Male Breast Reduction

Correction of the male chest through the gentle removal of excess fat and glandular tissue, creating a flatter, firmer, and more masculine chest contour.

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Muskulöser Oberkörper eines Mannes

Male Breast Reduction (Gynaecomastia)

For a Masculine Chest Contour

Male breast reduction, medically known as gynecomastia surgery, is a proven surgical procedure for treating enlarged male breasts. Hormonal changes, genetic predisposition, weight gain, or certain medications can cause an excessive development of breast gland tissue or fatty tissue in men.

The goal of gynecomastia treatment is to achieve a flat, firm, and masculine chest shape, helping patients regain confidence and feel more comfortable in their bodies.


Costs
from € 7,000
Procedure Duration
approx. 1 – 2 hours
Anesthesia
general anaesthetic, twilight sleep if necessary
Hospital Stay
outpatient / inpatient with 1 overnight stay
Aftercare
compression vest for 6 weeks
Work Incapacity
up to 1 week
Sports Abstinence
6 weeks

Methods of Gynecomastia Treatment

Liposuction (Fat Removal)
In cases of so-called pseudogynecomastia, where the enlarged male breast consists mainly of fatty tissue, targeted liposuction may be sufficient. Excess fat is removed through small, discreet incisions, allowing the chest to be contoured smoothly and naturally.

Removal of Glandular Breast Tissue
If true gynecomastia is present and caused by an excess of glandular tissue, surgical removal of the breast gland is necessary. The incision is usually made along the lower edge of the areola and is barely visible after healing.

Combination of Gland Removal and Liposuction
In many patients, a combination of gland excision and liposuction is performed to achieve the best possible aesthetic outcome and a flat, masculine chest contour.

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  • Thorough physical examination

  • If necessary, hormone testing and blood tests

  • Discontinuation of blood-thinning medications such as aspirin, Thomapyrin, or low-dose aspirin (e.g. Thrombo ASS) at least one week before and after the planned surgery

  • Avoidance of alcohol and nicotine before and after the operation

  • General anesthesia, or optionally sedation (twilight anesthesia)

  • Procedure duration: approximately 2 hours

  • Depending on the chosen technique, the procedure involves liposuction, removal of glandular breast tissue, or a combination of both methods

Consistent aftercare is essential for achieving optimal results following male breast reduction surgery:

  • Wearing a compression garment for approximately 4 – 6 weeks

  • Physical rest and avoidance of strain during the first weeks after surgery

  • No sports, sauna, or tanning beds for about 4 – 6 weeks

  • Regular follow-up examinations

Mild swelling and bruising are normal after gynecomastia surgery and will gradually subside. Most patients are able to return to work within a few days.

What is gynecomastia?

Gynecomastia is a benign enlargement of the male breast caused by excess fatty tissue and/or glandular tissue.

Are the results permanent?

Yes, the results of gynecomastia surgery are generally permanent, provided there are no renewed hormonal changes or significant weight gain.

Will there be visible scars?

The incisions are placed in very discreet areas. Scars usually fade significantly over time and become barely noticeable.

Is the surgery painful?

Postoperative discomfort is usually mild to moderate and can be well managed with pain medication.

When will the final results be visible?

Once swelling has subsided — typically after 2 to 3 months — the final results can be clearly evaluated.

Gynecomastia surgery is considered a safe and well-established procedure. However, temporary side effects may occur, including:

  • Swelling and bruising

  • A feeling of tightness or mild pain

  • Temporary changes in sensation in the chest area

  • Scar formation

Complications such as infections or postoperative bleeding are rare.