Gynecomastia

When is gynecomastia warranted?

There are several reasons for enlarged, feminine male breasts. It is not uncommon for a combination of excessive bodybuilding and workout supplements to cause soft adipose tissue to build up in the breasts when no longer training. Feminine breasts forming due to an inherited hormonal problem is also common, but obesity can deposit a disproportionate amount of fat on men's chests. When breast size becomes confusing and causes self-esteem and frustration both in private and in everyday life, gynecomastia becomes warranted. Men who have undergone gynecomastia surgery regain their self-esteem, their self-confidence increases and their previous complexes disappear. The chest will be proportionate and masculine in appearance.

What happens at the first consultation?

Our plastic surgeon will examine you during a personal consultation and, based on their references, show you what your expected best outcome will be if you decide to have surgery. After the examination, the plastic surgeon will explain precisely the course of the surgery and show you where the necessary incisions will be located. Finally, possible reasons for exclusion and potential complications are discussed.

Preparing for surgery

As with all surgeries, before gynecomastia you will need to undergo a full examination, which includes laboratory tests, ECG and x-rays if necessary, and a breast ultrasound. In our private hospital, we perform all the necessary tests at the same time to save you time and make your preparations for gynecomastia more convenient. You then receive some lifestyle tips to help you prepare for surgery and to speed up your recovery. These include quitting smoking - at least temporarily - as nicotine slows the healing processes, consuming adequate amounts of fluids, vitamins and trace elements (vitamin C, selenium, zinc) and avoiding the use of aspirin, ginkgo biloba and other natural remedies, because these affect blood clotting.

What happens during surgery?

During the procedure under anesthesia our surgeon makes the surgical incision around the areola. Occasionally, an inverted T-line incision may be required, i.e. around the areola starting vertically in the direction of the so-called inframammary line, ending with a horizontal incision. He then removes adipose tissue and part of the glandular tissue, as well as excess skin if necessary, and may even apply liposuction to the area. Only absorbable sutures are used throughout, sparing you the inconvenience of later suture removal. The whole procedure takes 1.5 hours.

Recovery, regeneration

After gynecomastia you will need to spend one night in our private hospital, where you can relax in pleasant and comfortable surroundings. The surgical site should not be exposed to water for one week. You will need to wear the special compression bandage - which we provide for you - for eight weeks. During the first two weeks it is important to avoid all strenuous physical activity, then you can gradually resume your previous rhythm of life and after three weeks light exercise is allowed. Neither the solarium, sunbathing, nor the sauna are advised for two months. Our plastic surgeon will call you back for a postoperative examination at specified intervals. The visible scars heal in approximately 6 months, while those under the skin heal within approximately 2 years. Although we try to screen for all risk factors during preoperative gynecomastia examinations, unforeseen complications can still occur. At the first consultation your plastic surgeon will inform you about these and how to avoid them.