Gynecomastia surgery in Seoul – Is surgery the answer to celebrity-level gynecomastia concerns? | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
40s |
82kg |
174cm |
27 |
Surgical site
gynecomastia
2-A
During school breaks or holidays,
many patients visit for gynecomastia consultations.
Because recovery and return to daily life are relatively quick,
students and office workers often decide to undergo surgery
without significant concern or disruption to their routines.
Recently, however, during consultations,
we’ve noticed an increasing number of patients
who not only seek treatment for gland removal
but also care deeply about the aesthetic shape of the chest.
This has led to a growing interest in what’s often called
“pectoral contouring surgery” —
a form of male chest shaping that enhances
a firmer, more masculine upper body line.
When performing gynecomastia surgery,
patients naturally hope not only to treat the condition
but also to achieve a defined, muscular chest shape
that improves T-shirt fit and overall physique.
To accomplish this, a comprehensive approach is essential —
removing both the glandular tissue that causes nipple protrusion
and the surrounding fat deposits,
then repositioning the chest tissue to create
a firm, smooth, and masculine contour from the upper chest downward.
We’ll now take a closer look at the photos
to explain these changes in more detail.
This patient, a man in his 40s,
had been experiencing gynecomastia symptoms
and noticeable nipple protrusion
since his twenties.
He consistently engaged in upper-body strength training
and even succeeded in losing some weight,
yet he noticed no improvement
in the size or shape of his chest.
He also reported feeling firm lumps around the nipples,
and when wearing fitted clothing,
the protruding chest contour remained visible,
causing significant stress and discomfort.
Before visiting Lesarts Plastic Surgery,
the patient had already been diagnosed with gynecomastia
at another clinic.
However, he had continued trying to manage it
through exercise and weight control alone,
without undergoing surgery.
To ensure an accurate diagnosis of gynecomastia,
an ultrasound examination was performed,
which confirmed bilateral glandular tissue overgrowth.
Upon palpation, firm glandular nodules were detected,
and the patient reported consistent discomfort
in those areas for a long time.
Visually, the chest protrusion was also apparent —
the nipples and surrounding areas appeared swollen and rounded,
indicating typical features of true gynecomastia.
The patient was diagnosed with Simon Grade 2A true gynecomastia,
with mild asymmetry between both sides.
Accordingly, the following surgical plan
was explained to the patient:
[Male, 40s / Simon Grade 2A / Gynecomastia Surgery Plan]
1.Glandular Tissue Excision
Through a periareolar incision,
the enlarged glandular tissue was removed
to reduce chest size and nipple projection,
restoring a firm and masculine chest contour
as the primary surgical goal.
2.Chest Liposuction
Since fat accumulation was present
around the lower and lateral chest,
liposuction was performed in these regions
to reduce residual bulk that gland removal alone
could not correct.
This approach helped create a smooth, natural chest line
and enhanced upper-body proportion.
3.Adhesion Prevention & Depression Correction
After gland removal, there’s a risk that
the nipple and areola area may adhere irregularly
to the fascia, creating indentations.
To prevent this, tissue repositioning was performed
to ensure a natural, firm transition
between the upper chest and the nipple/areolar zone.
4.Fat Grafting for Chest Volume Balance
Because extensive gland removal can sometimes cause
a flattened appearance in the mid-chest,
fat grafting was added to the inner pectoral area (sternal line)
to restore balanced fullness and natural volume.
This additional procedure not only complemented
the results of gland removal but also refined
the chest’s shape into a muscular, well-defined contour,
resembling that of a trained physique.
The combination of these treatments was expected
to produce a synergistic improvement
in both functional correction and aesthetic shape.
We’ll now examine how the chest shape
and overall comfort level changed
three months after gynecomastia surgery.
Before surgery, the patient’s chest showed
enlargement centered around the nipples
and a protruding forward contour,
giving the appearance of a female-like chest.
After gynecomastia surgery, which involved
glandular tissue removal and liposuction
of the lower and lateral chest,
the chest size was reduced, and the nipple projection
was corrected, resulting in a smooth, flat,
and masculine chest contour.
Especially when wearing a T-shirt,
the previously protruding nipple area that stood out
was completely corrected,
achieving the toned, athletic chest contour
the patient had hoped for.
In this case, tissue repositioning and fat grafting
to the sternal (chest midline) area were performed together
to prevent a sunken or overly flat appearance
after gland removal.
As a result, the chest size was significantly reduced,
yet the shape became firm, defined, and naturally sculpted.
However, the patient was also taking medication
for hair loss treatment, which can influence hormone levels.
Therefore, we provided thorough guidance on recurrence risk
and emphasized the importance of regular follow-up monitoring
after gynecomastia surgery.
Gynecomastia affects a wide range of individuals —
from teenagers to middle-aged men,
including office workers, healthcare professionals, athletes,
entertainers, chefs, soldiers, students, and trainers —
demonstrating that it is a common condition across lifestyles.
Although many men experience this condition,
some hesitate to seek treatment out of embarrassment or discomfort,
enduring unnecessary stress instead of addressing the issue.
It’s important to remember that gynecomastia
can be effectively and quickly treated through surgery.
Rather than hiding the problem or worrying alone,
we encourage patients to consult a specialist
to discuss the most suitable treatment options
for their condition.
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