Safe, Precise Gynecomastia Surgery in Seoul

Individualized surgical planning with clear pricing and English support for international patients.

Gynecomastia2026-07-27T00:15:37+09:00

Quick answer

What Is Gynecomastia Surgery?

Gynecomastia surgery reduces male chest fullness by removing enlarged glandular tissue, with liposuction or skin removal added when indicated. The technique is chosen after evaluating fat, skin excess, sagging, nipple position, and general health.

Medically reviewed by Dr. Francis Jeon, Thoracic & Cardiovascular Surgeon
Updated

AssessmentGland, fat, skin, asymmetry, and chest contour
TechniquesExcision, Lipomatic® liposuction, and skin removal when indicated
AnesthesiaLocal anesthesia with IV sedation when appropriate
International CareEnglish consultation, surgical planning, and follow-up

EVITA OPERATION

Gynecomastia Surgery in Seoul

At Evita Clinic in Gangnam, Seoul, gynecomastia surgery is planned around each patient’s anatomy and the underlying cause of chest enlargement. Treatment may include direct gland excision, power-assisted liposuction (Lipomatic®), skin removal, or a combination of these techniques.

When both glandular tissue and excess fat are present, gland excision and liposuction can be combined to reduce chest fullness and create a smoother, more balanced contour. The incision pattern, anesthesia plan, expected scars, and recovery timeline are determined after an individual medical evaluation.

The aim is a natural-looking, well-proportioned chest while limiting visible scarring and contour irregularities. Individual results vary and may be affected by skin elasticity, healing response, weight changes, hormonal factors, medications, and other medical conditions.

Evita Clinic · Seoul · Established 2009
Gynecomastia procedures are led by Dr. Francis Jeon, a thoracic and cardiovascular surgeon with a clinical focus on male chest contouring.

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“I decided to go with them so I sent an email and received a quick response. The surgery and care after the surgery went well and I am very happy. It was a great choice.”

Lincoln, Tokyo, WHATCLINIC.COM

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Exercise and weight loss may reduce chest fat, but they do not remove enlarged glandular breast tissue. A medical evaluation is needed to distinguish true gynecomastia from pseudogynecomastia.

Evita’s Combined Surgical Method for Gynecomastia

Gynecomastia grades 1 to 4 comparison chart showing chest enlargement severity, areola projection, skin excess, and nipple position relative to the inframammary fold (IMF)

Grade & Method

Gynecomastia Grade System & Operation Method

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Anatomical illustration of a man performing a dumbbell chest press showing major upper body muscles including the pectoralis major, deltoids, and triceps.

Postoperative Exercise

Importance of Chest Exercises after Surgery

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Gynecomastia Postoperation Schedule
Same day consultation and surgery

Same-Day Consultation and Surgery for Eligible Patients

Same-day surgery is not guaranteed and depends on advance medical review, fasting, test results, medical history, medication use, and surgical availability.

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Gynecomastia surgery post-op recovery routine including compression garments, work, walking, and exercise

Gynecomastia Surgery Post-op Routine

Gynecomastia Surgery Post-op Routine

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SURGICAL OPTIONS

Gynecomastia Surgery Techniques, Incisions, and Scars

Gynecomastia surgery is not performed using the same incision in every patient. The appropriate technique depends on the amount of glandular tissue, excess skin, chest sagging, areola size, and nipple position. The illustration below compares the preoperative design, skin removal area, nipple–areola repositioning, and expected postoperative scar for each surgical approach.

Gynecomastia surgical techniques comparing preoperative incision designs, skin excision areas, nipple repositioning, and postoperative scars.

The grade labels shown are general guidance only. The final surgical method is selected after evaluating each patient’s anatomy, skin elasticity, desired chest contour, and preferences regarding scar length and location. Whenever possible, Evita Clinic uses the least extensive incision that can achieve an appropriate chest contour.

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PLAN ACCORDING TO YOUR GRADE

Our Prices

Classsification gynecomastia

Grade I & II

4,500,000
  • Approx. USD 3,100
  • Common Treatment for Mild to Moderate Cases
  • Liposuction & Gland Excision
  • Approximately 2 hours
  • Minimal Skin Incision
  • Return to desk work and light daily activities in approximately 3–4 days

Grade III & IV

6,500,000
  • Approx. USD 4,500
  • For Significant Skin Excess or Chest Ptosis
  • Includes chest lift and skin excision when indicated
  • Approximately 4 hours
  • Inverted-T Skin Excision, When Indicated
  • Allow at least 2 weeks before returning to most routine activities

Areolar Reduction

+ ₩1,500,000
  • Approx. USD 1,000
  • For enlarged areolae
  • Includes Areolar Skin Excision
  • Approximately 1 additional hour
  • Circumareolar Skin Resection
  • Allow approximately 1 week for initial recovery

Fixed, All-Inclusive Pricing

The listed KRW price for the selected gynecomastia procedure includes:

  • Surgeon and operating-room fees
  • Anesthesia
  • Preoperative tests
  • Compression garment
  • Postoperative dressings and follow-up care
  • Follow-up visits

The listed price includes all items above, with no additional charges for those items. Gynecomastia surgery is VAT-exempt in Korea, so no VAT is added to the listed gynecomastia surgery price.

Optional procedures, such as areolar reduction, are charged separately when selected.

All prices are fixed in KRW. USD amounts are estimates only and are calculated using the exchange rate on the day of surgery.

The appropriate surgical grade and procedure are determined after an individual medical evaluation.

Recovery varies depending on the procedure, occupation, healing response, and individual medical condition.

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The image above is a mosaic created from glandular tissue removed from our first 100 gynecomastia patients.

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Safety and Possible Risks

Gynecomastia surgery may involve risks such as bleeding, hematoma, seroma, infection, asymmetry, contour irregularities, visible scarring, changes in nipple sensation, delayed wound healing, and the possibility of revision surgery. Individual risks and expected outcomes are discussed during consultation.

Gynecomastia Surgery – Frequently Asked Questions

Yes. Men normally have a small amount of breast tissue beneath the nipple. Gynecomastia describes enlargement of this glandular tissue. A physical examination—and ultrasound when indicated—helps distinguish glandular tissue from chest fat and other conditions.

If you feel a firm, rubbery disc-like mass under the nipple, it is likely true gynecomastia (glandular enlargement).

If the chest feels soft and diffuse and reduces with weight loss, it is more likely pseudo-gynecomastia (fat accumulation).

An experienced surgeon can usually distinguish this through physical examination.
When necessary, a breast ultrasound is performed for accurate differentiation.

Exercise and weight loss can reduce chest fat, but they do not usually remove enlarged glandular tissue. Pseudo-gynecomastia caused mainly by fat may improve with weight reduction. A medical evaluation is needed to distinguish the two.

Male breast cancer is uncommon, but a new or changing chest mass should not be self-diagnosed.

Further medical evaluation is recommended if any of the following are present:

  • Unilateral enlargement
  • Hard, irregular mass
  • Nipple discharge
  • Persistent pain
  • Advanced age
  • Family history of breast cancer

At Evita Clinic, all removed glandular tissue is routinely sent for histopathologic examination to confirm the absence of malignancy.

If suspicious symptoms are present before surgery, blood tests and ultrasound evaluation are performed in advance.

Many gynecomastia procedures can be performed without general anesthesia. The appropriate anesthesia plan depends on the extent of surgery, medical history, and individual safety considerations.

At Evita Clinic, options may include:

  • Tumescent local anesthesia
  • Conscious IV sedation when appropriate

The final plan is confirmed after medical evaluation and preoperative testing.

Recovery is generally fast with minimally invasive techniques.

  • Light daily activity: the next day
  • Lower body exercise (walking, running): after 1 week
  • Chest workouts (bench press, push-ups): after 4 weeks
  • Compression garment: at least 4 weeks

Early aggressive chest exercise may widen the incision scar due to excessive tension.
For optimal scar control, full chest workouts are recommended after 4 weeks.

Yes, temporarily.

Once glandular tissue is removed, the space it occupied disappears, which may initially create a mild depression.

This is more noticeable because:

  • The upper gland area often has thinner subcutaneous fat
  • The pectoralis muscle beneath the gland may have been compressed and thinned

With precise liposuction contouring and gradual muscle volume restoration after recovery, this usually improves significantly.

The incision is typically about 2 cm, placed along the natural border of the areola.

Because it follows the pigment transition line, scars usually become discreet over time.

Proper scar management is essential, and detailed aftercare guidance is provided.

Removed glandular tissue generally does not regrow. However, new chest fullness can develop because of weight gain, hormonal changes, medication effects, scar tissue, or residual tissue. Any new or changing symptoms should be medically evaluated.

The following may create the impression of recurrence:

  • Significant weight gain leading to fat accumulation
  • Scar tissue formation under the areola
  • Fibrotic reaction from tissue adhesive (Bio-bond)

These are not regrowth of gland tissue but rather fat or scar-related firmness.

Most patients do not require revision surgery, but a minor scar procedure or treatment for persistent adhesion may occasionally be recommended. Because Evita Clinic’s internal follow-up figures are not presented here with a defined sample, study period, and follow-up protocol, this page does not state a clinic-specific revision percentage. Individual risk varies with anatomy, procedure, healing, and scar formation.

When medically indicated, such corrections are provided as part of our postoperative care policy.

International patients also receive continued communication and follow-up guidance after returning home.

In Grade III or higher cases treated with a minimal incision approach, mild residual skin laxity may remain after 1 year.

This is not recurrence or surgical failure, but rather a limitation of natural skin contraction.

If necessary, a secondary skin tightening or lifting procedure may be performed separately — without additional gland removal.

Adolescent gynecomastia may improve naturally as hormonal changes settle. Surgery is considered only after age, duration, symptoms, physical findings, and emotional impact have been evaluated. Requirements for parental consent and insurance coverage can change, so current eligibility must be confirmed individually before treatment.

Gynecomastia Surgery Insights & Articles

Private English Consultation

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Our English coordinator replies during Korea business hours (KST).

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