Male breast enlargement – Gynecomastia
Male breast enlargement is a benign growth of the mammary glands and/or fatty tissue in men.
Indication
Men with enlarged breasts (gynecomastia) often suffer a great deal from embarrassment caused by the female breast shape, especially when wearing tight clothing or during the warmer months of the year.
Gynecomastia can occur unilaterally or bilaterally and is divided into two forms: true gynecomastia and lipomastia. In true gynecomastia, the mammary gland tissue is enlarged, whereas in lipomastia only excess fatty tissue is present. Mixed forms often occur. In addition to the visible enlargement of the breast, true gynecomastia can also cause feelings of tension and pain.
Treatment
Surgical treatment of gynecomastia usually involves liposuction, followed by removal of the excess breast tissue through a small incision in the areola. If only fatty tissue is present, liposuction is sufficient. If there is a lot of excess skin, the skin can be tightened through additional incisions in the shadow below the pectoralis major muscle. The procedure is usually performed on an outpatient basis under general anesthesia.
Aftercare and result
After the operation, a compression garment hould be worn around the clock for around 3 weeks to support the healing process. Light activities are possible again after a few days, but sport only after 2 weeks. Depending on your profession, you may be unable to work for up to 4 weeks.
The result of gynecomastia surgery is usually permanent. In very rare cases, however, a recurrence can occur if residual glandular tissue grows again.
Our aim is to help you achieve an aesthetically pleasing, masculine appearance.
Summary
Type of intervention
outpatient under general anesthesia
Pain level
moderate
Suture removal
resorbable sutures
Scars
minimal (liposuction), on the border of the areola and/or in the area of the breast crease
Final result
12 months
Return to regular activity
2-3 weeks
Avoid sport
2-12 weeks (depending on the sport)
Cost
from 5 000 CHF
Frequently asked questions about gynecomastia surgery
How do you recognise true gynecomastia?
You can recognise true gynaecomastia by an enlargement of the mammary gland tissue, which feels firm and rubbery and is usually located directly behind the nipple. It can be accompanied by tenderness or pain, especially in the early stages. It often occurs on both sides, but can also be asymmetrical.
What is the difference between true gynaecomastia and lipomastia?
True gynecomastia is the most common form of gynecomastia, often develops during puberty and is caused by hormonal imbalances. Sometimes the exact cause cannot be determined. Lipomastia often occurs with obesity, where fatty tissue accumulates around the nipple and pectoral muscle. Exercise, strength training and dietary changes can have a positive effect on lipomastia.
Which underlying diseases can be relevant for gynecomastia?
Hormonal disorders, liver or kidney diseases, hormone-producing tumours and changes caused by medication can play a role in gynecomastia. These should be clarified with diagnostic tests if they are suspected.
Which medications can cause gynecomastia?
Various medications can cause gynecomastia, including hormone preparations such as oestrogens and antiandrogens, certain psychotropic drugs, heart and blood pressure medications such as spironolactone, some gastrointestinal medications and substances such as anabolic steroids, cannabis and alcohol.
What diagnostics are necessary for true gynecomastia?
Sometimes a clarification is advisable to rule out underlying diseases. In addition to a physical examination, blood tests, ultrasound or mammography are carried out for diagnosis. Possible liver and testicular diseases or medication are also checked.
Which laboratory values are important in the diagnosis of gynecomastia?
Laboratory values such as male and female sex hormones, as well as liver, kidney and thyroid function are sometimes helpful in diagnosing gynecomastia in order to identify imbalances or underlying diseases.
What is the aim of gynecomastia surgery?
The aim of surgical correction is to achieve a masculine and aesthetically pleasing appearance that can significantly reduce the suffering of affected men.
What should I consider before and after gynecomastia surgery?
We will of course provide you with comprehensive verbal and written instructions on the pre- and post-operative care of your gynecomastia operation. Further general information can be found in the “For Patients – Resources” section.
When can I do sports again after gynecomastia surgery?
Light activities are possible after a few days, but real sport should be avoided for 2 weeks. For some sports, a break of up to 3 months may be necessary. We will be happy to clarify the details during the consultation.
What does gynecomastia surgery cost?
Costs vary depending on the size and extent of the treatment, starting at 5 000 CHF.
Does health insurance cover the cost of gynecomastia surgery?
In Switzerland, health insurance companies very rarely cover the costs of gynecomastia surgery. At our practice, the procedure is only available as a self-pay service.