Male breast surgery · Madrid
Gynecomastia Surgery in Madrid, SpainMale Breast Reduction
“Professionalism, quality of care, and medical rigor guide our approach to aesthetic surgery.”
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Assessment before surgery
Diagnosis and treatment of gynecomastia
Not all male chest enlargement is the same. Before choosing a technique, we assess glandular tissue, fat, and excess skin, review how the condition has developed, and consider causes that may need investigation or treatment first.
Which specialist treats gynecomastia?
An assessment may involve your primary care doctor, an endocrinologist, or another specialist if an underlying medical cause is suspected. When surgical contour correction is considered, assessment and treatment are carried out by a plastic surgeon with specialist training.
Gynecomastia or pseudogynecomastia
True gynecomastia involves glandular tissue growth beneath the areola. When fat predominates, it is called pseudogynecomastia. Both components are often present, and the technique is tailored to their combination.
When further assessment is needed first
- A hard, off-center, or rapidly growing lump.
- Nipple discharge, retraction, or other changes.
- Marked one-sided enlargement or testicular symptoms.
- Recent onset associated with medication, substances, or other symptoms.
An individual surgical plan
Liposuction, gland removal, or a combination?
The choice depends on more than severity alone. We also assess tissue consistency, skin quality, areola position, symmetry, and what can reasonably be achieved with your anatomy.
Liposuction
Liposuction reduces fat and shapes the chest contour. On its own, it does not remove firm glandular tissue or reliably address significant excess skin.
Glandular tissue removal
Removal is considered when glandular tissue cannot be adequately treated with liposuction. The incision is often placed at the edge of the areola.
A combined technique
This combines fat contouring with glandular tissue treatment. Excess skin or a low areola may require additional incisions and scars.
Realistic expectations
Results, scars, and possible recurrence
The aim is a more proportionate chest contour. Exact symmetry and invisible scars cannot be guaranteed. Swelling decreases gradually, and the result continues settling over several months.
Results are often long-lasting, but tissue may grow again or the contour may change if hormonal, medication-related, or substance-related causes persist or develop, or if your weight changes substantially. Assessing these factors is part of planning treatment.
Scars depend on whether treatment addresses fat, glandular tissue, skin, or a combination.
Your return to activity is guided by the extent of surgery and your individual progress.
Risks include hematoma, seroma, infection, changes in sensation, unfavorable scars, contour irregularity, or a need for revision surgery.
Gynecomastia surgery at Dr. Aso Clinic in Madrid, Spain
Jorge Aso, MD, PhD is a plastic, aesthetic, and reconstructive surgeon trained through Spain’s MIR residency system, a member of SECPRE and ASPS, and experienced in breast and chest contour surgery. He and his team assess glandular tissue, fat, and skin to recommend a plan tailored to your anatomy and goals.
Gynecomastia is also spelled gynaecomastia in the UK. Male breast reduction in Spain should begin with an assessment of the cause and the amounts of glandular tissue, fat, and skin.
If you are traveling to Madrid, you can discuss your case in an initial video consultation in English for 70 EUR. An in-person first consultation in Madrid costs 100 EUR. Dr. Aso speaks English at a native level and has trained in the United States; email and WhatsApp support are also available in English. Agree your assessment, local recovery, follow-up, and individual permission to travel before booking your return journey.
Gynecomastia is a common condition. It involves an increase in glandular breast tissue in men. If this affects you, surgery may be an option after an individual assessment of its cause, extent, and suitability. Arrange a medical consultation so we can assess your case and answer your questions.
Your questions answered
What does gynecomastia treatment involve?
Gynecomastia surgery, also called male breast reduction, reduces breast size by removing excess glandular tissue. It may be considered for moderate or severe gynecomastia after assessing its cause and the patient’s needs.
When does gynecomastia occur?
Gynecomastia can occur at any age. It is particularly common in newborns, adolescents, and older men. In newborns, exposure to maternal hormones during pregnancy can cause temporary breast enlargement, which usually resolves. During puberty, often around age 14, changes in the balance of estrogen and testosterone can produce breast tissue growth that may settle over time. In older men, hormonal changes, including lower testosterone levels, may contribute. Persistent or newly developing enlargement should be assessed in its individual context.
What types of gynecomastia are there?
The following descriptions outline different degrees of gynecomastia:
- Grade 1 gynecomastia: A localized concentration of glandular breast tissue around the areola, without a significant excess of skin or fat.
- Grade 2 gynecomastia: More diffuse glandular tissue, sometimes accompanied by excess fat.
- Grade 3 gynecomastia: More extensive glandular tissue and fat, together with excess skin.
More extensive gynecomastia can require a more complex operation. Tissue composition and skin quality also influence the plan.
Virtual simulation is used to help discuss some plastic surgery procedures, including body and facial surgery. It is particularly popular for breast augmentation and rhinoplasty, two procedures frequently requested at our clinic. Ask whether simulation is appropriate for your case; an illustration cannot predict or guarantee your surgical result.
True gynecomastia involves excess glandular breast tissue. Fat may contribute to the overall chest enlargement.
Ask us about your options
True gynecomastia involves excess glandular breast tissue. Fat may contribute to the overall chest enlargement.
Ask us about your options
Our approach to gynecomastia surgery
When glandular tissue needs to be removed, the incision is often placed along part of the areola’s edge. Liposuction can reduce excess fat and shape the chest contour. It does not necessarily correct significant skin laxity on its own. More extensive gynecomastia with excess skin or a low areola may also require skin removal and repositioning of the nipple–areola complex, with additional scars.
The use of drains is decided individually according to the technique, volume treated, and clinical assessment.
Your questions answered
Plastic and Aesthetic Surgery Clinic in Madrid, Spain
Your questions answered
Contact us to discuss your procedure, from the first consultation to postoperative care. We provide individual follow-up and guidance throughout your recovery.
What is recovery like?
Many patients go home on the day of gynecomastia surgery, although the discharge plan depends on the procedure and your recovery. Swelling and temporary changes in chest or nipple sensation can occur after surgery. Swelling often starts improving over the first 7–10 days, but may persist longer as the tissues settle. You may be advised to wear a chest compression garment daily for approximately 30–45 days, avoid physical exertion during the first two weeks, and protect the area from sunlight during the first months. Your surgeon will adapt these instructions to your procedure and progress. Your surgeon will provide specific postoperative instructions.
Is gynecomastia dangerous?
Gynecomastia is usually benign and is not considered a premalignant lesion, but not every male breast lump is gynecomastia. A hard or off-center lump, rapid growth, nipple retraction or discharge, marked one-sided enlargement, or testicular symptoms should be assessed before considering surgery. The operation also has its own risks, which are discussed individually during consultation.
How much does gynecomastia surgery cost in Madrid, Spain?
The cost depends on the operation recommended. For example, combining glandular tissue removal with liposuction may change the price. After an assessment, we can explain the appropriate approach and provide an individual quote.
Your questions answered
Frequently asked questions
Here are some of the questions patients commonly ask about this procedure:
What is gynecomastia?
Gynecomastia is benign enlargement of glandular breast tissue in men and may affect one or both sides. It differs from pseudogynecomastia, in which fat predominates. A clinical examination helps distinguish the two components.
How do I know whether I have gynecomastia?
Gynecomastia may feel like firm or rubbery tissue beneath the areola, but it should not be diagnosed from appearance alone. A clinical assessment distinguishes glandular tissue, fat, and excess skin and determines whether tests are needed based on your age, symptoms, history, and how the condition has developed.
What causes gynecomastia?
It can occur as a normal change at certain stages of life, relate to hormonal balance, medicines or substances, or be associated with specific medical conditions. Sometimes no cause is identified. The assessment therefore reviews how it has developed, medication, medical history, and examination findings. Examples include:
- Hormonal changes: A change in the balance between estrogen and testosterone can encourage glandular breast tissue growth in men.
- Medicines and substances: Certain medicines, including some blood pressure treatments and antiandrogens, and anabolic steroids may contribute. Discuss medication with the prescribing doctor; do not stop or change it on your own.
- Fatty tissue or pseudogynecomastia: Excess fat can increase chest volume but is not, on its own, the same as glandular breast tissue growth.
- Genetic factors: Genetic predisposition may contribute in some cases.
How is gynecomastia treated?
Treatment depends on the cause, how long it has been present, and the amounts of glandular tissue, fat, and skin. Options may include observation or treatment of an underlying cause; medication is considered only in selected circumstances by a doctor. For persistent gynecomastia that causes distress or discomfort, surgery may combine liposuction and glandular tissue removal. The approach is tailored to each patient.
Is gynecomastia surgery painful?
The procedure is performed under anesthesia. Afterward, tightness, swelling, and discomfort are common and are managed using the prescribed care plan. Their intensity and duration depend on the extent of surgery and the technique used.
How long does recovery from gynecomastia surgery take?
Recovery varies with the technique and the individual patient. Light activities are often resumed in one or two weeks, while strenuous exercise is avoided for several weeks according to medical advice. The chest contour continues settling over the following months. Your surgeon will give you individual guidance on returning to work, exercise, and travel.
Medical authorship
Specialist in Plastic, Aesthetic and Reconstructive Surgery (Spanish MIR training)
Medical registration no. 2828/61062 · Madrid
About Gynecomastia Surgery in Madrid, Spain: clinical information, safety and expectations. Based on the original Spanish content.
Translation does not constitute a new medical review. This information does not replace an individual medical assessment.
View profile, training and credentialsMedical sources and editorial standards Selected references for this page 5 references
References support the general medical information. Suitability, alternatives, and risks are discussed individually during consultation.
- Management of gynecomastia in adolescence and adults: clinical practice guidelines Italian Society of Andrology and Sexual Medicine (SIAMS) / PubMed
- EAA clinical practice guidelines: gynecomastia evaluation and management European Academy of Andrology / PubMed
- Gynecomastia: Etiology, Diagnosis, and Treatment Endotext / National Center for Biotechnology Information
- Incidence of Complications for Different Approaches in Gynecomastia Correction Aesthetic Plastic Surgery / PubMed
- Gynecomastia Surgery: Risks and Safety American Society of Plastic Surgeons (ASPS)
Selected interviews, mentions and third-party articles. Coverage is in Spanish.