22 November 2016Artikel

Source: KOSMETIK International

Gynaecomastia – Strengthening Self-Esteem

The article demonstrates how carefully male breast conditions must be assessed and why thorough diagnostics, surgical planning, and aftercare are decisive for a permanently convincing result.

Understanding the Causes

Gynaecomastia describes the excessive growth of male breast glandular tissue. It can occur bilaterally or unilaterally and places physical and psychological strain on those affected.

Hormonal fluctuations during puberty, medications, excess weight, or liver disease are among the most common triggers. When only a fat accumulation is present, the condition is referred to as pseudogynaecomastia.

  • Hormonal imbalances (e.g. puberty, medications)
  • Significant excess weight or metabolic disorders
  • Rare causes such as tumours or genetic factors

Diagnostics and Preparation

Before treatment, a thorough medical history is taken, including blood tests, to rule out hormonal imbalances. Ultrasound or mammography helps to distinguish benign from malignant changes.

Photographic documentation and a transparent discussion of goals provide clarity. Prior to surgery, blood-thinning medications should be paused, and nicotine and alcohol consumption reduced.

Surgical Procedure and Aftercare

Depending on the findings, the surgical correction combines removal of the mammary gland via an incision at the areolar border with liposuction to harmonise the contour. In cases of significant skin laxity, a skin-tightening procedure may be necessary.

After the procedure, the tissue is stabilised with a compression vest. Rest, targeted scar care, and regular check-ups support healing. Sporting activities should be paused for approximately four weeks.

Greater Confidence Through Clear Decisions

An open consultation, realistic goal-setting, and transparent cost planning help to find the right moment for the procedure. In this way, a distressing issue becomes a path towards greater self-confidence.

FAQ

When is surgery advisable?

If conservative measures bring no improvement, or the breast is persistently painful and distressing, surgery provides relief. It enables a permanently masculine appearance.

Will scars remain?

The incision is usually made at the lower border of the areola and closed with fine sutures. In the months following the procedure, the scar fades; consistent scar care and UV protection accelerate the process.

Will health insurance cover the costs?

Where a demonstrably medical cause exists – such as hormonal disorders – some insurers will contribute. For a purely aesthetic indication, costs are generally covered privately.

When can I exercise again?

Light activities are possible after approximately two weeks, and intensive sport after four to six weeks. It is important to wear compression garments consistently and to increase physical activity gradually.

Über den Autor

Dr. med. Karl Schuhmann

Dr. med. Karl Schuhmann

Facharzt für Plastische und Ästhetische Chirurgie & Handchirurg

Mit mehr als 30.000 Eingriffen und mehrjähriger Tätigkeit als Chefarzt führt Dr. Schuhmann seit 2016 als Gründer von artethic® seine Praxen in Düsseldorf und Berlin.

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