About the procedure

The aim of breast liposuction among men is a simple procedure, improving a patient’s physical appearance by removing as much fat accumulation as possible, while avoiding at the same time skin and muscles damages. This is probably the most common liposuction treated area of the male body (along with the abdomen, chin, cheeks and lips).

Normal male breasts consist of both fat and fibrous glandular tissue. Male breast tissue is located just below the nipple and is represented as a localized “lump” which is stiffer than the surrounding fat tissue. Removal of fat tissue by liposuction is а significantly easier procedure than liposuction of glandular tissue. However, distinguishing glandular from fat tissue might sometimes be difficult and in this case mammography as a method can be used.

Frequently Asked Questions

What is pseudogynecomastia

Pseudogynecomastia is an enlargement of the male breast caused by an excessive amount of fat tissue, with a normal amount of glandular tissue at the same time. In most cases, the reason for excessively large male breasts is the excessive fat amount. Mild pseudogynecomastia occurs in most men with aging. Excessively large breasts are a typical problem in younger men who are obese.

What is real gynecomastia

Real gynecomastia is an enlargement of the male breasts caused by overgrowth of glandular tissue. Real excessive glandular tissue in the breast is not usually common among men.

There are a number of reasons for gynecomastia  to occur – alcoholism, insufficient production of testosterone from  the testicles, the use of certain drugs, etc. Bilateral gynecomastia may also be caused by AIDS, hemodialysis treated renal failure, and some forms of cancer (e.g. testicular cancer). If a man has a single enlarged breast, then a check of possible breast tumor should be performed. Any significant asymmetry of the male breast, especially if it has a recent onset and asymmetric growth, is an indication for mammography to be performed.

Influence of some drugs

Drugs ,which can cause gynecomastia,  include: amiloride (Moduretic), amiodarone (Cordarone), amphetamines, anabolic steroids, antiandrogens (cyproterone), anticancer (cytotoxic) drugs, androgens, busulfan (Mileran), capitenil, captopril (Clomid), diazepam (Valium), diethylpropion (Tenuat), digitalis, domperidone, estrogens, isoniazid, ketoconazole (Nizoral), marijuana, methyldopa, metoclopramide, nifedipine (Procardia), nitrosoreno, phenothyline, penicillin phenylene, phenylene, phenylene, phenylene, spironolactone (Aldactone), tricyclic antidepressants, vincristine.

Common temporary gynecomastia

This is a common condition among newborns (over 75%) and is caused by maternal estrogen hormones which pass into baby’s blood through the placenta during pregnancy. Throughout puberty, 60% of boys experience temporary breast augmentation, usually regressink after that within a few months.

Liposuction for enlarged male breasts

Liposuction is most effective in cases of pseudogynecomastia. In real gynecomastia, the breast tissue is dense and fibrous and therefore difficult to be both penetrated and removed  with the use of  a liposuction cannula. Microcannulas are effective in removing breast tissue as well as fat tissue from normally developed male breasts. If the glandular tissue is extremely dense, this may require surgical removal through a scalpel and a subsequent closure of the breast through sutures.

How liposuction of male breasts is conducted

Male breast liposuction is a well-known procedure, but the technique and  the instruments for the operation are not standardized. Some surgeons prefer to perform liposuction entirely with the application of cannulas, while others prefer surgical excision of the excess tissue. Our surgeons select carefully the techniques and instruments individually for each case to ensure the best possible outcome for each patient.

Liposuction through local anesthesia

Tumescent liposuction of male breasts can be entirely undertaken through local anesthesia. After carefully injecting the local anesthesia into selected skin areas above the breast, multiple 1.5 mm incisions are made. A large amount of local anesthesia is then injected into. This reduces the resistance of the glandular tissue аagainst penetration. The smaller the diameter of the cannula, the easier it can penetrate dense tissues.

Postoperative care

After completing liposuction procedure, the incisions remain open (i.e. sutures are not applied) in order to maximize the drainage of residual blood and anesthetic solution. This drainage is absorbed by special tampons, which are placed with the use of spandex compression garment or a bandage. To maximize the compression, a special system of compression bandages and Velcro straps is applied, which ensures pressure control and regulation. To prevent bleeding and hematoma formation, the compression neck bandage is used within the first 24 hours.

What results can be expected after the procedure

Although  perfect results should not be expected,  a significant improvement in most cases  can be anticipated. An expectation of an average 50% improvement is reasonable. Unfortunately, with some patients there is no likelihood of improvement. For example, in the case of a thin man with a minimum amount of excess breast fat, the improvement can hardly achieve more than 30%. Our surgeons will provide you with information about the reasonably anticipated improvement, so that you have the opportunity of taking a well informed and therefore correct decision.

Risks of male breast liposuction

Potential reasons for an outcome with disappointing results after the operation are:

  • insufficient removed tissue;
  • too large scars;
  • uneven or asymmetric results;
  • Skin bumps/roughness;

The use of microcannulas tends to minimize the risk of these problems.

How much does it cost?

Prices are formed individually after an online consultation and depending on the patient’s personal needs. Once we know what you want, you will receive our offer within 24 hours. You also can check our PRICE LIST.

How do we work

Once you have made contact with us, we will organize a free video consultation with the surgeon we believe is best suited for your particular situation.

This consultation will be within 5 days of your request. Prior to the video consultation, we will ask you to fill out a questionnaire about your medical history and send photos of the problematic areas. 

If necessary during the video consultation your doctor will advise you to take additional photos of the problematic areas and suggestions for the angle from which to take photos.

This consultation will be combined with a detailed discussion about your wishes and the possibilities for achieving them.  We will discuss with you the expected results, possible risks and any other issues that you might be concerned about.

We advise you to make a list of all the questions you may want to ask concerning the procedure before the actual consultation. After the official request to us, and if you wish, we can arrange a meeting for you with our representative in London.

Within 24 hours of the video consultation, we will send you a costing describing the price of the procedure and the needed length of stay in Bulgaria. In the costing there will also be preferential prices offered for our partner hotels with which we work and for which we can guarantee the quality and comfort. 

You will then have 3-4 days of time to reflect, and give us your decision.

If you decide to proceed and agree with all terms and conditions , you will have 48 hours within which you must prepay 30% of the total amount of the procedure. This amount is paid directly to the clinic where your procedure will be performed and thereby you will have a reserved date and time for your procedure and a room in the hotel you have chosen. The remaining balance has to be paid by the day before the procedure itself after conducting the preliminary examination in the clinic.

If you decide or need to cancel the procedure, this must be done at least 30 days before the date of your flight in order to be able to trigger a process for returning your deposit.  

If you decide to cancel our services within the last 30 days before your flight, you must have a good reason for doing so (supported by evidence) in order to take your money back. If you cancel it within these 30 days and the reason is acceptable, your money will be returned, but you will be suspended 50 euro for an administrative fee. If you wish to change the date of the procedure, this can happen at least 30 days before.

If you wish, we can also arrange your travel from your home to the airport. We are partners with a transport company and you can use our preferential prices. This also applies to your return flight. To do this, you will need to send us the details of your flight one week in advance.

Upon arrival in Bulgaria, you will be greeted at the airport by one of our employees who will take you to your hotel.

On the day before the operation, you will have a preliminary examination, where some necessary tests will be performed (e.g. blood tests) and we will specify all the details related to the operation (treatment plan, proposal for some additional or adjacent procedures for a better outcome, recovery plan etc). Our employee will take you to the clinic and after that to the place where you are to be accommodated.

Before the surgery, you will need to sign an informed consent document (i.e. a document certifying that you have been informed by the doctor about all potential risks and complications and that you understand them) and agree to proceed with the procedure).

On the day of the operation our employee will bring you back to the clinic. Depending on the procedure, you may need to have one or several days of hospital stay. After the completion of the procedure and the hospital stay, our employee will take you back to your hotel.

During the entire stay, our employee will be at your service throughout. 

If you wish, and if the procedure allows, we can arrange your stay according to your requirements but this must be specified in advance.

On the day of departure, you will be accompanied by our employee back to the airport.

If you wish, we can arrange your stay according to your requirements. This must be specified in advance.

You will be provided with a detailed plan on the recovery process. 

Online consultations in the recovery period will be arranged with your surgeon, but if you have stayed in the hospital after your procedure, the doctor will give you post-operative examinations on the first and third days.

On the seventh and fourteenth days, preventive online consultations will be made to track how the recovery goes.  

Online consultation reviews are also done on the 1st, 2nd, 3rd and 6thmonths.You will be able to contact us at any time!