Chest Masculinization
in Madrid

Chest Masculinization Surgery with Dr. Jesús Lago at Clínica 3 de Mayo

Chest masculinization is one of the most important procedures within gender-affirming surgeries. Its goal is not only to remove the mammary gland, but also to achieve a masculine-looking chest that is natural and harmonious with the rest of the body.

At the Clínica 3 de Mayo led by Dr. Jesús Lago in Madrid, we approach this surgery from a highly personalized perspective, combining advanced surgical techniques, experience, and a deep understanding of each patient’s expectations.

What is chest masculinization?

Chest masculinization consists of transforming a chest with feminine characteristics into a male chest contour, by removing breast tissue and adapting key elements such as:

  • The shape of the chest
  • The distribution of tissue
  • The size and position of the areola-nipple complex

The ultimate goal is to achieve an aesthetic, natural result that aligns with the patient’s identity, minimizing visible scarring and maximizing satisfaction.

Chest Masculinization Surgery Techniques

There are two main techniques, and the choice will depend on factors such as chest size, skin elasticity, and the patient’s preferences.

Indicated for patients with low breast volume and good skin quality.

Features:

  • Incision around the areola
  • Less visible scarring
  • Does not require nipple grafting
  • Generally faster recovery

Limitations:

  • Not suitable for large breasts or excess skin
  • Limited ability to fully reshape the chest

Indicated for patients with greater breast volume or excess skin.

Features:

  • Complete removal of breast tissue and excess skin
  • Nipple repositioning through grafting
  • Greater ability to sculpt the chest
  • Allows for more precise nipple positioning

Result:

  • Flatter, more masculine chest
  • Better adaptation in complex cases
ginecomastia (1)
Mastectomía de Masculinización con Injerto Libre de Areola​

What does masculinization mastectomy involve?

This procedure goes far beyond simply “removing the chest.” It is a body contouring surgery that requires precision and careful planning.

Key aspects addressed during surgery:

  • Removal of breast tissue
  • Reduction of excess skin
  • Sculpting of the chest contour
  • Reduction and repositioning of the nipple

The male nipple typically is:

  • Smaller
  • More laterally positioned
  • Slightly lower

It is positioned in the area where the pectoralis major muscle defines the chest, resulting in a natural and masculine appearance.

Each procedure requires careful surgical execution, as the goal is not only functional but also aesthetic and emotional.

Why choose one technique over another?

The choice is not standard, but fully individualized.

Factors we consider:

  • Chest size
  • Skin elasticity
  • Nipple position
  • Amount of tissue to be removed
  • Patient expectations

During the consultation:

Dr. Jesús Lago will assess your case and clearly explain which option is best to achieve the most natural and safest result.

What do our customers think of us?

Recovery and Postoperative Care for

Chest Masculinization Surgery

Postoperative care is a fundamental part of the success of the surgery.

First days:

  • Swelling and discomfort controlled with medication
  • Use of a compression garment
  • Drains (in some cases)

First weeks:

  • Relative rest
  • Avoid physical exertion
  • Regular medical follow-ups

Full recovery:

  • Between 4 and 6 weeks to resume normal activities
  • Final results progressively visible in the following months

Medical follow-up is key to ensuring proper healing and detecting any complications early.

masculina
masculinización toracica
protesis-pectorales

Take the step with confidence

Chest masculinization is an important decision. Choosing a team with experience, sensitivity, and a commitment to quality makes all the difference.

At Clínica 3 de Mayo, led by Dr. Jesús Lago in Madrid, we support you throughout the entire process—from the first consultation to full recovery—with an approach focused on you and your goals.

Request your personalized assessment and resolve all your questions.

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Frequently Asked Questions about Chest Masculinization Answered by Dr. Jesús Lago

Yes, but they will depend on the technique used.

  • Periareolar: minimal scarring around the areola
  • Free nipple graft: horizontal scars on the chest

Our goal is to make them as discreet as possible and improve their appearance over time through specific care.

It is a rare complication, but it can occur.

In cases of partial or total loss:

  • It can be reconstructed later
  • Micropigmentation techniques are available to improve the aesthetic result

In most cases, with proper care, the graft heals correctly.

It depends on the technique:

  • Periareolar: higher likelihood of preserving sensitivity
  • Free nipple graft: sensitivity may decrease or be lost

In some patients, it may partially recover over time.

It usually lasts between 2 and 4 hours, depending on the complexity of the case and the technique used.

 

  • Light activities: in 1–2 weeks
  • Work (depending on the type): 2–3 weeks
  • Physical exercise: from 4–6 weeks

Always follow your doctor’s instructions.

 
 

Yes. The removed breast tissue does not grow back.

However, it is important to:

  • Maintain a stable weight
  • Follow healthy habits

During surgery, a combination of disposable (single-use) materials and sterilized reusable instruments is used, always under strict safety protocols.

Disposable materials:

  • Sutures
  • Gloves
  • Single-use devices
  • Drainage systems

Reusable materials:

  • Specialized surgical instruments
  • Forceps and scissors
  • Laparoscopic equipment (if complementary techniques are used)

All reusable materials undergo rigorous hospital sterilization processes, ensuring maximum safety.

Yes. It is standard practice in modern surgery.

  • Disposable materials eliminate the risk of cross-contamination
  • Reusable instruments allow for precision and surgical quality

Both comply with strict healthcare regulations.

Of course. At Clínica 3 de Mayo, we promote open and transparent communication.

Addressing your questions is part of the process and will help you face the surgery with greater peace of mind and confidence.

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