Gynecomastia

Gynecomastia

What is Gynecomastia and How Does It Appear?

The term gynecomastia refers to the development of a female-like breast shape in men.
The causes can vary: hormonal imbalances in the body, externally administered hormones (e.g., during bodybuilding), or frequent use of alcohol or narcotics.

Two types are distinguished:

  • The “true” gynecomastia, caused by an increase in glandular breast tissue, and
  • The “pseudo” (false) gynecomastia, caused by fat accumulation in the chest.

Both can lead to a prominent lower breast fold and, in severe cases, a sagging or enlarged male breast.
Many affected men avoid tight clothing or appearing bare-chested in public due to discomfort and embarrassment.

What Results Can I Expect from Surgery?

Depending on severity, different techniques are suitable for reducing male breast size.
Our preferred method is liposuction of the fatty glandular tissue combined with tightening around the areola.
Even large tissue volumes can be removed effectively using this technique.
The skin is gently folded (pleated) around the areola, similar to a plissé, and smooths out naturally over time.
If a wider scar develops, it can later be corrected under local anesthesia.
This approach avoids long scars under the chest and achieves a more aesthetic, natural result.

How Does the Procedure Work at Our Clinic?

During the **preoperative consultation**, we discuss the procedure in detail and record your preferences. We take time to plan the incision, markings, and documentation carefully. On the **day of surgery**, you will be admitted directly to avoid waiting times. Before anesthesia, Dr. Million reviews the plan once more and performs the markings. Our experienced anesthesia and nursing team provides full care throughout your stay. You will **stay overnight** in one of our recovery rooms under continuous monitoring. After a final check-up the next morning, you can usually return home.

Advantages, Risks, and Alternatives

After surgery, the chest appears **significantly flatter and firmer**. We recommend **overnight monitoring** to minimize the risk of postoperative bleeding. A true gynecomastia with excess soft tissue cannot be corrected without surgery.

Postoperative Care

A **compression garment** should be worn for **6 weeks** after surgery for optimal results. If dissolvable sutures are used, **no removal is necessary**. You can return to work after **5–7 days**. **Sports** may be resumed after **6 weeks**, and **showers** are allowed from **day 2 post-op**.

Treatment facts

  • Duration?
  • 3 h
  • Technique?
  • Incision around the areola,
    liposuction, tightening suture
  • Anesthesia?
  • General anesthesia
  • Hospital stay?
  • Usually 1 night inpatient
  • Follow-up?
  • After 2 and 6 weeks
  • Suture removal?
  • Around the areola after 14 days,
    at the other sites suture removal can be omitted
    if absorbable suture material is used.
  • Aftercare?
  • Compression garments for 6 weeks.
    Showering from the 2nd day after surgery.
    Socially presentable after 5-7 days.
    Sports after 4 weeks.