proportioned appearance, with a natural, harmonious result.

At Instituto de Benito we understand that every man has his own story, body structure and unique perception of his image. That is why our approach is always personalized, prioritizing safety, natural results and anatomical harmony in every case.

What types of gynecomastia are there and how are they treated?

Fatty gynecomastia (liposuction)

Indicated when male breast enlargement is mainly due to excess fat. It is corrected with liposuction, achieving a flatter, more defined chest with minimal scarring.

Ginecomastia grasa (liposucción)

Glandular gynecomastia (gland removal)

Recommended when there is excess glandular breast tissue. It requires direct surgical removal of the gland through a small incision around the areola.

Ginecomastia glandular

Mixed gynecomastia (combined)

This is the most common form. It combines excess fat and excess gland, so treatment includes liposuction and gland removal to achieve a flat, firm and natural result.

Ginecomastia mixta

What does gynecomastia surgery involve at IdB?

The procedure is performed after a personalized consultation and may include liposuction to remove localized fat and/or removal of glandular tissue through small, discreet incisions, usually around the areola. The technique is adapted to each case to achieve a natural, balanced result in keeping with the patient's anatomy.

“Many men think it is fat, but in many cases there is a glandular component that can only be corrected with surgery.”
01

Personalized medical assessment

Valoración personalizada

Your consultation will always be with the surgeon who will perform your procedure. In this appointment we analyze the type of gynecomastia, skin quality, the amount of gland and fat, and the best technique for your case. A payment of €80 is required in advance to book the appointment. If you cannot travel, the first visit can also be done by video call with the surgeon who would operate on you: it costs €50, which is deducted if you decide to have surgery.

02

Preparing for the surgery

Preparación de la intervención

The preoperative medical tests are carried out and you are given all the instructions you need to arrive at surgery with the greatest possible safety and peace of mind.

03

The surgery

Intervención de cirugía mamaria

The operation is performed by a team specialized in gynecomastia surgery.

04

Controlled recovery

Recuperación tras la cirugía de ginecomastia

In Barcelona we apply the Synapta® protocol to make recovery after gynecomastia surgery more comfortable.

05

Start seeing yourself the way you want to feel

resultado ginecomastia

Because looking good is not just about aesthetics, it is also about confidence and well-being. Gynecomastia surgery lets you regain a firm, well-proportioned male chest, helping you feel more comfortable with your image, more confident in your daily life and freer in the way you dress and live.

Gynecomastia with Synapta®: a more comfortable recovery

For years, this surgery has been associated with a recovery marked by a feeling of tightness, swelling and some discomfort in the treated area. However, advances in medical protocols now make it possible to approach recovery from a more advanced perspective.

At Instituto de Benito we apply Synapta®, a protocol designed to support the body through its recovery process after surgery, helping to make the experience more manageable and controlled.

How is recovery after surgery improved?

Beyond the conventional use of medication, this approach focuses on the body's neurophysiological response after surgery. Through specific techniques, it aims to modulate inflammation, reduce tissue tension and improve the body's adaptation to the surgical change.

  • Control of tissue tension: After surgery, the tissues reorganize and can create a feeling of tightness. The protocol helps reduce this tension, allowing a more gradual adaptation.
  • Improved tissue environment: Tissue oxygenation and drainage are promoted, which helps to reduce initial swelling and optimize the healing process.
  • Gradual, functional recovery: The goal is not to speed things up artificially, but to support the body so that recovery is more balanced, allowing you to return to your daily routine gradually and safely.
These protocols are part of a process in which post-operative well-being matters as much as the aesthetic design. Each case is assessed individually to tailor the instructions to each patient.

*Synapta® is included in surgeries performed in Barcelona.

Carlos Alsina

Preparation and recovery: the IdB protocol

Before surgery

Before the procedure, a full medical assessment is carried out to determine the type of gynecomastia (fatty, glandular or mixed), skin quality and the most suitable technique in each case. The necessary pre-operative tests are requested and personalized instructions are given to prepare for surgery with maximum safety.

In the days beforehand, it is recommended to avoid certain medications, not to smoke (smoking must be stopped at least 4 weeks before and 4 weeks after) and to follow the guidelines given by the medical team. The whole process is geared toward optimizing the result and reducing any risk.

Before surgery

Recovery

After the procedure, the patient remains under observation and can return home following medical instructions. During the first few days it is normal to have swelling, a feeling of pressure or mild discomfort, which are effectively managed with medication and advanced recovery protocols.

Wearing a compression garment, avoiding physical exertion and not doing intense exercise during the first few weeks are recommended. Regular check-ups make it possible to monitor progress, make sure healing is correct and ensure a stable, natural and long-lasting result.

ginecomastia

How much does gynecomastia surgery cost and what does it include?

6.500 €

Gynecomastia surgery at Instituto de Benito starts from €6,500, varying according to the grade and type of gynecomastia, the technique used, the length of the operation and the tests and follow-up included, and is tailored to each patient.

What the treatment plan includes:

  • Specialist physician's fees
  • Fees for the rest of the medical team
  • Materials specified in the quote
  • Operating room and day hospital (same-day discharge)
  • Anesthesia
  • Private room stay if required
  • Medication during the hospital stay
  • Wound care with the nursing team
  • Follow-up visits with the specialist
  • Preoperative tests (blood work, ECG, X-ray, etc.)

What is not included:

  • Hormone testing, breast ultrasound or other diagnostic tests to determine the cause of the gynecomastia
  • Assessments or clearances from other specialists, if needed
  • Medication after hospital discharge
  • Post-surgical garments (compression vest, bands, etc.), unless otherwise specified
  • Complementary recovery treatments (lymphatic drainage, physiotherapy, laser, etc.)
  • Additional procedures not covered in the initial quote (skin resection, liposuction of adjacent areas, etc.)
  • Costs arising from medical complications not attributable to the surgical procedure
  • Reoperations or touch-up surgeries not initially planned
  • Additional unplanned hospital stays
  • Travel, accommodation or meals for the patient and companions
  • Sick leave, certificates or additional administrative paperwork
  • Any material or procedure not expressly specified in the quote

You can finance this procedure at 0% interest. See the options on our financing page.

*Prices valid in 2026. The exact price is given after the visit, once the surgeon has assessed your case.

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Are you the ideal candidate for gynecomastia surgery at IdB?

Gynecomastia is the excessive development of the mammary gland in men. As Dr. Víctor Cabrera explains in the video, many patients notice it when wearing a T-shirt, when the chest shows a more feminine shape. Gynecomastia surgery is recommended for men who want to:

  • 01

    Remove excess volume from the chest and achieve a flatter, firmer chest

    Indicated when there is visible breast enlargement that does not go away with exercise or weight loss.

  • 02

    Correct a chest with a feminine appearance caused by fat or breast gland tissue

    It makes it possible to treat both fat accumulation and the growth of glandular tissue.

  • 03

    Improve the proportions of the torso and the body silhouette

    It helps achieve a more masculine, balanced body contour.

  • 04

    Feel more comfortable wearing fitted clothing or going shirtless

    It removes the aesthetic discomfort and the need to hide the chest.

  • 05

    Regain confidence and a secure self-image

    The physical change usually translates into a notable improvement in psychological well-being.

  • 06

    Solve a problem that has not responded to diet or exercise

    In adults, established glandular gynecomastia does not usually resolve with diet or exercise and requires specific treatment.

Gynecomastia before and after photos

Paciente con ginecomastia después de la cirugía
Paciente con ginecomastia antes de la cirugía

Marcos, patient from Madrid

Male gynecomastia

Paciente con ginecomastia después de la cirugía
Paciente con ginecomastia antes de la cirugía

Marcos, patient from Madrid

Male gynecomastia

Paciente con ginecomastia masculina después de la operación
Paciente con ginecomastia masculina antes de la operación

Pol, 32, Barcelona

Male gynecomastia

Paciente con ginecomastia masculina después de ser intervenido
Paciente con ginecomastia masculina antes de ser intervenido

Alberto, 28, Madrid

Male gynecomastia

Ginecomastia Antes de la operación
Ginecomastia antes de la operación

Fermin, 36, patient from Madrid

Male gynecomastia

post ginecomastia
pre ginecomastia

Alberto, 34, Barcelona

Male gynecomastia

Live outside Barcelona or Madrid?

You can also have your gynecomastia with us

Start with a video consultation with our surgeons. The surgeon who will operate on you assesses your case, answers your questions and gives you an exact, personalised quote. No travel needed for the first visit.

50 €

video consultation with your surgeon

Dr. Víctor Cabrera

Dr. Víctor Cabrera

Breast surgery

Dra. Lucrecia Villanueva

Dra. Lucrecia Villanueva

Breast and body surgery

Who is not a suitable candidate: contraindications for gynecomastia surgery

Although gynecomastia surgery is a safe and common procedure in plastic surgery, there are situations in which it is not recommended or should be temporarily postponed. At Instituto de Benito we always carry out a full medical assessment before recommending any procedure, putting the patient's health and safety ahead of the aesthetic component.

Not every man with increased breast volume is an immediate candidate for surgery. It is essential to identify the cause of the gynecomastia, assess the patient's general health and confirm that he has realistic expectations about the result.

Contraindications and reasons

ContraindicaciónMotivo
Significant obesity or unstable weightExcess body fat can make a balanced result harder to achieve and increase complications.
Use of drugs or anabolic substancesSome substances can be the direct cause of gynecomastia and make it more likely to return after surgery.
Uncontrolled conditions (diabetes, high blood pressure, heart disease, etc.)They increase anesthetic risk and make post-operative recovery more difficult.
Clotting disorders or uncontrolled anticoagulant treatmentThey increase the risk of bleeding and bruising during and after the procedure.
Active infections or inflammatory processesThey raise the risk of complications and surgical infections.
Hormonal disorders that have not been investigated or treatedIt is essential to identify the hormonal cause before considering surgery.
Suspected breast or tumor pathologyAny breast disease must be ruled out before operating.
Active smoking without stopping 4 weeks before and 4 weeks afterSmoking impairs healing and increases the risk of skin complications.
Unrealistic expectations about the resultThis can lead to dissatisfaction even when the surgery has been technically correct.
Unstabilized psychological disordersEmotional stability is key to coping properly with the surgical process and recovery.
Early adolescence with gynecomastia still developingIn some cases it can resolve spontaneously with hormonal development.
Medical contraindication to anesthesiaSome conditions can make surgery unsafe at that time.

Show off a masculine chest

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Cirugía de ginecomastia en Instituto de Benito

Risks and possible side effects of gynecomastia surgery

Gynecomastia surgery has a well-established safety profile when performed by a specialized surgeon, in an accredited surgical setting and after a proper patient assessment.

At Instituto de Benito, surgery is performed in an approved operating room, with anesthesia administered and supervised by a qualified anesthesiologist. Follow-up afterwards makes it possible to detect and treat any issue early.

If after surgery you experience severe pain that does not improve with the prescribed medication, a fever above 38 °C, marked local warmth, progressive redness, discharge from the wound, a sudden increase in volume on one side of the chest, difficulty breathing or chest pain, you should contact the clinic immediately or go to the nearest emergency department.

Expected, mild reactions (usually temporary)

These are part of the body's normal response after surgery and resolve gradually over the first few days or weeks:

  • Moderate pain or a feeling of tightness in the chest during the first few days, manageable with the prescribed pain relief.
  • Swelling and edema in the treated area.
  • Bruising around the incisions, which fades gradually.
  • Temporary changes in nipple sensation, either increased or decreased.
  • Scars that are initially pink or firm, which take months to mature fully.
  • Temporary asymmetry while the tissues adapt and the swelling goes down.

Your surgeon will tell you at the consultation when you can resume sedentary activity, work and exercise, because it depends on the technique used and on your progress.

Less common effects

These can appear during recovery or in the first few months. They almost always resolve with clinical follow-up, and only a minority require revision surgery:

  • Seroma: a build-up of fluid in the operated area, which may need monitoring or drainage.
  • Significant hematoma requiring surgical evacuation.
  • Contour irregularities or small steps between the treated area and the adjacent one.
  • A depression or hollow under the areola if the gland resection is excessive.
  • Residual excess skin when the breast was large and the skin has little elasticity.
  • Residual glandular tissue that leaves a noticeable bulge.
  • Hypertrophic or keloid scarring in predisposed patients.
  • Delayed healing, more likely in smokers and in people with diabetes.

Uncommon complications

These are uncommon, but they have been documented and you should be aware of them before having surgery:

  • Surgical wound infection, which may require antibiotic treatment or surgical cleaning.
  • Partial necrosis of the nipple-areola complex, more likely in smokers and in extensive resections.
  • Permanent loss of nipple sensation.
  • Deep vein thrombosis and pulmonary embolism, risks present in any surgery under general anesthesia.
  • Anesthetic complications, assessed beforehand by the anesthesia team.
  • Recurrence of gynecomastia if the cause that originated it persists.

An individualized surgical indication and proper follow-up are what reduce these risks.

Our medical team specialized in male breast hypertrophy

Instituto de Benito is a benchmark in plastic surgery and gynecomastia surgery, with more than 40 years of experience and thousands of satisfied patients who have trusted us to correct male breast hypertrophy and improve the harmony of the chest.

Our team combines surgical artistry, technical precision and personalized medical care, ensuring safe procedures and natural, masculine and well-proportioned results, even in the most complex cases.

Medical guarantees and certifications for your male breast surgery

At Instituto de Benito, we have a solid track record backed by more than 40 years of experience in plastic and cosmetic surgery, with a special focus on breast surgery. Over the course of our career, we have performed more than 10,000 breast surgeries, which allows us to offer safe, natural and personalized results.

Our practice is backed by membership of recognized international scientific societies, such as SECPRE (Spanish Society of Plastic, Reconstructive and Aesthetic Surgery), ISAPS (International Society of Aesthetic Plastic Surgery) and SCCPRE, which ensures continuing education and the use of the safest techniques.

Post-operative follow-up is included and we support the patient through every stage until discharge.

Where to have gynecomastia surgery?

Book your gynecomastia consultation

The first step is not surgery: it is a consultation with the surgeon who would perform your procedure. They will assess your case, answer your questions and, after the visit, give you the exact price.

The first consultation costs €80, which is deducted from the cost of surgery if you decide to have your procedure with us. You can also call us.

Related treatments to male breast reduction

Frequently asked questions about male breast correction

What results can I expect?

A flatter, firmer and better-proportioned chest with a natural masculine contour. Full recovery comes between 3 and 6 months, once the tissues have fully adapted.

Is gynecomastia surgery painful?

Discomfort is usually mild to moderate and is effectively controlled with medication and advanced recovery protocols. Most patients return to their usual routine in 4 to 7 days.

Can gynecomastia come back after surgery?

Under normal conditions, the glandular tissue that has been removed does not grow back. However, significant hormonal changes or significant weight gain could affect the result over time.

Will there be visible scars?

The incisions are small and strategically placed, usually around the areola or in areas that are not very visible, so over time they tend to be practically imperceptible.

When can I exercise or go in the sun?

Exercise: gradually from 4–6 weeks. Sun or beach: after 8 weeks, always with high sun protection on the scars.

Can gynecomastia surgery be combined with other procedures?

Yes. In some cases it can be combined with liposuction of other areas or other body procedures, always after a medical assessment.

What happens if I gain or lose weight afterward?

Moderate weight changes do not usually alter the result significantly. Keeping a stable weight helps preserve the result in the long term.

How long does full recovery take?

Most patients return to normal life in 4 to 7 days, although full recovery comes at around 3 months.

Can you finance gynecomastia surgery?

Yes, we offer different financing options to make gynecomastia surgery more accessible. We can split the payment over up to 12 months interest-free, and also offer longer financing options of up to 48 months, adapted to each patient.

Medical review

Dra. Marina García Moya

Dr. Marina García

N.º de colegiación 19091

Breast surgery specialist

doctora Lucrecia Villanueva

Dr. Lucrecia Villanueva body and breast surgeon

N.º de colegiación 282871279

Specialist surgeon in body and breast

doctora maria gijón

Dr. María Gijón Vega breast surgeon

N.º de colegiación 63332

Specialist breast surgeon

Excellent

Average rating: 4.8 / 5

Based on 651 reviews
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