Treatment of gynecomastia – Back to an attractive man chest

Die Korrektur der vergrößerten Männerbrust ist eine der häufigsten plastischen Operationen bei Männern.

Möchten Sie sich auch wieder in allen T-Shirts wohlfühlen? Empfinden Sie Ihre Brust als unästhetisch oder sogar störend und haben schon eine Besserung durch die Ernährung und Sport vergeblich angestrebt ? Für ein gutes Ergebnis ist die Auswahl der richtigen OP-Technik entscheidend.

Auf dieser Seite finden Sie alle Informationen zur operativen Behandlung der Gynäkomastie. Wenn Sie mehr über die Ursachen der Erkrankung (Medikamente, hormonelle Ursachen etc.), die Symptome sowie alternative Behandlungsformen erfahren möchten, besuchen Sie gerne zusätzlich die Seite Gynäkomastie. 

Choose a breast that you feel absolutely comfortable with:

• Endlich wieder Oberkörper frei; ob im Urlaub oder für die Partnerin
• Durch die richtigen Proportionen den Körper ins Gleichgewicht bringen
• Attraktivität erhöhen
• Kaum sichtbare Narben, schnelle Regeneration und straffere Brust

CenterPlast is your specialist for gynecomastia surgery. Please feel free to arrange an individual consultation appointment.

What is gynecomastia?

1. large pectoral muscle (Musculus pectoralis major)
2. third rib
3. subcutaneous fat tissue
4. intercostal nerve and vessels
5. dense glandular tissue
6. pleura

A man’s breast is usually caused by both increased mammary gland tissue and increased subcutaneous fat tissue. Vibration liposuction is a very gentle and safe procedure for removing excess fatty tissue. From a palpable enlargement of the breast tissue of two centimeters in diameter, one speaks of a gynecomastia.

The glandular tissue of the male is very firm and therefore cannot be suctioned. It contains no glandular lobes but glandular ducts that open into the nipple. The mammary gland tissue is removed through a small skin incision at the lower edge of the areola. Only in special cases should the removed tissue be examined for fine tissue (familial incidence of breast cancer, congenital chromosomal disorder, unilateral gynecomastia). The procedure can be performed very gently with targeted anesthesia of the intercostal nerves. Thanks to the so-called Rapid Recovery procedure, you will be back home a few hours after the procedure and will recover better and faster.

1 . regions of contouring in HD liposculpture.
2. Intercostal nerve and vessels

Facts about the treatment of gynecomastia

What are the treatment options for gynecomastia?

There are different forms of gynecomastia. In addition, there are many terms related to the female breast attachment in males (e.g.. B. Pseudo-gynecomastia(lipomastia)). We will be happy to advise you in a personal meeting about your options.

As a rule, a combination of several surgical procedures is useful. Liposuction is best performed using the vibration method (SAFELipo technique). The enlarged solid glandular body of the male can be removed by the specialist in plastic-aesthetic surgery through an inconspicuous, small incision at the lower edge of the areola. If there is very little breast – glandular tissue, you can try to avoid the incision at the edge of the male areola. Experience shows that in true gynecomastia, the combination of removal of the enlarged mammary gland and liposuction provides harmonious and very satisfactory results, so that the breasts no longer look feminine. After liposuction with the vibration method, the skin shrinks afterward, in the months following gynecomastia surgery.

The extent to which the skin recedes depends on the following factors, among others:

• Age
• permanent exposure to the sun
• Tobacco smoking, predisposition
• Concomitant diseases
• certain drugs
• and expression of the enlarged breast.

In young healthy men, an attempt can be made to do without the additional scar of the tightening. If you still suffer from an annoying excess of skin after six months, a moderate tightening can be performed in an uncomplicated way, on an outpatient basis and under local anaesthesia. Also a partial regression of the skin, offers the advantage that a smaller skin incision is sufficient for correction. There are various techniques for removing excess skin, depending on the severity. Some excess skin can be removed from around the male areola. In the case of a drooping and large breast, which may look feminine, a relocation or transplantation of the nipple is necessary.

Vorher-Nachher-Beispiele der Korrektur einer Gynäkomastie

How is gynecomastia surgery performed?and what can you expect?

Step 1: Preparation for gynecomastia surgery

Every operation is prepared with the greatest care by the plastic surgeon. This means that several security checks are routinely carried out to ensure that the surgical breast reduction in men takes place under the best possible conditions. The surgeon will double-check that all of your questions have been answered.

Step 2: Performing male breast surgery

On the undressed upper body, the doctor marks the area of ​​skin to be treated with a waterproof pen. The marked operation plan is used for control and better orientation during the operation in order to restore the planned natural shape. You will then be taken to the operating room. There, the team consisting of your plastic surgeon, a surgical assistant, the anesthetist, an operating room nurse and a technical assistant will take care of your well-being. Care is taken to ensure that you are lying comfortably on a specially padded operating table. A bit of background music can take away your fear and reduce the feeling of pain. You will be given medication that will put you into light or deep sleep (general anesthesia).

During general anesthesia, the operating area is thoroughly disinfected several times. Sterile, pathogen-proof drapes are stuck to the skin in order to protect the surgical field extensively on all sides. To ensure that you do not feel any physical pain after the procedure, the specialized anesthesiologist will administer a long-lasting effective anesthetic. The water solution that is injected into the subcutaneous tissue contains adrenaline. This will reduce blood loss and prevent bruising. Excess fatty tissue is suctioned off with very fine cannulas. The firm glandular tissue of the male breast is removed through an arched skin incision on the edge of the areola. Small vessels are deserted. If necessary, the excess skin is removed.

The wounds are sutured with self-dissolving skin threads. The specialist in aesthetic surgery then critically checks again whether the result is beautiful and symmetrical. Finally, after the plastic treatment, a sterile bandage is applied and the compression girdle is adjusted. The duration of the operation for the surgical breast reduction is one and a half to two and a half hours, depending on the severity of the real gynecomastia.

Step 3: After the procedure – male breast reduction healing process

You will be taken to a rest room where your well-being will be continuously monitored. If you are fine, you can have a drink or a bite to eat. As a rule, you can be picked up four to six hours after the operation. The doctor gives the approval for this after control.

Before you are brought home, there will be a personal conversation: The surgeon will tell you how the operation to reduce the size of the enlarged breast went in detail. You will also be given a detailed report. The behavioral measures are listed in detail and the dates of the check-ups are noted. The report also contains the personal telephone number of the aesthetic surgery specialist, who is available to you around the clock. In the evening after the operation, the surgeon will contact you to find out how you are and to rule out any unusual swelling or pain.

Are there scars after gynecomastia surgery?

The scars that a correction of the man’s breast leaves afterwards are usually very inconspicuous. As part of liposuction, a three millimeter short skin incision on the side of the chest is required to remove excess fatty tissue. Access is slightly offset to the right and left. Even small and barely visible scars do not give the impression of a planned operation.

The tissue of the male mammary gland is removed through an arched skin incision on the edge of the areola. The scar between the areola and the breast skin is usually barely visible. If the skin is moderately tightened, a circular scar will remain around the areola. Removing sagging and sagging skin after significant weight loss requires nipple relocation or grafting. Here, the aesthetic units of the male breast and the skin tension lines must be taken into account. The transverse scars fade after six to nine months. We will be happy to advise you individually on this topic.

What Are The Eight Benefits Of Gynecomastia Correction?

1. Correction of gynecomastia can restore a normal body image in affected men, so that they can subsequently refrain from wearing extra-wide clothing such as oversized T-shirts.
2. The correction of gynecomastia usually leaves hardly any scars afterwards.
3. Removing the mammary gland will improve or eliminate the chest pain.
4. Correcting gynecomastia can significantly improve the general quality of life (Davanco RA, et al. 2009, Aesthet Plast Surg).
5. Correction of gynecomastia delivers faster, more effective and aesthetically better results than drug treatment (Zavlin D, et al. 2017. Aesthetic Plast Surg).
6. Most male breast reductions are performed on an outpatient basis.
7. Gynecomastia surgery is associated with a small absence from training or work.
8. There is no risk of recurrence of male breast, so the suffering can be effectively ended. An effective and sustainable before-and-after change.

Our gynecomastia surgery experience at Centerplast

Patients today place a lot of importance on reviews of other patients’ experiences and look at the average rating of a doctor to select him or her for their surgery. If you would like to see how satisfied our patients are and read more about their experiences with gynecomastia surgery with our cosmetic surgeons, visit our testimonials pagenow.

Our Gynecomastia before and after pictures at Centerplast

In addition to testimonials, men who are interested in gynecomastia surgery also place a lot of value on before and after photos. In Germany, such images may not be shown on the Internet. However, this is possible within the framework of a personal consultation. Of course, this is done in compliance with data protection guidelines (more about before and after pictures).

Frequently asked questions

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The author

Dr. med. Stéphane Stahl

“We provide you with extensive expert knowledge so that we can work with you to select the best possible treatment path.”

Dr. med. Stéphane steel is the former director of the Clinic for Plastic, Reconstructive and Aesthetic Surgery / Hand Surgery at the Lüdenscheid Clinic. Dr. Stahl studied medicine at the Universities of Freiburg and Berlin. In 2011 he passed the European and 2012 the German specialist examination for plastic and aesthetic surgery. Further specialist qualifications and additional qualifications followed (including quality management, medical didactics, physical therapy, emergency medicine, laser protection officers, hand surgery) as well as prizes and awards. In 2015 he completed his habilitation in plastic and aesthetic surgery in Tübingen. He is an experienced microsurgeon, a sought-after expert and a regular speaker at specialist congresses. After a multi-stage selection process, Stéphane Stahl became a member of the American Society for Aesthetic Plastic Surgery (ASAPS), one of the world’s largest and most influential specialist societies for aesthetic surgery. His authorship includes numerous articles in respected peer review journals and standard surgical textbooks.