Male contours of the breast can be restored by surgery. An initial cost estimate can be found on our cost page. The techniques and the effort vary according to the type of breast tissue, the type of excess tissue (mammary gland tissue, fatty tissue, skin) and the patient's state of health. We will be happy to give you an exact price following a consultation.
Correction of male breast is one of the most common plastic surgeries in men. The selection of the right technique is crucial for a good result. As a rule, a combination of several surgical procedures makes sense. Excess fatty tissue is best removed using the vibration method (SAFELipo technique). The enlarged solid gland can be removed through a small inconspicuous incision at the lower edge of the areola. If very little breast tissue is present, an attempt can be made to bypass the incision at the edge of the areola. Experience has shown that the combination of removal of the mammary gland and liposuction provides harmonious and very satisfactory results. After liposuction using the vibration method, the skin shrinks in the months following the operation. The extent to which the skin shrinks depends, among other things, on the following factors: Age, permanent exposure to the sun, tobacco smoking, predisposition, concomitant diseases, certain medications and the extent of circumference increase. In young healthy patients, an attempt may be made to avoid the additional scar of tightening. If after half a year there is still a disturbing excess of skin, a moderate tightening can be carried out uncomplicatedly, outpatiently and under local anaesthesia. A partial regression of the skin also offers the advantage that a smaller skin incision is sufficient for correction. There are different techniques for removing excess skin, depending on the type of skin. Slight excess skin can be removed around the areola. In the case of large and sagging breasts, the nipple must be relocated or transplanted.
The scars that a correction of the male breast leaves behind are usually very inconspicuous. To remove excess fatty tissue, a three millimetre short skin incision is required on the side of the chest. The access is slightly offset to the right and left. Even small and hardly visible scars do not give the impression of a planned operation. The mammary gland tissue is removed via an arcuate skin incision at the edge of the areola. The scar between the areola and the breast skin is usually hardly visible. A moderate tightening of the skin leaves a circular scar around the areola. The removal of very sagging and flaccid skin after considerable weight loss makes it necessary to transplant or transplant the nipple. The aesthetic units of the breast and the skin tension lines must be taken into account. The transverse scars fade after six to nine months.
Every operation is prepared with the greatest care. This means that several security checks are routinely carried out to ensure that the procedure is performed under the best possible conditions. The surgeon will make sure again that all your questions have been answered. On the stripped upper body, the surgeon marks the area of skin to be treated with a waterproof pencil. The marked operation plan serves for control and better orientation during the operation. You will then be taken to the operating room. There, the team consisting of your surgeon, a surgical assistant, the anaesthetist, an operating room nurse and a technical assistant takes care of your well-being. We make sure that you lie comfortably on a specially padded operating table. A little background music can take away your fear and reduce your pain. You will be given medication that will put you into a light or deep sleep. While you sleep, the operation area is thoroughly disinfected several times. Sterile pathogen-proof drapes are glued to the skin to protect the surgical field from all sides. So that you do not feel any pain after the operation, a long-acting anaesthetic is applied. The water solution injected into the subcutaneous tissue contains adrenaline. This reduces blood loss and prevents the formation of bruises. Excess fatty tissue is aspirated with very fine cannulas. The solid glandular tissue is removed through an arcuate incision at the edge of the areola. Small vessels are sclerosed. If necessary, the excess skin is removed. The wounds are sutured with self-dissolving sutures. Finally, a further critical examination is carried out to determine whether the result is aesthetically pleasing and symmetrical. Finally, a sterile dressing is applied and adapted to the compression girdle. The procedure takes between one and a half and two and a half hours, depending on the severity of the gynecomastia. You will then be taken to a rest room where your well-being will be continuously monitored. If you are well, you can have a drink or a snack. Before you are brought home, the surgeon will discuss the course of the operation with you. You will be given a detailed report. This will contain a detailed list of the behavioural measures and the dates of the check-ups. The report also contains the surgeon's personal telephone number, which you can reach around the clock. On the evening after the operation, the surgeon will contact you to inquire about your condition.
- Correction of gynecomastia can restore a normal body image.
- Gynecomastia correction usually leaves hardly any visible scars.
- The removal of the mammary gland improves or eliminates the chest pain.
- Correction of gynecomastia can significantly improve the overall quality of life (Davanco RA, et al. 2009, Aesthet Plast Surg).
- Correction of gynecomastia provides faster, more effective and aesthetically better results than drug treatment (Zavlin D, et al. 2017. Aesthetic Plast Surg).
- Most procedures are performed on an outpatient basis.
- The operation is accompanied by little absence from training or work.
- There is no risk of male breast recurrence.