Gynecomastia
Gynecomastia (Gland Excision)
Direct excision of firm breast gland tissue through periareolar incision
Is it safe?
Your hospital holds the same JCI accreditation as Cleveland Clinic and Johns Hopkins. Verified by TEMOS for international patient safety.
Will the price change?
Your price is locked before you book. Surgery, hospital, hotel, transfers, aftercare — one number, no extras.
What if something goes wrong?
Mandatory insurance required by Turkish law. If a revision is needed — flights, hospital, surgeon — covered. You never pay twice.
Who's my surgeon?
Confirmed before you pay. Full credentials, specialisation, and patient results shared upfront. No last-minute switch.
What happens after I fly home?
24/7 WhatsApp with your coordinator. Scheduled video check-ups with your surgeon. 12 months, not 12 days.
Medical References
- [1]Aesthetic Plastic Surgery (2023). Gynecomastia surgery combining liposuction with gland excision achieves a satisfaction rate of 94%, with recurrence rates below 4%. doi:10.1007/s00266-023-03345-2
What is Gynecomastia (Gland Excision)?
Gynecomastia gland excision surgically removes the firm glandular breast tissue behind the nipple that causes male breast enlargement. Unlike liposuction alone, this technique directly excises the dense tissue that creates a noticeable mound or puffiness beneath the areola. It is the definitive treatment for true gynecomastia. MedProper performs the procedure in a JCI and TEMOS-accredited Istanbul hospital with experienced plastic surgeons.
How Does Gynecomastia (Gland Excision) Work?
- 1Your surgeon examines the chest, often requesting an ultrasound to confirm the presence and size of glandular tissue.
- 2Under general anaesthesia, an incision is made along the lower edge of the areola, following the natural colour transition.
- 3The firm glandular tissue is carefully dissected and removed while preserving blood supply and nerve pathways to the nipple.
- 4If excess fat is also present, liposuction is performed through the same or additional small incisions to refine the contour.
- 5The incision is closed with fine sutures, and a compression vest is fitted to support healing and skin retraction.
Who is a Good Candidate for Gynecomastia (Gland Excision)?
- Men with firm, palpable glandular tissue beneath one or both nipples that does not respond to weight loss or exercise
- Those with puffy or protruding nipples caused by glandular enlargement
- Patients whose gynecomastia has persisted beyond puberty (lasting more than two years)
- Men who have been evaluated for hormonal causes and cleared for surgery
- Non-smokers in good general health seeking a permanent solution
Why Choose Gynecomastia (Gland Excision) at MedProper?
Definitive Gland Removal
Directly excising the glandular tissue provides a permanent solution for true gynecomastia that liposuction alone cannot achieve.
Flatter Nipple Profile
Removing the tissue behind the areola eliminates puffiness and projection, creating a naturally flat, masculine nipple contour.
Concealed Scarring
The incision follows the areolar border where skin colour changes, making the scar extremely difficult to detect once healed.
Comprehensive Approach
When combined with liposuction for surrounding fat, the procedure delivers a complete chest recontouring in a single operation.
What is the Recovery Timeline?
Days 1-3
Post-Operative Care
Moderate swelling and tenderness around the chest and nipple area. Compression vest worn continuously. Light activity only.
Days 4-10
Improving Comfort
Swelling decreases and bruising begins to fade. Most patients resume light daily activities and desk work within a week.
Weeks 2-4
Returning to Normal
Compression vest continues for 4-6 weeks total. The chest shape progressively refines as healing advances.
Weeks 6-8
Exercise Resumes
Upper body exercises, including chest workouts, can gradually restart with surgeon approval.
Months 3-6
Final Contour
All swelling resolves and the incision scar fades to a thin line along the areolar border. Final flat chest contour is visible.
Quick Facts
Duration
1-1.5 hours
Hospital Stay
1 night
Recovery
7-10 days before desk work
Permanence
Permanent
Anaesthesia
General anaesthesia
Results Visible
3-6 months for final result
Frequently Asked Questions
Liposuction removes fat tissue; gland excision removes the firm breast gland. Many cases of true gynecomastia have both components, in which case both techniques are used together.
Once the glandular tissue is surgically removed, it does not grow back. This is why gland excision is considered the definitive treatment for true gynecomastia.
Temporary changes in nipple sensation are possible but usually resolve within weeks to months. The surgical technique is designed to preserve sensory nerves.
Yes. Your surgeon may request hormone panels and chest imaging to rule out underlying causes and confirm the diagnosis before proceeding with surgery.
The incision is placed along the areolar border where pigmented skin meets normal skin. This natural colour transition camouflages the scar, making it very difficult to see once healed.
Last medically reviewed: April 2026
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Where Your Surgery Takes Place
A JCI & TEMOS-Accredited Hospital in Istanbul
Your procedure is performed at a 45,000 m² state-of-the-art hospital with 12 operating rooms, advanced surgical technology, and VIP patient suites. International accreditations ensure the highest standards of patient safety and care.
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