Gynecomastia

The Procedure

Gynaecomastia is the medical term for breast development in men. This can be caused by an excess of glandular breast tissue, fat accumulation, or a combination of both. The condition can be physically and emotionally distressing. Surgical correction is possible and may involve one or more of the following techniques:

• Glandular excision: Excess glandular tissue is removed through a small incision around the areola or in the armpit.

• Liposuction: Fat tissue is removed through small puncture incisions using a thin suction tube.

• Skin reduction: In cases of significant skin excess, the surplus skin is also removed. The resulting scar is usually located around the areola.

The choice of technique depends on the degree of gynaecomastia, skin quality, and the underlying cause of breast development.

 

Type of Anaesthesia

The procedure is performed under general anaesthesia, meaning you will be completely asleep and unaware during the surgery.

 

Duration of the Procedure

The surgery takes on average 1.5 to 2.5 hours, depending on the techniques used. It is performed as day surgery. If all goes well, you may return home the same day.

 

Before the Surgery

Proper preparation reduces the risk of complications and supports a smooth recovery:

• Stop smoking: Smoking impairs wound healing and increases the risk of infection. It may also negatively affect anaesthesia.

• Discontinue blood thinners: In consultation with your doctor, you will need to temporarily stop taking these medications.

• No creams or makeup: On the day of surgery, your skin must be clean and free of any products.

• Consultation and preparation: During your consultation, you will discuss your goals, medical history, and the most suitable technique for your case.

 

Aftercare and Follow-Up Appointment

Careful aftercare is important for a good recovery:

• Rest: Avoid heavy lifting and strenuous activity during the first few weeks.

• Compression garment: You will wear a compression shirt or bandage to reduce swelling and support proper skin healing.

• Recovery time: Most men can return to light activities after 1 to 2 weeks; sports can usually be resumed after 4 to 6 weeks.

• Follow-up: During your follow-up appointments, the surgeon will monitor your healing and final result.

 

Scars

Scarring varies depending on the surgical technique:

• Glandular excision: A scar around the areola or in the armpit; usually subtle and well-hidden.

• Liposuction: A few small puncture scars.

• Skin reduction: A scar around the areola, which typically fades over time but remains visible.

Proper wound care and sun protection help improve scar healing and appearance.

 

Complications

Gynaecomastia correction is generally a safe procedure, but as with any surgery, complications may occur:

• Bleeding: This may cause additional swelling and may require a secondary procedure in some cases.

• Infection: Keep the wound clean to prevent infection. If you notice signs such as redness, pus, or fever, contact the clinic. Antibiotics may be necessary.

• Thrombosis: While rest is important, it's also essential to move regularly to prevent blood clots.

• Wound separation and/or widened scars: In some cases, the skin may not heal well, leading to broader scars.

• Asymmetry: Minor differences between the two sides may occur.

• Changed sensation in the skin and/or nipple (areola): Temporary or permanent changes in sensation may happen.

• Irregular breast or scar contours

Discuss all risks and expectations with your plastic surgeon beforehand to ensure you are well-informed.

 

Reimbursement and Costs

In most cases, gynaecomastia correction is not covered by health insurance.