Dr. Martín Gastón Álvarez
Founder & CEO · Plastic Surgeon
Specialist in Plastic and Reconstructive Surgery. Over 17 years of international experience in the USA, Brazil, Mexico, and Argentina.
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Body Surgery
Gynecomastia in Barcelona
Remove excess glandular or fatty tissue from the male chest and restore a flat, defined figure with natural-looking, permanent results.
Price from
2.400€
100,0€/month
No down payment · 24 months
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No commitment · Reply within 24h
The Procedure
What is gynecomastia?
Gynecomastia is the benign enlargement of breast tissue in men. It affects between 30% and 60% of males at some point in life — during adolescence, adulthood, or later years — and beyond the aesthetic impact it carries a significant effect on self-esteem, posture, and the way patients feel in their clothing.
At our clinic we distinguish three clinical types, because each requires a different surgical technique:
- True gynecomastia: firm glandular tissue predominates beneath the areola. Requires glandular resection.
- Pseudo-gynecomastia: exclusively fatty tissue, no glandular component. Treated with Vaser liposculpture without visible incisions.
- Mixed gynecomastia: combines both components. The most common presentation, requiring a combined surgical approach.
Degrees of gynecomastia (Simon classification)
Treatment is tailored to the degree of chest involvement:
- Grade I: mild enlargement without excess skin — liposculpture alone.
- Grade IIa: moderate enlargement without excess skin — liposculpture with minimal resection.
- Grade IIb: moderate enlargement with excess skin — liposculpture with glandular resection.
- Grade III: severe enlargement with excess skin — additional skin resection required.
Common causes
Identifying the cause is key to preventing recurrence: hormonal imbalance (puberty, andropause), anabolic steroid use, certain medications (antidepressants, antihypertensives, antiandrogens), obesity, thyroid or liver disorders, and idiopathic cases (no identifiable cause).
When is surgery necessary?
Surgery is indicated when gynecomastia persists for more than 12 months, does not respond to weight loss or hormonal adjustment, and compromises the patient's quality of life. In mild pseudo-gynecomastia, we always evaluate a personalised nutritional and training plan first — part of the NATURAL FIT Body Contouring® protocol.
The procedure is performed under local anaesthesia with sedation, takes between 1 and 2 hours, and allows a return to work within 48–72 hours. The final result is appreciated between 3 and 6 months, once the skin has fully retracted.
Honest comparison
Surgery or are there alternatives?
Not all men with gynecomastia need surgery. Before recommending an operation we always evaluate alternatives, because the best surgical case is the correctly indicated one. Here is our honest assessment:
During the free consultation we perform a breast ultrasound to identify the glandular component and rule out treatable hormonal causes before recommending surgery. If your case responds better to a non-surgical alternative, we will tell you directly.
How It Works
How we perform gynecomastia surgery
Our integrated approach goes beyond the operating theatre. We combine surgical precision with a complete programme of nutrition and personal training.
- 1Preparation
Personalised nutrition plan, physical activity programme, and pre-operative medical tests.
- 2The procedure
Minimally invasive technique with imperceptible incisions and precise results.
- 3Recovery
Return to daily activities within a few days. Continuous medical follow-up.
- 4Follow-up
Personal trainer, nutritionist, and lifelong healthy habits.
Your Process
From the first step to your final results
01
Free consultation
Personalised assessment with the surgeon. We analyse your case and design the ideal plan.
02
Comprehensive plan
Personalised nutrition and physical preparation. Everything in place before you enter the operating theatre.
03
The surgery
Minimally invasive procedure with imperceptible incisions and precise results.
04
Lifelong results
Personal trainer, nutritionist, and medical check-ups. Results guaranteed for life.
The Procedure
How it is performed step by step
01
Local anaesthesia or sedation
Tumescent anaesthesia is applied to ensure maximum comfort and minimal bleeding throughout the procedure.
02
Minimal incisions
Strategic 2–3 mm micro-incisions in discreet areas to introduce the extraction cannulas.
03
Modelling and sculpting
Selective, precise fat extraction with high-technology cannulas. The surgeon sculpts the contour with an artistic eye for anatomy.
Safe procedure
04
Drainage and closure
Incisions are closed with absorbable sutures. A compression garment is applied to optimise skin retraction.
05
Post-operative monitoring
Medical follow-up for the first 24 hours. Detailed medication and care instructions for an optimal recovery.
06
Rapid return to normal
Within 48–72 hours you can resume most daily activities. After 2 weeks the first results are already visible.
Post-operative Care
Your recovery with us
Post-operative care is an essential part of the process. Our team accompanies you at every stage.
Days 1–3
Relative rest at home. Compression garment worn 24 hours. Anti-inflammatory medication and oedema management. First medical check-up.
Weeks 1–2
Return to everyday life. Gentle walks recommended. Sutures removed. Swelling noticeably reduced.
Month 1
Progressive training plan begins with our personal trainer. Nutrition optimised to enhance results.
Months 3–6
Final result visible. Skin has fully retracted. Training and nutrition consolidate the results for life.
Our Team
The specialists who will operate on you
Surgeons with international training and over 17 years of experience.
Dr. Felipe Sagardia
Surgeon
Specialist in post-operative recovery and high-intensity training. Designs personalised exercise plans for each patient.
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Frequently Asked Questions
Answers to your questions
Your surgery includes the surgical procedure, a personalised nutritional plan for the pre- and post-operative period, personal training sessions at our specialist fitness centre, all medical follow-up appointments, and continuous aftercare.
The procedure is performed under local anaesthesia or sedation. Post-operative discomfort is mild and easily managed with prescribed medication. Most patients describe minimal discomfort.
The first results are visible within a few weeks. The final outcome is appreciated between 3 and 6 months after the procedure, once the swelling has fully subsided.
With our comprehensive method including a nutritionist and personal trainer, we transform your habits to maintain lasting results. The extracted fat cells do not return.
Most patients resume their daily activities within 48–72 hours. Medical follow-up ensures an optimal and safe recovery.
Causes include hormonal imbalance, certain medications, hereditary factors, or unknown origins. After surgery, recurrence is uncommon unless the underlying cause persists (anabolic steroids, specific drugs, untreated hormonal disorders).
Gentle mobility from weeks 1–2; upper body resistance training from weeks 4–6. Chest and back-specific work is reintroduced progressively under supervision.
If only liposculpture is performed, the 3 mm incisions are nearly imperceptible. When glandular tissue requires resection, a discreet periareolar scar of approximately 2 cm is left, which fades well over time.
Pseudo-gynecomastia is exclusively fatty tissue and is treated with liposculpture alone. True gynecomastia involves glandular tissue and requires added resection. An ultrasound and medical assessment determine which type applies.
In selected cases with documented psychological impact and after ruling out a treatable underlying cause. Most procedures are carried out privately with financing.
The price for gynecomastia surgery in Barcelona starts from 2,400€ and includes the full procedure, anaesthesia, pre-operative tests, post-surgical compression garment, all medical follow-up appointments, and aftercare with a nutritionist and personal trainer. 0% interest financing available for up to 12 months with no down payment.
We operate at Clínica Nostra Senyora del Remei (Gràcia, Barcelona), a fully accredited hospital with a certified operating theatre, ICU, and in-house anaesthesiology service. Consultations and post-operative follow-up take place at our clinic on Passeig de la Bonanova 69 (Sarrià-Sant Gervasi).
Surgery takes between 1 and 2 hours depending on the degree of gynecomastia. Grades I and IIa treated with liposculpture alone take 60–90 minutes; grades IIb and III requiring glandular resection extend to 2 hours. Patients are discharged the same day after a few hours of observation.
Where to Find Us
Where do we operate?
Barcelona
Main Clinic
Clínica Nostra Senyora del Remei
Carrer de l'Escorial, 148 · Gràcia · 08024 Barcelona
International
USA · Brazil · Mexico · Argentina
Our surgical team has honed their technique in the 5 world-leading countries for body contouring surgery, combining the best of each school.
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Honest information
Risks and safety of gynecomastia surgery
Every surgical procedure, however minimally invasive, carries risks. We explain them transparently so that you can make an informed decision. At NATURAL FIT Body Contouring® we apply the strictest protocols to minimise them.
Periareolar depression
Excessive glandular resection can cause a depression beneath the nipple. Correct surgical technique prevents this complication.
Haematomas and seromas
Accumulation of blood or fluid in the treated area. The compression garment and lymphatic drainage minimise their occurrence; when they arise they resolve with medical management.
Contour irregularities
Minor asymmetries or skin waviness may appear in some cases. Vaser and PAL Microaire technology significantly reduces this risk, though it cannot be eliminated entirely.
Areolar sensitivity
Temporary changes in nipple sensitivity may occur and resolve progressively over time.
Infection
Risk is low thanks to strict aseptic protocols and antibiotic prophylaxis. Warning signs (fever, redness, increasing pain) are monitored at follow-up appointments.
Periareolar scarring
Discreet but present when glandular tissue is resected. It fades progressively in most patients.
According to the Spanish Society of Plastic, Reconstructive and Aesthetic Surgery (SECPRE), surgical correction of gynecomastia achieves high patient satisfaction with an excellent safety profile when performed by an accredited plastic surgeon. View society »
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