Gynecomastia surgery in Korea – Male chest fat that doesn’t shrink with exercise | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
20s |
86kg |
174cm |
28 |
Surgical site
gynecomastia
2-A
When a man’s chest enlarges like a woman’s,
it is called gynecomastia.
The causes are more varied
than many people expect.
While simple weight gain can add fat
to the chest, the case to watch is
overgrowth of glandular tissue
from hormonal imbalance.
Triggers can include puberty, midlife shifts,
certain diseases or medications.
If the enlargement is mainly fat,
exercise and diet may help.
But with true gynecomastia driven by hormones,
self-management often reaches a limit,
leading to ongoing stress.
Thin T-shirts or activewear may reveal volume,
causing poor fit and discomfort.
Many men avoid shirtless settings—gyms, saunas, pools—
and feel psychological withdrawal.
In early recognition, many assume
it’s a shape change they can manage.
But if excess glandular tissue is suspected,
a diagnostic ultrasound should confirm the pattern,
and gland excision is required
to reduce chest size fundamentally.
In this post, we review a case of gynecomastia
with persistent large chest and areolar protrusion
that did not improve with exercise or diet.
We will cover the diagnosis of true gynecomastia,
the surgical plan, and the before-and-after changes.
This patient had experienced chest enlargement
and protrusion symptoms since adolescence,
but even in his late 20s, the condition
did not improve, leading him to visit our clinic.
Despite his strong interest in body management,
he attempted to reduce the issue through
chest workouts and diet control,
successfully losing weight.
However, the large chest size,
areolar protrusion, and nipple swelling
remained unchanged.
As a result, he consistently felt discomfort
in daily life — from clothing choices
to situations requiring upper-body exposure
such as vacations or saunas.
Before visiting Lesarts,
he had also received a gynecomastia diagnosis
at another hospital,
but no proper treatment plan
was carried out.
Due to these ongoing difficulties,
he decided to undergo an accurate
gynecomastia ultrasound examination
and consult about a detailed surgical plan,
which is why he came to Lesarts Plastic Surgery.
Looking at the patient’s chest shape before surgery,
both sides appeared large and protruding,
with the nipples and areolae swollen
and clearly bulging outward.
On palpation, firm glandular tissue masses
could be felt inside the chest.
In particular, the nipples were elevated and enlarged
beyond average, with a raised appearance,
and the areolae were expanded,
which must have caused significant aesthetic distress.
The ultrasound examination confirmed
that the cause of this enlarged, protruding chest
was the overgrowth of glandular tissue.
The case was classified as Simon Grade 2A,
a diagnosis of true gynecomastia
requiring surgical treatment.
Based on these findings,
we explained a surgical plan that included
gland removal through a periareolar incision
to resolve the root cause of the large chest,
while also correcting the protruding nipple size
and overall areolar contour.
Below, by comparing this patient’s
before photos and 1-month postoperative results,
we will examine how much change was achieved.
When reviewing the before-and-after photos
taken at a 45-degree oblique angle
and a 90-degree side angle,
it is clear that the previously large, protruding chest
has been corrected into a smoother contour.
Before gynecomastia surgery,
the side view chest line appeared unnatural,
with the nipple swollen and elevated,
making the chest look pointed.
At 6 months post-op,
the glandular tissue was removed,
the chest protrusion was neatly corrected,
and the previously swollen nipples and areolae
were reshaped into a natural form.
Most importantly,
the sharp, pointed chest line was corrected,
creating a smooth and masculine transition
from the chest down to the abdomen.
In the before-and-after photos
wearing a thin short-sleeve T-shirt,
the effect of gynecomastia surgery
is even more clearly visible.
Before surgery, the large chest
and the protruding nipples and areolae
were fully exposed through the T-shirt fit,
undermining the patient’s confidence.
At 6 months post-op,
the chest size was reduced,
and the contour became smoother
and stably refined.
In particular,
the T-shirt fit itself looked natural,
leading to high patient satisfaction.
Since the shape and size of the chest
were improved, we advised the patient
that with continued body management,
a healthier lifestyle, and exercise,
the positive results of gynecomastia surgery
could be maintained long-term.
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