A distinction is made between a false, so-called pseudogynecomastia, and an actual gynecomastia. An actual gynecomastia may be medically indicated, whereas a pseudogynecomastia is always classified as an esthetic procedure.
In the course of the pre-operative planning phase, it will be established whether it is a case of predominantly excessive fat or gland tissue. In case of pure adipose tissue, a diet may be prescribed before a potential intervention. If only adipose tissue is to be removed, it will be suctioned off by means of a thin suction cannula after injecting a so-called tumescent solution. This operation yields highly satisfactory results and barely leaves any scars. Any excess gland tissue is to be removed surgically in addition to the liposuction. This method leaves recognizable scars around the areola. In cases where the skin has slackened to a degree that a spontaneous postoperative tightening of the skin lift is no longer an option, a complicated outer incision has to be made, which will leave visible scars.
Depending on its complexity, the operation is performed under local anesthesia, semi-conscious sedation or under general anesthesia and takes 1.5 – 2 hours. An in-patient stay is optional. The patient is required to wear a chest corsage for a period of 4-6 weeks. All sports activities should rest for a period of 4-5 weeks. A certificate of incapacity will be issued for 3-4 days, depending on the intensity of the work.
You will be informed in detail before the operation, and all your questions will be answered.