Gland Excision + Liposuction Contouring

This procedure may be considered when gynecomastia is mainly due to glandular hyperplasia, or when the protrusion remains obvious after weight management and affects exercise and clothing, or is accompanied by tenderness and pain. The decision will integrate etiology assessment, clinical grading and tissue composition, skin laxity, previous treatment response, and overall health status. Whether to combine liposuction or skin treatment is determined by a specialist after face-to-face consultation and imaging evaluation.