What is gynecomastia: Royal Aesthetic Surgery, Ljubljana✓

Gynecomastia is the medical term for the benign enlargement of male breasts, which occurs due to excessive development of glandular breast tissue. While it is primarily an aesthetic concern, gynecomastia can significantly affect a man's psychological well-being, impacting self-confidence, body image, and social interactions.

Unlike pseudogynecomastia, which is simply the accumulation of fatty tissue, true gynecomastia involves the presence of glandular tissue beneath the nipples. This condition can result in a breast contour that resembles that of female breasts. Gynecomastia can be unilateral (affecting one breast) or bilateral (affecting both breasts) and may develop gradually or suddenly.

Incidence and Demographics

Gynecomastia is quite common, with statistics indicating that it affects approximately 30-70% of men at some point in their lives. It can occur in various age groups:

• During puberty: This is often due to natural hormonal changes and typically resolves on its own by age 17.
• In adulthood: Factors such as aging, metabolic disorders, medications, or underlying diseases can contribute to the development of gynecomastia.
• In newborns: Temporary breast enlargement can occur due to the influence of maternal hormones.

Regardless of age, gynecomastia can cause discomfort for many men, especially in intimate situations or when wearing clothing, at the beach, or while participating in sports. Many individuals report feelings of shame, avoidance of mirrors, and a decreased desire for social interactions due to the appearance of their breasts.  

Causes and symptoms

In most men, gynecomastia develops gradually and often goes unnoticed until the changes in the chest become pronounced. Although it is not a life-threatening condition, its symptoms can significantly affect the quality of life, especially in the psychological and social sense. Understanding the early signs of gynecomastia allows timely response and the correct choice of therapy.

The most common symptoms include:

• Breast augmentation (can be unilateral or bilateral)
• The presence of tissue thickening under or around the nipples
• Tenderness or a feeling of pain in the chest area
• Asymmetry between the left and right sides of the chest
• Psychological discomfort – feelings of shame, anxiety, avoidance of social situations (eg swimming pools, beaches)

It is important to point out that gynecomastia is not the same as breast cancer in men - although rare, breast cancer in men requires immediate oncological treatment. In most cases, gynecomastia is a benign phenomenon, but due to the similarity of the symptoms, a clinical examination is necessary in order to make a precise diagnosis and exclude other more serious changes. 

Surgical Solutions for Gynecomastia

For many men, enlarged breasts can lead to discomfort, shame, and a loss of self-confidence. Surgical removal of gynecomastia is the most reliable and permanent solution to this issue, allowing individuals to regain control over their bodies. While often perceived as an aesthetic procedure, this surgery carries significant psychological benefits, positively impacting the overall well-being of the patient.

Unlike temporary solutions such as exercise, diet, or hormone therapy, surgery provides stable and targeted results. Each patient is treated individually, considering their physique, type of gynecomastia, and aesthetic goals. The objective is straightforward: to achieve a streamlined, firm, and masculine appearance of the chest.

The surgical method is tailored to the specific type of tissue causing the problem, whether it consists mainly of fatty tissue, glandular tissue, or a combination of both. The most commonly utilized techniques are:

• Liposuction – Ideal for patients with excess fatty tissue; this is a precise and minimally invasive procedure.
• Excision of Glandular Tissue – Applied when there is dominant solid glandular tissue that cannot be effectively removed by liposuction.
• Combined Method – This is the most common approach, as gynecomastia often involves both types of tissue.

The procedure typically lasts between 1 to 2 hours and is performed under local or general anesthesia, with patients usually discharged on the same day. Post-operation, it is recommended to wear a compression vest for 3-4 weeks to promote skin adaptation, reduce swelling, and prevent fluid accumulation.

Cost of Gynecomastia Surgery

The cost of the procedure varies based on the extent of the operation, the surgical technique used, the surgeon's expertise, and the additional services provided within the treatment plan. At the Royal Belgrade Clinic, we are committed to transparency, ensuring patients understand what the quoted price includes.

Indicative Price List:

• Gynecomastia Liposuction: Starting at €1,500
• Excision of Glandular Tissue: Starting at €1,500
• Combined Procedure (Liposuction + Excision): Between €2,250 and €2,500

The pricing encompasses surgery, anesthesia, a stay in the clinic, a postoperative vest, and follow-up controls. The final price is determined after a thorough examination, during which the surgeon will recommend the most effective solution based on individual needs and a physical assessment.

Consultations and Initial Examination

The first step towards effectively addressing gynecomastia is a consultation with a cosmetic surgery expert. During this examination, the cause and extent of gynecomastia will be evaluated, alongside your habits, health history, and aesthetic expectations. An individualized surgical plan will then be created.

The consultation will include:

• A complete interview and clinical analysis
• An explanation of the surgical process and recovery
• Before and after examples (when applicable)
• Instructions for preparation and postoperative care

We recommend preparing any questions in advance and being honest about your health condition to ensure a safe and accurate medical assessment.

Why Choose Royal Aesthetic Surgery?

Gynecomastia surgery is a complex procedure that demands not only technical precision but also a deep understanding of male aesthetics, proportions, and psychological factors. At the Royal Belgrade Aesthetic Surgery Clinic, every aspect of the process prioritizes safety, discretion, and the fulfillment of the patient's aesthetic goals.

Our team consists of experienced surgeons specializing in male aesthetic surgery, utilizing modern liposuction and excision techniques that emphasize natural results, minimal scarring, and long-lasting effects.

Royal Belgrade is recognized as one of the leading clinics in the region, featuring state-of-the-art operating rooms, dedicated staff, and careful monitoring of patients during their recovery. From the initial consultation to final recovery, we are committed to your health, appearance, and self-confidence.

If you are looking for a clinic where your gynecomastia will be treated with professional care, understanding, and discretion, Royal Aesthetic Surgery Belgrade is the right choice for you.  

How to schedule an appointment for breast surgery?

If you would like to schedule an appointment for breast surgery, are interested in the prices, or have additional questions for us, please contact us via phone at +381 65 202 77 77 or visit the following pages: Breast surgery, Breast augmentation, Breast reduction, Breast lifting.