Breast reduction in men (gynaecomastia)

What is gynaecomastia?

Gynaecomastia is a condition in which men experience an abnormal increase in breast tissue. This can be caused by hormonal fluctuations, excess weight, the use of certain medicines or other medical conditions. In some cases, gynaecomastia disappears on its own, but if it persists, surgical treatment can offer a lasting solution.

Who is male breast reduction suitable for?

The procedure is suitable for men who:

• Have abnormally enlarged breast tissue that does not decrease with weight loss or medication.
• Experience physical complaints, such as tenderness or pain in the chest area.
• Have psychological complaints because of the appearance of their breasts, such as insecurity or embarrassment.
• Are generally healthy and have no medical conditions that could affect recovery.

How does the procedure work?

A male breast reduction is usually performed under general anaesthetic and takes one to two hours, depending on the complexity. The procedure can involve different techniques, depending on the cause and severity of the gynaecomastia.

1. Liposuction: Where there is excess fatty tissue, liposuction is used to remove the fat and improve the contours of the chest. Small incisions are made through which a cannula (thin tube) is inserted to suction out the fat.
2. Excision: Where there is excess glandular tissue or loose skin, excision may be necessary. This means the excess tissue and/or skin is surgically cut away.
3. Combination of techniques: In some cases, a combination of liposuction and excision is used for the best result.

During the operation, the surgeon ensures that the chest gets a natural and flat contour. The scars are placed strategically, usually around the areola, so that they are minimally visible.

Recovery after the operation

Recovery after a male breast reduction varies, but most patients can resume their daily activities within a few days.

• Immediately after the procedure: There may be swelling, bruising and a feeling of stiffness in the chest area. This is normal and gradually subsides.
• Wearing a compression vest: To reduce swelling and support healing, you are advised to wear a compression vest for several weeks after the operation.
• Pain management: Any pain is usually well controlled with prescribed painkillers.
• Resuming activities: Light activities can be resumed after a few days, but strenuous exertion, such as sport, should be avoided for four to six weeks.

Full healing and seeing the final result can take several months, because the swelling has to subside completely.

Benefits of male breast reduction

• Improved chest contour: The procedure creates a flat, masculine chest.
• Increased self-confidence: Many men feel less self-conscious about their appearance after the operation.
• Long-lasting results: Provided there are no significant hormonal changes or weight gain, the results are permanent.

Possible risks and complications

As with any surgical procedure, there are risks, such as:

• Infection.
• Postoperative bleeding.
• Scarring (which usually fades over time).
• Loss of sensation in the nipples.

A consultation with a qualified plastic surgeon is essential to discuss the risks and assess whether you are a suitable candidate for the procedure.

Cost of a male breast reduction

The cost of a male breast reduction varies and depends on the techniques used and the complexity of the procedure. In some rare cases, the procedure may be reimbursed by your health insurer, depending on the cause and medical necessity. To qualify for reimbursement, the plastic surgeon must submit an application to the insurer. Photos must be sent with the authorisation request, as well as a number of details: height, weight, BMI, and which causes have been ruled out, such as hormonal imbalance or other causes of swelling. What is new is that an ultrasound scan must now also be made to assess the thickness of the glandular disc. This result is also sent along.

Conclusion

A male breast reduction is a proven and effective treatment for gynaecomastia and can reduce both physical and psychological complaints. The procedure usually results in a flatter chest contour and increased self-confidence.

Because this is a surgical treatment that requires specialist care, an assessment by a plastic surgeon in hospital is necessary to determine whether the procedure is suitable and whether there may be a medical indication.

At Kliniek het Bolwerk in Haarlem, you can come to us for breast treatments or Breast augmentation.