Dr. de Clermont-TonnerrePlastic Surgeon

Paris & Pontoise (95)

Gynecomastia

Male Breast Reduction Surgery — Paris

Gynecomastia is the development of breast tissue in men — a common source of significant self-consciousness. It can be surgically corrected by liposuction and/or glandular excision. Dr. de Clermont-Tonnerre performs this procedure in Paris with discreet scarring and definitive results, restoring a flat, masculine chest.

Book an Appointment

Step by step

The Procedure

01

Assessment & consultation

Breast palpation to differentiate true gynecomastia from pseudo-gynecomastia. Hormonal profile (testosterone, oestradiol, FSH, LH) and breast ultrasound. Exclusion of a medical cause.

02

Surgical planning

Technique selection based on gynecomastia type: liposuction alone, glandular excision alone, or both combined. Quote and legal 15-day reflection period.

03

Surgery

Under general anaesthesia or sedation with local anaesthesia. Duration: 1 to 2 hours. Peri-areolar incision of 3 to 4 cm, micro-incisions for liposuction. Resection of glandular and/or adipose tissue.

04

Hospitalisation

Day case in the majority of cases. Compression vest applied in theatre — to be worn for 4 weeks.

05

Post-operative follow-up

Review at day 7 for suture removal, at 1 month and 3 months to assess result and scar development.

At a glance

Operating time
1 to 2 hours
Anaesthesia
General or sedation with local
Hospitalisation
Day case
Time off work
5 to 7 days
Return to sport
After 4 to 6 weeks
Final result
6 to 12 months

Benefits

  • Flat, masculine chest restored
  • Definitive results
  • Minimal, discreet scarring
  • Significant improvement in self-confidence
  • Day-case procedure
  • Rapid return to daily activities

Risks

  • Post-operative haematoma or seroma
  • Skin surface irregularities or asymmetry
  • Altered nipple sensation
  • Hypertrophic scarring (rare)
  • Peri-areolar skin depression if excess tissue removed
  • Recurrence possible if hormonal cause not treated

French Health Insurance Coverage

Gynecomastia surgery may be covered by the Assurance Maladie when a medical cause is identified and documented (hypogonadism, cirrhosis, medication-induced gynecomastia, etc.) and when symptoms are present.

For gynecomastia without an identified medical cause, the procedure is considered aesthetic and the full cost is the patient's responsibility. A comprehensive hormonal work-up is carried out beforehand to inform the clinical decision.

Expected Results

Gynecomastia correction delivers immediate and lasting results. From the moment dressings are removed, the chest appears flat and masculine. Residual swelling resolves gradually over the 2 to 3 months following surgery.

Results are definitive, provided the initial cause is not recurrent (hormonal treatment, weight gain). Patient satisfaction is very high, with a notable improvement in self-confidence.

Résultats

Avant / Après

Gynecomastia

Photos de patients du Dr. de Clermont-Tonnerre, partagées avec leur accord. Les résultats varient selon les individus et leur morphologie.

Gynecomastia result — male chest correction Dr. de Clermont-Tonnerre
Before/after gynecomastia — plastic surgery Paris
Gynecomastia correction result — firmer male chest

Frequently Asked Questions

What is the difference between gynecomastia and pseudo-gynecomastia?+
True gynecomastia involves development of glandular breast tissue, which feels firm on palpation. Pseudo-gynecomastia is a fat deposit without glandular tissue, which feels softer. Treatment differs: liposuction alone for pseudo-gynecomastia; glandular excision (with or without liposuction) for true gynecomastia.
Is a hormonal assessment required before surgery?+
Yes, a comprehensive hormonal work-up is carried out beforehand to identify any underlying medical cause (hypogonadism, testicular tumour, medication). This is essential to guide management and assess potential French health insurance coverage.
Can gynecomastia recur after surgery?+
The removed glandular tissue does not regenerate. However, recurrence is possible if the hormonal cause is not treated, if certain medications are continued, or with significant weight gain. Regular follow-up is recommended.
When can I return to sport after surgery?+
Return to sport is possible after 4 to 6 weeks. A compression vest is worn for 4 weeks post-operatively. Desk-based work can generally resume after 5 to 7 days. Definitive results are visible at 3 months.
Are there visible scars after gynecomastia surgery?+
In most cases, scarring is very discreet: a small peri-areolar incision suffices for glandular excision. For associated liposuction, micro-incisions of 3 to 4 mm are placed in natural skin folds. These scars become virtually invisible after 6 to 12 months.
How much does gynecomastia surgery cost?+
The fee is estimated between €2,500 and €4,000 depending on the technique (liposuction alone or combined with glandular excision) and the surgical facility. The procedure is performed as a day case. A personalised quote is provided at the consultation. French health insurance coverage is possible if a medical cause is documented.
At what age can gynecomastia be operated on?+
Surgery is recommended after the end of puberty, generally from the age of 18, to ensure hormonal stability. In severe cases with significant impact on self-esteem, earlier surgery may be considered following assessment by a paediatric endocrinologist.
Is gynecomastia in adolescents normal?+
Pubertal gynecomastia is common, affecting 50 to 70% of adolescent boys. It resolves spontaneously in most cases within 1 to 2 years. If it persists beyond 18 months or is particularly large and distressing, a medical assessment is recommended.
Can gynecomastia be treated without surgery?+
There is no genuinely effective medical treatment. Weight loss may improve pseudo-gynecomastia related to excess fat. Stopping a causative medication can sometimes reduce gynecomastia. Outside these situations, surgery remains the only definitively effective solution.
Should a compression garment be worn after the procedure?+
Yes, a compression vest is worn continuously for 4 weeks after surgery. It limits post-operative swelling, supports skin retraction and contributes to improving the final aesthetic result. It is essential throughout the healing phase.
Can gynecomastia be related to cancer?+
Unilateral gynecomastia with a hard, irregular mass should be investigated thoroughly to rule out male breast cancer, a rare but real condition. Bilateral, progressive gynecomastia is most commonly of hormonal or medication-related origin.
Which medications can cause gynecomastia?+
Certain medications are known to cause gynecomastia: antihypertensives (spironolactone), anti-androgens used in prostate treatments, anabolic steroids, cannabis, and certain antidepressants. It is essential to disclose all current medications at the consultation.

Patient Testimonials

★★★★★

“I had suffered from gynecomastia since adolescence. Dr. de Clermont-Tonnerre performed a perfect procedure — the scar is barely visible. I finally feel confident about my body.”

Thomas

★★★★★

“Very good experience. The surgeon is attentive and professional. Natural result, I am very satisfied.”

Lucas

★★★★★

“Quick procedure, serious follow-up. The result is exactly what I had hoped for. I am no longer self-conscious at the swimming pool.”

Pierre

⭐ View all Google reviews

See also

Breast Augmentation with ImplantsBreast Lipofilling (no implant)Inverted Nipple CorrectionAll Breast Surgery ProceduresFees & Pricing
Book on DoctolibFees & Pricing