Gynaecomastia - The way to a more self-confident you!

Your solution to gynaecomastia - expert support in the Czech Republic and Turkey

If you suffer from gynaecomastia, you know how stressful and uncomfortable this issue can be. Many men feel shame or insecurity due to an enlarged mammary gland, which can be caused by hormonal changes, genetic factors or other causes. You are not alone - this condition affects many men of all ages. Our goal is to help you regain your self-confidence. In collaboration with experienced clinics in the Czech Republic and Turkey, we offer you professional support and solutions to improve your body image. In this blog post, you will find comprehensive information about the causes, the treatment process and the benefits of gynaecomastia surgery so that you can make the right decision for you.

What is gynaecomastia?

Gynaecomastia is a medical condition that leads to an enlarged mammary gland in men, also known as "man boobs". This can occur on one or both sides of the breast. This condition can occur at any age - from puberty to adulthood - and the causes are varied. Usually, gynaecomastia is the result of an imbalance between the hormones oestrogen and testosterone. While testosterone is the male sex hormone, oestrogen is responsible for the development of female characteristics. In some cases, an increase in oestrogen levels or a decrease in testosterone can lead to the development of gynaecomastia.

The symptoms are easy to recognise. Men with gynaecomastia often find that their breasts appear larger than usual, which can lead to physical dissatisfaction and a loss of self-confidence. For many sufferers, this is not just an aesthetic problem, but can also lead to emotional and psychological challenges.

It is important to differentiate between gynaecomastia and other breast changes. For example, breast fat deposits, which often occur with obesity or severe weight loss, can be mistaken for gynaecomastia. A comprehensive medical examination is therefore advisable in order to determine the exact cause and initiate appropriate measures.

Whether you're at an uncertain stage in your life or simply want to learn more about gynaecomastia, it's crucial that you educate yourself and seek support. In the right environment, with the appropriate expertise and a trusting relationship with your clinic, you can take the necessary steps to improve your situation and lead a more confident, fulfilling life.

Typical reasons for treatment for gynaecomastia are

Excess breast tissue
Restrictions in everyday life and sport
Body image and shame
- Desire for a aesthetic improvement, more masculine appearance
Increase in the Self-esteem and self-confidence

What methods are there to treat gynaecomastia?

Breast correction for "male breasts"

Gynaecomastia - i.e. enlargement of the male breast - can be a major emotional and physical burden for those affected. If the excess tissue does not disappear through conservative measures, plastic surgery offers a permanent solution. Depending on the extent and type of tissue, various surgical procedures are available.

- Liposuction (liposuction)

Removal of excess fatty tissue using fine cannulas; suitable for pseudogynaecomastia or predominantly fat-related breast augmentation.

- Subcutaneous mastectomy (gland removal)

Surgical removal of the enlarged glandular tissue via a small incision at the edge of the nipple; often used for true gynaecomastia.

- Combination procedure (liposuction + gland removal)

The most common method for mixed gynaecomastia, where both fatty and glandular tissue is present in excess.

- Skin tightening (dermolipectomy)

Also necessary for severely sagging or excess skin - e.g. after massive weight loss or with a very pronounced breast shape.

- Endoscopic techniques

Minimally invasive procedures with smaller scars, can be used in special cases; are particularly suitable for minor excess tissue.

Advantages of gynaecomastia treatment:

Improved self-confidence: Many patients feel much more comfortable in their body after the operation and gain self-confidence.
Naturally masculine breast shape: The removal of fat and glandular tissue creates a flat, masculine chest area.
Freedom in clothing and sport: Tight-fitting clothing and sporting activities are possible again without feeling uncomfortable.
Lasting results: If the weight remains stable, the results of the operation are usually permanent.
Reduction of mental stress: Anxiety, shame or social withdrawal tendencies often decrease significantly after treatment.
Rapid physical recovery: The procedures are usually performed on an outpatient basis or with a short hospitalisation and have a relatively short recovery time

These advantages convey both the aesthetic and practical potential of gynaecomastia treatment. If you need any further information, please don't hesitate to contact me!

Disadvantages of gynaecomastia treatment:

Renewed breast growth possible: Hormonal causes or weight gain can lead to renewed breast growth in the long term.
Scarring: Even if the incisions are kept small, visible scars can occur - depending on the skin type and healing process.
Longer recovery time: The healing phase can take several weeks, during which you will have physical limitations.
Risks and complications: As with any surgical procedure, there are risks such as infection, blood clots or scar proliferation.
Sensory restrictions at the nipple: Sensitivity in the chest area may be temporarily or permanently impaired.

These disadvantages help you to weigh up the decision carefully. If you need further details on risks and aftercare, I will be happy to help!

How does gynaecomastia develop?

Gynaecomastia is caused by an enlargement of the glandular tissue in the male breast, resulting in a visible bulge. This change can have various causes and often occurs in conjunction with hormonal imbalances. Here are the main causes of gynaecomastia:

1. hormonal changes

Gynaecomastia is often caused by an imbalance between the hormones oestrogen and testosterone. Oestrogen promotes the growth of breast tissue, while testosterone normally inhibits this growth. If the testosterone level is too low compared to the oestrogen level, excessive breast tissue formation can occur.

Puberty: During puberty, hormones can shift, leading to temporarily enlarged breasts in many boys. This form of gynaecomastia is usually temporary and often disappears with age.

Ageing: With increasing age, testosterone levels fall in many men, which increases the risk of developing gynaecomastia.

Hormonal treatments: Drugs that affect the hormone balance, such as testosterone therapy or oestrogen treatments, can also trigger gynaecomastia.

2. medication

Some medications can cause gynaecomastia as a side effect. These include

Antiandrogens (drugs for the treatment of prostate cancer)

Anabolic steroids (doping agents)

Psychotropic drugs, such as antidepressants or antipsychotics

Heart medication such as digoxin

HIV drugs

3. diseases

Certain diseases can also lead to gynaecomastia by affecting the hormone balance or liver function. The most common diseases include

Liver diseases: Liver cirrhosis can impair the liver's ability to break down hormones.

Kidney failure: Chronic kidney failure can impair hormone production.

Tumours: Some tumours, such as those in the testicles or adrenal glands, can lead to a hormone imbalance.

4. drugs and alcohol

The consumption of alcohol, cocaine, marijuana or other illegal drugs can also increase the risk of gynaecomastia, as these substances can affect the hormone balance.

5 Genetic factors

In some cases, gynaecomastia can be genetic. This means that family members may also be affected, indicating a hereditary predisposition to hormonal imbalances.

Conclusion:

In most cases, gynaecomastia is caused by an imbalance between the hormones testosterone and oestrogen, which leads to an enlarged mammary gland. However, there are many other possible causes, such as genetics, medication, illness or drug use. If you suspect that you are suffering from gynaecomastia, it is advisable to consult a doctor to determine the exact cause and discuss possible treatment options.

Advantages of the treatment of gynaecomastia:

Surgical treatment of gynaecomastia offers many men noticeable physical and emotional relief. The removal of fatty and glandular tissue creates a flat, masculine-looking breast shape that significantly boosts self-confidence. Those affected can once again play sports, wear tight clothing and move more freely in social situations. As the result is usually permanent, patients benefit in the long term from an increased sense of well-being and an improved quality of life.

Individualised support: Our German-speaking customer manager is there for you. She will answer your questions and support you throughout the entire process.
High hygiene standards: We attach great importance to the highest medical standards and hygiene so that you feel completely at ease.
Certified clinics: Our partner clinics have been personally checked by us and offer you professional services that are tailored to your needs.

The course of treatment for gynaecomastia

The surgical correction of gynaecomastia follows a clearly structured procedure that ensures both medical safety and the most comfortable healing process possible. The aim is to achieve a permanently natural and masculine breast appearance and a recovery with as few complications as possible.

1. preparation and surgical release

Even before the actual appointment, the clinic recommends that the patient obtains a surgical clearance from their GP. This is a general medical examination to ensure that there are no acute illnesses or infections (e.g. flu-like infections, Covid-19, other infectious diseases) and that the operation can be carried out without any health risks.

2nd preliminary examination in the clinic (1 day before the operation)

A thorough preliminary examination takes place at the clinic the day before the operation. The attending specialist performs a physical examination, discusses the procedure in detail and explains possible risks and rules of behaviour. In addition, final medical checks are carried out (e.g. blood pressure, heart rate, blood values) to ensure patient safety.

3rd day of surgery

The operation is always performed under general anaesthetic and takes around 60 to 120 minutes, depending on the extent of the procedure. Depending on the type of gynaecomastia, the following techniques are used:

- Liposuction: Suction of excess fatty tissue via small incisions using fine cannulas.

- Subcutaneous mastectomy: Removal of glandular tissue through a small incision at the edge of the nipple.

- Combination of both methods: Most common variant in mixed forms of fatty and glandular tissue.

- Skin tightening: If there is a lot of excess skin, a tightening procedure may also be necessary.

After the operation, a compression girdle is applied to support healing, reduce swelling and optimally mould the skin to the new breast shape.

4. stay in the clinic

After the procedure, the patient remains hospitalised in the clinic for approximately one night in order to undergo the initial recovery phase under medical supervision. During this time, the circulation is monitored and attention is paid to any complications. The pain is usually easy to control and subsides significantly in the first few days.

5. recommended stay near the hotel (3-4 days)

After discharge from the clinic, it is recommended that you spend another 3 to 4 days in a nearby hotel. This additional time is used to allow the body to rest and at the same time to have a follow-up examination at the clinic before travelling home. This allows the doctor to check the healing process, assess the results and make adjustments to the compression or wound care if necessary.

What are the costs of a breast correction for "male breasts"? What is the price of gynaecomastia treatment in Germany?

The cost of gynaecomastia treatment in Germany varies depending on the clinic and type of procedure. As a rule, the prices for the operation are between 4,000 and 6,500 euros. These vary depending on the extent of the procedure, whether only fat is removed by liposuction or whether glandular tissue also needs to be removed. Other factors such as the stay in the clinic, anaesthetic costs and aftercare can influence the total price. It is advisable to obtain cost estimates from several clinics in advance in order to make an informed decision.

Will the cost of gynaecomastia treatment be covered by my health insurance?

In most cases, statutory health insurance companies do not cover the costs of gynaecomastia treatment, as this is generally considered an aesthetic procedure. However, there are exceptions where there is a medical necessity, for example in the case of severe gynaecomastia that leads to psychological or physical problems. In such cases, a doctor can certify a medical indication, which opens up the possibility of partial reimbursement by the health insurance company.

If a hormonal cause or other underlying condition is identified, the health insurance company could cover the cost of treatment if it is considered medically necessary. In order to apply for coverage, a medical report is usually required to prove medical necessity.

It is important to consult with the health insurance company and a treating doctor in advance to clarify the exact cost coverage options. In most cases, however, patients will have to bear the costs themselves.

How much does gynaecomastia treatment cost in Turkey?

The cost of gynaecomastia treatment in Turkey is significantly cheaper than in many other countries. As a rule, the prices for such treatment are between 1,500 and 3,500 eurosdepending on the clinic, the type of procedure and the extent of the treatment. These prices often include all costs such as the operation, general anaesthetic, hospital stay (usually 1-2 nights) and often also follow-up examinations. Some clinics even offer package deals that also include transfers, accommodation and other services.

Although costs are significantly lower in Turkey, special attention should be paid to the quality of medical care when choosing a clinic. A good way to ensure that the treatment is carried out in a trustworthy and well-equipped clinic is to book through a reputable agency such as My Beauty Surgery GmbH. These agencies thoroughly vet clinics in advance and ensure that only facilities with high standards and experienced doctors are recommended. This ensures that the treatment is carried out under safe and professional conditions.

How much does gynaecomastia treatment cost in the Czech Republic?

The cost of gynaecomastia treatment in the Czech Republic is also significantly cheaper than in Western countries. As a rule, the prices for such a procedure are between 1,500 and 3,500 euros, depending on the clinic, the type of procedure and the extent of the treatment. These prices often include all essential costs, such as the operation, general anaesthetic, hospital stay (usually 1-2 nights) and often follow-up examinations. Some clinics also offer package deals that also include transfers and accommodation.

Despite the attractive prices, special attention should be paid to the quality of medical care when choosing a clinic. To ensure that the treatment is carried out in a trustworthy and well-equipped clinic, it is advisable to book the treatment through a reputable agency such as My Beauty Surgery GmbH. These agencies check the clinics in advance and guarantee that only facilities with high medical standards and experienced doctors are recommended. This ensures that treatment is carried out under safe and professional conditions.

What are the risks of gynaecomastia treatment?

With gynaecomastia treatment, like any surgical procedure, there are various risks that should be considered. Although most patients survive the treatment without complications, the following risks can occur:

1. infections

As with any operation, there is a risk of infection. Thorough wound care and taking antibiotics after the operation can help to minimise this risk.

2. haemorrhages and haematomas

Bleeding during or after the operation can lead to haematomas (accumulation of blood under the skin), which may require additional treatment.

3. scarring

Despite minimally invasive techniques, scars may remain, especially if larger incisions are required. In most cases, however, these scars are small and well hidden, for example on the edge of the nipple.

4. sensory disturbances

There may be temporary or, in rare cases, permanent changes to the sensation in the breast or nipples. This is usually due to nerve damage during the procedure.

5. asymmetries

In some cases, asymmetries or uneven results may occur, which may require further correction. These usually occur due to individual healing processes or imbalances during the procedure.

6. wound healing disorders

In some patients, wound healing may be slower or wounds may open, which may require longer follow-up treatment.

7. hormonal changes

If the gynaecomastia is hormonal, removing the glandular tissue can, in rare cases, lead to the formation of new breast tissue if the underlying hormonal cause is not treated.

8. thrombosis and pulmonary embolism

In very rare cases, thrombosis (blood clots) and associated serious complications such as pulmonary embolism may occur, especially if the patient is immobilised for a prolonged period.

It is important to discuss these risks with the attending physician in advance. An experienced surgeon and thorough preparation minimise the risk of complications considerably. Careful aftercare also makes a decisive contribution to safe healing.

What about aftercare and the healing process for gynaecomastia treatment?

Aftercare and the healing process following gynaecomastia treatment are crucial for the final result and a quick return to normal activity. Here is an overview of the most important phases of aftercare and healing:

Immediately after the operation (first 1-2 days)

After the operation, most patients stay in the clinic for one night to spend the first few hours after the procedure under medical supervision. It is normal to experience swelling, pain and blue-green discolouration (haematomas) in the first few days after the operation. These symptoms can usually be alleviated with painkillers. A special compression waistcoat or compression girdle is applied immediately after the operation to support the breast and reduce swelling. These should be worn consistently for the first few weeks.

First week: Healing and rest

In the first week after the operation, it is important to take it easy. Physical exertion, especially activities that strain the chest muscles (such as lifting heavy objects or intensive training), should be strictly avoided. There may also be slight numbness or loss of sensation in the breast region, which is usually temporary.

Approx. 2nd to 4th week: Aftercare and slow return to normality

From the second week onwards, it is possible to resume light activities such as walking or office work, although physical activity should continue to be restricted.

During this time, swelling may continue to occur, but this will gradually subside. Wearing the compression waistcoat is often recommended to keep the tissue in shape and stabilise the final result.

1 to 3 months: stabilisation and long-term healing

In the first 1 to 3 months after treatment, the final shape of the breast will slowly become visible. The swelling continues to decrease and most patients can gradually return to their usual activities. Scars are still clearly visible during this time, but over the months they become less noticeable and gradually fade.

It is also important to pay attention to physical exertion and to see your doctor regularly if you have any complaints or uncertainties.

Long-term aftercare: final result and stability

The final result of gynaecomastia treatment is fully visible after around 6 to 12 months, when all swelling has subsided and the scars have healed further. In some cases, minor corrections may be necessary, but in most cases the result is permanent.

Important points for long-term healing:

- Scar care: Scars can be supported by special ointments or massages to improve their appearance.

- Lifestyle and nutrition: A healthy lifestyle, including a balanced diet and regular exercise, helps to maintain the result in the long term.

- Hormonal causes: If the gynaecomastia was caused by hormones, further examinations and, if necessary, treatment should be carried out to prevent breast tissue from forming again.

Conclusion

Aftercare and the healing process are crucial to the final outcome of gynaecomastia treatment. With careful aftercare, wearing the compression waistcoat and following the doctor's instructions, most patients can achieve an excellent result with minimal risks.

Is gynaecomastia treatment right for you?

Whether gynaecomastia treatment is right for you depends on various factors. If you suffer from enlarged breast tissue and this affects your self-confidence or well-being, treatment may offer a solution. It is important that there are no underlying health issues, such as hormonal imbalances, which should be treated first. You should also have realistic expectations of the results and be prepared to take on the necessary aftercare, such as wearing a compression garment and observing rest periods. The financial costs are also a factor that should be considered. If these conditions apply to you, gynaecomastia treatment could be an effective and permanent solution.

Think about the following aspects:

Your own gut feeling: Think about what you want and how you want to feel after the procedure.
Health: Discuss possible health risks with a medical specialist.
Long-term decision: Treating gynaecomastia is a permanent decision. Make sure you are ready for this step.

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HelloI am Jennifer Grunert, the founder of My Beauty Surgery.
With a passion for safe, aesthetic treatments and a deep understanding of our clients' needs, I and my team organise cosmetic surgery in Turkey and the Czech Republic. I have a broad expertise in the medical field and have been doing so for over 8 years. My mission is to give you the confidence to make the best decision for your beauty and health through sound information and personalised care.

In my blog, I share valuable insights into the world of cosmetic surgery to help you every step of the way on your journey.

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