Gynecomastia in Korea – Is it true gynecomastia even with a normal body type? | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
40s |
57kg |
163cm |
22 |
Surgical site
gynecomastia
2-A
Many male patients who first notice
symptoms of gynecomastia—a condition
where the male chest enlarges like a woman’s—
often assume it’s simply due to weight gain
or overall body shape changes.
However, even men with average builds
or slim body types may experience
chest enlargement and nipple protrusion,
which can be confusing and concerning.
If a firm lump is felt beneath the nipple
or the chest volume gradually increases,
the underlying cause may be
glandular tissue overgrowth,
requiring accurate diagnosis and treatment.
This gynecomastia case at Lesarts Plastic Surgery
involved a patient with a normal body type
who visited our clinic for evaluation and correction
after developing these symptoms.
This patient, a man in his 40s,
visited Lesarts Plastic Surgery after experiencing
continued discomfort that began in his 30s
when his chest size increased
and nipple protrusion became noticeable.
He maintained a normal build and regularly exercised,
yet the prominent area around the nipples
remained visible,
causing ongoing concern—especially
when wearing white or thin shirts,
which made the contour more apparent.
One notable factor was that the patient
had been taking hair loss medication
for approximately 10 years.
However, he reported difficulty recalling
whether the gynecomastia symptoms
had begun before or after starting the medication.
During examination, both sides of the chest
appeared enlarged and prominently projected,
showing clear signs of gynecomastia.
The area around the nipples was swollen,
and on palpation, firm glandular tissue
was detected beneath each nipple.
Ultrasound confirmed the presence of
widely developed glandular tissue
on both sides of the chest.
Although mild asymmetry was observed,
both sides were classified as Simon Grade 2A,
diagnosed as true gynecomastia.
Accordingly, a combined surgical plan
including gland excision and liposuction
was recommended to the patient.
1. Glandular tissue excision
Through a periareolar incision,
the overgrown glandular tissue was removed
to reduce chest size and correct nipple protrusion,
creating a flat and natural chest contour.
2. Liposuction
Since the lower and outer chest volume
was mainly due to fat accumulation,
chest liposuction was performed simultaneously
to smooth the transition and refine
the overall chest silhouette.
3. Adhesion and depression prevention
To prevent postoperative tissue adhesion
or indentation beneath the nipple area,
tissue repositioning was performed,
ensuring a stable and balanced chest shape.
4. Medication history and recurrence guidance
The patient had been taking hair loss medication
that affects hormones for an extended period.
As he could not clearly recall changes
before and after starting the medication,
the surgical decision was made
based on current examinations and findings.
However, we explained in advance that
recurrence may occur if hormonal imbalance persists
due to continued medication use,
and emphasized the importance of
regular postoperative follow-ups.
At 4 months post-surgery,
we reviewed how the chest contour had changed
and compared the results with preoperative images.
Before surgery, the chest appeared rounded and enlarged,
with the nipples as the central point of protrusion.
The areola and surrounding areas were swollen,
and excess fat extending toward the lower chest
emphasized the curved outline,
making the chest contour more prominent.
After gynecomastia surgery,
the glandular tissue was excised,
and the fat volume occupying the lower and outer chest
was removed through liposuction,
resulting in a smooth and refined chest shape.
The nipple protrusion was also reduced,
creating a flat and masculine contour
with a clear and natural difference
between the before-and-after results.
The difference in appearance when wearing a T-shirt
before and after female gynecomastia surgery
was also remarkably significant.
Before surgery, the chest protrusion
was clearly visible through the shirt,
emphasizing the rounded shape beneath the fabric.
After gynecomastia correction, however,
the T-shirt draped flatly over the chest
without any bulging areas,
showing a naturally smooth and masculine silhouette —
a clear visual proof of the surgery’s effectiveness.
This patient, who had a normal body frame
but suffered from visible chest protrusion,
felt constant discomfort in daily life,
especially when wearing thin or fitted clothing
that accentuated the chest area.
After surgery, he expressed high satisfaction,
as the issue that caused long-standing stress
had been completely resolved.
At four months post-surgery,
the chest maintained a stable and balanced shape,
and even the previously noted minor asymmetry
was well corrected.
We advised the patient to continue daily care
to avoid unnecessary strain on the chest area
and to maintain overall body balance.
With consistent attention and healthy habits,
his natural, clean, and masculine contour
is expected to remain long-term.
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