This is female breast development in men. With gynecomastia, there is excessive fat or glandular tissue, which means that men may develop one or two breasts. The causes for this breast formation are usually in the use of medication, breast cancer, taking hormone supplements and/or a change in hormone balance. Gynecomastia is regularly seen in boys during puberty and usually disappears without the need for surgery.
Physical breast formation occurs when a boy’s glandular discs do not disappear during childhood. Instead, they swell, resulting in breast formation. One or both breasts can form. The swelling usually disappears by itself, but can also be visible for a few years. Surgery is not necessary with this form of physical gynecomastia. Fat deposits can also cause physical gynecomastia. This is remedied with a breast reduction. The use of anabolic steroids, antidepressants, any metabolic changes and liver or kidney diseases can result in non-physical gynecomastia. During a consultation with a plastic surgeon, it will be determined whether you are eligible for a breast reduction.
The treatment technique is determined by the actual cause of the breast formation. In the event of a physical breast formation due to a glandular disc, the treating physician will remove this disc during surgery. For this, a small incision is made under your nipple, on the transition between the areola and your skin. Depending on the size of the glandular disc, a local or complete anaesthetic is used. If breast formation is a result of a skin surplus, the excess skin will be removed. Optionally, the nipple can also be moved upwards, and any accumulated fat is sucked away.
During the procedure, you will be locally or completely anaesthetised, so that you will not feel anything. Most men who have undergone the procedure experience a slight degree of post-pain. This post-pain is temporary in nature and decreases fairly quickly.
To drain the wound fluid and blood, drains are placed during the operation. These are usually removed the next day. Your chest will feel tight and you may have muscle pain. In the week after the operation, the swellings and bruises will decrease.
The area that has been operated on will be swollen and sensitive during the first week. You will need to take it easy and must tilt or bend as little as possible. Avoid pressure on your chest, as this can hinder recovery. After the operation, you wear a supporting corset, which not only prevents the swelling, but the corset also ensures that your skin grows optimally onto the underlying layers of tissue. Wear the corset as long as the doctor recommends. Depending on the type of work you do, most men go back to work after a few days. This period can be up to 4 weeks for heavy physical work.
The difference is immediately noticeable, although the swellings do not yet show the true result at that moment. Doctors have difficulty predicting the end result in advance, because much depends on a variety of factors. For example, your muscle mass, hormone balance, your recovery capacity and the elasticity of your skin will influence the result that is achieved. Most men are satisfied with the result achieved.
Surgical procedures always carry a certain chance of general operation side effects and complications. Side effects that may occur during a breast reduction include post-bleeding, poor wound healing, infections, excessive bleeding, decreased nipple sensation, and scarring. In rare cases, underlying structures are affected and an asymmetrical result may occur.
Breast reduction is performed with one or more (small) incisions. The scars as a result of this are bright red and swollen, shortly after the procedure. Already after about six weeks you will see an improvement and as time goes by the scars will become less and less noticeable. It can take 12 to 18 months for a scar to reach the final stage. You can also use a scar cream.
If the glandular disc is removed during the procedure, there is little chance that new breast formation will occur. If mainly fatty tissue was removed, it is important to remain at a constant weight after a breast reduction and not to gain too much weight. An increase in weight induces fat cells to develop, which can result in breast growth.
A breast reduction or breast correction for men costs € 1,999 at the Dutch Clinic.
Reimbursement options for gynecomastia vary per health insurer and per additional health insurance policies. Ask your health care provider about the options and conditions.
Certain medical costs that you pay yourself and which health insurers do not reimburse may be deducted from the annual tax return. The rules and conditions are regularly subject to change. Contact the Tax Authorities or get advice from a tax consultant.
Yes. The Dutch Clinic is affiliated with lender Cosmetic Finance. If you are considering paying in instalments, you should indicate this during the consultation. You will then be brought into contact with the credit company. Your application will be assessed based on, among other things, your financial obligations and possibly any past credit. After approval, you will receive a credit agreement and you will be required to repay a certain amount each month. Among other things, interest costs will be charged on the credit amount.
Yes. Every cosmetic procedure is preceded by an extensive consultation. In addition to explaining the procedure, you are also informed of the risks and complications associated with the treatment.