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Some men suffer from enlarged breast glands. In medical terms, this is called a ‘gynecomastia’. The term comes from the Greek and means something like ‘breast that appears feminine’. This breast change, also colloquially known as ‘male breasts’, can occur on one or both sides. Many affected patients complain of pain in the area of the entire breast as well as hypersensitivity of the nipple. Especially during sports or when moving the glandular tissue, such pain occurs quickly. But especially for otherwise athletic, young patients, gynecomastia is a disease that is not only physically but also psychologically stressful and causes a high level of suffering: Sauna visits are accompanied by a sense of shame, and beach holidays become a torture.Continue reading
Male breasts can be reduced with the help of a gynaecomastia operation, when sport, nutrition and hormone preparations are not sufficient. There are various options for this, which are recommended in individual cases depending on the individual findings and underlying medical history. However, it is important to rule out certain causes for gynecomastia in advance.
The very first point of contact for this would be the family doctor. This doctor can start with the examinations and, if necessary, issue the necessary referrals to the specialists. In order to perform all the necessary examinations, various specialists are required: cardiologists, endocrinologists, internists, urologists. Only after that you can refer to a plastic surgeon.
Since gynecomastia is of various types, there are several options to remove it. Pseudogynecomastia is usually removed with the help of liposuction. In the case of glandular gynecomastia, the glandular tissue is surgically removed and liposuction is also used if necessary. The modern, minimally invasive methods for reducing an insignificantly prominent male breast are cryolipolysis and radiofrequency therapy.
Duration of the operation: approx. 1 hour
Length of stay in the clinic: 1 day outpatient or inpatient
Anaesthesia: general anaesthesia / general anaesthesia or twilight sleep
Follow-up treatment: 6 weeks compression wash, physical protection
Resumption of social activities: immediately
Causal research is a complex and multilayered field, especially in the case of male breasts. So before deciding on a gynecomastia operation, a specialist in endocrinology should first be consulted. Because: In general, physiological, i.e. normal changes in the male breast are distinguished from pathological changes. The term real and false gynecomastia are used accordingly.
True gynecomastia is an abnormal growth of glandular and fatty tissue in the breast area. The causes are manifold: Genuine gynecomastia is a symptom based on disturbances in the control cycle of the hormone balance. Both a lack of male sex hormones (androgens) and an excess of female sex hormones (estrogens) may be present. In some cases, even without changes in the hormone balance, the breast gland tissue reacts excessively sensitively to estrogen and thus causes gynecomastia. Another cause can be a disorder in the pituitary gland, which has a decisive influence on the regulation of many of the body’s own hormones. Chronic diseases such as kidney or liver failure or thyroid gland diseases can also cause changes in hormone concentrations. Furthermore, side effects of certain drugs (for example neuroleptics, acid blockers) as well as anabolic steroids (anabolic steroids) contribute to the development of a real gynecomastia and make a breast reduction in a man necessary.….
The false gynecomastia, also called pseudogynecomastia, is again a natural change in the male breast with increasing age or in cases of severe excess weight. The appearance is similar to that of real gynecomastia, but the therapy is relatively less complicated, as the excess fat of the man’s breast can be easily removed by suction.
Before any possible gynecomastia operation, a thorough investigation of the causes should therefore be carried out by an endocrinologist. If no triggering cause can be determined or if the drug therapy is not effective, surgical intervention is advisable.
The topic of ‘reducing the size of a man’s breast’ is a sensitive issue for most of those affected, which can cause psychological and physical suffering. Therefore you should place yourself exclusively in the hands of a specially trained and experienced specialist in plastic surgery, who has already successfully performed gynecomastia surgery on many occasions. In Berlin, Prof. Dr. Nektarios Sinis has already successfully performed a large number of sometimes complicated and extensive gynecomastia operations.
In the course of a detailed and comprehensive consultation, the surgical procedure for the gynaecomastia is discussed after the previous hormonal clarification. During this appointment we will also examine again whether it is a real gynecomastia or a pseudogynecomastia. Depending on the results of the examination and consultation, the procedure and the duration of the operation varies: The operation of real gynecomastia is performed under general anaesthesia. Access to the breast gland tissue is made possible through a small skin incision around the areola. The gland body itself is removed and the skin is then closed layer by layer. In some cases, it is advisable to perform supplementary liposuction of the male breast. The operation of pseudogynecomastia can be performed under general anesthesia or in twilight sleep. Here, the so-called tumescent solution is first introduced through a small skin incision in the fold under the breast in order to allow the excess fat cells to swell. Afterwards, the fatty tissue is sucked out in a fan-shaped fashion in the sense of normal liposuction.….
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The follow-up treatment of a gynecomastia operation consists mainly of physical rest for at least two weeks. In addition, patients should avoid sports for about six weeks and wear a special compression vest. Furthermore, in the first days after the operation, the patient should be administered painkillers and antibiotics to protect against postoperative infection.
At the Sinis Clinic Berlin, each of our patients is treated individually. This is because gynecomastia is a broad, sensitive and complex field: different causes of male breast cancer require different treatment methods. For this reason, it is not advisable to indicate all-inclusive or approximate prices. The costs of any plastic-aesthetic procedure are the result of many individual factors and can therefore vary according to personal needs. In an individual consultation, the costs for a gynaecomastia operation can be precisely defined and the costs for the first consultation are generally based on the scale of charges for doctors. Thereafter, patients pay 50 euros for the initial consultation with anamnesis, collection of previous findings, physical examination and preparation of a therapy and cost plan. This fee is payable once and will not be credited towards further treatment.
Let us advise you: Prof. Dr. Sinis and his team have already performed numerous gynecomastia operations in Berlin. We are always at your side: from the initial consultation, through the investigation of the causes, the choice of the surgical method to the accompanying aftercare, we will be happy to provide you with detailed and individual information on the subject of gynecomastia in Berlin and advise you on the costs and possible financing. Arrange your individual appointment today: Call us at 030 223 899 08 or simply fill out our contact form.
As a rule, the costs of gynecomastia surgery are not covered by either a statutory or private health insurance, since this is usually not a medically necessary, but an aesthetically related procedure. In addition, most cases of gynecomastia are so-called normal variants, which means that the shape of the breast is more or less within the normal range of the male breast. Since every man has a certain amount of fatty and mammary gland tissue depending on his predisposition, the breasts of some men are more pronounced than those of others. However, if the patient can convincingly prove that he is severely physically and psychologically limited as a result, in some, few cases, health insurance companies may partially or even completely cover the costs of gynecomastia surgery. In this case, all possible conventional measures to alleviate the symptoms should have been unsuccessful. If gynecomastia surgery is medically necessary, you can apply to your health insurance company to have the costs covered. Whether the costs are covered will be decided by an expert opinion of the Medical Service of the Health Insurance (MDK) on the basis of the documents submitted. However, there is no guarantee that the costs will be covered. The prerequisite for this, as already mentioned, is that your psychological and/or physical suffering due to the man boob is too high. Whether your health insurance would cover the costs of the gynecomastia procedure should be clarified accordingly at an early stage.
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