Gynaecomastia can solve a sensitive problem of unilateral or bilateral enlargement of this gland effectively and permanently, where neither diet nor hormonal treatment helps. The formation of Gynaecomastia is often caused by a decrease in testosterone levels, hormonal fluctuations in adolescence, anabolics used in sports or an increased use of drugs or addictive substances, excessive alcohol consumption; sometimes the cause can be found in some diseases such as liver disease, thyroid disorders and adrenal glands, etc. Sometimes genetic predispositions may contribute to the hypertrophied mammary gland.

Gynaecomastia is always performed according to the individual needs of the patient and using a method that will be the most favourable for him, at the same time the procedure depends on the size of the mammary gland, the amount of fatty tissue in the breast area and the elasticity of the skin.

Types of gynaecomastia

  • Hypertrophied (enlarged) mammary gland
  • Hypertrophied (enlarged) mammary gland along with accumulated fat
  • Hypertrophied (enlarged) mammary gland caused by accumulated fat – this can be removed easily by liposuction; it mainly shows in men aged 40 and over

For whom is Gynaecomastia surgery intended?

The male mammary gland hypertrophy first occurs in the puberty period, when excessive breast enlargement may occur. It’s reported that this is associated with excessive sensitivity of the nipples and their areolas, often connected with pains; in most cases, these difficulties are declined after the end of developmental pubertal growth. However, in isolated cases, the decline doesn’t occur, which leads to the excessive enlarged gland needing to be removed. This especially applies to young men aged around 30, affecting up to 30% of the male adult population.

Manifestations associated with breast enlargement also accompany obese patients, in such cases, it’s necessary and beneficial to reduce weight first.

Course of Treatment

Gynaecomastia is carried out in total anaesthesia for approximately 1–2 hours; local anaesthesia is applied in the case of small-scale surgery. Surgically, the breast tissue around the mammary areola (predominantly in its lower part), which is arched, is removed, the mammary areola is adjusted to the correct size; a small scar remains in the mammary areola. In the case of a large bust, it’s necessary to remove a part of excess skin from the area around the mammary areola (by reducing the mammary areola) in addition to the mammary gland. Stitches are done using absorbable stitches for better comfort and healing. After surgery, the patient must wear elasticated underwear, including the absorbent bandage, which is all part of the postoperative care.

Procedure Benefits

  • Improving the aesthetic appearance, boosting self-confidence
  • Cancer risk reduction, preventive character
  • Permanent effect
  • Reduction of symptoms accompanying feelings of pressure and tension in the breast
  • Reduction of asymmetry, size and shape
  • Possibility to combine procedures for a better effect


Before the Procedure

Gynaecomastia in men is an invasive surgery requiring a healthy patient. Before the procedure itself, a mammography is required to confirm gynaecomastia in the full extent and exclude cancer. Before surgery, it’s necessary to discontinue blood thinning medications for approximately 14 days and to reduce smoking. If a patient suffers from an eczema or some acneic problem or other inflammatory skin process in the treatment area, then the treatment isn’t recommended.

After the Procedure

Treated areas may be painful or swollen, which will disappear within a few days. The hypertrophied mammary gland operation requires a 1–2 days hospitalisation period, the patient must also wear an elastic bandage for approximately 2–4 weeks during the postoperative care period, the bandage can be removed for the purposes the patient’s personal hygiene (the elastic bandage must be kept on for 3–5 days). Heavy physical activity or sports aren’t recommended for approximately a month. A resting regime is recommended for around a week, the normal working and social regime may start after 14 days, however, overloading isn’t recommended for at least 6 weeks after the hypertrophied mammary gland surgery. After approximately 14 days, fine breast pressing massage and lubricating with a moisturising cream on the treated area are recommended. Avoid sunbathing as well as visiting solariums and saunas.

In rare cases, mammary areola hypersensitivity has been reported; it’s a temporary feeling that disappears after a few days.

The final effect depends on the patient’s individual ability to follow the post-operative care, including predispositions to healing and re-convalescence. Quality of the skin and subcutaneous fat also contribute to the good result.

The Gynaecomastia in males can be combined with breast liposuction and other aesthetic or surgical procedures with a high effect.

Unnaturalness of breast enlargement in men causes severe psychological problems in many of them and can make their lives much more difficult. Often, their shyness and little courage prevent them from undergoing procedures, such as the hypertrophied mammary gland surgery, resulting in life-long trauma and lack of self-confidence. It’s important to realise that you’re not alone and that our dedicated team are always ready to help you. After the procedure, a healthy stress-free lifestyle is very advisable.



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