We know through experience that the decision to have a gynaecomastia is generally preceded by a long decision making process. With this information we would like to help you with this process, by advising you about the operation itself and the possibilities and risks involved. This advice, does not however, replace the need for an extensive personal consultation with your surgeon who will thoroughly address your specific questions.
When is a gynaecomastia useful?
What is the aim of a gynaecomastia?
What do I have to consider before a gynaecomastia (pre-operative phase)?
What do I have to consider after a gynaecomastia (post-operative phase)?
When can I resume normal activities?
What are the possible risks of a gynaecomastia?
Which result can I expect after a gynaecomastia and what are the chances of success?
Firming of the male chest. Through the proliferation of breast tissue and / or fat tissue, the male chest becomes overly developed. Bilateral male breast enlargement can have hormonal causes and should be first checked and clarified by hormonal status, mammography or sonography.
The aim of gynecomastia surgery is to reduce the tissue to such a form that is an appropriate size and shape for the male physique.
Procedure. Through an incision, made on the edge of the areola and normal skin, the excess breast tissue is removed. Afterwards a continuous transition is made by liposuction or by the direct removal of the excess fat. A drain is inserted to remove any fluid over the next few days then the incision is closed using fine stitches and then dressed. In very pronounced cases of gynecomastia, the skin incision is occasionally extended at both sides. In addition, any excess skin can be removed at the same time, through a lifting operation.
Type of anaesthesia. This procedure is usually carried out under general anaesthetic.
On the day of the operation please do not use any oily shower or bathing products but normal soap or shower gel and your skin should not be moisturised. It may be necessary to shave if the chest is very hairy. After the procedure a support garment has to be worn, which can, prior to the operation be measured and fitted by us and then ordered for you.
Information on general measures and the necessary preliminary examinations will be put together for you personally in a pamphlet which you will receive at your consultation.
In the operating room, the compression garments (compression vest, elastic abdominal corset, or the like) are put on and must be worn night and day for the next 4-6 weeks. Bruising, swelling or a feeling of tension regularly occurs after surgery but these changes should not worry you and should disappear within a few days. After the surgery the risk of thrombosis is higher and therefore it is necessary to take a thrombosis prophylaxis for approximately 10 days after the operation.
The drain is removed 2 days after the operation and depending on the technique; the stitches can be removed between 1 and 2 weeks after surgery. After consultation with your surgeon, localised lymph drainage may help with a reduction in swelling. Residual swelling can, to a lesser extent, be present for several weeks.
Showering is only allowed once the stitches have been removed. All sports and physical activities should be avoided for the first few weeks after surgery although cycling is possible after 3 weeks. Sports that involve the chest muscles may be done at the earliest 6 weeks after surgery. Heat from external sources (such as a sauna) should be avoided for 2 months and sunbathing and the use of tanning beds are only possible after the scars have completely healed.
No procedure is without risk. The general risks of surgery include the possibility of bleeding, thrombosis and infection. A specific risk associated with gynecomastia surgery is the possibility of irregularities due to internal scarring.
Manly chest. Through surgical procedures in general, the enlarged breasts are reduced and a normal male chest can be produced. The final result can be assessed after approximately 2 to 3 months.