Gynecomastia surgery in Korea – Is alcohol and smoking okay after surgery?
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
30s |
73kg |
165cm |
27 |
Surgical site
gynecomastia
2-A
As the weather warms up
and layers of clothing get thinner,
many men begin to worry—
“My chest line shows through my T-shirt.”
This is a common concern
among male patients we meet,
especially those struggling with
gynecomastia (male breast enlargement).
Contrary to popular belief,
gynecomastia is more common than you think,
and it can occur even without weight gain.
If you’re reading this post,
you may already be familiar with this issue.
Even after intense workouts
and a clean diet,
if the chest remains enlarged,
particularly with puffy nipples or
a protruding areola,
there’s a high chance it’s gynecomastia.
This isn’t just a cosmetic problem—
it can cause discomfort in daily life
and lead to psychological stress
and lower self-confidence.
In today’s case study,
we’ll explore a real male gynecomastia surgery case,
detailing the procedure,
visible improvements,
and important post-op care tips.
This patient in his late 30s
began noticing symptoms of gynecomastia
several years before visiting our clinic—
his chest was getting larger and firmer.
When wearing a T-shirt,
the protrusion of the chest and areola
caused significant stress for him.
To improve the issue,
he consistently performed chest workouts
and even lost weight.
However, despite his efforts,
there was no change in shape or projection,
which led him to seek medical help.
Especially at the gym,
he became increasingly self-conscious—
not only because of the visible protrusion,
but also due to the jiggling movement
during exercise,
which worsened his psychological distress.
At first, he believed his chest shape
was caused by weight gain.
But as the discomfort continued,
he began to suspect true gynecomastia,
and decided to consult Lesarts Plastic Surgery.
Before consultation,
we visually examined the patient’s chest condition.
Both breasts showed visible protrusion,
with a firm texture overall,
and the nipples and areolas appeared
wide and swollen.
He was diagnosed with Simon Grade 2A,
and ultrasound confirmed glandular hypertrophy
in both breasts.
This indicated true gynecomastia,
which required surgical treatment.
Based on this diagnosis,
we proposed the following gynecomastia surgery plan:
Through a periareolar incision,
the enlarged glandular tissue would be directly removed,
to fundamentally resolve the breast enlargement
and nipple projection.
Via the same incision,
we would perform liposuction
to remove excess fat around the chest,
creating a flatter and smoother contour.
In order to prevent any lumpiness or
depressions caused by gland removal and liposuction,
we planned a tissue repositioning technique
to fill hollow spaces and reshape the chest evenly—
preventing collapse and achieving a natural result.
Below is a before-and-after comparison
showing the patient’s chest 1 month after surgery.
In the pre-op photos,
both sides of the chest clearly show
glandular hypertrophy,
resulting in noticeable protrusion.
The nipples and areolas also appeared
wide and swollen,
making the chest the most prominent part
of the upper body line.
This was even more visible from the side view.
The bulging began just above the areola,
creating a sharp and unnatural projection,
which likely caused significant discomfort
in daily life.
In addition, the lower chest line was uneven,
making the overall chest contour look irregular.
In the post-op photo,
the glandular tissue,
which directly caused the size and protrusion,
has been removed,
flattening and reshaping the chest contour.
The swollen nipple and areola area
was completely corrected,
creating a much more masculine and balanced
appearance in the upper body.
From the side,
the rib cage line now appears natural and firm,
reflecting a well-toned chest profile.
The change after gynecomastia surgery
became even more noticeable
when wearing a white t-shirt.
Before surgery, the protruding chest
and swollen nipples and areolas
were clearly visible through the shirt,
distorting the fit and making it hard
to avoid feeling self-conscious.
This likely caused even more stress
for the patient,
who had been consistently active
with regular workouts.
At 1 month post-op,
with the glandular tissue removed
and excess fat reduced,
the chest size has noticeably decreased.
The t-shirt now fits smoothly,
giving a more stable and masculine appearance.
However, the patient had a habit
of smoking more than one pack a day,
so we emphasized the importance
of avoiding smoking and alcohol
before and after surgery.
Smoking increases the risk of inflammation
and delays the healing process,
so we advised him to abstain for at least
two weeks post-op.
Even with great surgical results,
proper recovery is essential
to achieving high satisfaction in the final outcome.
If he continues to follow these guidelines,
maintain regular exercise,
and lead a healthy lifestyle,
the improved results are expected
to be long-lasting.
#Gynecomastia
#MaleBreastReduction
#GynecomastiaSurgery
#MaleBodyContour
#PuffyNippleCorrection
#ChestLiposuction
#LesartsPlasticSurgery
#KoreanPlasticSurgery
#MenFitnessSurgery
#FlatChestTransformation
#MaleConfidenceBoost
#SeoulGynecomastia
