The gynecomastia is a condition affecting menIt consists of an increased development of the mammary parenchyma giving a feminine breast appearance.

Surgical indications

Its prevalence is 50% to 60% in adolescents, and more than 70% in men aged 50 to 69. It corresponds to a frequent hyperplasia of the mammary glandular tissue, which can be uni- or bilateral. It reflects a imbalance between the circulating quantity of estrogens (increase) and/or and testosterone (decrease), the breast tissue is stimulated, leading to gynecomastia. It appears most often during puberty. It is then formed a glandular nucleus behind the nipple. This nucleus can be resorbed during adolescence. It is sometimes discovered by chance, more often on the occasion of a sensitive discomfort of the periareolar region, or even a visible and painless increase of the breast in men. It is a frequent symptom, with many etiologies.

Before / After

If you would like to see more before and after results, Dr. Alexandre G. LELLOUCH will share them with you during your consultation

Course of the intervention

The preoperative consultation

It takes place at the medical office. You will discuss with Dr. Alexandre G. LELLOUCH in order to specify your expectations and he will determine with you the best possible option.

From additional examinations will be prescribed (adapted according to each patient) as well as preoperative photos will be taken.

The main ones are:

  • Assessment biological assessment Testosterone, estradiol, luteinizing hormone, hCG, testosterone binding globulin, prolactinemia, CBC, platelet count, renal and liver function tests
  • Assessment imaging : breast and testicular ultrasound, mammography

At the end of the consultation, the plastic surgeon will give you an estimate and an operating consent.

Course of the intervention

of the intervention

Gynecomastia is a very common procedure very frequent operation in plastic surgery. The goal is to be able to remove excess fatof the mammary gland and of skin to obtain a flat chest.

The scars are different depending on the patient. They can be located around the areola (grade 1 and 2), and under the breast (horizontal - grade 3 and 4) depending on the surgical technique used. Each patient is different and your case will be discussed with Dr. Alexandre G. LELLOUCH in consultation.

Dr. Alexandre G. LELLOUCH will see you again on the day of surgery to make the preoperative drawings using a black marker and a ruler to be as precise as possible.

Type of anesthesia

General anesthesia performed by an anesthesiologist

Duration of the intervention

Between 1 hour 30 minutes and 2 hours. Performed only by Dr. Alexandre G. LELLOUCH

Type of hospitalization

Ambulatory (same day discharge)


After the intervention


No or little

Control visit

Postoperative consultation with the surgeon at D-1 and 1 month. Dr. Alexandre G. LELLOUCH can be reached in case of additional needs

Duration of convalescence and care

10 days on average until complete healing
(about 3 weeks)

Nursing care

Daily shower and dressing until complete healing. Nurse at home if needed (dressing care)

Resumption of sports activities

1 month (depending on the type of physical exercise)


The patient must be off work for 1 week to 15 days. This period will depend on the job performed

A container should be worn day and night during 4 weeks

The results are immediateHowever, it is necessary to wait a few months for the final results

The scars have their final appearance around 12-18 months

Practical Information
(for everyone

  • Do a blood test prescribed by the surgeon
  • Do a Ultrasound/Mammography prescribed by the surgeon
  • Well Fill out your clinic file before your consultation with the anesthesiologist.
  • Take appointment with an anesthesiologist at the clinic and schedule a consultation between 1 month and 1 week before your surgery date.
  • Stop smoking 3 weeks before and 3 weeks after for optimal results.
  • No exposure to the sun on scars for 1 year
  • Buy postoperative medication/medical equipment before the procedure so that you have as little stress as possible after the procedure

Surgical technical reference of the surgeon

For more information on the intervention


It depends on the individual, but as a general rule, patients tolerate this procedure very well and do not complain of much pain.

Yes. If the component is glandular, not if fatty (aesthetic act). Please contact your health insurance company for a possible reimbursement of fees.

The tobacco is recognized as a a factor that delays skin healingwhich results in a longer healing time, increase the risk of complications and to give unsightly scars. The scientific literature agrees with this ( and this is why I recommend to all my patients to stop smoking before a plastic surgery intervention.

For any specific or additional questions, please contact us directly by mail...or on the contact form here.

Doctor Alexandre G. LELLOUCH

The Dr. Alexandre G. LELLOUCH is a surgeon specialized in Plastic Reconstructive Aesthetic Surgery, registered with the Order of Physicians of the city of Paris 16 under the number 75/89697.

The Dr. Alexandre G. LELLOUCH is a specialist in cosmetic surgery, reconstructive surgery, and aesthetic medicine injections, which he practices at the MAISON ABEILLE in Paris 16.