Gynecomastia (breast formation in men)
Assoziierte Begriffe:
Brustdrüsenvergrößerung beim Mann, Männerbrust, Brustbildung beim Mann
Eine Vergrößerung der männlichen Brust kann zum einen durch eine überschüssige Fettansammlung bedingt sein. Zum anderen aber auch durch eine übermäßige Zunahme des Brustdrüsengewebes was, anlagebedingt, als Folge einer Hormonstörung oder durch Einnahme bestimmter Medikamente bedingt sein kann. Die Imitation einer weiblichen Brustform stellt bei den betroffenen Männern oft eine psychische Belastung dar, so dass Aktivitäten, bei denen sie sich mit entblößtem Oberkörper zeigen müssten (z. B. Besuche in der Sauna oder im Schwimmbad) bewusst vermieden werden.
Quick overview
Time of treatment
1-2 hours
Anesthesia
General or sedation with local anesthesia
Follow-up treatment
Compression treatment with vest for 6 weeks
Restrictions
2-3 weeks
An enlargement of male breasts may firstly be caused by an accumulation of fat. On the other hand also by an excessive growth of breast tissue which may be caused as a result of hormonal imbalance or by taking certain medicines. The imitation of a female breast can be a mental burden and activities like swimming are deliberately avoided.
Before any surgical treatment a clarification of the causes of the gynecomastia is essential to ensure that other, non-surgical therapeutic procedures are not necessary. A hormone study of the blood and an examination by an urologist is reasonable.
One-sided enlargements may indicate a tumor and should be treated immediately. A previous ultrasound examination may be necessary.
The aim of surgery is to shrink the enlarged male breast with a removal of fat and glandular tissue and so restore the natural contour of the male chest. In some cases a tightening of the skin coat can be useful e.g. around the nipple.
In pure fat a liposuction can correct the problems by gently removing the fatty tissue through a 4mm-puncture.
If excess glandular tissue is present in addition it is removed through a fine incision at the lower edge of the areola. The nipple and areola are retained. The glandular tissue is sent for an examination for a safe exclusion of a tumor which is essential for your safety.
The inserted drains are usually removed after 1-2 days. The thread generally dissolves itself and does not have to be removed.
After the surgery you have to wear a compression vest for a period of 6 weeks in order to promote a regression of the swelling and help the skin tightening and contouring. Any strenuous physical activity should be avoided during this period. The final result is seen earliest after 3 months.
A comprehensive explanation of the planned surgery and its risks are discussed during a detailed and individual consultation.
