• Gynecomastia
  • FAQ
  • Fast Guide


Gynecomastia surgery reduces breast size in men, flattening and enhancing the chest contours. In severe cases of gynecomastia, the weight of excess breast tissue may cause the breasts to sag and stretch the areola (the dark skin surrounding the nipple). In these cases the position and size of the areola can be surgically improved and excess skin may be reduced.

Cosmeticium is one of the main clinics who offer gynecomastia surgery in İstanbul, Turkey.


Before the planned gynecomastia surgery, you should be in as good a health as possible.

Limit your nicotine and alcohol consumption to a minimum. If you are taking any medicinal products, please consult your doctor about it.

Additionally, you can not use aspirin or any preparations containing acetylsalicylic acid for at least 7 days prior to the surgery.

You have to take a break from your job and private life for at least for one week after the operation. If you have the opportunity to have someone take care of you following the operation, please discuss the postoperative care requirements with this person.

It is recommended that you not be too active preoperatively, in order to allow for rest physically and mentally following the surgery.


Gynecomastia surgery is performed under general anesthesia on an outpatient basis. The procedure usually takes about 1 hour or 2 to complete, depending on the amount of tissue to be removed. For many men, liposuction of the chest is all that is needed to produce good results, and this is performed through small incisions.

A careful history and examination will develop the best plan of surgical treatment for you to maximize results and minimize scarring.


For many men, liposuction alone will provide an adequate reduction and treatment of the excess breast tissue. This is performed under anesthesia with a few very small incisions used to gain access with the liposuction cannula. Following the removal the breast tissue, the skin will snap back into position leaving you smooth and tight without the excess breast. The small incisions are sutured closed and a garment is applied to provide pressure to the area.

Minimal Incision…

Others have greater development and require a more aggressive surgical approach. By making an incision along the border of the areola, we usually can leave a scar that goes 1/2 way around from the 3-6-9 o’clock positions. This incision allows direct resection of the excess breast tissue mound. The surrounding areas are also treated with a bit of liposuction to smooth the edges and give you the best shape to your chest. The incisions are closed and a pressure bandage/garment is applied. This similarly uses anesthesia and has the same recovery.

Large Excision

While the above 2 approaches work for most, some men have very large chest development and others who may have lost significant amounts of weight may have a significant amount of excess skin. While the scars are a bit longer, the premise is the same, remove the excess breast tissue and skin and provide a shapely, manly chest. In these instances, it is often necessary to remove the nipple and use it as a graft (free nipple graft). In these scenarios, the nipple, which is hanging low, is removed as well as the excess tissue. The nipple is then replaced at the appropriate position on the chest. The biggest difference is loss of sensation and feeling to the nipple, but it remains the best and often only way to shape your chest when you have significant excess skin.


Initial male breast reduction recovery time takes about 1-2 weeks on average. During this time, patients will want to take it easy, and must avoid strenuous activity to facilitate healing and prevent complications.

After the first one or two weeks, patients can begin to resume some normal activities, such as returning to work and light exercise, though each surgeon will give instructions according to each patient’s unique case. Bruising and swelling will resolve gradually until final results can be seen over the months following surgery. Final results should be apparent by 6 months post-operatively.


Gynecomastia surgery results are immediately visible. Over time, post-surgical swelling will resolve and incision lines will fade. Satisfaction with your new image should continue to grow as you recover from surgery.

What is Gynecomastia surgery?

This is a surgical procedure that aims to improve an enlarged breast of a male’s appearance. In order to make the breast appear flatter and firmer, excess fat, skin and breast tissue will need to be removed.

What is the cause of Gynecomastia?

Every man has a little breast tissue in the chest. But there are instances when it grows and it becomes noticeable. Reasons for this might be being on the heavy side, changes in the hormones (usually happens during puberty and later stages of life), dysfunction in the endocrine gland and medications.

Who will experience Gynecomastia?

Gynecomastia usually affects men in their adolescence or when they are older because of the hormonal stages. However, men of any age can have excess breast tissue.

Who is qualified for the procedure?

The candidate must be in good health condition, should not have any active disease or existing conditions and expectations for the procedure must be realistic. As much as possible, candidates and heir doctors need to find out the cause of their condition.

What can be expected from a Gynecomastia surgical procedure consultation?

The doctor will review the patient’s full medical history, talk about the goals of the person for going through the procedure and answer any questions regarding Gynecomastia. Patients can also review photos of previous patients who have gone through the procedure. This is the time when doctors will discuss with their patients what could possibly happen and provide complete details of the procedure.

How is it performed?

Patient will need to be placed under general anesthesia and patient need not be admitted to the hospital. The procedure usually takes one to two hours. The unwanted breast tissue will be taken out by liposuction. A small incision has to be done in order to take it out. However, for patients hat needs a lot of skin and glandular tissue to be removed, the doctor will need to use the extraction method so that he can sculpt the chest and recontour it.

What can be expected right after the surgery?

Patient will get minor bruises on the area that the procedure was done on but this will go away in a few days. Patient will also notice swelling right after the procedure and could remain for the next few weeks. To help reduce part of the swelling, patients can try using support garments and compresses.

Is it painful?

It is possible to have aches in the chest but the doctor will prescribe patients the right pain medication to keep the pain at a tolerable level.

How long will the recovery period be?

It normally takes around two weeks to recover from this procedure. Recovery period varies though depending on the status of the patient’s health condition and the technique used during the procedure.

How long will the recovery period be?

It normally takes around two weeks to recover from this procedure. Recovery period varies though depending on the status of the patient’s health condition and the technique used during the procedure.

How long can I return to work after the surgery?

Recovery periods may vary, but patients who have undergone gynecomastia surgery are oftentimes able to go back to work within five days to one week following the surgery. It should be noted that exercise and any strenuous activities should wait until three to six weeks after the surgery.

Length of procedure: Approximately 1 – 3 hours
Recovery period: 1 week to go back to work
Exercise: After 2 – 3 weeks
Stay: 1 night in hospital, 4 nights in hotel
Scars: Depending on the case
Repetition: Due to granules, patients will not face the same situation.
Potential candidate: Patients with extra fat on their breasts
Results: Achieved after swelling is done
Combination of surgeries: Mostly liposuction and tummy tuck