Gynecomastia Surgery (Male Breast Reduction) with Dr. Çağrı Sade
A flatter, more masculine chest for men bothered by breast enlargement
Gynecomastia is the medical term for breast enlargement in men. It can occur at any age and is often caused by a combination of hormonal changes, certain medications, weight gain, or genetic predisposition. For many men, this condition is not only a physical issue but also an emotional one, affecting confidence in social life, relationships, and even choice of clothing.
Gynecomastia may appear during puberty, in older age, or together with excess weight gain. In puberty, breast enlargement often develops due to rapid hormonal changes, and, in many boys, it regresses on its own over time. For this reason, surgical treatment is usually avoided until the age of 18, unless there is a very exceptional situation and a specialist evaluation supports intervention.
When gynecomastia persists, becomes more pronounced, or starts to cause psychological discomfort, gynecomastia surgery with Dr. Çağrı Sade in Istanbul can offer an effective and long-term solution.
What causes gynecomastia?
Gynecomastia can develop due to:
- Hormonal imbalance (changes in estrogen and testosterone levels)
- Use of certain medications
- Anabolic steroid use
- Genetic predisposition
- Aging and metabolic changes
- Excess weight gain causing fat accumulation in the chest
In many cases, it is physiological, meaning it is not linked to a serious disease but still creates an unwanted fullness or “breast-like” appearance in the male chest.
A detailed consultation with Dr. Cagri Sade helps distinguish between true glandular gynecomastia and pseudogynecomastia (enlargement mainly due to fat), as the surgical approach can differ.
Who is a candidate for gynecomastia surgery?
You may be a good candidate for male breast reduction with Dr. Çağrı Sade if:
- You have persistent breast enlargement that has not improved over time
- You feel embarrassed in fitted t-shirts, at the beach, or in the gym
- You experience heaviness, fullness, or asymmetry in the chest region
- You are at or close to a stable weight
- You are generally healthy and not using substances that aggravate the condition
For younger patients, surgery is usually considered after the age of 18, when hormonal development is more stable and spontaneous regression is less likely.
How gynecomastia surgery is performed
Gynecomastia surgery is performed under general anesthesia and typically lasts about 2–3 hours, depending on the severity and whether one or both sides are treated.
The treatment method varies according to the degree and type of gynecomastia:
- Fat-dominant gynecomastia:
When the enlargement is mostly due to fat, liposuction can be used to reduce breast size and sculpt a flatter, more masculine chest contour. - Gland-dominant gynecomastia:
When firm glandular tissue is present under the nipple-areola complex, surgical excision (removal of breast gland tissue) is required, often combined with liposuction for the best contour. - Mixed type:
Many patients have both fat and glandular tissue. In these cases, a combination of liposuction and gland excision is used to achieve a smooth, even result.
Incisions are usually kept small and strategically placed around the edge of the areola or within natural lines, aiming for discreet scars once healing is complete.
These interventions can provide dramatic changes in the chest shape, correct asymmetry, and help solve problems related to clothing fit and body image.
Recovery and expectations
After gynecomastia surgery with Dr. Çağrı Sade, patients typically:
- Wear a compression garment for a period of time to support the new chest contour
- Experience some swelling and bruising, which gradually subsides
- Return to desk-type work within a short period, depending on the individual
- Avoid heavy exercise and chest workouts for a while, as advised by the surgical team
The chest usually looks flatter and more masculine once swelling goes down, with continued improvement as tissues settle.
Why choose Dr. Çağrı Sade for gynecomastia surgery?
Choosing the right surgeon is essential when it comes to male chest aesthetics. Many men want a natural, athletic-looking chest, not an operated or hollow appearance. Patients choose Dr. Çağrı Sade and Dr. Çağrı Sade’s clinic in Istanbul for:
- Experience in male chest contouring
Dr. Çağrı Sade has solid experience in gynecomastia surgery and understands how to correct fullness while maintaining a strong, masculine chest shape. - Customized surgical planning
Each case is evaluated individually: whether the problem is mostly fat, gland tissue, or both, and whether any asymmetry is present. The surgical technique is chosen accordingly. - Safety-focused approach in accredited hospitals
Surgeries are performed under general anesthesia, in controlled hospital settings, with appropriate preoperative evaluation and postoperative follow-up. - Natural, confident results
The aim is a chest that looks flat, firm, and proportional to the shoulders and torso, helping patients feel more comfortable in daily life, sports, and social settings.
If you are troubled by breast enlargement, avoiding certain clothes, or feeling self-conscious about taking your shirt off, gynecomastia surgery with Dr. Çağrı Sade in Istanbul can help restore a flatter, more masculine chest and improve your overall confidence.