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Subcutaneous Mastectomy

Ultrasonic technology for chest fat removal

Ultrasonic subcutaneous mastectomy is an innovative technique that removes excess fat from the chest, helping you achieve an athletic, well-defined torso while boosting confidence and self-esteem.

Dr Brasó is the only surgeon performing this high-definition liposculpture technique, capable of sculpting the body with precision. By combining cutting-edge technology, surgical expertise, and artistry, we remove breast tissue and masculinize the chest, giving it a firmer and more toned appearance.

Everything you need to know about subcutaneous mastectomy

Type of procedure

This surgical procedure is performed under general anaesthesia combined with a single nerve block, guided by high-resolution ultrasound to minimise pain during the post-operative period.

Surgery

Subcutaneous mastectomy lasts between 2 and 3 hours. During surgery, high-resolution ultrasound guidance is used to ensure precise sculpting and minimise tissue trauma. It usually requires one night in hospital for observation.

Recovery

Patients wear a post-surgical compression vest and lymphatic drains for one month. The treatment plan includes 10 days of post-operative care, combining lymphatic drainage, Indiba therapy, and ultrasound sessions.

Benefits of subcutaneous mastectomy

Alignment with Gender Identity

This procedure reduces chest-related gender dysphoria, improving psychological well-being and body congruence, and may even help alleviate anxiety or depression.

Greater physical freedom

Exercise and daily movement become more comfortable, posture improves, and you can go shirtless with confidence.

Natural and personalised results

The chest is remodelled to achieve a masculine contour with natural-looking results, creating a body appearance more aligned with your gender identity.

Before and after subcutaneous mastectomy

Here are some real patient cases from Clínica Brasó, providing an idea of the results you can expect.

Mastectomía subcutanea ultrasónicaMastectomía subcutanea ultrasónica
Mastectomía subcutanea ultrasónicaMastectomía subcutanea ultrasónica
Mastectomía subcutanea ultrasónicaMastectomía subcutanea ultrasónica
Mastectomía subcutanea ultrasónicaMastectomía subcutanea ultrasónica

Postoperative care

Post-operative care is essential for a fast, safe recovery and the best aesthetic results. Here’s what to expect and how to care for your chest after surgery.

Drains and compression vest

You will leave the clinic with drains and a post-surgical compression vest, which should be worn daily for one month to reduce swelling and ensure optimal skin adaptation.

Medication

Mild discomfort and pain in the first few days is normal, easily managed with painkillers or anti-inflammatory medication.

Scars

Scars may appear red or swollen during the first few months. Your surgeon will recommend silicone gels or sheets to improve their appearance.

Sun exposure

Avoid direct sun exposure for the first six months to ensure proper healing and skin contraction. Use SPF sunscreen if necessary.

Physical activity

Gentle walking can start a few days after surgery. Intense exercise is not recommended until 4–6 weeks post-operation, and should be resumed gradually.

Follow-up appointments

Follow-up visits after the operation are key to your recovery. The team at Clínica Brasó will see you regularly to monitor your progress.

Surgeons specialising in mastectomy

Dra. Cristina Brasó

Dra. Cristina Brasó

Dr. Juan Bernardo Schuitemaker

Dr. Juan Bernardo Schuitemaker

Dra Sonia Martín

Dra. Sonia Martín

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Frequently asked questions

What is ultrasonic subcutaneous mastectomy?

Ultrasonic subcutaneous mastectomy is a surgical technique that removes breast tissue while preserving the skin and nipple-areola complex. Instead of a scalpel or electrocautery, an ultrasonic device is used, which simultaneously cuts and coagulates, reducing thermal spread and tissue damage for more precise dissection.

As with any surgery, there are risks. The most common include bruising, seromas, infections, changes in sensation, or circulation issues. These typically resolve over time with proper care and medication.

Studies indicate that the ultrasonic technique causes less initial swelling and pain, though results may vary between patients.

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