
Male Thoracic Surgery in Guadalajara, Mexico
We masculinize and refine the breast with surgical precision and anatomical balance
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What is male thoracic surgery?
It refers to a group of procedures designed to flatten, define, and masculinize the chest, creating a firm and proportionate thoracic contour.
Dr. César López Romero has extensive experience in male chest surgery and customizes each technique according to the patient’s anatomy, needs, and goals.
Within this area, two main types of procedures are primarily performed:
Gynecomastia Surgery:
Gynecomastia is the enlargement of the male chest caused by excess glandular tissue, localized fat, or a combination of both, and it does not always improve with diet or exercise. This procedure removes the excess breast tissue and associated fat, achieving a flatter, firmer, and more athletic chest that is harmonious with the rest of the torso.
Subcutaneous (Double) Mastectomy:
Subcutaneous mastectomy is most commonly performed in transgender men or cisgender men with more pronounced breast development. The goal is to create a smooth, symmetrical, and masculine chest contour, preserving the nipple and areola whenever possible while respecting the body’s natural proportions.
In both cases, the result is a torso that reflects male proportions and eliminates the psychological and physical discomfort caused by excess breast tissue.
You can be a good candidate if
- You are in good overall health and maintain a stable weight.
- You do not smoke, or you are willing to stop before surgery and during recovery.You don't smoke or are willing to stop smoking during recovery
- You have realistic expectations about the results.
- You experience physical or emotional discomfort due to excess breast tissue, volume, or chest fullness.
- You have firm, elastic skin that can adapt to the new chest contour.
This surgery is not recommended for
- Patients with uncontrolled medical conditions that may interfere with healing.
- Those with mild gynecomastia who have not previously tried options such as weight loss or hormonal management, when indicated.
Types of Male Thoracic Surgery: Gynecomastia and Mastectomy
Gynecomastia surgery
It is usually performed in cases of mild to moderate excess glandular tissue or fat in the chest.
The procedure removes the excess tissue, preserves the nipple, and aims to minimize scarring, which is typically placed around the areola or within the natural crease of the armpit, achieving a flatter and more masculine contour.
Double mastectomy
Surgery removes all of the mammary gland tissue, and while it is often possible to preserve the nipple, it may be necessary to reposition it or make minor revisions.
The process and recovery
Both the surgical and recovery processes follow a structured and safe plan, personally guided by Dr. César López Romero and his team.
Each stage is carefully designed to protect your health, optimize healing, and achieve a natural, firm chest result that aligns with masculine proportions.
01
Personalized planning
Every trip begins with an enquiry. Dr. César López reviews your goals and your anatomy to design a plan that fits you.


02
Surgical procedure
Performed under general anesthesia in a certified hospital. The approach depends on the technique you choose: gynecomastia or mastectomy.
The approach depends on the type of procedure indicated, gynecomastia surgery or subcutaneous mastectomy, and the amount of tissue to be treated, always prioritizing a natural masculine contour and discreet scarring.
03
Early recovery
Compression garments or binders are placed to control swelling and help the skin adhere to the new shape of the breast.


04
Follow-up care
Dr. César López Romero and his team closely monitor your recovery, evaluating healing, symmetry, and chest definition at each follow-up visit.
This personalized follow-up allows for the early detection of any necessary adjustments and helps optimize the final result.
05
Final results
Most patients return to desk work and social activities within 10 to 14 days, although strenuous exercise should be avoided for 4 to 6 weeks. At the end of the first month, the breast takes on a visibly flatter and firmer appearance.

-Dr César López Romero.
Why choose Dr. César López Romero
Choosing a specialist is an important decision. Each treatment is approached with responsible medical care and individualized attention, always prioritizing patient safety and well-being.
What sets him apart:
- Natural-looking results designed to respect facial harmony.
- Use of advanced technologies and up-to-date techniques.
- High safety standards in every procedure.
Recognitions and Contributions
- Silver Award for Best International Collaboration in Plastic and Reconstructive Surgery Journal, 2021.
- Contributions featured in Forbes Mexico, Woman Style, and Liderazgo Elite Magazine.
- Honorary Doctorate awarded by the World Leaders Organization, April 2025.

Do you have any questions?
We're here to help. Send us your questions and our team will answer clearly and carefully. Your comfort, safety and peace of mind are important to us.
Will the results look natural?
Absolutely. Dr. López's goal is not just to be flat, but to achieve a proportionate, firm, masculine-looking chest that integrates with the overall structure of the torso.
Are the scars visible?
The incisions are strategically placed along natural edges, such as the areola or chest crease, and usually disappear over time with proper care.
Do I need to lose weight before surgery?
While not required, achieving a stable and healthy weight improves results and reduces the chance of needing skin removal or revision.
Will the chest remain flat over time?
Yes, Once removed, glandular tissue does not return. Maintaining a stable weight and hormone levels ensures that the result stays consistent.
Can gynecomastia surgery be combined with other aesthetic procedures?
Yes. Depending on your goals, gynecomastia surgery can be combined with abdominal liposuction or body contouring procedures to achieve a more harmonious and proportionate result.Dr. César López Romero will evaluate each case individually and design a comprehensive, personalized treatment plan.