Gynecomastia surgery in Seoul – When the chest remains large after liposuction, the cause is glandular tissue | Lesarts Plastic Surgery
Patient Registration Info
| Age | Weight | Height | BMI |
|---|---|---|---|
|
20s |
98kg |
182cm |
30 |
Surgical site
gynecomastia
2-A
Even though there are various reasons
why men consider gynecomastia surgery,
many do so after trying exercise or treatments
without achieving the results they hoped for.
At that point, it’s crucial to identify
the true cause of the chest enlargement.
If the chest size remains the same
after liposuction or fat-dissolving injections,
it likely means glandular tissue is still present,
requiring accurate diagnosis and surgical correction.
The patient in this case had previously undergone
chest liposuction, but continued to experience
nipple protrusion and palpable hardness,
which led him to undergo gynecomastia surgery for proper correction.
The patient reported that his gynecomastia symptoms
had gradually appeared since his teenage years.
He previously underwent liposuction
to reduce chest size but saw little improvement,
and continued to experience persistent discomfort.
Because the main issue was caused by glandular overgrowth,
a proper diagnosis and surgical correction were necessary.
The protruding nipple area and pointed chest shape
caused daily discomfort and limited clothing choices,
leading to significant emotional stress.
To find a complete and lasting solution,
the patient decided to undergo revision gynecomastia surgery
at Lesarts Plastic Surgery.
Upon visual examination, the patient showed
a clearly visible protrusion in the chest area,
especially with swelling around the nipples.
On palpation, a firm lump was detected —
the same discomfort the patient had long experienced.
Despite having previous liposuction,
residual fat in the lower and lateral chest
continued to make the chest appear larger.
An ultrasound scan confirmed
bilateral glandular tissue overgrowth,
leading to a diagnosis of Simon Grade 2A true gynecomastia.
To achieve a balanced and natural chest contour,
the surgical plan included gland removal,
targeted fat suction, and tissue repositioning
to prevent adhesion or nipple depression.
[Male, Late 20s / Simon Grade 2A / Gynecomastia Surgery Plan]
1.Gland Removal
Through a minimal periareolar incision,
the glandular tissue causing nipple protrusion was removed
to reduce chest volume and correct nipple shape.
2.Liposuction (Lower & Side Chest)
To achieve smooth contouring,
fat around the lower and lateral chest was suctioned,
enhancing symmetry and reducing residual bulk.
3.Adhesion Prevention
After gland removal, deep tissue repositioning
was performed to avoid nipple depression and
maintain a natural flat chest contour.
At 1 month post-surgery,
we observed not only aesthetic improvement
but also significant relief in daily discomfort,
marking a stable and positive recovery phase.
Before surgery, the patient’s chest protruded prominently around the nipples,
showing a clear outward contour typical of gynecomastia.
From the side view, the projected chest line was obvious,
as both glandular and fatty tissues had accumulated,
causing the lower chest to appear fuller
and giving the chest a feminine shape.
At 1 month after gynecomastia surgery,
the overall chest size was visibly reduced,
and the previously protruding nipples improved naturally,
resulting in a flat, firm, and balanced chest contour.
Fat around the lower and side chest was also refined,
making the upper body appear neater and more symmetrical,
with noticeable reduction in daily discomfort.
This transformation was achieved through a combination of
gland removal, liposuction, and tissue repositioning,
which effectively corrected both the protrusion and glandular hardness.
Before surgery, the chest and nipple projection
were clearly visible under a white T-shirt,
making the fit look unnatural and uneven.
From the side view, the nipple area protruded forward,
creating an awkward silhouette compared to the upper body.
This caused the shirt to lift around the chest
and not sit smoothly against the body,
leading the patient to adopt rounded shoulder posture,
crossed arms, or wear layered and loose clothing
to hide the area.
At 1 month after gynecomastia surgery,
the gland removal and fat contouring
were completed neatly,
reducing chest volume and projection —
resulting in a flat, smooth, and natural T-shirt fit.
Beyond cosmetic improvement,
the patient also experienced relief from
gland-related lumps and chest discomfort,
reporting a high level of satisfaction overall.
It’s important to note that true gynecomastia
is not merely a cosmetic issue,
but a medical condition caused by
hormonal imbalance and glandular overgrowth.
Since exercise or dieting alone cannot correct this,
accurate diagnosis and surgical treatment
are essential for lasting improvement.
For those who didn’t achieve satisfactory results
from previous procedures,
reassessing the underlying cause and
planning a personalized surgical approach
is strongly recommended.
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