What are the causes of lipomastia?

Lipomasty is the proliferation of fatty tissue that leads to the formation of a man's breast. One of the known causes is overweight. In most cases, male breasts are caused both by an increase in adipose tissue and by an increase in mammary gland tissue. This is called lipo-gynecomastia. Tissue proliferation can be triggered by medication or changes in the hormone balance. A man's breast can also develop without being overweight. Often no trigger is found.

After heavy weight loss, the skin's elasticity is limited and excess skin may remain. The sagging skin can give the impression of a breast. For this reason, the term lipomasty or pseudogynecomastia is also used in these cases. To restore a male upper body contour, an additional tightening of the skin on the breast and the lateral upper body is necessary.

What are the techniques of skin tightening in lipomasty?

With the technique of vibration liposuction (SAFE-Lipo) a certain shrinkage of the skin is observed over the months. The extent to which the skin shrinks after liposuction varies from individual to individual and cannot be calculated. The aim of a skin lift is to remove excess skin and correct the size and position of the nipples. If the excess skin is moderate, a scar-saving technique leaves a scar around the areola. This so-called O-shaped lifting can be accompanied by a relocation and reduction of the areola. Careful consideration is necessary in advance, as scars on the front side of the upper body cannot be hidden. In spite of all caution, the formation of bulging and reddened scars must be taken into consideration if the patient is predisposed. If there is a lot of excess skin after heavy weight loss, which leads to a skin fold under the breast, a lifting of the entire rib cage may be necessary. The removal of the hanging skin may require an incision from the lateral rib cage under the upper arm to the sternum.


How do I recognize a lipomasty?

In most cases, a man's breast is caused by both increased glandular tissue and increased fatty tissue. The glandular tissue can usually be palpated under the nipple. It feels harder than the surrounding fatty tissue. In an ultrasound examination the mammary gland tissue can be assessed and measured.


What to do against lipomasty?

The body fat percentage can be reduced with sport and diet. In some parts of the body, the fat deposits melt faster than in others. Lipomasty can also be performed without being overweight. Depending on the changes in your upper body, the goals cannot be achieved by losing weight. Fat deposits can be reduced to a small extent by the technique of cryolipolysis (targeted, temporary cooling of the affected body area). Cryolipolysis can reduce very limited fat deposits after at least three treatments. Cryolipolysis as well as fat-way injection are not seriously considered indicated or common treatment alternatives for lipomasty. The success of treatment with drugs (danazol, tamoxifen or aromatase inhibitors) is doubtful and has - if at all - a chance of success only in the first months after the onset of gynecomastia at puberty (www.awmf.de).

The following goals can be achieved by an intervention:

  • The production of a flat and male breast
  • The removal of an underbust crease
  • Correcting the size and position of the areola
  • The reduction of the nipple
  • The removal of superfluous skin
  • Adjusting the size and shape of both breasts

Before After Images of a lipomasty

A comprehensive consultation is of utmost importance for a successful treatment. Through the conversation your surgeon will gain a clear understanding of your goals and you will get an impression of the possible treatment results. Before Before After Pictures can be very helpful to illustrate the possibilities and limitations of the respective techniques. Since not every technique is suitable for every patient, some prior knowledge is required to evaluate the images. Surgical techniques differ in terms of results, effort and thus risks. A treatment is only appropriate if the expected results outweigh the possible risks. The legislator has decided that the display of before and after images outside of the explanatory talk is not permitted. Because we attach great importance to providing you with the best possible information, we are happy to show you before and after images during a consultation.


What are the costs of surgery to correct a lipomasty?

Our cost page gives an impression of the costs of the correction of a lipomasty. Since many different techniques are used, an exact price can only be given after a consultation and examination. During the consultation you will receive an individual offer with a transparent cost overview. Our page Obligation of health insurance companies to provide services informs you in which cases you can expect a contribution from your health insurance company.


Author's statement

Author: Stéphane Stahl, MD, PhD. There are no financial relationships with the pharmaceutical or medical device industries that could have influenced the above text. Any reproduction, even partial, is permitted for personal use only. All texts used on this website are protected by copyright.


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Your Centerplast team around PD Dr. Stéphane Stahl and dr. Adelana Santos Stahl is happy to advise you.

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