Gynaecomastia (breast development men)
Gynaecomastia is the medical term for female breast development with men. We speak of gynaecomastia when one or two breasts are abnormally large. This is usually caused by the development of excess gland tissue, fat tissue, or a combination of both. There are various causes for breast development with men, which include an accumulation of fat tissue, a side effect of medication, a change in the hormone production by the intake of hormones, a reaction to changes in the metabolism, or breast cancer. Gynaecomastia often occurs in young men during puberty.
The result of a gynaecomastia procedure can generally be predicted well. It is, however, important that you make your wishes clear to the attending plastic surgeon beforehand. Nevertheless, we cannot give a full guarantee on the aesthetic result. The scars that are a result of the procedure where we remove the gland tissue can initially look a bit inflamed or red. In the course of a year, the redness will fade and the scars will take the colour of the skin and become less noticeable. Ultraviolet radiation is not good for scars, it may cause them to stay red for an unnecessarily long time. We advise you to keep the scar area covered during the first months after the surgery or to apply sunblock.
“I had a gynaecomastia surgery done by Dr Buncamper. The whole experience, from the kindness of the staff to the ultimate result, left nothing to be desired! There were no waiting lists for the consultations and the result is even better than expected.”
“I was treated by Dr van Selms in 2003 and was received with just as much involvement, a listening ear, and wonderful service. Dr Selms is a true professional with a good sense for your own feelings.”
“I certainly recommend the Jan van Goyen Clinic! The surgeon, Dr M. Buncamper, as well as the staff, are extremely professional, kind, committed and experts in their field. The aftercare was top-quality as well.”
During the first consultation, you and the attending plastic surgeon will discuss the eyelid correction. Our surgeons specialise in performing eyelid corrective procedures and we will guide you through the preparation, the treatment itself, and the aftercare.
Prices and insurcance coverage
The costs for a gynaecomastia surgery depend on the type of procedure and the complexity of the surgery.
|Gynaecomastia by liposuction||€ 2.750,-|
|Gynaecomastia by liposucion/excisie glandular tissue||€ 3.200,-|
Gynaecomastia by liposuction / exision glandular tissue and skin reduction
Reimbursement by the insurer
It depends per person and per situation whether gynaecomastia corrective surgery will be reimbursed by your health insurance. When there is a medical indication for your personal situation, you need to contact your health insurer to check whether the treatment is covered. Surgery based on aesthetic grounds are always at your own expense.
Types of gynaecomastia
Gynaecomastia is an abnormal breast development with men. There are several causes that may induce the development of the excess breast tissue. There can be physical or non-physical breast development.
Physical breast development
In case of physical breast development, the small glands behind the nipple in the man’s chest have not disappeared after his birth. Instead, they started to grow during puberty due to hormonal changes. This can happen with just one breast or on both. In most cases, the swelling only takes place for a short time, but it can also remain. When this happens, we remove the swelling with a surgical procedure. Another physical cause is pseudo-gynaecomastia. This means that the breast gland is not swollen, but that the enlargement is caused by fat accumulation.
Non-physical breast development
Breast development can also have a non-physical cause. These causes can include:
- Side effects of medication
- Changes in the metabolism
- Problems with the testes
- Hormone-producing tumours
When one of the above causes applies to you, the plastic surgeon will first assess whether a gynaecomastia correction is effective for you. When the surgeon is in doubt, we advise you to have a hormonal examination performed to check for any underlying diseases.
The first consultation
During the consultation prior to the treatment, you and the plastic surgeon will discuss your complaints and wishes. The surgeon will then decide whether your wishes are feasible in light of the technical options. You will also discuss which surgical method is most effective for you, the type of anaesthesia, as well as the risks and complications. It is very important that the surgeon has a good understanding of your general health. He will, therefore, ask you additional questions about your medical history. If you use medication or you are allergic to, for example, iodine, anaesthetic fluids, or plasters, you need to inform the surgeon. This is because you may have to stop taking certain types of medication prior to the surgery. In this regard, we advise the following:
- Stop taking blood thinning medication a week before the surgery.
- You can take paracetamol as a pain relief medication both before and after the surgery.
Which treatment is most effective for you depends on the type of breast development you suffer from. We carry out two types of gynaecomastia corrections which may also involve the removal of excess skin:
- Removal of gland tissue
- Removal of fat tissue
Removal of gland tissue
Breast development can be caused by an excess of gland tissue. During the procedure, the plastic surgeon makes a small incision underneath the areola. The excess gland tissue is then removed. The surgeon will leave a small amount of gland tissue in place right under the nipple which is necessary to prevent a dented nipple. The incision is then closed with dissolvable sutures. When necessary, the plastic surgeon will also remove the excess skin. Duration of the procedure: 90 minutes. Sedation: general anaesthesia.
Removal of fat tissue
Breasts that are only the result of excess fat tissue will be removed through liposuction. The plastic surgeon will make a small incision at a location which is not very visible. He uses a suction tube to remove the subcutaneous fat tissue. Before the suction can be done, the surgeon injects a fluid that will loosen the fat cells, making it easier to remove them. After this, the excess fat is removed using a thin, hollow needle. The small incision will then be carefully taped. Duration of the procedure: 90 minutes. Sedation: local anaesthesia.
In some cases, it is necessary to perform a combination of liposuction and the removal of gland tissue. In order to determine whether the breast development was caused by excess gland or fat tissue it is, in most cases, necessary to do some additional examination by making an ultrasound.
After the surgery
The gynaecomastia surgery is an outpatient procedure and you can go home the same day If you have sufficiently recovered.
The removal of the drains
During the surgery, we will insert drains that will drain off blood and wound fluids. An appointment for the removal of the drains will be made before you go home. This is usually done the next day. Should the plastic surgeon notice that there is still too much fluid in the drain container, then the drains will be removed a day later. When the drains have been removed, we will make a check-up appointment.
Immediately after the surgery, you will be given some pain medication. Any pain you may experience over the following day(s) is usually described as muscle pain. The area can feel bruised and you can take paracetamol to alleviate the pain. Should the pain increase after the first week, we strongly advise you to contact us.
The recovery period: what you can and cannot do
The recovery after the gynaecomastia surgery is different for every person as this depends on the type of breast correction that was performed and the reaction of your body to the treatment.
During the first week after the surgery, the treatment area will be swollen due to bruising and wound fluid. It is, therefore, important that you have sufficient rest and avoid heavy work during this first week.
After the surgery, you will be given an elastic corset that must be worn over the bandages. This corset is to reduce the bruises and swelling, but also to make sure that the skin attaches itself again to the underlying layer.
Risks and complications
The risk of complications with a gynaecomastia procedure is small. Nevertheless, it is important that you are aware that complications may occur. Some possible complications include:
- Development of bruises and swelling
- Allergic reaction to the sedation
- Visible scars
- Permanent pigmentation of the scars
- Disturbances in the sensitivity of the nipple
- Asymmetry of the nipples
- Should you experience any sudden problems such as an infection, you need to contact us immediately
If unexpected problems arise such as an ignition, please contact us immediately.
Frequently asked questions
WHEN CAN I GET BACK TO WORK?
This depends on the type of work you do. If you have an office job, you can usually get back to work after one week. If you have a more physical job which involves heavy work activities, we advise you to wait two to four weeks before you return back to work.
IS IT POSSIBLE THAT MY BREASTS CAN START TO GROW BACK AFTER THE SURGERY?
When the procedure includes the removal of gland tissue, the chance of your breasts starting to grow again is very small. When we only remove fat tissue, there is a chance that your breasts will grow again should you gain weight. This is because breasts mainly consist of fat tissue.