Gynecomastia Treatment in Hamburg
For men, an enlarged, feminine-looking breast usually represents a great psychological burden. In colloquial language, this is often referred to derisively as “man boobs”; in technical language, it is referred to as gynecomastia.
For men who suffer from severely enlarged, almost feminine breasts, surgical breast reduction can significantly improve their appearance and self-esteem.
What options are available to reduce or remove the feminine-looking man boobs, you can learn here.
The term gynecomastia comes from the Greek and is composed of the words for “woman” and “breast”. A distinction is made between two variants:
- “True” gynecomastia refers to increased growth of the mammary gland tissue.
- In “fake” gynecomastia, increased fat deposits occur in the breast area.
Regardless of whether it is real or fake gynecomastia, male breast reduction is often the appropriate way to achieve a harmonious body silhouette. Also, with the treatment of the “female breast” for men, a better body image can be obtained.
In cases of relatively small tissue excess and good skin conditions, liposuction alone may be sufficient to achieve the desired result. Liposuction causes uniform shrinkage of excess skin to achieve a smooth surface contour. In true gynecomastia, with a relatively firm mammary gland, the excess tissue is removed through a small incision at the lower edge of the nipple. For very large breasts, additional skin tightening may be necessary.
In our practice you are in the best of hands
Not sure if gynecomastia is for you? Our experts will be happy to advise you in advance and answer all your questions about the procedure.
Feel free to call our practice “Plastic Surgery Dr. Sattler” in Hamburg to schedule a consulting appointment. Or use our contact form.
1. Before your Gynecomastia Surgery
Dr. med. Thorsten Sattler conducts a detailed consultation with you before every surgical procedure and examines you personally. Because every person is unique, especially in terms of anatomy and desires. For these reasons, an individual treatment plan is created for you, based on the latest methods and knowledge of plastic surgery. Photographs are taken and drawings and photos are used to explain the procedure in detail. Dr. Sattler will also discuss limitations, potential risks, and alternative treatments for your gynecomastia surgery. During this discussion, he will create a personalized aftercare plan with you.
Gynecomastia Surgery: preliminary Examinations
Before a gynecomastia surgery, it may be useful to have an ultrasound of the male breast, and in special cases, a mammogram or MRI. Endocrinological clarification is always useful when there are abnormalities regarding body hair, primary and secondary sexual characteristics and hormone status. The (illegal) use of anabolic steroids and growth hormones in sports or the use of cannabis should be stopped before surgery. These can be triggering factors for gynecomastia for men. Dr. Sattler is one of only a few plastic surgeons in Northern Germany with the additional qualification “Breast Medicine (Senology)” and is a member of the “German Society for Senology (DGS)”. So you are in the best of hands.
The main goal of gynecomastia surgery is to create a flat male chest with few scars so that tight shirts can be worn again. To achieve the best possible aesthetic result, the procedure can be combined with other surgeries. For example, with liposuction on the sides of the chest, where small bulges of excess fat are often hidden. Additional liposuction of the abdomen and waist provides a harmonious overall appearance.
There are several rules of behavior you should commit to during your gynecomastia treatment with Dr. Sattler. Click here to access the rules of behavior.
2. Gynecomastia: Surgical Methods
Only safe and modern surgical methods are used in “male breast surgery”. Treatment of gynecomastia is usually performed under general anesthesia, and an overnight stay in the clinic is usually not necessary.
Many different techniques are known and proven. The best and safest surgical method for you will be chosen, depending on your anatomy, your goals and desires.
Liposuction for the Treatment of Gynecomastia
Under the following conditions, liposuction alone is mostly adequate for male breast surgery:
- For small diagnostic results
- With only moderate fat deposits
- In case of small soft mammary gland body with otherwise good connective tissue and skin conditions.
In these cases, four very small incisions are usually made in order to be able to suction the material evenly. The scars are practically invisible later.
For larger indications with firm mammary gland bodies, incisions are made around the lower pole of the nipple areola for optimal removal of excess tissue. In addition, fat is often suctioned out to harmonize the transitions from the breast to the adjacent regions.
Tissue Removal and Skin Tightening
In very advanced cases, e.g. after massive weight loss, the excess tissue is removed. Sometimes it is then necessary to make further incisions in order to be able to tighten the skin as well. Basically, Dr. Sattler will try to keep the scars small and place them as unnoticeable as possible. In this way, the aesthetic result is influenced as little as possible.
Procedures described above can be combined with liposuction of the waist, abdomen and lateral chest to further optimize contours. Following the surgery, compression garments must be worn for several weeks to allow the tissue to tighten and create a harmonious body contour. This is not depending on which of the methods described above is used.
Gynecomastia Surgery Images
Here you can find results of gynecomastia treatments
3. Gynecomastia Surgery Results
For legal reasons, we are not allowed to show before/after pictures of gynecomastia surgery here. However, this is possible within the framework of a personal consultation with Dr. Sattler.
4. Gynecomastia: Aftercare
The surgery can usually be done on an outpatient basis. Special compression garments should be worn for several weeks to support wound healing. But also so that the skin can retract in the best possible way and an even body silhouette is created. Compression also aids lymphatic flow, improves wound water evacuation, and thus minimizes swelling.
Physical exertion and sports should be avoided for several weeks after the procedure. At least during the wound healing phase, attention should be paid to a balanced and healthy diet and, if possible, alcohol and nicotine should be avoided completely. This helps to support wound healing and maintain the achieved results in the best possible way. The consumption of cannabis or the use of anabolic steroids as well as growth hormones should be avoided as a matter of principle, since these substances can cause (renewed) gynecomastia.
5. Gynecomastia Frequently Asked Questions (FAQ)
There can be several reasons for gynecomastia. In addition, there are differences between “real” and “fake” gynecomastia.
- Gynecomastia can be predisposition.
- A “fake” gynecomastia, i.e. fat deposits in the breast area, develops in the context of obesity, among other things. In addition to the appropriate surgery, weight control is then advisable. Dr. Sattler is not only a specialist in plastic and aesthetic surgery, but also a nutritionist and can therefore advise you in this regard.
- Cannabis, growth hormones and anabolic steroids, which are sometimes used (illegally) in sports, can trigger “real” gynecomastia, as can excessive alcohol consumption.
- Dysbalances between estrogen and testosterone are often the cause of “real” gynecomastia.
Especially in the absence of body hair and conspicuous primary or secondary sexual characteristics, an endocrinological evaluation should be performed prior to surgery. If only one breast is enlarged, painful or hard, diagnostic imaging of the breasts is recommended to detect malignancies early. For example, an ultrasound, a mammogram or, in special cases, an MRI or CT scan.
Gynecomastia treatment can be very well combined with liposuction of the waist, abdomen and lateral chest to further optimize male contours.
As with all plastic surgery procedures, no all-inclusive fixed price can be quoted. Every person is unique. Gynecomastia surgery costs costs are composed of various factors and also depend on your individual wishes and ideas about the outcome of the treatment.
Make an Appointment
Use our request form to schedule a gynecomastia consultation.