Gynecomastia is a benign mammary gland growth in men. It can occur unilaterally or on both sides. Gynecomastia should be differentiated from the so-called pseudogyäcomastie (lipomastia), which arises in strong obesity solely by the increased formation of fatty tissue around the chest. A gynecomastia is not always pathological, but can also occur naturally in certain phases of life in boys or men. Gynecomastia (men with breast growth) may be either unilateral or bilateral in the chest area. Gynecomastia is actually a symptom, not an independent disease.

Course of the procedure

Gynecomastia is operated by cutting around the middle of the nipple, dissecting the excess gland. In the case of a significant enlargement of the gland, excess skin is excised. In fat gynecomastia , liposuction gives good results and leaves no traces. In mixed gynecomastia the best effect is achieved by liposuction, combined with the excision of excess gland.


Postoperative course

When cutting out the gland – for up to 48 hours drainage remains on the body. Sutures are removed after 10 days. Until the sutures are removed, the breast is protected by a pressure bandage. Postoperative scars are virtually unrecognizable. Immediately after the procedure, the following symptoms may occur: swelling, bruising, pain, which may last for several weeks. The final result of the procedure becomes visible after several months.


Potential complications

Rare complications include hematoma and scar growth.



The procedure is performed under local anesthesia or general anesthesia.


Necessary conditions
Necessary conditions for this procedure are a good, general health condition and correct values ​​of basic laboratory tests. Important contraindications to the procedure are: diabetes, skin inflammation, bleeding disorders.


Necessary examinations
– Examination of bleeding time and blood clotting time
– Morphology
– Expert opinion of an endocrinologist


Duration of hospital stay / Absence

The duration of the hospital stay is 1 day under general anesthesia.
The absence usually takes about 7 days.