Reduce male breast size surgically (gynaecomastia)

Dr Mathias Tremp Male Breast

Beautify the upper body without fatty tissue and mammary gland

In men, feminisation of the breast shape may occur. Male breasts (gynaecomastia) are very common. Almost half of all men have a man boob.

There are two types of male breast. There is true gynaecomastia (proliferation of the mammary gland) and false gynaecomastia (lipomastia, proliferation of fatty tissue). Mixed forms are common.

False gynaecomastia (increase in fatty tissue)

False gynaecomastia (pseudogynaecomastia) is congenital or influenced by lifestyle. The enlarged male breasts are 90% due to overweight. In the case of severe overweight, fat is also deposited in the male breast.

Fat tumours (lipomas) can also be the cause of false gynaecomastia. With diet, sport and targeted training of the pectoral muscles, this male breast can be improved optically again quite well.

True gynaecomastia (enlargement of the mammary gland)

True gynaecomastia concerns the enlargement of the breast due to an increase in glandular tissue. Male breast growth can be either unilateral or bilateral.

Up to 65% of adolescent males are affected by true gynaecomastia during puberty. Many boys' breasts develop back later. Among adult men, 30 to 50% are affected by true gynaecomastia.

Aesthetic problem of the male breast

Severe pain is rare with enlarged mammary glands. However, patients with gynaecomastia are not able to influence the shape of the enlarged breast.

The aesthetic problem of a man's breast often becomes a psychological burden.

Liposuction is a good way to reduce the male breast and contour the silhouette in a correspondingly masculine way. With surgical removal of the glandular tissue, the permanent improvement of the male breast can be achieved.

PD Dr med Mathias Tremp Welcome

Do you have questions about the therapies for a man boob?
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During a consultation you will be fully informed by PD. Dr. med. Mathias Tremp will fully inform you about the procedure, possible risks and the feasibility of the desired correction.

Cause of gynaecomastia

In most cases, the exact cause of the abnormal enlargement is not entirely clear. Hormonal disorders or certain medications can be the cause of gynaecomastia and enlargement of the mammary gland.

Genuine gynaecomastia is not always pathological. Often gynaecomastia develops during puberty due to an enlargement of the existing mammary gland.

Fake gynaecomastia is caused by obesity. This involves the development of more fatty tissue on the pectoral muscle and around the nipple.

Which men are suitable for male breast surgery?

Basically, all men who suffer from breasts that are perceived as too large are eligible for treatment. Male breast surgery is a purely aesthetically motivated correction.

An important prerequisite before any surgery is a detailed consultation to enable the patient to have the best possible expectations. Correction in young patients is not recommended. The boy's breasts can regress on their own after puberty.

Liposuction for fake male breasts

Liposuction on the male breast can remove fat deposits that usually do not go away with exercise. Together with an optimal diet, the results are long-lasting.

During liposuction, the breast area is injected with a special solution that facilitates the subsequent suction of the fatty tissue. Depending on the size of the man's breast, liposuction can be performed under local or general anaesthesia.

We use the most modern suction and vibration technology (Microaire®). The method is mainly used in regions that are difficult to suction.

Correction of true gynaecomastia (male breast)

True gynaecomastia in men can be treated differently once diagnosed.

Hormonal abnormalities can usually be treated with medication. A change in diet and exercise can also lead to the desired success.

If the therapies do not bring any improvement, the glandular tissue of the breast and surrounding fat can be surgically removed (andromastectomy).

Gynaecomastia is treated by suction and removal of the glandular tissue with a scalpel.

If there is pure fat storage, the excess fatty tissue is suctioned out (liposuction). After the cosmetic result is achieved by liposuction, the skin section is closed.

Surgery, ability to work, risks and aftercare

The incision is usually crescent-shaped around the lower part of the atrium. In addition, a tube is inserted for 48 hours to allow the wound fluid to drain.

The excess mammary gland tissue is removed through this incision.

After liposuction, there is sometimes a feeling of numbness in the suctioned areas, but this soon subsides. Any bruising will also disappear.

The procedure can be done with local anaesthesia or under general anaesthesia. The operation is usually done on an outpatient basis. After 5 to 7 days, the patient can return to normal work.

After the treatment, patients wear a gilit for 4 weeks to compress the breast. Physical activities are allowed 4 weeks after surgery.

The recovery period for liposuction depends on the extent of the procedure. For smaller procedures, a rest period of two days is sufficient. For larger liposuction procedures, a recovery period of up to two weeks should be planned.

The removed glandular tissue cannot form again after the operation. After the operation, diet and plenty of exercise are important. The aim is to prevent the fatty tissue in the breast from growing again.

Male breast reduction costs

The costs vary depending on the effort and are discussed and defined individually with the patient in advance. The costs include all measures such as preliminary discussion, operation, anaesthesia, medication, stays and follow-up checks.

Contact us for a non-binding consultation.

Offer and prices