Male breast

Gynaecomastia in Munich and Starnberg with PD Dr Max Geishauser

Do you suffer from gynaecomastia and would like treatment? Let the specialist PD Dr. Max Geishauser advise you on the possibilities.

How is gynaecomastia treated?

Excess fat deposits in the male breast can cause a feminine appearance. This is called “pseudo-gynecomastia”. In order to balance out these proportions, which are inharmonious for men, liposuction can be used to remove the inharmonious fat deposits in a targeted manner. For a lasting result, it is important to remove the right amount of fat cells so that no more fat can be stored disproportionately in the future.

Fundamental technical changes have led to the fact that liposuction today achieves very good treatment results in many cases. The decisive factors are improved anaesthesia and suction techniques as well as new forms of suction cannulas. These have created important prerequisites for proceeding as gently as possible on the tissue and only suctioning off as much as is absolutely necessary.

We use extremely thin cannulas that have many holes and are rounded at the front. In this way, tiny incisions can be made and the risk of vascular and lymphatic injuries can be kept low. The many holes in the cannulas also ensure better distribution of the suction during the suction process.

At present, liposuction under tumescent local anaesthesia is considered to be the safest and at the same time the most tissue-conserving method for removing disturbing fat deposits. For this, large amounts of a mixture of physiological saline solution, a locally acting anaesthetic and adrenaline are injected through small skin incisions. During the reaction time of up to one hour, the fat cells swell and detach themselves from the surrounding tissue – they are then suctioned out using particularly fine cannulas. The only disadvantage: in order to avoid overdoses and thus serious complications, the amount of local anaesthetic must not exceed a certain dose. For this reason, the procedure is only suitable to a limited extent for suctioning very large amounts of fat – in these cases, several treatments and/or a general anaesthetic are usually necessary.