Breast surgery · Male breast enlargement
Male breast enlargement can be caused by glandular tissue, fat or both. I take your questions seriously and begin by investigating the cause. Only then do we discuss whether gynaecomastia surgery is appropriate and how it might suit your chest shape and everyday life.
Your examination findings and the extent of treatment determine your individual treatment journey.
Treatment at a glance
Key information about gynaecomastia treatment. These details put duration, recovery and costs into context for your personal planning.
Distinguishing true gynaecomastia from lipomastia.
Urological or endocrinological examination if needed.
Skin correction may be needed if there is significant excess skin.
Whether one or both sides are affected, and the amount of excess skin, influence planning.
The type of anaesthesia is agreed in advance.
How long to wear compression garments and your activity levels are agreed individually.
Tissue and scars continue to change over several months.
Gynaecomastia surgery, depending on its extent. The glandular tissue findings, proportion of fat, excess skin and diagnostic tests required determine your personal cost plan.
Timings are a guide. An individual examination will clarify what applies to you.
Understanding what changes
True gynaecomastia means an increase in breast glandular tissue. Enlargement caused predominantly by fat is called lipomastia. A combination of both is possible. This distinction determines whether liposuction alone is sufficient or whether glandular tissue should be removed.
Assessing glandular tissue, fat, medication and possible hormonal influences.
Combining liposuction, glandular tissue removal and skin correction according to the findings.
Agreeing compression, wound checks and a gradual return to activity individually.
I take a detailed history of how the enlargement developed, your symptoms, medication, supplements and previous illnesses. Hormonal changes or medicines may play a role. Please do not stop taking medication on your own. Where indicated, a urological or hormonal assessment is advisable before deciding on surgery.
Surgery can reduce excess glandular tissue and fat. If there is significant excess skin, we also discuss a skin lift and the associated scars. The aim is a contour that suits your body; a completely symmetrical or scar-free chest cannot be promised.
A more balanced chest contour Surgery can change volume and shape. The cause of breast growth must also be considered: weight, hormones or medication may affect the area again later. A result that remains unchanged for life cannot be promised.
A hard lump, rapid growth on one side, an indentation or nipple discharge needs medical examination. Such changes are not simply treated as a cosmetic concern about male breast enlargement.
Exercise changes muscle but does not reliably remove excess glandular tissue. If lipomastia predominates, weight loss may help. A stable weight makes surgical planning and long-term assessment easier.
Is this right for me?
Your wishes are the starting point. I assess whether your examination findings, health and the expected benefit support treatment.
Persistent gynaecomastia that has been medically assessed, with a personal wish for treatment
An unexplained lump, rapid change or nipple discharge
Different causes need different solutions. Sometimes choosing not to have a procedure is the right decision.
Compare alternativesWhere the enlargement is predominantly due to fat and the findings are suitable.
Explore the optionsConsidering body contour and excess skin together.
Explore the optionsIf the cause is unclear, the decision begins with diagnostic assessment.
Explore the optionsYour treatment journey
I examine your chest and discuss your medical history, symptoms and any further diagnostic tests that may be needed.
Once planning is complete, fat and, where appropriate, glandular tissue are reduced; any skin corrections are agreed in advance.
Compression and check-ups support aftercare; you are cleared to resume activity gradually.
Before you are discharged, we agree how you can contact us directly for aftercare. General enquiries: team@dottore.caletti.de.
Your return to everyday life
Swelling, tightness and bruising may be pronounced at first.
Compression garments and wound checks follow your individual plan. Only resume chest exercises once you have been cleared to do so.
Residual swelling and scar maturation take time. Weight changes and possible underlying causes remain under review.
These timeframes are a guide, not a firm promise. Your own recovery may differ.
Speaking openly about risks
Surgery changes tissue and carries risks. I discuss your individual circumstances, possible complications and aftercare before you make your decision.
If you develop rapidly increasing swelling on one side, severe pain, fever or unusual wound discharge, contact your agreed aftercare contact immediately. Shortness of breath, chest pain or circulatory problems are an emergency: call 112.
Understand the costs and take your time to decide
Gynaecomastia: from €4,000. The glandular tissue findings, proportion of fat, excess skin and diagnostic tests required determine your personal cost plan.
Starting price
from €4,000
Gynaecomastia surgery, depending on its extent
The glandular tissue findings, proportion of fat, excess skin and diagnostic tests required determine your personal cost plan.
Treatment on one or both sides and the ratio of glandular tissue to fat.
Liposuction, glandular tissue removal and possible skin tightening.
Diagnostic assessment, anaesthesia, compression and aftercare.
We set out which services are included in the total in your individual quotation.
Additional procedures, medical aids, further stays or later corrections may incur separate costs. Your personal quotation states which services are included. Insurance reimbursement is not automatic; you should clarify any commitments to cover costs and any subsequent costs before surgery.
An examination and shared planning give you clarity on costs. You will receive your personal cost plan before deciding on treatment.
The specialist personally responsible for your care
Specialist in Plastic and Aesthetic Surgery
Get to know meGood to know
A website can offer guidance. We will discuss your individual situation during your medical consultation.
Ask your questionTrue gynaecomastia involves an increase in glandular tissue, while lipomastia is predominantly due to fat. A combination of both is possible and influences the choice of procedure.
Exercise can influence muscle and body composition. It cannot reliably eliminate excess glandular tissue.
Depending on your medical history and examination findings, a urological or hormonal assessment may be needed. This helps identify treatable causes before surgery.
Further changes are possible, for example due to weight, hormonal influences or medication. This is why investigating the cause is part of treatment.
This depends on the medical justification and the terms of your insurance. You should obtain binding confirmation of any cover before the procedure.
Gynaecomastia: from €4,000. The glandular tissue findings, proportion of fat, excess skin and diagnostic tests required determine your personal cost plan. Pricing basis: gynaecomastia surgery, depending on its extent. The scope of treatment and any possible additional costs are set out in writing before you make your decision.
Further specialist information on the procedures described, their limitations and risks.
Distinguishing between glandular tissue and fat, investigating possible causes and surgical treatment.
Individual medical assessment under statutory health insurance, including gynaecomastia (4.3) and breast reduction (4.4). No blanket commitment to cover costs.
Contact & directions
My team will be happy to help with questions about your appointment and how to find us.
Let’s begin with a conversation
Tell me what matters to you.
I will take time for your questions.
