Cosmetic Surgery
Male Breast Correction
Treating gynecomastia – causes, surgical methods and aftercare

What causes enlarged breasts in men
The growth of the mammary gland – which can reach the size of a female breast – can be caused by a hormonal imbalance. An enlarged mammary gland in men is called gynecomastia. In this case, an endocrinological evaluation is necessary. If the diagnosis of gynecomastia is confirmed, the surgeons at the Perfect Clinic can correct this condition surgically upon recommendation of an endocrinologist.
Treatment options for mild gynecomastia
In cases of mild gynecomastia, usually only the fatty tissue is removed from the breast using liposuction. This procedure can be performed on an outpatient basis under local anaesthesia.
When surgical removal of the gland is necessary
If your mammary gland is enlarged, it must be removed through an incision along the edge of the areola. After surgery, only a small scar remains on the outer edge of the areola. The procedure is performed under general anaesthesia and the hospital stay lasts 1–2 nights.
Treatment for significantly enlarged and sagging breasts
If your male breast is significantly enlarged and sagging, the excess glandular tissue must be removed along with excess skin. Scars then run around the areola, vertically down to the breast fold and in the inframammary fold. This procedure is also performed under general anaesthesia and the hospital stay lasts 1–2 nights.
After surgery: drainage, compression vest and care
If only liposuction of the breast was performed, the postoperative care is the same as for liposuction. If surgical removal of gynecomastia was performed, the doctor removes the Redon drainage on the second day, which drains wound secretions. To avoid breast swelling, a compression vest is applied. After 14 days you may remove the plasters from the wound and shower. The compression vest must be worn for 4 weeks after surgery.
Details
About the Procedure

Pre-op Preparation
Mammography, lab tests, 2–3 weeks no smoking, no aspirin.

Anaesthesia
Local anaesthesia or twilight sedation.

Hospital Stay
Outpatient procedure.

After Surgery
Breasts should be kept warm, only a loose sports bra should be worn. Compression garments must be worn for 4–6 weeks.

Sutures
No uncomfortable removal thanks to self-dissolving sutures.

Scarring
None, only cannula puncture marks.

Work Ability
Light activity after one week, physically demanding activity after 2 weeks.

Sports
Avoid for approx. 4 weeks.

Solarium
At the earliest after 4 weeks; scars must be covered and high SPF used for at least 1 year.
















