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Treating gynaecomastia in Dortmund

Many men, too, suffer from enlarged breasts. The problem is called gynaecomastia and is caused by genetic predisposition, hormonal changes or also weight fluctuations. We are happy to help and give you expert advice on this at Westfalenklinik in Dortmund.

Book consultation0231 54 504 900
Who will treat you hereDr. Simidjiiska, Dr. med. univ. Zamani
Duration of surgery
about 1 to 1.5 hrs
Anaesthesia
individual
Stay in the clinic
inpatient for 2 nights
At a glance

Everything important about the procedure

Duration of surgery
about 1 to 1.5 hrs
Anaesthesia
individual
Stay in the clinic
inpatient for 2 nights
Back out among people
after a few days
Compression garment
two to three weeks
Financing
possible through our financing partner

Gynaecomastia treatment in Dortmund: consultation, surgery and aftercare in one place

Your gynaecomastia treatment takes place at Westfalenklinik in Dortmund, from the first consultation to the final check-up. The specialist clinic for plastic and aesthetic surgery has been working at the same location on Rosemeyerstraße for 25 years and depends on external surgical centres or private-practice clinics neither for the operation nor for the two nights afterwards; at night you are looked after by the clinic’s own qualified staff. A personal contact accompanies you through all appointments.

Westfalenklinik is located directly on the B1/A40, very close to the Signal Iduna Park. Coming from the B1, take the Dortmund-Hombruch exit, turn right into Wittekindstraße and after 700 m right into Rosemeyerstraße; parking is on the building’s parking deck directly in front of the entrance. Without a car, take the U45 from the main station to Stadtgarten and continue with the U42 to Theodor-Fliedner-Heim.

Enlarged breasts in men: gynaecomastia

The term gynaecomastia refers to enlarged breasts in men, which in many cases already become established during puberty. Despite massive efforts by those affected (diets and exercise), the phenomenon of “man boobs” is difficult to remedy without surgery.

A distinction is made between true gynaecomastia and pseudogynaecomastia, whereby in true gynaecomastia a combination of both forms is also possible. In pseudogynaecomastia there is (only) an increase in fatty tissue. The problem of male breasts is therefore caused by “simple” weight gain. In true gynaecomastia (1) there is always an enlargement of the mammary gland, which can also be observed in slim or athletic men, for example. In addition, there may also be an increase in fatty tissue, in which case one speaks of a mixed form (2) of gynaecomastia:

  1. glandular form (mainly glandular tissue)
  2. mixed form (glandular body and fatty tissue)

In many cases, gynaecomastia develops during puberty

In most cases, gynaecomastia develops during puberty (pubertal gynaecomastia). Men affected rarely complain of physical symptoms or hypersensitivity of the breast. However, the psychological burden caused by the enlarged breasts is often considerable, which shows in the way they go about their daily lives. In many cases, gynaecomastia can only be treated surgically.

In true gynaecomastia (glandular gynaecomastia), the male mammary gland is removed (mastectomy), with the areola and the nipple of course being preserved. When the excess glandular tissue is removed, a combination with liposuction is a good option. The incision, and thus a later scar, lies in the area of the areola.

In pseudogynaecomastia, i.e. enlargement of the breast due purely to fat deposits, liposuction is usually an option. The liposuction is carried out using the classic tumescent technique. Even during the operation, the stretched skin can contract once the fat cells have been suctioned out. In the following weeks, the scar tissue beneath the tightened skin usually recedes and the chest becomes softer again. In the case of considerable excess skin, however, it is necessary to follow up with a lifting operation in a second procedure, for example after considerable weight loss with already existing excess skin that has sagged well below the inframammary fold.

The forms compared

Which form, which treatment?

Before the procedure, our doctors determine whether the breast is enlarged mainly by fatty tissue or by glandular tissue. The treatment depends on this.

Diagram of pseudogynaecomastia: increased fatty tissue over a man’s breast

Pseudo­gynaeco­mastiafatty tissue only

The breast is enlarged solely by fat deposits. Liposuction using the tumescent technique is usually an option, after which the stretched skin can contract.

Tissue
Fatty tissue
Treatment
Liposuction
Diagram of glandular gynaecomastia: the enlarged gland beneath the areola and the incision at its lower edge

Glandular formtrue gynaecomastia

The mammary gland is enlarged, even in slim or athletic men. The male mammary gland is removed, and the areola and nipple are preserved.

Tissue
mainly glandular tissue
Treatment
Removal of the mammary gland
Scar
in the area of the areola
Diagram of mixed gynaecomastia: gland and fatty tissue, the incision at the lower edge of the areola

Mixed formtrue gynaecomastia

Increased fatty tissue is added to the enlarged gland. The glandular tissue is removed surgically, and the fat is also suctioned out.

Tissue
glandular body and fatty tissue
Treatment
Removal of the gland and liposuction
Scar
in the area of the areola

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Man with a bare upper body, illustrative image for the treatment of gynaecomastia

Goals of gynaecomastia treatment

  • Aesthetic appearance of the chest that suits the rest of the upper body
  • Tightening of the male breast
  • Return to everyday life usually after a few days

What is the procedure for treating gynaecomastia at Westfalenklinik?

Surgical breast reduction for gynaecomastia takes about 1 to 1.5 hours and, depending on the extent, is carried out under local anaesthesia, under twilight sedation or under general anaesthesia. Before the procedure, our doctors analyse whether mainly fatty or glandular tissue is responsible for the enlarged breasts and whether, in the case of obesity, weight loss may first be necessary before the operation.

In pure pseudogynaecomastia, the tissue is loosened as part of a liposuction, a special solution (tumescent solution) is injected and the excess fatty tissue is then suctioned out with a fine cannula. During healing, the skin adapts to the flatter contour of the chest. In the more complex true gynaecomastia, excess glandular tissue is responsible for the enlarged breasts. In addition to the usual liposuction, this tissue is surgically removed in two steps.

This is how gynaecomastia treatment proceeds at Westfalenklinik, from the consultation to the end of the recovery period:

  1. Step 1

    Beforehand

    Consultation in Dortmund. In the consultation, we clarify whether mainly fatty or glandular tissue is enlarging the breasts and whether weight loss is necessary beforehand. You can book your appointment online.

  2. Step 2

    Day of surgery

    The procedure. It takes about 1 to 1.5 hours, depending on the extent under local anaesthesia, under twilight sedation or under general anaesthesia. Afterwards you usually stay two nights in the clinic.

  3. Step 3

    After a few days

    Back to everyday life. You are back out among people. Swollen, reddened scars and bruising are possible during this time.

  4. Step 4

    The first 2 to 3 weeks

    Compression garment. For two to three weeks you wear a compression garment.

  5. Step 5

    The weeks that follow

    The breast softens. After liposuction, the scar tissue under the skin usually regresses and the breast becomes softer again.

  6. Step 6

    Up to 6 months

    Sport and sun. For up to six months you avoid sport and direct sun exposure.

What does gynaecomastia treatment cost in Dortmund? Costs and financing

The cost of a breast reduction for gynaecomastia depends on the exact diagnosis, the surgical method derived from it and your individual anatomical conditions. We will be happy to take you through all the essential information in a comprehensive consultation and then prepare a no-obligation quote for gynaecomastia treatment at Westfalenklinik.

The Westfalenklinik’s treatment prices are final prices including statutory VAT. Overnight stay and meals, follow-up treatments and the costs of the anaesthetist are not added afterwards. Financing is possible through our financing partner, more on this under Financing your treatment.

Frequently asked questions

How long is the stay in the clinic after gynaecomastia treatment?

As a rule, you can leave the clinic after two days.

What side effects should I expect after gynaecomastia treatment?

Swollen, reddened scars and bruising are possible.

How should I best behave after gynaecomastia treatment?

Wear a compression garment for two to three weeks and avoid sport and direct sunlight for up to six months.

Is losing weight before my gynaecomastia treatment helpful?

This cannot be said in general terms and depends on the individual case. Especially in the case of obesity, however, losing weight beforehand is absolutely necessary.

What does gynaecomastia treatment cost in Dortmund?

The costs depend on the exact diagnosis, the surgical method derived from it and your individual anatomical conditions. After your consultation at Westfalenklinik, you will receive a no-obligation quote at the final price including VAT, overnight stay, meals, follow-up treatments and anaesthesia. Financing is possible through our financing partner.

Where in Dortmund does the gynaecomastia treatment take place?

Consultation, surgery and aftercare take place at Westfalenklinik, Rosemeyerstr. 2–4, 44139 Dortmund. The clinic is located directly on the B1/A40 near the Signal Iduna Park; via the Dortmund-Hombruch exit you reach the building’s car park deck, and from the main station you take the U45 to Stadtgarten and then the U42 to Theodor-Fliedner-Heim.

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Consultation, procedure and aftercare in one place: at the Westfalenklinik on Rosemeyerstraße.

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Rosemeyerstr. 2–4, 44139 Dortmund
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