The benign growth of the mammary gland in men (gynaecomastia) can occur on one or both sides. It is a tissue enlargement of the male breast similar to the female breast. This can lead to an impairment of self-esteem in men. The cause is usually an unbalanced hormone ratio, but medication or illnesses can also be behind it. Before a planned breast operation, your general practitioner should therefore look for possible causes and eliminate them if possible.
Gynaecomastia must be distinguished from lipomastia, in which no mammary gland tissue is increased, but fatty tissue is deposited, usually in connection with being overweight. With the “soft” breast in lipomastia, exercise, targeted strength training and a healthy diet can often still help.
If there are no pathological changes, we can treat the gynaecomastia surgically. Often a combination of liposuction and removal of the glandular tissue is carried out. The fat layer should be evenly distributed over the entire breast. In doing so, we create smooth transitions. Any excess skin can be removed with a lifting operation.
For about 4–6 weeks afterwards, you should wear a compression garment and avoid heavy physical work and sporting activities.
The patient should bring an ultrasound of the testicles and the breast as well as a hormone status to the consultation.
Before the actual surgery appointment, a consultation takes place in which we can discuss the desired result and clarify risks. The procedure is carried out under general anaesthesia.
