GYNAECOMASTIA - CORRECTION OF THE MALE BREAST IN KASSEL
A man with a feminine-looking chest is a heavy psychological burden for many. Especially in formerly overweight patients, stubborn fat deposits often remain in the breast area. Affected men often feel correspondingly uncomfortable. Hormonal irregularities can also cause only the mammary gland to swell and be visually conspicuous, leading to a desire for correction in those affected. We can help those affected with an effective and gentle treatment. Gynaecomastia surgery is the most common breast surgery for men. The unilateral gynaecomastia must always be clarified.
Prof. Dr. Noah will be happy to advise you about your options for male breast reduction surgery.
Table of contents
What is gynaecomastia and how does it develop?
The mammary gland tissue is very sensitive - hormonal fluctuations quickly affect breast growth. Therefore, fluctuations in the testosterone / oestrogen ratio are risk factors for the formation of a breast attachment in men.
If a unilateral or bilateral enlargement of the male mammary gland occurs, this is called gynaecomastia. A distinction is made between true and false gynaecomastia.
The false gynecomastia arises from fat storage (for example due to overweight or obesity).
The true gynecomastia is caused by an increase in glandular tissue. It is not a disease in itself - but a symptom. The reasons for its development can be very diverse - from a hormonal disorder, a disease or a side effect of taking medication. It can also be a consequence of a chronic disease. In this case, additional examinations should be carried out to examine the possible causes more closely so that corresponding diseases can be ruled out or appropriate therapy can be carried out.
Other differences are:
- Newborn gynaecomastia
Male newborns often have a breast attachment, which is triggered by the mother's hormones. This regresses on its own. - Pubertal gynaecomastia
In about 50 % of boys, a female breast attachment forms temporarily in the course of puberty, which in many cases regresses on its own. - Age gynaecomastia
increasing fat tissue mass with age. - Pseudogynaecomastia - also known as lipomastia
Increased fat storage in the male breast - no enlargement of the glandular body). - Hereditary gynaecomastia
Some sufferers have a problem with the production and processing of hormones - sometimes a predisposition in their genetic material. - Consequence of chronic diseases
Many diseases can cause gynaecomastia (e.g. diseases of the kidney, liver, etc.). A differentiated diagnosis should be made here - Drug-induced gynaecomastia
Hormone therapy for prostate cancer or anabolic steroids can lead to selective enlargement of the breast.
Procedure for male breast correction: suction and tightening
At the beginning, Prof. Dr. Noah holds a consultation with the patient. The breast is examined in detail and the individual treatment steps are determined. Particularly in the case of pubertal gynaecomastia, premature treatment is not always advisable, as the bulge in the breast will disappear on its own. During the preliminary examination, we will also determine the cause for the development of the female breast attachment. For this purpose, for example, your mammary gland and the sector are palpated and examined accordingly.
Important:
If it is true gynaecomastia, which is accompanied by hardened structures (lumps) in the breast area, it should be checked whether a Tumour disease (e.g. breast cancer in men, etc.).
Depending on which steps need to be performed during the procedure, the patient will receive a local or general anaesthetic. Fat cells can now be suctioned out through a small incision below the nipple (procedure is similar to liposuction). If a lot of excess fatty tissue is removed, a tightening of the skin area may also be necessary in individual cases.
If it is mainly the mammary gland tissue that is enlarged, this can also be removed over a large area. In most cases, a combination of both treatments is suitable for removing the male breast. Depending on the extent of the glandular and fatty tissue, a tightening of the skin mantle and a relocation of the nipple may be necessary after the liposuction. Once the procedure is finished, the small incision is sutured.
Once the cause has been determined and diseases have been ruled out, an appointment for surgery can be made. The operation can be combined with other liposuctions on the abdomen and hips. The duration of the operation depends on the initial findings - it usually ranges between 1 and 2 hours.
Anaesthesia and hospital stay
We perform the most frequent corrections under local anaesthesia in the form of the outpatient surgery through. You can go home again after the operation.
After gynaecomastia surgery
Immediately after the procedure, we apply a pressure bandage. Prof. Dr. Noah will discuss individually how long this bandage has to be worn. Stitches usually do not need to be removed. We recommend normal sports compression shirts as compression clothing. These are well tolerated.
Physical work In the next one to two years, you should Two weeks avoid.
The scar usually heals well, gentle scar care can improve the result. Treatment of gynaecomastia promises a permanent result in most cases, as liposuctioned fat and glandular tissue usually do not grow back.
Sporting activities Depending on the extent of the operation, you should 4 weeks refrain (depending on the type of sport - will be discussed with you during the preliminary examination).
Depending on the initial findings and the form of therapy, it may be necessary to wear a compression shirt for about 6 weeks after the operation.
Possible risks and complications of male breast surgery
The surgical treatment to reduce the male breast is a procedure with relatively few complications. As with any surgical procedure, risks and side effects can always occur, about which we will advise you in detail during your individual pre-examination and surgical explanation.
However, scarring, pigmentation disorders or changes in the shape of the breast or nipple can occur. Swelling may also occur in the breast area, which will disappear in the weeks following the operation.
If you feel pain immediately after the operation, you will be given appropriate medication.
The many years of extensive experience of our plastic surgeon Prof. Dr. Noah is the basis for a successful and low-risk therapy. We will also explain possible complications to you during your individual consultation.
Gynaecomastia treatment: costs covered by health insurance
The benefits provided by the statutory health insurance companies with regard to covering the costs of gynaecomastia surgery differ considerably in some cases. You should obtain detailed information from your health insurance provider. A prerequisite for the costs to be covered or subsidised is proof of severe psychological impairment. Another important point is the question of whether it is a genuine pseudo-gynecomastia or a genuine gynaecomastia. In the case of the latter, health insurance companies are usually more willing to cover the costs of parts or all of the treatment. At the Noah Clinic we are happy to help you with the formalities.
If you have any questions about the treatment of gynaecomastia or would like to make an initial consultation appointment, please feel free to call us at any time. Prof. Dr. Noah will inform you about all aspects of the treatment and will draw up an individual treatment plan for each patient.
Summary
A female breast line in a man can have many causes. Surgery is not always advisable. In the case of severe overweight, weight reduction can provide relief. However, if the body mass index is already reduced, we can help many men affected by surgery.
Take advantage of our years of experience and the extensive knowledge of our plastic surgeon Prof Dr Noah! We will be happy to advise you on your aesthetic plastic surgery options for the permanent removal of female-looking breasts in men!
Why go to the Noah Clinic in Kassel for male breast correction?
Specialist expertise and renowned management
Our clinic is under the management of Prof. Ernst Magnus Noah, MDan experienced specialist in plastic, aesthetic and reconstructive surgery. With over 25 years of experience and as Former President of the VDÄPC and Founding member of the DGAuf he brings with him the highest level of professional expertise and commitment. We have also received several awards - including Quality seal of the VDÄPC, Focus recommendations and Top rankings in the Stern list of doctors from 2022 to 2025.
Medical quality and tested standard
§ 30-licensed clinic as well as at the highest specialist level. Our numerous awards confirm our high quality standards. Billing with private health insurance companies is possible.
Comfort like in a hotel
Our premises offer you a pleasant ambience with single and double rooms, cosy waiting areas, coffee facilities, a terrace and a relaxed atmosphere in which you can feel at ease.
Satisfied patients
Many positive reviews show this: Our patients particularly appreciate the sensitive counselling, the competent execution and the comprehensive care.
Transparent costs & customised planning
With us, you take centre stage. Because every person is unique, every treatment is planned individually - tailored to your wishes and needs.
Holistic patient care
As a patient, you benefit from comprehensive care from our experienced team of specialists. Thanks to the expertise of various disciplines, we can offer comprehensive, individually tailored treatments. This increases our quality and ensures greater safety.
Benefit from our experience
We look forward to hearing from you and will be happy to advise you on your planned male breast correction!
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Medical management
Specialist for Plastic and Aesthetic Surgery
Prof Dr Ernst Magnus Noah is a specialist in plastic and aesthetic surgery in Kassel. Before Prof Dr Noah set up his own practice, he was head physician of a clinic department for plastic, reconstructive and aesthetic surgery for many years. He specialises in breast operations such as male breast reduction.