Gynecomastia surgery Saarland

Male breast contours can be restored by an experienced specialist in a surgical procedure. You can get an initial cost estimate on our costs page. . The techniques and the effort required vary depending on the extent of the gynecomastia, the type of excess tissue (tissue of the mammary gland, fatty tissue, skin) and the health of the man to be treated. We will be happy to provide you with an exact price following a consultation. Whether health insurance covers the costs of gynecomastia treatment by plastic surgery depends on the individual case.

The correction of gynecomastia is an elective procedure and should be performed under the best possible conditions, i.e. without avoidable risks, in order to minimize swelling and ensure optimal healing. Frequently asked questions are answered in the run-up to aesthetic plastic surgery in the case of breast augmentation (female breast). In addition to answering the questions asked, a good doctor will of course also provide comprehensive information and preparation for the plastic surgery correction by the aesthetic surgeon.

• To clarify the causes, a blood test and a consultation with a specialist in endocrinology as well as an ultrasound examination of the breast and testicles are recommended.
• Any uncertainties about possible complications before the operation should be cleared up in the consultation beforehand. Of course, all alternative forms of treatment are presented to you.
• Gynecomastia cosmetic surgery is performed on an outpatient basis in the practice. An inpatient stay in a clinic is not necessary.
• In smokers, wound healing is delayed afterwards and the cosmetic results can be significantly worse. You should therefore refrain from smoking for two weeks before to four weeks after the planned breast reduction surgery.
• Blood-thinning medication (e.g. Thomapyrin®, ASA) must be discontinued at least 10 days before the operation. This must be done in consultation with your doctor.
• The discontinuation of vitamin preparations (A, E) and food supplements (St. John’s wort preparations, omega-3 fatty acids, etc.) must take place at least 4 weeks before the operation.
• Follow-up cost insurance should be taken out before aesthetic procedures are carried out.
• You can help to minimize the risk of inflammation during surgery by cleaning your breast with a disinfectant soap on the day of surgery (e.g. HiBiScrub® Plus by Mölnlycke, Octenisan® Wash Lotion by Schülke, Prontoderm® Shower Gel by B.Braun).
• After surgery, the ability to travel by air is limited. During the postoperative phase, i.e. in the six weeks following the operation, do not plan any air travel, either for business or pleasure.

Surgical correction of the male breast is a safe method of treatment. Nevertheless, there is no surgical gynecomastia treatment without risks that can arise. In the first 30 days after surgical correction, the complication rate is 2.1 percent. The complications that occur most frequently include inflammation in 1.3 percent of cases, softening of the wound edges in 0.3 percent of cases and bleeding requiring blood transfusion in 0.1 percent of cases. Diabetes, heart or liver disease increase the risk of complications ³ . In general, smokers, overweight or older patients are at a higher risk of surgery than non-smokers, normal-weight or younger men.

Every wound is a potential entry point for germs. Inflammation may require medical or surgical treatment. Cigarette smoking, even if it is stopped four weeks before the operation, has been shown to be associated with a higher risk of inflammation.

In order to minimize the risk of secondary bleeding, the doctor will discuss the intake of blood-thinning medication, vitamins and dietary supplements in detail during the personal consultation and ask about the current status. Surgical treatment of gynecomastia is possible if blood-thinning medication can be temporarily discontinued. Normal laboratory coagulation values do not rule out a bleeding tendency. To reduce the risk of bruising, adrenaline is injected into the surgical area. Fluctuations in blood pressure can cause bruising to develop in the first few days or even several days after breast surgery. Physical exertion should therefore be avoided for the first fourteen days.

By using gentle surgical and suturing techniques, the surgeon can help to ensure that the tissue heals well and quickly. Other factors such as advanced age, cigarette smoking, obesity, chronic diabetes, vascular calcification, medication (cortisone, Marcumar), shear forces and pressure can promote wound healing disorders. We advise against male breast surgery in the case of serious illnesses.

The aim of a good skin suture is to close the wound precisely, gently and without tension. The formation of new structural proteins as well as the alignment and cross-linking of the fiber scaffold takes up to a year. In the first few weeks, scars are slightly hardened, reddened, possibly painful or itchy and sometimes slightly raised above the skin level. As a rule, scars become pale, soft, painless and flat after a year.

Male breast correction can lead to irritation of the skin nerves. This affects the nerves of the nipple and the cutaneous nerves of the breast skin. This can lead to temporary numbness.

Despite all precautionary measures, lateral differences and contour irregularities cannot be ruled out. Pre-existing inequalities, a pronounced skin tightening or reduction of the breast make it difficult to achieve laterally equal results. A loss of elasticity of the skin and individually different scar healing processes can lead to an asymmetry of the scar. Correction is usually possible once the scar has matured. After correction of a male breast, excess volume on the abdomen may become more prominent. Your goals are discussed in detail beforehand in order to create an individual treatment plan that takes your body into account holistically.

With sufficient elasticity, the skin shrinks and adapts to the new body contours. If the natural shrinkage of sagging skin is not sufficient, excess skin folds can result. Skin tightening procedures can eliminate these wrinkles by reducing the size of the skin mantle.

Optimal aftercare is required for a perfect result.

• Immediately after the surgical procedure, which is performed on an outpatient basis in a special operating room at the practice, the attending physician will arrange regular appointments to check on your well-being. In addition, the surgical result is always checked.
• Elevating the upper body to around 30 degrees for 5 days is very beneficial for reducing swelling and wound healing. The elevated position should also be maintained during sleep.
• Previously fitted compression girdles (compression vests) should be worn continuously for three to six weeks after the operation.
• Showering is possible from the third postoperative day and should take place immediately before the wound check.
• As a rule, you can resume your usual everyday activities after five to seven days.
• Scar care (sun protection, scar massage, silicone pad) from the 3rd postoperative week onwards supports scar healing and thus helps to achieve inconspicuous scars.
• Sports activities, heavy work, saunas, swimming and sunbathing should be avoided for at least three weeks.
• Massage the scar several times a day for a few minutes from the third postoperative week onwards. Use a greasy cream, such as Bepanthen® Ointment or Linola® Fat. Pay attention to circular, longitudinal and transverse movements to the scar. These measures help to create an inconspicuous scar that is only noticeable on close inspection of the body area.
• Smoking increases the risk of inflammation and thrombosis. Avoid tobacco smoking and e-cigarettes after the operation.

Cardio training and muscle building should be resumed after three to six weeks at the earliest. Short walks stimulate the circulation and are therefore very helpful. In rare cases, pain medication may still need to be taken after the third day of surgery. You can find out more details by talking to your doctor. As the external wounds are very inconspicuous, it can be very tempting to resume your usual strength training after just a few days. The body needs at least two weeks rest. Depending on the degree of swelling, a longer period of rest may also be necessary.