Male Breast Reduction (Gynecomastia)

Enlargement of the mammary gland in males is referred to as gynecomastia and usually congenital in adolescents, but can also be the consequence of overweight, hormonal imbalances, or the consumption of anabolic steroids. In adult males, an increase in the size of the breast is not uncommonly observed as a side effect of medication. Especially if it is one-sided, there is always a need to consider the possibility of male breast cancer.

I normally use a semicircular incision at the lower edge of the areola as a portal for removing the excess gland tissue, which will be subjected to a histological examination, and for removing the excess fat tissue by liposuction, the latter in particular to give the transitions at the edges of the operation area a harmonious design and avoid depressions to the greatest extent possible. The resulting excess skin will usually regress by spontaneous shrinkage, but if there is too much of it, surgical removal will be unavoidable, and either leave a circular scar at the edge of the nipple, or crossways at the level of the nipples. The objective always resides in keeping the unavoidable scars as short as possible and positioning them as inconspicuously as possible.

After the operation under general anaesthesia, a compression bandage will be applied for ca. 1 week. The suture is removed approximately 10 days after the operation.