Correcting Gynecomastia – achieving a masculine chest contour

An enlarged male breast – medically referred to as gynecomastia – can significantly affect a man’s self-confidence. When intensive physical exercise, diet, or weight loss do not bring lasting improvement, surgical gynecomastia correction offers an effective and sustainable solution.
Dr. Spiegl, a specialist in Plastic and Aesthetic Surgery, performs this procedure with the highest precision and a clear aesthetic focus in his modern facilities in Salzburg and Tullnerfeld.

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• Causes and types of gynecomastia
• Consultation, planning, and costs
• The gynecomastia procedure at a glance
• Postoperative care and healing
• Dr. Spiegl – Your specialist in Salzburg & Tullnerfeld
• Frequently Asked Questions (FAQ)

Causes and types of gynecomastia

Gynecomastia is caused by an increase in glandular or fatty tissue in the male chest. A distinction is made between:

• True Gynecomastia: Proliferation of breast glandular tissue (often due to hormonal or medication-related causes).
• Pseudogynecomastia (Lipomastia): Accumulation of excess fatty tissue (typically due to being overweight or genetic factors).
• Combined Gynecomastia: A combination of glandular and fatty tissue excess.

Regardless of the underlying cause, Dr. Spiegl’s goal is always to achieve a flat, harmonious, and masculine chest contour – natural in appearance and permanent in result.

Consultation, planning, and costs

If you are interested in a gynecomastia correction, you are welcome to arrange a consultation appointment with Dr. Spiegl. During your first appointment, questions will be answered without any time pressure, comprehensive advice will be given, and photo documentation will be created. Please bring all available medical reports from your patient history. If you decide to proceed with the surgery after receiving the cost estimate (the price for gynecomastia correction starts at approx. €5,900 incl. anesthesia and hospital stay), an operation date will be set. It is important to know that in Austria, by law, two weeks must pass between the consultation and the surgical consent.

The gynecomastia procedure at a glance

The gynecomastia surgery is usually performed on an outpatient basis in modern clinics in Salzburg or Lower Austria.
The operation takes approx. 1 hour and is generally performed under general anesthesia.
Depending on the findings, Dr. Spiegl combines the excision of glandular tissue via a minimal incision at the areola with fine liposuction to optimally contour the surrounding area if necessary. Suction drains are generally not required.

Postoperative care and healing

After the procedure, patients wear a compression garment (chest belt) for several weeks – usually 6 – to support the healing process and stabilize the new chest shape.

• Work capacity: Approx. 1 week.
• Strenuous physical activity: Should be paused for 4–6 weeks.
• Final result: Visible after 3–6 months, once the swelling has completely subsided.
• Durability: The results are long-term and permanent, provided a stable body weight is maintained.

Dr. Spiegl – Your specialist for gynecomastia in Salzburg & Tullnerfeld

Dr. Matthias Spiegl is a specialist in Plastic, Reconstructive, and Aesthetic Surgery and holds medical licenses in Austria, Switzerland, and the United Kingdom. Aesthetic breast surgery is one of his specializations, which he performs at a high level and without compromises. He holds the prestigious title of “Fellow of the European Board of Plastic, Reconstructive and Aesthetic Surgery” (FEBOPRAS).
Member of numerous international societies:

• International Society of Aesthetic Plastic Surgery (ISAPS)
• Austrian Society for Plastic, Aesthetic, and Reconstructive Surgery
• Swiss Society for Plastic, Reconstructive, and Aesthetic Surgery
• Fellow of the American College of Surgeons (FACS)

Frequently Asked Questions (FAQ)

What is gynecomastia?

The benign enlargement of the male breast due to increased glandular and/or fatty tissue. It can occur on one or both sides and is often hormonal.

When is gynecomastia correction advisable?

When the enlargement does not regress on its own, persists for a long time, or represents a significant psychological burden for the patient.

Are there visible scars after surgery?

Incisions are placed as inconspicuously as possible, often at the edge of the areola. In most cases, scars are hardly visible after healing is complete.

Is the result permanent?

Yes, with complete removal of the excess tissue, the result is permanent, provided weight remains stable.