Surgical correction of excess breast tissue in men. A flat, firm, and defined chest with a minimal scar and permanent results in Madrid, Marbella and Gibraltar.
Gynecomastia is the excessive development of breast tissue in men — glandular, adipose, or both — which can affect one or both sides of the chest. It is more common than many realise: it appears during puberty and resolves spontaneously in most adolescents, but in adult men it tends to persist and causes significant aesthetic and emotional distress.
The most common causes in adults include hormonal imbalance (raised oestrogen, reduced androgens), excess weight, the use of anabolic steroids, cannabis, or certain medications. Once the underlying cause has been ruled out or addressed and the chest does not regain its contour, gynecomastia surgery offers a definitive, permanent solution.
Dr. Marco Vricella performs a personalised assessment to determine the proportion of glandular and adipose tissue, the degree of ptosis, and skin quality, then selects the most appropriate technique for each case. Ceasing the use of alcohol, cannabis, and steroids at least three months before surgery is an essential prerequisite.
Meet the DoctorThe proportion of glandular tissue and fat, skin tone, and degree of involvement determine the most suitable technique. Dr. Vricella explains each option in detail at the initial consultation to select the best approach for every case.
Indicated for pseudogynecomastia, where chest enlargement is caused exclusively by fat accumulation with no significant glandular component. The cannula is introduced through minimal periareolar or axillary micro-incisions, leaving no visible scar.
Adipose component · No glandular tissueThe standard technique for true or mixed gynecomastia. A semicircular incision is made along the lower border of the areola — practically imperceptible once healed. Glandular tissue is excised and liposuction refines the surrounding contour for a natural, symmetrical overall result.
Periareolar incision · Combined techniqueIn severe gynecomastia with significant excess skin — common after major weight loss — a skin resection and areola repositioning are added. This allows a completely flat chest with a fully defined masculine contour to be achieved.
Severe grade · Excess skin
Gynecomastia surgery is performed on an outpatient basis under general anaesthesia or sedation, lasting approximately one and a half to two hours. The periareolar incision — along the lower border of the areola — blends with the natural skin contour and becomes virtually imperceptible once fully healed.
Recovery after gynecomastia surgery is remarkably fast. Most patients return to daily activities within 48 hours. The compression vest is essential during the first weeks to shape the contour and minimise swelling, supporting the best possible healing outcome.
Gynecomastia surgery is indicated when excess breast tissue is persistent, does not respond to conservative treatment, and causes aesthetic or emotional distress. A personalised assessment rules out any treatable underlying causes before surgery is planned.
Physical examination, hormonal analysis if indicated, and assessment of gynecomastia type — glandular, adipose, or mixed — to determine the most appropriate technique. No obligation whatsoever.
Design of the surgical plan: approach, anaesthesia, and coordination at the Madrid, Marbella, or Gibraltar clinic. Clear pre-operative instructions, including substance cessation and compression vest preparation.
Outpatient procedure of 1.5–2 hours under general anaesthesia or sedation. Discharged the same day in most cases. Maximum safety and comfort throughout the entire process.
Scheduled check-ups to monitor progress, manage the compression vest, and support the gradual return to daily life and training.
The most common questions about gynecomastia surgery with Dr. Marco Vricella in Madrid, Marbella and Gibraltar.
Take the first step towards a flat, defined male chest. Dr. Vricella and his team will assess your case personally, determine the most appropriate technique, and answer all your questions with no obligation.