Gynaecomastia surgery in Wrocław
Gynaecomastia surgery removes enlarged glandular breast tissue in men. It combines excision of the gland with liposuction of the surrounding fat, giving the chest a flat, masculine contour; when the cause is fat alone, liposuction is enough. At Luna Clinic in Wrocław the operation is performed by Dr Aleksandra Łuniewska.
Gynaecomastia surgery removes enlarged glandular breast tissue in men. It combines excision of the gland with liposuction of the surrounding fat, giving the chest a flat, masculine contour; when the cause is fat alone, liposuction is enough. At Luna Clinic in Wrocław the operation is performed by Dr Aleksandra Łuniewska.
Surgical gynecomastia treatment - what does the procedure involve?
Surgical gynecomastia treatment is a procedure we perform at Luna Clinic fully aware of how great an impact gynecomastia can have on patients’ daily comfort. Changes within the chest, such as enlargement of glandular or fat tissue, often hinder physical activity and affect self-esteem. That is why our surgical team focuses not only on removing the anatomical problem, but above all on restoring the patient’s psychological comfort.
Gynecomastia affects up to 30-40% of adult men and - although usually medically benign - can be a source of great psychological discomfort. When the gland enlargement persists for more than 1-2 years, it does not regress spontaneously or with training or diet; only surgical treatment is effective. Before the procedure we rule out hormonal and drug-related causes.
Indications for the procedure
Whether the procedure is advisable for you is ultimately decided by the doctor during the consultation.
- True or mixed gynecomastia (enlargement of glandular tissue)
- Lipomastia (excess fat tissue within the breast)
- Chest asymmetry
- Psychological discomfort related to the appearance of the torso
- No effect after conservative treatment (diet, physical activity)
Contraindications
How to prepare for the procedure?
The procedure is always preceded by a qualification consultation with a plastic surgeon - we discuss expectations, examine the area to be operated on and establish an individual treatment plan. As standard, we order a full set of tests (blood count, coagulation, electrolytes, ECG for general anaesthesia) and, if necessary, additional specialist consultations.
- Consultation with a plastic surgeon for qualification, discussing expectations and the treatment plan
- Laboratory tests
- Stopping anticoagulant medications at least 14 days before the operation (after consulting a doctor)
- Avoiding alcohol and smoking for a minimum of 14 days before the procedure - for better healing
- Thorough skin hygiene on the day of the procedure (no make-up, creams or lotions)
The gynecomastia-treatment procedure step by step
Recovery and post-procedure recommendations
- Swelling and bruising are natural and diminish within 2-4 weeks
- Sleeping with the head elevated is recommended for the first few days
- Dressings and sutures cared for according to the doctor’s recommendations
- Sutures are usually removed after 7-14 days
- Avoiding intense physical exertion and bending over for a minimum of 4-6 weeks
- No sunbathing or use of a solarium for a minimum of 6 months - SPF 50 protection is necessary
- After full healing, scar massages and products supporting their maturation may be introduced - according to the doctor’s recommendation
- Check-ups: about 1 month after the procedure, then after 3, 6 and 12 months
Treatment effects
The result of the procedure is a flat, proportional, masculine chest - visible immediately after the operation, and fully once the swelling subsides (about 3-6 months). The result is permanent: the removed gland does not grow back. The scar at the edge of the areola is practically invisible once healed.
Possible complications and risks
Like any surgical procedure, this one also carries a certain risk. It is reduced by careful qualification before the procedure and by following the aftercare recommendations. Possible complications include:
- Haematoma or bleeding requiring drainage
- Infection requiring antibiotic therapy
- Temporary or rarely permanent sensory disturbances in the operated area
- Hypertrophic or discoloured scars
- Asymmetry requiring correction
- Longer-lasting swelling or bruising
- An unsatisfactory aesthetic result requiring possible re-operation
Frequently asked questions
Is the gynecomastia procedure painful?
No. We perform the procedure under general anaesthesia, so the patient feels no pain during the operation. After the procedure a feeling of tightness and discomfort may appear, which we relieve with painkillers.
What are the most common causes of gynecomastia?
Most often these are hormonal disorders, taking certain medications (e.g. steroids), liver diseases or excess fat tissue. In many patients the cause remains unknown - so-called idiopathic gynecomastia.
Will the scars be visible after the operation?
The scars are thin and run around the areola, which allows them to be concealed as much as possible. In most patients they become barely visible over time.
When can I return to work?
To office work most often after 3-5 days. For physical work - usually after 4 weeks, following a check-up assessment.
Can I exercise after the procedure?
Yes, but only after about 6 weeks and exclusively after a follow-up consultation with the doctor. This applies especially to chest strength training.
How long will I have to wear the compression vest?
We recommend wearing it continuously, including at night, for a minimum of 4-6 weeks, with breaks for hygiene. It is a key element of recovery.
Is the effect of the procedure permanent?
Yes - provided a stable body weight is maintained and there are no hormonal disorders. The effect can be long-term, and in many cases - lasting for life.
Can gynecomastia recur?
Rarely, but yes - e.g. with sudden hormonal changes, resuming medications that disturb hormonal balance, or a large weight gain.
Is a hormonal test necessary before the operation?
In most cases yes - to rule out endocrinological causes and plan optimal treatment. The choice of tests is determined by the surgeon during the consultation.
Can the gynecomastia procedure be combined with another procedure?
Yes - if the patient is in good general condition, gynecomastia can be combined e.g. with liposuction of other body areas or nipple correction. The final decision is made by the surgeon.
Can gynecomastia come back after the operation?
The removed glandular tissue does not grow back. Recurrence is possible only with a persisting hormonal cause, significant weight gain or the use of anabolic steroids.
Does the procedure leave visible scars?
The incision runs at the edge of the areola, and the liposuction marks are a few millimetres - once healed, the scars are very discreet.
How soon can I return to the gym?
Light lower-body training usually after 2-3 weeks, full chest training after 6 weeks - always after a check-up with the surgeon.
Gynaecomastia surgery in Wrocław: how much does it cost?
Gynaecomastia surgery is quoted individually, depending on the gland-to-fat proportion and any excess skin. The amount follows the surgical consultation (PLN 300).
Is it covered by the NFZ (Polish public health insurance)?
Luna Clinic treats patients privately. NFZ-funded gynaecomastia treatment is possible only with medical indications, in contracted facilities. Cosmetic correction is not covered.
Dr Aleksandra Łuniewska
Dr Aleksandra Łuniewska - a plastic surgery specialist with over 17 years of experience, founder and chief surgeon of Luna Clinic. A member of the Polish Society of Plastic Surgery, she completed her specialist training in Gdańsk and Wrocław. Her philosophy is based on natural and harmonious results that emphasise the patient’s individual beauty.
Take the first step
Book a consultation - an honest conversation about expectations, possibilities and the treatment plan.
Gynaecomastia surgery: price and consultation
Gynaecomastia surgery is quoted individually at Luna Clinic. The price depends on the proportion of gland to fat, whether excess skin needs removing (after major weight loss) and whether one or both sides are treated. Hormone tests may be needed before surgery - we discuss this at the surgical consultation (PLN 300).
How to book
Call +48 666 850 666 (Monday-Friday, 9:00-17:00) or send the consultation form. All prices: Luna Clinic price list.
Where we are
Luna Clinic, ul. Władysława Syrokomli 46, 51-141 Wrocław, Poland - in the Karłowice area of the Psie Pole district. There is parking for patients by the clinic. Directions and map