Your Experts on Gynecomastia surgery
Dr. med. H. M. Pult
Dr. med. S. Zimmermann
Benign unilateral or bilateral enlargement of the male chest (gynecomastia or pseudogynecomastia) is the result of either an increase in gland tissue in the breast or excessive accumulation of fat. This can be inherent or may be the result of a hormone imbalance. Those affected often feel a strong sense of shame about their condition. Especially in the summer months, activities associated with having a bear chest on display can be mentally stressful.
Types and causes of gynecomastia
Gynecomastia can take many different forms, which, in turn, have many different causes. In “true” gynecomastia, the male mammary gland tissue excessively reproduces due to hormonal influences. This may present concomitantly during puberty or may occur as you age due to increased estrogen production. With pseudogynecomastia (lipomastia), however, fatty tissue accumulates in the mammary glands. While genetics, metabolic disorders and side effects from medications are usually the cause of true gynecomastia, pseudogynecomastia is often caused by heavy weight gain.
Surgical treatment options for gynecomastia
Our team of skilled professionals with many years of experience and specialization in gynecomastia are on your side. Respectfully and discretely treating you in a confidential atmosphere therefore goes without question.
The type of intervention depends on the type of gynecomastia. If increased fatty tissue is the cause of the disease, liposuction is recommended to treat it. For true gynecomastia, removal of the excess mammary gland tissue (subcutaneous mastectomy) is required. Depending on the baseline situation, a combination of the two surgical variants may be best for achieving the visual results you are looking for.
Course of treatment
Depending on the type of treatment and the patient’s wishes, local anesthesia, twilight sleep or general anesthesia may be used. The operation generally takes between one and two hours.
When treating true gynecomastia, the incision is made along the bottom edge of the areola in a half-moon shape. This means the scar is virtually unnoticeable afterwards.
Useful information on gynecomastia (breast reduction)
OP duration: 1-2 hours. Local anesthesia, twilight sleep or general anesthesia upon request. Outpatient or inpatient (1 night) possible.
Dissolving sutures; suture removal not required. Compression shirt for 4 weeks.
Able to return to work after 5-7 days. Sports after 4 weeks.