Gynecomastia - breast reduction in men

During the preoperative examination, laboratory tests are essential, particularly hormone level testing and a mammological examination. Gynecomastia suitable for surgical treatment is classified based on whether it involves only an enlarged gland beneath the areola or whether there is also excess skin in the breast area. From a medical perspective, removal of the gland is recommended if its enlargement persists for one and a half to two years after puberty, as a preventive measure against the development of glandular carcinoma later in life.

In cases of so-called mild gynecomastia, liposuction of the fatty tissue from the breast is often sufficient. This procedure can be performed under local anesthesia without the need for hospitalization.
If a larger gland is present, it must be removed through a small incision located along the edge of the areola. After surgery, only a barely visible scar remains on the outer edge of the areola. This operation is performed under general anesthesia.
Only in rare cases of very pronounced gynecomastia is it necessary to remove excess skin in addition to the gland. The resulting scars have the shape of an inverted T. This procedure is also performed under general anesthesia.

For one week after discharge from the clinic, we recommend rest at home, limiting activities to personal hygiene only. During the second week, walking is permitted, but movements of the upper limbs and torso should be minimal. Gradually increase physical activity according to the instructions of the attending physician. Full physical activity is possible one month after surgery. It is essential to wear a special compression garment for 6–8 weeks, removing it only for personal hygiene.