Male Breast Reduction Surgery (Gynecomastia) in Costa Rica

What is Gynecomastia?

Gynecomastia is a medical term used to describe the abnormal enlargement of the male breast. It is a fairly common condition that affects nearly half of men in adolescence and can occur in one or both sides of the chest.

Gynecomastia can be caused by hormonal changes, extreme weight loss, hereditary conditions, diseases or the use of certain drugs. It is characterized by excess glandular tissue, excess localized fat – or a combination of both – in the breast area, and in some cases, may extend to the sides and back as well.

The breast reduction surgery can help men look and feel better, creating a more masculine chest contour and accentuating the anatomical features of the pectoralis major pectoral region to show a more athletic figure.

Men with gynecomastia, which have healthy and relatively normal weight, may consider breast reduction surgery as an option – although a full medical checkup is necessary to rule out any medical cause of breast enlargement. Surgical correction of gynecomastia is best performed in men whose condition cannot be corrected through alternative medical treatments.


There are several techniques that can be used for treating gynecomastia, depending on the size and shape of the breast. In general, the procedure involves making an incision in the lower edge of the areola to remove the gland. In cases where gynecomastia is at the expense of fat (lipomasty) is used liposuction to remove excess fat deposits localized. In some cases, it is necessary to combine both surgical procedures and also perform other procedures to remove him more glandular tissue, fat and excess skin.


You will need to wear a vest over two to three weeks to compress the skin and aid in the healing process.

Micropore ® should be used for no rubbing or friction points directly to the wound with dressing while protecting the wound.

Drains (if necessary after surgery) can be removed after one or two days. Sometimes you can see small areas of crusting along the incision line, which must be kept clean. They should not be touched and fall on their own after about 15 days.

Recovery is rapid, but it is important to limit physical activity for optimal recovery. Avoid any heavy exercise, lifting, pushing or pulling heavy weights four to six weeks. Heavy exercise can hinder the process of healing of incisions and lead to complications such as delayed healing or pathological scars. Direct exposure to sunlight should be avoided for about six months.


Complications of treatment of gynecomastia are infrequent and usually minor, although no surgical procedure is without risk. Possible risks include bleeding, infection, temporary or permanent loss of sensation in the chest and / or nipple areola complex, visible irregularities in the skin, asymmetry, and the accumulation of fluid under the skin, which may need to be drained by aspiration or other surgical procedure.