Gynecomastia surgery Frankfurt

Gynecomastia is an enlargement of the male mammary gland tissue. It is characterized by a conspicuous breast shape and must be distinguished from so-called pseudogynecomastia, in which excess fat – not glandular tissue – is responsible for the breast volume.

Possible causes are hormonal changes, medication, severe obesity or – in rare cases – diseases. Often, however, the exact cause cannot be clearly determined (idiopathic gynecomastia).

There are basically two types of gynecomastia. The “man’s breast” looks similar in both cases, but has different causes. In so-called true gynecomastia, the glandular tissue in the breast is enlarged. It can usually only be corrected surgically. However, pseudogynecomastia also has a similar appearance. However, this type of “male breast” is the result of fatty tissue under the mammary gland, which occurs with severe obesity. It usually disappears after significant weight loss.

The removed glandular tissue does not usually grow back. However, renewed enlargement can occur due to hormonal changes, certain medications or weight gain. A healthy lifestyle helps to maintain the result in the long term.

Depending on the findings, excess glandular tissue is removed and liposuction is performed if necessary. The procedure is performed under general anesthesia, on an outpatient basis or with an overnight stay in the clinic. After the operation, a compression bandage supports the healing process.

It is important to rest and take it easy for the first few days after the operation. Swelling and slight pain are normal. After 4 to 6 weeks, most patients are able to fully bear weight again. Regular check-ups support the healing process.

The incisions are made as inconspicuously as possible at the edge of the areola. The scars usually fade over time and are barely visible later on.

As with any surgical procedure, there are certain risks, including infection, post-operative bleeding, wound healing disorders and changes in sensitivity. However, these can be minimized through careful planning and execution.

A recurrence of true gynecomastia after the surgical removal of glands from the breast is generally not to be expected. However, it can recur if the breast enlargement was due to hormonal problems that were not recognized. In this case, a different treatment is recommended. However, unwanted breast growth can also occur as a side effect of certain medications or anabolic steroids.

Regardless of this, a large increase in weight can always lead to an enlargement of the breast due to fatty tissue. For this reason, men should take care to maintain their weight and therefore their shape after a breast reduction.

This depends on whether it is true or pseudogynecomastia. Only the latter can be reduced through weight loss and training. Endurance training and weight training are particularly suitable for this. They help to reduce the fatty tissue in the breast and strengthen the chest muscles. Excessively large glands or glandular tissue cannot be reduced by training alone, however, which is why it does not lead to the desired changes in the case of genuine gynecomastia. Only gynecomastia surgery can help here.

In most cases, the procedure is performed under general anesthesia. Local anesthesia is only considered for very minor corrections.

Sports activities should be resumed after 4 to 6 weeks at the earliest – in consultation with Dr. Nichlos. Activities that put a lot of strain on the chest area should be started with particular care.

Yes, if necessary, a reduction of the areola can also be performed during the operation to improve the overall aesthetic appearance.

Since gynecomastia surgery in Dr. Nichlos’ practice is a private medical service, it is not possible to bill the statutory health insurance company. The costs must therefore be borne by the patient in all cases. For privately insured patients, partial or full coverage of costs may be possible in individual cases – please clarify this with your insurance company in advance.

The costs start from 4,500 euros and vary depending on the extent of the procedure. There are also costs for anesthesia, hospital, compression bolero and, if necessary, an overnight stay. After a personal examination, you will receive an individual cost estimate.