{"id":116901,"date":"2026-10-09T22:32:20","date_gmt":"2026-10-09T22:32:20","guid":{"rendered":"https:\/\/mallorcamedicalgroup.com\/blog\/uncategorized\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/"},"modified":"2026-10-11T10:44:35","modified_gmt":"2026-10-11T10:44:35","slug":"gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt","status":"publish","type":"post","link":"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/","title":{"rendered":"Gynecomastia: When Surgery Is the Right Choice\u2014and When It Isn&#8217;t"},"content":{"rendered":"\r\n<article>\r\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Tabla de Contenidos<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/#Gynecomastia_When_Surgery_Is_the_Right_Choice%E2%80%94and_When_It_Isnt\" >Gynecomastia: When Surgery Is the Right Choice\u2014and When It Isn&#8217;t<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/#What_It_Is_and_What_It_Isnt\" >What It Is and What It Isn&#8217;t<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/#When_Not_to_Trade_Right_Away\" >When Not to Trade Right Away<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/#What_Is_Assessed_During_the_Consultation\" >What Is Assessed During the Consultation<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/#Techniques_No_One-Size-Fits-All_Approach\" >Techniques: No One-Size-Fits-All Approach<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/#Recovery_and_Limits\" >Recovery and Limits<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/#How_to_Request_a_Review\" >How to Request a Review<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"#\" data-href=\"https:\/\/mallorcamedicalgroup.com\/en\/blog\/plastic-surgery-en\/gynecomastia-when-surgery-is-the-right-choice-and-when-it-isnt\/#Medical_Review_and_Editorial_Transparency\" >Medical Review and Editorial Transparency<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h1><span class=\"ez-toc-section\" id=\"Gynecomastia_When_Surgery_Is_the_Right_Choice%E2%80%94and_When_It_Isnt\"><\/span>Gynecomastia: When Surgery Is the Right Choice\u2014and When It Isn&#8217;t<span class=\"ez-toc-section-end\"><\/span><\/h1>\r\n<p><strong>Gynecomastia<\/strong> is an increase in breast volume in men. It is not a single diagnosis nor an automatic indication for surgery. During a consultation, Dr. Garc\u00eda Ceballos, MD, FCCP, MRCS (England), with 25 years of experience in plastic, reconstructive, and cosmetic surgery, first determines whether the enlargement is glandular, fatty, or mixed, and whether there is an underlying cause that should be treated before considering surgical reduction.<\/p>\r\n<p>Mallorca Medical Group conducts this evaluation in Palma de Mallorca. The purpose of this guide is to explain what you can expect from a thorough evaluation, not to promise a specific outcome. Each case is unique.<\/p>\r\n<h2><span class=\"ez-toc-section\" id=\"What_It_Is_and_What_It_Isnt\"><\/span>What It Is and What It Isn&#8217;t<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n<p>There are two conditions that are often confused. In true gynecomastia, breast glandular tissue is present. In so-called pseudogynecomastia, the bulk of the volume consists mainly of fat, with no significant glandular tissue. Many patients have a mixed composition. This difference dictates the technique: fat can be removed with liposuction; glandular tissue cannot be removed by suction alone.<\/p>\r\n<p>The enlargement may occur on one side or both, and may or may not be symmetrical. It can appear during puberty, in adulthood, or in association with a change in weight, a medication, or a hormonal imbalance. That is why the first visit does not begin with the scar\u2014it begins with the medical history and physical examination.<\/p>\r\n<h2><span class=\"ez-toc-section\" id=\"When_Not_to_Trade_Right_Away\"><\/span>When Not to Trade Right Away<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n<p>Not all cases of gynecomastia require surgery. During adolescence, some cases resolve on their own without surgery, and it is advisable to undergo a period of observation as agreed upon with the patient\u2019s treating physician. If a pharmacological, endocrine, or other medical cause is suspected, that cause must be investigated before removing tissue. Performing surgery without this step may leave the problem unresolved or increase the risk of recurrence.<\/p>\r\n<p>Surgery is also not indicated when the patient is seeking a chest contour that their anatomy, skin, or current weight do not realistically allow, or when the motivation is not their own. A plastic surgeon must be able to say no. The <a href=\"https:\/\/secpre.org\/cirugia-de-la-mama\" target=\"_blank\" rel=\"noopener\">Spanish Society of Plastic, Reconstructive, and Aesthetic Surgery (SECPRE)<\/a> emphasizes that candidates must be healthy, emotionally stable, and understand the limitations of the procedure.<\/p>\r\n<h2><span class=\"ez-toc-section\" id=\"What_Is_Assessed_During_the_Consultation\"><\/span>What Is Assessed During the Consultation<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n<p>During a <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/procedures\/plastic-surgery\/breast-surgery\/ginecomasty\/\">gynecomastia evaluation at Mallorca Medical Group<\/a>, the following are reviewed:<\/p>\r\n<ul>\r\n<li>Degree of enlargement and whether glandular tissue, fat, or excess skin predominates.<\/li>\r\n<li>Position and size of the areola, and symmetry between both sides.<\/li>\r\n<li>Quality and elasticity of the skin on the chest.<\/li>\r\n<li>Medical history, medications, and, if applicable, tests ordered by the treating physician.<\/li>\r\n<li>The patient\u2019s expectations regarding scarring, recovery, and possible outcome.<\/li>\r\n<\/ul>\r\n<p>Based on this information, a decision is made as to whether a &#8220;wait-and-see&#8221; approach is appropriate, whether another specialist should be consulted first, or whether surgical reduction is a reasonable option. The clinic&#8217;s <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/procedures\/plastic-surgery\/breast-surgery\/\">breast surgery<\/a> page lists this procedure alongside other types of breast surgery, including cosmetic and reconstructive procedures.<\/p>\r\n<h2><span class=\"ez-toc-section\" id=\"Techniques_No_One-Size-Fits-All_Approach\"><\/span>Techniques: No One-Size-Fits-All Approach<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n<p>When the indication is clear, the course of action depends on the severity:<\/p>\r\n<ul>\r\n<li><strong>Predominantly fatty tissue.<\/strong> Liposuction through small incisions to reduce volume and refine the contour. This is not a substitute for excision if the gland is firm.<\/li>\r\n<li><strong>Glandular component.<\/strong> Resection of the gland through an incision at the lower edge of the areola, often combined with liposuction.<\/li>\r\n<li><strong>Excess skin.<\/strong> In advanced cases, it may be necessary to remove skin and reposition the areola. The scar is more visible and is explained before surgery.<\/li>\r\n<\/ul>\r\n<p>Anesthesia may be local with sedation in select cases, or general when the procedure is more extensive. The hospital stay is typically outpatient or overnight, depending on the surgical plan and the team\u2019s judgment. There is no standard duration or discharge procedure for everyone.<\/p>\r\n<h2><span class=\"ez-toc-section\" id=\"Recovery_and_Limits\"><\/span>Recovery and Limits<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n<p>In the first few days, there is swelling, discomfort, and, sometimes, bruising. A compression garment is recommended for the number of weeks specified by the surgeon\u2014not according to a generic schedule found online. Intense physical activity and chest workouts should be resumed gradually. The areolar scar is usually well-concealed, but it is still a scar: it may widen, become discolored, or appear asymmetrical.<\/p>\r\n<p>Risks include hematoma, seroma, infection, changes in nipple sensation, irregular contours, and the need for revision surgery. If the underlying cause persists, the swelling may return. None of this is addressed by a hastily signed consent form: it is discussed during the consultation, with ample time.<\/p>\r\n<p>Dr. Garc\u00eda Ceballos does not present gynecomastia as a defect that must be corrected at all costs. He presents it as a diagnosis that is sometimes observed, sometimes treated without surgery, and\u2014when surgery is indicated\u2014is planned to achieve a proportionate chest, not a dramatic transformation.<\/p>\r\n<h2><span class=\"ez-toc-section\" id=\"How_to_Request_a_Review\"><\/span>How to Request a Review<span class=\"ez-toc-section-end\"><\/span><\/h2>\r\n<p>A consultation at Mallorca Medical Group is neither a free service nor a promotional offer. It is a medical evaluation. Anyone who would like to discuss their case can schedule an appointment at <a href=\"https:\/\/mallorcamedicalgroup.com\/en\/\">mallorcamedicalgroup.com<\/a> or call 971 254 686. Cam\u00ed Vileta 46C, 07011 Palma de Mallorca.<\/p>\r\n<\/article>\r\n<!-- mmg-editorial-footer --><hr class=\"mmg-editorial-footer-sep\" style=\"margin: 2em 0 1em; border: none; border-top: 1px solid #ddd;\"\/>\r\n<section class=\"mmg-editorial-footer\" style=\"font-size: 0.85em; line-height: 1.45; color: #555;\">\r\n<h3 style=\"font-size: 1em; margin: 0 0 0.6em; color: #444;\"><span class=\"ez-toc-section\" id=\"Medical_Review_and_Editorial_Transparency\"><\/span>Medical Review and Editorial Transparency<span class=\"ez-toc-section-end\"><\/span><\/h3>\r\n<p style=\"margin: 0 0 0.4em;\"><strong>Medical Review:<\/strong> Dr. Garcia Ceballos, 070707770, specialist in plastic, reconstructive, and cosmetic surgery<\/p>\r\n<p style=\"margin: 0 0 0.8em;\"><strong>Last revised:<\/strong> October 10, 2026<\/p>\r\n<p style=\"margin: 0 0 0.6em;\">This content has undergone human review and editorial oversight prior to publication. Mallorca Medical Group may use artificial intelligence tools to assist with certain stages of content creation, organization, translation, or editing. These tools do not replace medical review or professional judgment, and Mallorca Medical Group retains editorial responsibility for the published content.<\/p>\r\n<p style=\"margin: 0 0 0.6em;\">The information provided is for informational and educational purposes only and is not a substitute for an individualized medical evaluation.<\/p>\r\n<p style=\"margin: 0;\"><a href=\"https:\/\/mallorcamedicalgroup.com\/en\/legal-2\/\"><strong>Review our Editorial Policy and Policy on the Use of Artificial Intelligence<\/strong><\/a><\/p>\r\n<\/section>\r\n<!-- \/mmg-editorial-footer -->","protected":false},"excerpt":{"rendered":"<p>Gynecomastia is an enlargement of the male breasts. Surgery is not always necessary: first, the cause\u2014whether glandular, fatty, or medical\u2014must be determined. Guide by Dr. Garcia Ceballos, FCCP, MRCS (England).<\/p>\n","protected":false},"author":5,"featured_media":116902,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[115,177,353,446,682,1490,2103],"tags":[394,478,2166,2167],"class_list":["post-116901","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-plastic-surgery-en","category-mamas-en","category-el-mejor-cirujano-plastico-de-mallorca-en","category-la-mejor-clinica-de-estetica-de-mallorca-en","category-consejos-cirugia-plastica-en","category-liposuccion-en","category-body-plastic-surgery","tag-mallorca-medical-group-en","tag-dr-garcia-ceballos-en","tag-gynecomastia","tag-male-breast-surgery"],"_links":{"self":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/116901","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/comments?post=116901"}],"version-history":[{"count":2,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/116901\/revisions"}],"predecessor-version":[{"id":116913,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/posts\/116901\/revisions\/116913"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/media\/116902"}],"wp:attachment":[{"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/media?parent=116901"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/categories?post=116901"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mallorcamedicalgroup.com\/en\/wp-json\/wp\/v2\/tags?post=116901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}