Updated on • Reviewed by Dr. Gustavo Sordo, plastic surgeon
Gynecomastia in Madrid
Gynecomastia is the unwanted enlargement of breast tissue in men and can be a significant source of discomfort. At our clinic in Madrid, Dr. Gustavo Sordo understands how this excess tissue can affect your emotional and physical well-being.
We personalize each gynecomastia procedure to suit your needs and expectations, aiming for a result that looks good and that you feel comfortable with.
- Own clinic at Alberto Aguilera 48, 1st floor left, Madrid
- Surgery at HLA Moncloa Hospital
- 20+ years of experience

Price: Gynecomastia surgery costs €5.100 . Initial consultation: €100 with Dr. Sordo and €50 with Dr. Mendieta.
Plastic surgeon specializing in gynecomastia in Madrid
Who operates: Dr. Gustavo Sordo (registration number 282858125) and Dr. Alejandro Mendieta (registration number 282880327).
What is Gynecomastia?
Gynecomastia is an increase in breast tissue in men that often profoundly affects self-esteem.
This development may be due to fat accumulation or actual growth of the mammary glands , often influenced by factors such as hormonal imbalances, medications, or underlying health conditions.
In Madrid, Dr. Gustavo Sordo addresses this problem with cutting-edge procedures and an empathetic approach, personalizing each intervention to reduce breast volume, improve the male silhouette and strengthen the patient's confidence, transforming both their physical appearance and their emotional well-being and social life.

Types of Gynecomastia Surgery
Gynecomastia can manifest itself in two ways and each requires a different surgical approach:
⇒ Fat accumulation: When breast enlargement is primarily due to fatty tissue, Dr. Sordo uses the tumescent liposuction technique. This technique effectively removes fat cells and redefines the breast contour without affecting glandular tissue.
⇒ Glandular tissue growth: In cases of significant mammary gland growth, a combination of liposuction and glandular excision is performed. This dual procedure is necessary to remove the denser, fibrous tissue, achieving a more natural and symmetrical appearance.
During the first consultation, Dr. Sordo will perform a detailed examination to determine the type of gynecomastia you need and discuss which surgical approach fits your case, paying attention to nipple symmetry.
Gynecomastia prices in Madrid
The price of gynecomastia surgery typically starts at €5.100 . This price includes everything necessary for the surgery.
⇒ Pre-operative consultations: Comprehensive assessments to design the most effective surgical approach.
⇒ Surgical intervention: Performed with the appropriate technique depending on whether fat or glandular tissue predominates.
⇒ Accelerated post-surgery recovery program: Including lymphatic drainage sessions when necessary, facilitating a more comfortable and faster recovery.
⇒ Post-operative medical reviews: Follow-up during the first year to monitor the post-operative evolution.
Our goal is to provide you with a transparent experience without surprises, where the value received fully justifies the investment made.
We'll explain everything so you know exactly what will be done and why. You can come see us at the clinic whenever you like to discuss your progress.
Before and after a Gynecomastia operation
At our clinic, we understand that each patient has unique expectations and specific needs.
During the first consultation, Dr. Gustavo Sordo dedicates himself to studying your anatomy in detail and listening to your concerns and wishes.
This personalized attention ensures that the results of gynecomastia surgery not only improve your figure, but also reinforce your confidence and well-being.


See more cases of before and after gynecomastia
Although the change is aesthetic, we know that it is a deeper need. We always take into account your anatomy so that the result is proportionate, natural and beautiful. So that you look good and continue being you.
Patient Reviews and Testimonials
The complete process of Gynecomastia in Madrid with Dr. Gustavo Sordo

First consultation
Preoperative Gynecomastia
Once you have made the decision to have surgery, we will set a date and you will undergo the necessary pre-operative tests.
These include blood tests, an electrocardiogram, and a chest ultrasound , so that everything is checked before going into surgery.
At our clinic, we will provide you with a referral to go to our affiliated laboratory, which will send us the results directly; you do not need to go and collect them.
Our anesthesiologist and medical team will review your results, and we will meet with you again to confirm all the details and clarify any final questions you may have.
Gynecomastia surgery day
We'll keep you informed throughout the entire process, step by step and down to the smallest detail. And we're always here to support you and answer all your questions.
We will meet at the Moncloa Hospital on the day of your gynecomastia surgery.
If you are looking for privacy and exclusivity, you can choose a VIP service that offers you discreet access to your room from the garage and personalized attention for your companion.
Below, we will tell you the actions that Dr. Sordo will carry out during the procedure:
⇒ Liposuction: It begins with a small incision of approximately 4 mm in a discreet area of the chest to effectively remove excess fat.
⇒ Removal of glandular tissue: In cases where glandular tissue is prominent, an incision is made in the lower part of the areola for its removal.
⇒ Aesthetic redefinition: Finally, the nipple and areola are adjusted and any excess skin is removed, refining the breast contour for a more defined and aesthetic result.
1. Anesthesia
Our team performs all surgeries under general anesthesia. We use a technique called TIVA (Total Intravenous Anesthesia) , which eliminates the need for conventional anesthetic gases and provides a more comfortable experience for our patients. Many describe it as a restful sleep, similar to light sedation.
We chose general anesthesia because it is the safest and most beneficial for both the patient and the medical team. If you would like more information about TIVA anesthesia and why we consider it to be the safest, you can check out our FAQs.
Throughout the entire procedure, our anesthesiologist, Dr. Bourgeois, will continuously monitor you throughout the intervention.
And what about anesthesia? Here's what kind of anesthesia is used in each surgery : local, sedation, or general, and why TIVA, without anesthetic gases, is used when general anesthesia is needed.
2. Monitoring sleep depth with the BIS sensor
During the surgical procedure, we use the BIS sensor to monitor the patient's sleep depth in real time, and adjust the depth of anesthesia at all times.
What is the Bispectral Index (BIS)?
The Bispectral Index (BIS) is an advanced technological tool that provides a quantitative measure of the effect of anesthetic agents on the brain. It works by analyzing brain electrical activity (EEG) using a specialized algorithm and translating this information into a numerical value that reflects the patient's level of consciousness.
As measured?
The measurement is performed using a small sensor placed on the patient's forehead. This sensor continuously records the brain's electrical signal and transmits it to a monitor, which interprets the data using sophisticated algorithms to calculate the BIS index.
What is the BIS for?
The use of BIS during surgery allows:
- Precisely adjust the anesthesia dosage.
- Reduce the risk of intraoperative awareness.
- Promote a faster and safer postoperative recovery by avoiding the unnecessary administration of anesthetics.
Thanks to this technology, we ensure personalized, effective anesthesia with maximum control over patient safety.
Recovery and Monitoring:
After surgery, you will spend a short time in the recovery room before returning to your private room.
Dr. Sordo will personally review your progress the day after surgery to ensure that your recovery is off to a smooth start. If all is well, you will be discharged the next day to continue home care, where you will need to follow specific instructions for healing and to manage any discomfort with prescribed medication.

Postoperative Gynecomastia
After the operation, we apply a compression garment that you will need to wear for approximately four weeks to protect the area and minimize swelling.
This garment will only be removed for dressings and during showers.
Maintaining moderate activity is essential, but you should avoid intense efforts, especially those that involve the pectoral muscles.
During the postoperative period, we will provide you with detailed instructions on what you need to do at home to ensure optimal recovery.
Gynecomastia post-operative check-ups
We are committed to providing you with comprehensive follow-up after your gynecomastia surgery to support your recovery and review the results with you.
Postoperative follow-up extends during the first year:
One week after the operation: We will meet to assess your progress, the sutures will be removed, and the first dressings will be applied.
One month later: You will observe a decrease in inflammation and an approach to the final result; we will assess whether it is still necessary to use the pressotherapy belt.
3 to 6 months later: A new review is performed to observe skin retraction and the final breast contour.
12 months later: At the final check-up, we will take before and after photos to document the final results and formalize your discharge.
This follow-up program ensures that any issues that arise are addressed promptly, and that we review the results of your gynecomastia treatment with you.
Other body surgery operations
In addition to specializing in gynecomastia, our clinic offers a variety of body contouring procedures that help our patients achieve their aesthetic goals and improve their well-being. These are the techniques:
⇒ Liposuction : Indicated for shaping specific areas of the body by removing excess fat and improving your silhouette.
⇒ Lipofilling : A procedure that uses the patient's own fat to enhance and add volume to other areas of the body.
⇒ Buttock Augmentation : Improves the shape and size of the buttocks, using lipofilling techniques or implants according to the patient's needs.
⇒ Abdominoplasty : Ideal for those who want a flatter and more toned abdomen, especially after significant weight changes or pregnancies.
Risks and limitations of gynecomastia
Gynecomastia surgery, like any surgery, carries risks. We prefer that you be aware of these risks before making a decision, and that we discuss them during your consultation.
What can happen
In addition to the risks of any surgery (bleeding, infection, scarring problems), it's normal to experience swelling and bruising during the first few weeks after gynecomastia surgery. There may also be fluid retention, contour irregularities, asymmetry, changes in nipple sensitivity, or, in some cases, residual glandular tissue that may require a revision. Wearing a compression garment and attending scheduled checkups helps detect and treat these issues early. If any complications arise, we'll address them with you from the very beginning and continue to support you until they are resolved.
What we cannot promise you
The surgery removes excess tissue, but it doesn't prevent the breasts from changing again if your weight or circumstances change. The scar improves over the months but doesn't disappear, and the final shape is visible once the swelling subsides.
Gynecomastia FAQ
How much does gynecomastia surgery cost in Madrid?
€5.100 , including operating room, anesthesia, compression garment and follow-up appointments.
Will the result of gynecomastia be natural?
Yes. In gynecomastia, our goal is to redefine your pectoral muscles, and to do so, it is essential to find the proportion with the rest of your physiognomy. For this reason, we carry out a preliminary study until we find the gynecomastia that best fits your anatomy, eliminating the excess tissue that bothers you so much.
Can I lead a normal life after gynecomastia?
Yes. You will feel discomfort and a certain lack of sensitivity during the first few days. We recommend that you take 7 days off work to ensure recovery and not subject your body to unnecessary stress. When we remove the drains, you will feel better and you will be able to return to work if it does not involve strenuous work. We will advise you on a series of exercises that you should do to improve your physical condition, circulation in the operated area and healing.
Do you use general anesthesia? Is it safe?
Yes. We use “TIVA” (Total Intravenous Anesthesia), a new technique that does not use anesthetic gases and will not cause headaches, vomiting, or nausea.
It is the safest anaesthetic technique currently available, with which you will be fully monitored and controlled. In addition, we have had our own anaesthetist on our team for over 10 years.
Does gynecomastia require me to be admitted to the hospital?
Yes. We do this for greater security because this way we can monitor you in the hours that follow. The next morning, Dr. Sordo will visit you to check on your progress and, if everything is okay, he will discharge you from the hospital.
Can nipple asymmetries be corrected in gynecomastia?
Yes, symmetrization techniques can be added to the areolas, such as the periareolar approach.
Can I drive after gynecomastia?
Yes, after 3 days it will be possible, short distances (1 hour maximum).
Can I do sports?
Gynecomastia has its own simple treatment plan: a Velcro band for 15 days , and after that, nothing more. Drains are usually not necessary. From day 3, it's advisable to walk for 30 minutes a day, and exercise is gradually resumed: gentle cardio after a month and chest exercises a little later, depending on how each case progresses.
Is only the fat removed, or the gland as well?
It depends on what's there. When fat predominates, liposuction is enough; when there's glandular tissue—which is firm and feels like a disc behind the nipple—it has to be removed, because liposuction alone won't get rid of it and the breasts would still be prominent.
How long do you have to wear the girdle?
The Velcro strap is worn for 15 days . I don't usually leave a drain in.
When can I return to the gym?
Leg work and light cardio can be resumed soon; chest and weighted arm work will follow later, and I will give you the specific guidelines at the check-up depending on how the healing is progressing.
Searching for "gynecomastia in Madrid" when you've been covering it up for years
If you've been searching for " best gynecomastia surgery in Madrid ", what you're really looking for is to achieve a flatter, more natural male chest, a silhouette that suits your body... and, above all, confidence.
Dr. Gustavo Sordo is known for his meticulous surgical approach and for prioritizing discreet and harmonious results. In gynecomastia surgery, the accurate assessment of glandular and fatty tissue, the selection of the appropriate technique, and careful attention to the chest contour are key to achieving a masculine, balanced, and long-lasting result.
Furthermore, his international experience in cosmetic and body surgery allows him to apply advanced techniques that improve recovery and minimize scarring, promoting a quick return to daily life.
👉 If you want to learn more about gynecomastia surgery in Madrid, request your first evaluation.
× Who operates on you?
Gynecomastia surgery is performed by the clinic's two surgeons, Dr. Gustavo Sordo and Dr. Alejandro Mendieta , both specialists in Plastic, Aesthetic, and Reconstructive Surgery. The surgeon who will handle your case is determined during your consultation.
Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
Content clinically reviewed by Dr. Gustavo Sordo. Last review: September 30, 2026.
Real cases operated on in the clinic
Gynecomastia, abdominoplasty and liposuction
Gynecomastia: before and after
Gynecomastia: before and after photos of a 35-year-old manSee all before and after cases
Looking for the fine print? What happens if a revision is needed, what gets reviewed more often, and where to read opinions we don't control: we'll tell you here.
