Gynecomastia is due to an excessive development of the breast glands in men and gives a feminine appearance to their breasts. Gynecomastia in men is very often badly experienced. There is also a second type of gynecomastia where an accumulation of fat is deposited in the male breast, pseudo-gynecomastia. In gynecomastia, the gland can be removed through a small incision in the nipple. In pseudo-gynecomastia, the fat can be removed by liposuction.The overall effect is to deliver a more sculpted, aesthetically pleasing breast and chest area, firmer to the touch and with tightened, smooth overlying skin.

Procedural facts

Anaesthesia:Local anaesthesia with sedation or general anaesthesia.
Length:Approximately 1 to 2 hours.
Treatment:Ambulatory at the Bellefontaine Clinic.
Resuming work:Depends on the type of work.
Sport:After 6 weeks.
Aftercare:Wear compression garments for 4 weeks, antibiotic prophylaxis for 4 days and pain relief for 7 days. Scar treatment with special scar ointment and silicone patch from 3 weeks after the operation.
Risks:Local swelling, bruising, infection, hematoma, tenderness, necrosis, asymmetry and scarring.
Cost:We would be pleased to provide you with a non-binding offer. Please fill out the contact form or call us.

General information

This is an extremely common cause of embarrassment to men. There are mainly two different forms of gynecomastia: classical gynecomastia and pseudo-gynecomastia also called adipomastia. Gynecomastia is due to an excess of glandular tissue, whereas pseudo-gynecomastia is due to excess fat in the male breast. Gynecomastia and pseudogynecomastia usually occur on both sides. Gynecomastia can occur during puberty. It is a real psychological burden for young men. It usually resolves on its own at the end of puberty and therefore does not require treatment. If the gynecomastia has been present for more than two years and has not decreased in volume, a hormonal or drug-induced cause should be sought. In this case, an ultrasound and blood test will be performed. If the assessment is within the norms, only surgery will be able to correct the poirtine. In the case of pseudogynecomastia, the breast enlargement results from the deposition of a fatty layer on the male breast. If neither sport nor diet can correct the pseudogynecomastia, a liposuction of the breasts is indicated.

Treatment procedure
At the Bellefontaine Clinic

Before the procedure

During the first consultation, we will make sure that a male breast correction is a procedure that will meet your expectations. To this end, we will clarify questions about your general state of health. We measure body weight, height, the thickness of the subcutaneous fat layer and the presence of excess glandular tissue in the breasts. An ultrasound examination and a blood test before the operation are standard. If you have too much fat in your breasts, the treatment will consist of a breast liposuction. If you have too many glands in your breasts, we will remove the excess gland through a small incision in the nipple area. If the skin is very flabby, other procedures such as a breast lift are suggested. During the first consultation, the areas to be treated will be drawn and you will have the opportunity to check the area to be treated in front of a mirror. Smoking cessation is strongly advised 3 weeks before and 3 weeks after the operation.

During the procedure

On the day of the gynecomastia treatment, we take photos of the chest in a standing position before the operation. Then we draw the future contour of the breast also in standing position. If you have decided on a general anaesthetic, an anaesthetist will inform you about the procedure before the operation. The procedure takes about 1 to 3 hours. In the case of conventional gynecomastia, the incision is made around the lower part of the areola. In the case of pseudo-gynecomastia, small incisions of a few millimetres are made around the breast. At the end of the operation, a special breast bandage is applied with a compression vest. After only a few hours, you can go home.

After the procedure

A compression sleeve will be put in place immediately after the procedure. It supports the skin's adaptation processes and must be worn for at least four weeks. Pain after a gynecomastia treatment can be compared to aches and pains. They are easy to treat with conventional painkillers, which you can continue to take at home for the first few days. You will also have to take antibiotics for 4 days after the operation. Some patients go back to work 2 days after surgery. There is no medical reason to stop working as long as it is office work. The dressing change is done after one week. Light physical activities can be resumed after only a few days. After 6 weeks you can do sports again. To make the scar as invisible as possible, scar treatment should be started after 3 weeks. Special scar ointments should be applied three times a day to the affected areas. A massage helps the cream to be absorbed. As long as the scar is red or pink, you should protect it from the sun.

Risks and side effects

In principle, every operation carries certain risks, such as infection or haematoma. Bruising, redness and slight swelling regularly occur after the operation. These disappear within two weeks after the operation. A loss of sensation in the nipple or in the skin of the chest usually disappears after a few months, but may also persist permanently.


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