Basically, surgical breast correction is an aesthetically motivated procedure (in which the psyche certainly also plays a major role). Men who suffer from oversized breasts or visible fat deposits in the breast area can undergo breast correction surgery. Any contraindications , such as previous illnesses or medication, must be discussed in advance with the doctor treating you.
Men who undergo this surgery should also have realistic expectations. In the case of underage patients, the consent of the legal guardian must be obtained. However, the intervention should not be carried out too early, but only after all those involved have discussed the actual findings and the psychological stress. A careful balance between a more “manly” body and the resulting improved well-being and the risks of the surgery should take place.
In principle, the procedure should only be carried out after puberty has ended, since the enlarged breasts can regress during this development phase of the young person. In severe cases, an operation can be justified because of the often severe psychological stress on the patient, even during puberty.
In most cases, the causes of gynecomastia cannot be clearly identified. In addition to obesity (BMI over 30), taking hormones can also be the reason for an enlarged breast. Gynecomastia caused by too much fat in the body is also referred to as “pseudogynecomastia”, since the mammary gland tissue is not increased. However, only in rare cases can the disease be clearly traced back to a cause, so that the only treatment option remains surgical removal of the excess tissue.
As a rule, the operation takes place under general anesthesia, so that pain is not to be expected during the procedure. If the surgeon prefers a gentle and scar-free surgical method, the pain will be limited even after the operation. Sufficient rest after the operation and, if necessary, painkillers can ensure freedom from pain in the days that follow.
A slightly reduced sensation may temporarily occur, but this will return to normal within a few weeks if the wound heals normally.
Yes, in rare cases this can happen. In order to prevent this, endocrine (hormonal) causes should be ruled out before the operation . If the present gynecomastia is hormonal, it should be treated with medication. Gynecomastia caused by medication should not be treated primarily with surgery either. But even if none of the above causes are present, it can happen in rare cases that gynecomastia that has already been operated on returns after a few years.
A supportive corset should be worn for a period of six weeks after the operation. During this period, patients should also avoid strenuous physical activities, especially sports.