Treating Gynecomastia – For a Defined, Masculine Chest

True gynecomastia – i.e., the excessive growth of glandular tissue in men – can only be permanently removed surgically. Modern procedures combine precise glandular removal with gentle liposuction. If there is corresponding skin laxity, plasma tightening (e.g., with Renuvion®) is additionally used, which tightens the skin from within and avoids larger skin incisions. The goal is a naturally contoured, masculine chest area with the most inconspicuous scars possible.

Gynecomastia arises from an imbalance of sex hormones – particularly with elevated estrogen levels or reduced testosterone. Causes can include pubertal changes, medications, alcohol, drugs, liver or hormonal disorders. Obesity can also lead to so-called pseudogynecomastia, where fatty tissue enlarges the breast. The exact cause should be medically clarified before treatment – including hormone status and, if necessary, ultrasound examination.

Estimates suggest that about 30 to 40% of all men are affected by gynecomastia during their lifetime. During puberty, it temporarily occurs in up to 65%, but usually disappears on its own. In adult men, it often persists and can lead to emotional distress. A differentiated diagnosis is important to distinguish between true gynecomastia and fat-related breast enlargement.

Typical for true gynecomastia is a palpable, firm glandular swelling under the areola – often bilateral, occasionally unilateral. In case of tenderness, a feeling of tension, or asymmetrical breast growth, a medical clarification should be sought to determine whether it is true gynecomastia or fatty tissue (pseudogynecomastia). Imaging procedures such as ultrasound or mammography, as well as hormone tests, provide a reliable diagnosis.

The costs for gynecomastia surgery vary depending on the extent, surgical technique, and skin condition. Modern methods, such as the combination of liposuction and plasma tightening, enable particularly gentle procedures with smaller scarring. Crucial factors are the surgeon’s qualifications, the clinic’s equipment, and post-operative care. An individual cost calculation is provided after a thorough examination and consultation – e.g., at BONITAS.

As a guideline, gynecomastia surgery starts from €5,500 (physician’s fee).