Evita Clinic’s

Gynecomastia Operation Method

How is Gynecomastia Surgery done?

Gynecomastia surgery consists of four methods depending on your grade.

As you can see in the chart on the left, one of the things that we consider is if your chest is sagging or not.

The image below shows different Grades of Gynecomastia. It is according to the American Society of Plastic Surgeons(ASPS) classification. You can use this chart as your guide to give you an idea of which grade you have.

In case of Grade I

The surgery method is simple. You would only need mastectomy (gland removal).

In case of Grade II

You need mammary gland removal and liposuction.

For grades 3 and 4, there is some additional procedure needed to prevent postoperative sagging.

In case of Grade III

You will need additional mastopexy (external or internal lifting)

In case of Grade IV

Additional nipple transposition & Skin resection.


Before you go in for surgery, our surgeon would do the “Designing”.
This is to plan out which areas to focus on and which areas not to touch during the surgery.


As shown in the photo below, we have a special Incision method. Our goal is to leave as minimal scars as possible after the surgery.

Tumescent Anesthesia

The word “tumescent” means swollen and firm. By injecting a large volume of dilute Lidocaine (Local anesthetic) and Epinephrine (Capillary constrictor) into subcutaneous fat, the targeted tissue becomes swollen and firm. The Tumescent Technique is a method that provides local anesthesia to large volumes of subcutaneous fat and thus permits Liposuction to be done totally by Local Anesthesia. This eliminates the need for General Anesthesia and surgeries can be done only through IV sedatives.

Laser Lipolysis

Accusclup Laser helps give more elasticity to your skin after the surgery.

ACCUSCULPT features a 1444 nm micro pulsed Nd: YAG wavelength for facial and body contouring. This clinical procedure is well known as ACCULIFT™.

After Gynecomastia surgery, the restoring of enlarged skin is very important. Evita Clinic uses this laser to help improve your skin elasticity.


Before removing the gland, Liposuction is done to suction out unnecessary unwanted fats on your chest.

Liposuction greatly helps to reshape and overall improve the appearance of your chest.

We use a Nutational Infrasonic Liposculpture with an aspiration machine EVA®

This takes about 40 to 50 minutes.


Lastly, your mammary gland will be removed.

It takes about 1 to 2 hours.

Pathologic Report

A week from your surgery, you will receive your biopsy examination result.

“If you have male breast, you probably will be unhappy, and if you choose Evita Clinic, you will be have a confidence. ”

Fierre • London

“I underwent surgery five years ago, but I got a relapse again. So, I found a hospital where I was able to get rid of the perfectly mammary gland.”

Rogers • Japan
After Operation Care
After Operation Exercise