Diamond Aesthetics Klinik

Gynecomastia Düsseldorf: breast surgery for men

4D Laser Lipolyse

Breast formation in men

Gynaecomastia (breast enlargement) is the term used to describe a mostly benign growth or enlargement of the mammary gland in men. As a rule, the so-called“man boobs” do not cause any pain, but can lead to considerable physical, emotional and psychological stress. They perceive their male breasts as unmanly and unattractive and sufferers endure the psychological strain for a long time. Gynecomastia (male breast surgery), in which the excess breast tissue is surgically removed, offers a remedy.

In addition to gynecomastia Düsseldorf, our private clinic also offers men other treatments in the field of breast surgery. Combine the operation with a breast reduction, liposuction or abdominal fat removal/liposuction, for example. We would be happy to advise you personally on the individual surgical options at Diamond Aesthetics in Düsseldorf.

The surgical techniques for gynecomastia Düsseldorf

There are various surgical techniques for treating gynecomastia, depending on the extent of the enlargement, the condition of the breast tissue and the individual needs of the patient. A specialist in plastic and aesthetic surgery can explain which method is best for your case. There are two common methods for gynecomastia: liposuction and mastectomy.

  1. Liposuction: In this method, thin cannulas are used to remove excess fatty tissue from the man’s breast; the mammary glands remain untouched. If necessary, the skin is tightened and the nipples are reduced in size. This method is particularly effective in cases where gynecomastia is mainly caused by an increase in fatty tissue.

  2. Mastectomy: In this method, the excess breast tissue and the mammary gland are surgically removed. Mastectomy is often used in more serious cases where the breast tissue is greatly enlarged and liposuction is not sufficient. During the operation, the surgeon makes an incision along the nipples, through which the enlarged mammary gland is removed. The areola may also be reduced, liposuction performed and the skin tightened.

What is gynecomastia?

In the case of gynecomastia Düsseldorf or breast growth in men, the tissue of the mammary glands grows on one or both sides. A doctor examines the causes of gynecomastia and chooses the right treatment depending on whether it is a natural (physiological) or pathological process. From a certain age, it should be checked whether the breast growth could be caused by breast cancer. Those affected usually feel no discomfort, but others complain of a feeling of tightness in the male breast and are restricted in their movement.

The causes of gynecomastia can be varied and can be caused by hormonal fluctuations, genetic factors, chronic illnesses and age. The growth of the mammary gland tissue plays a central role, as hormonal changes and other factors influence the growth of the glandular tissue. The tissue reacts sensitively to fluctuations in the male hormone balance, which promotes breast growth.

Causes of gynecomastia in men

Physiological gynecomastia is caused by an imbalance of female (oestrogen) and male hormones (testosterone). In the case of pathological gynecomastia, breast growth in men is a sign of a pathological growth process in the body. Causes of gynecomastia can be

  • Hormonal changes in boys during puberty (pubertal gynecomastia)

  • Imbalance in the hormone balance

  • Ageing processes in old age (age-related gynecomastia)

  • Genetic causes

  • Chronic diseases

  • External supply of hormones

  • Taking certain medications

  • Breast cancer and tumors

  • Drugs and care products

Difference between true gynecomastia and pseudogynecomastia

Genuine gynecomastia must be distinguished from so-called pseudogynecomastia (lipomastia), which is caused by an increased formation of fatty tissue in the breast area due to severe obesity. Regardless of whether the breast enlargement is due to true gynecomastia or pseudogynecomastia, breast cancer should be ruled out as a possible cause.

A male breast with fat deposits can also be surgically removed. However, pseudogynecomastia may require further treatment methods, as not only pure breast tissue but also fat deposits must be removed.

Procedure for gynecomastia Düsseldorf surgery

The procedure for gynecomastia surgery can vary depending on the individual needs of the patient and the chosen surgical method. In general, the procedure for gynecomastia surgery is as follows:

01
Preliminary examination

Before surgery, patients should have the causes of breast augmentation clarified. The doctor assesses the severity of the gynecomastia and determines whether the male breast has pathological or physiological causes. During treatment, the patient's state of health, medication and any allergies will also be checked. During puberty, hormonal changes in boys can lead to temporary breast growth.

02
Consultation

We will discuss your wishes and ideas with you and explain which methods of gynecomastia surgery are suitable for you. We will also be happy to answer your questions and inform you about possible risks and complications. We will also estimate what results you can expect.

03
Preparation for the operation

Before the operation, you will receive instructions on how to prepare for the operation. If necessary, the doctor will advise the patient to follow a diet, stop smoking, avoid alcohol and stop taking blood-thinning medication. You will also be instructed to appear sober on the day of the operation and to carry all the necessary documents with you.

04
Operation day

Gynecomastia surgery to remove the male breast is performed under local or general anesthesia. The doctor and patient decide together which anesthesia is right for the procedure.

05
Carrying out the operation

During the procedure, the surgeon removes excess fatty tissue and/or glandular tissue from the patient's breast to reduce breast growth. This can be done by liposuction, mastectomy or a combination of both procedures. Obesity can worsen gynecomastia, so weight loss should be considered if necessary.

06
Aftercare

After gynecomastia surgery, the patient is taken to the recovery area where they are monitored until the anesthesia wears off. The patient will be given aftercare instructions, including what to do, medications to take and appointments for follow-up visits. A compression garment should be worn for 4 weeks after the procedure to aid the healing process. Patients should also avoid exercise and physical exertion during this time.

07
Recovery phase

The patient must recover from the operation during the recovery period by following the doctor's instructions, avoiding physical exertion and wearing the recommended compression garments.

08
Follow-up examinations

The patient must attend regular follow-up examinations to monitor the healing process. Aftercare is important so that we can achieve the desired results.

It is important that the patient works well with their surgeon during pre-op consultations, pre-op preparation and post-op care and communicates their questions or concerns openly.

It is important that the patient works closely with their surgeon throughout the process and communicates openly if they have any questions or concerns.

Surgery costs for gynecomastia

The surgical costs of a gynecomastia depend on the duration and complexity of the procedure, the type of anesthesia and the surgical technique chosen. The extent of the follow-up treatment also plays a role in the cost calculation. As a rule, the cost of gynecomastia surgery is at least €4,500. According to the law, however, the initial consultation is a chargeable service, although the costs are manageable.

Private and statutory health insurance usually only covers the costs of removing a man’s breast if it can be proven that the cause is genuine gynecomastia with a medical history (e.g. hormonal disorders). However, insurance companies do not pay for pseudogynecomastia surgery to remove a man’s breast as it is an aesthetic procedure. Costs can only be covered in very rare cases if there is a medical indication, e.g. physical or psychological complaints.

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