Gynecomastia in Men
Unwanted enlargement of the male breast
Normally, men have such a small amount of mammary tissue and it does not protrude from the subcutaneous fatty tissue. In gynecomastia, the tissue typically proliferates and results in a female breast. An unwanted breast enlargement arises, either on both sides or only on one side. This excess breast tissue may have genetic or hormonal causes, but may also be due to the consumption of alcohol or marijuana or the intake of anabolic steroids. A non-male breast contour is a great psychological burden for many patients.
Weight reduction as a first recommendation
If patients are clearly overweight, we recommend weight loss before surgery. As a result a clearly visible improvement of the bust occurs in many cases. Such cases are called lipomastia or pseudogynecomastia.
Gynecomastia is not a serious condition
In most cases, an unwanted male bosom is hormonal. The reason is often hormonal imbalance during puberty, but can also be caused by medication or an age-related hormone change in the body. In most cases, a serious illness can be excluded as a cause though. Before treatment, we ask the family doctor and possibly also the endocrinologist to clarify whether a particular disease is responsible for the gynecomastia. In individual cases, a mammography is performed to clarify the tissue condition of the breast or to exclude breast cancer.
How to treat gynecomastia?
Smaller attachments of excess fat can be sucked off via liposuction by two punctures in the breast crease. The scars of liposuction are stitch-shaped and very inconspicuous. A very pronounced glandular body requires a skin incision at the edge of the nipple. The procedure and the healing process are straightforward. In local anaesthesia or general anaesthesia, the surgeon performs the treatment on an outpatient basis. In some less severe cases, it is possible to treat breast fat by using the gentle coolsculpting method.
What should be considered after the operation?
Gynecomastia is almost painless. At most, you may experience an unpleasant soreness or bruising. In any case, you should wear a compression bandage for around six weeks after the procedure to quickly reduce swellings in the area of the mammary gland and to optimize the surgical result. Although you are mobile after a few days, you should, if possible, spare yourself during the first two weeks after the operation and refrain from work and other efforts. If necessary, the threads are removed after 14 days.
Are there risks in gynecomastia treatment?
There are no specific risks in the treatment of gynecomastia, although it must be pointed out that a re-formation of undesirable glandular tissue in the male breast may occur. Also, bumps and asymmetries may occur, which could possibly be eliminated by a renewed intervention.
Detailed advice before the operation
All questions regarding the course of treatment, the appearance of the breast after the operation and possible complications are discussed in advance with our patients as part of a detailed consultation in our practice in Berlin. We are looking forward to meet you!