Facts about gynecomastia

Technical term: | Andromastectomy / Liposuction |
Duration: | varies depending on the extent of the procedure |
Anesthesia: | twilight sleep |
Aftercare: | compression for 1 week, no sports for 2 weeks |
Socially acceptable: | after 3–7 days |
Price: | from CHF 7,000 |
A firm and defined chest is essential for masculine identity. If the male chest grows and takes on feminine characteristics, individually planned male breast surgery can provide permanent relief.
Enlarged male breasts, known in medical terms as gynecomastia, are one of the most common abnormalities of the male chest. The glandular tissue develops unusually strongly and changes the shape of the chest. Hormonal factors or medication are often the cause. A similar appearance occurs when increased adipose tissue is stored in the chest area.
Both cases can be permanently corrected with gynecomastia surgery. It is crucial to thoroughly investigate the cause so that the breast does not grow again after the operation.
At KALEIDOSCOP in Zurich, you will be treated by an experienced team of specialists led by Dr. Köhler. Dr. Köhler will be happy to take the time to advise you in detail on the treatment of gynecomastia in Zurich. You will learn about the possible causes of male breasts and which methods are most promising in your case.
Please feel free to contact us and arrange a personal consultation.
Information about gynecomastia surgery
Definition of gynecomastia
Gynecomastia in men is a common abnormality of the male breast that causes excessive glandular growth. It is not a disease in the true sense, but rather a disorder that is usually caused by hormones. Causes can include changes in hormone balance, medication, hormone-active preparations such as anabolic steroids, and chronic diseases.
Pseudogynecomastia must be distinguished from true gynecomastia. In pseudogynecomastia, fat deposits cause a similar appearance, but without hormonal influences. The cause is usually overweight or obesity. Pseudogynecomastia, like true gynecomastia, can be treated surgically in Zurich.
Reasons for gynecomastia surgery
From a medical point of view, neither gynecomastia nor pseudogynecomastia usually need to be treated, as they are not diseases. When our clients decide to undergo male breast surgery, aesthetic factors play a major role. Often, there is long-term psychological distress caused by the feminine-looking breasts. Through targeted treatment of gynecomastia in Zurich, we can relieve our clients of this burden and improve their quality of life in the long term.
The most common reasons for gynecomastia surgery are:
- Severe psychological distress caused by enlarged breasts
- the desire for a more masculine silhouette
- Harmonization of the body shape
- Removal of diet-resistant fat deposits
- Optimization of contours - the chest muscles are emphasized
By treating gynecomastia in Zurich, we bring your body shape into harmony with your masculine self-perception. Your perceived masculinity is finally visible on the outside again.
The goal of gynecomastia treatment in Zurich
During treatment, we focus on your well-being and self-esteem. This is not simply about aesthetic improvement—it is about your masculine identity, your male body image, and the effect you have on others.
The chest plays a very decisive role in this. After all, a muscular, clearly defined chest is one of the defining features of the male silhouette.
By specifically treating gynecomastia in Zurich, we harmonize the body shape and finally make training successes visible. The masculine presence is strengthened, the chest muscles are emphasized, and the contours in the chest area are attractively highlighted.
Procedure for gynecomastia surgery
Preparation for treatment
A thorough medical examination is essential for the successful treatment of gynecomastia in Zurich. Hormonal triggers should be ruled out or, if necessary, treated with medication in advance. If medication is the cause of breast growth, discontinuing or changing the medication should be considered.
In the case of pseudogynecomastia, we recommend that you only have your male breasts reduced once you have already largely reached your healthy ideal weight. This allows us to avoid further changes in shape due to subsequent weight fluctuations.
During a personal consultation, Dr. Köhler will advise you on the ideal time for your male breast reduction surgery and which measures can support the success of the treatment. You will also be thoroughly informed about the risks, aftercare, and healing process.
Performing the treatment
Gynecomastia surgery in Zurich is always performed on an Outpatient basis under twilight sedation. This allows us to keep the stress to a minimum and discharge you home on the day of treatment.
The exact procedure depends on whether it is true gynecomastia, pseudogynecomastia, or a mixed form.
To correct true gynecomastia in Zurich, an incision is usually made at the edge of the nipple. The fine scar is barely noticeable later on. Excess glandular tissue is removed through the small incision and the breast is sculpted into a firm, beautifully contoured shape.
Stored adipose tissue can be removed by liposuction. The adipose tissue is loosened with a special fluid and then gently suctioned out with fine cannulas. Dr. Köhler prefers to make the incisions in the lateral area of the breast fold or in the armpit, where the scars are barely visible later on.
When removing larger amounts of tissue, a subtle breast lift may be indicated. In this case, a slightly larger incision may be necessary, which Dr. Köhler will discuss with you in advance.
Follow-up
After your gynecomastia surgery in Zurich, you will see a noticeable change immediately. Since the enlarged tissue has been removed, the chest will appear flatter and firmer right away. Despite your euphoria, allow yourself a few days of rest and accept help with everyday tasks so that you can get back to feeling fit quickly.
The recovery period after male breast surgery is relatively short. However, you should refrain from sports and heavy physical work for at least two weeks after gynecomastia correction in Zurich. After that, you can slowly increase the amount of exertion.
You will wear an elastic compression bandage for 1-2 weeks, which supports the surgical result by applying even pressure. Direct sunlight should be avoided for six months in order to achieve optimal and inconspicuous scar healing.

Frequently asked questions about gynecomastia surgery
Are the results of the surgery long-lasting?
The result of male breast surgery has a high level of longevity. Successful removal of gynecomastia in Zurich requires careful clarification of the causes. If hormonal triggers persist, the breasts may enlarge again after surgery.
Dr. Köhler will be happy to advise you personally in Zurich on mastectomy for men and the prerequisites for lasting treatment success.
What scars remain after gynecomastia surgery?
The treatment of gynecomastia in Zurich usually results in only small scars. To remove the enlarged glandular tissue, short incisions are made on both sides along the areola. The incisions follow the natural Pigmentation and are therefore very inconspicuous.
If liposuction is planned as part of the treatment, very small incisions may be necessary in the lateral area of the inframammary fold or in the armpits.
In cases of severe gynecomastia, a larger amount of tissue may need to be removed in Zurich. In such cases, Dr. Köhler may recommend a subtle Skin tightening procedure with a slightly extended incision.
Can gynecomastia recur after surgery?
Whether gynecomastia can be permanently removed in Zurich depends on the causes. We recommend an endocrinological examination in advance to rule out hormonal causes.
In general, it is advisable to thoroughly investigate the triggers of your gynecomastia in Zurich and, if possible, treat them specifically before having your male breasts reduced.
In the case of pseudo-gynecomastia with fat deposits in the chest area, no further enlargement is to be expected as long as you maintain a stable body weight.
How long does the pain last after surgery?
The pain after surgical removal is minimal. In the first few days, you may experience feelings of tension or muscle soreness. The treatment of gynecomastia in Zurich is supported with antibiotics and painkillers, so no major discomfort is to be expected.
What are the risks of male breast surgery?
General surgical risks such as infections, post-operative bleeding, wound healing disorders, or sensitivity disorders also apply to gynecomastia surgery.
In Zurich, we treat you according to the highest quality and hygiene standards in order to minimize these risks. Serious complications such as necrosis are extremely rare and can be avoided through careful preparation and follow-up care.
Immediately after your male breast surgery, you may experience swelling and tension, which should subside quickly. If slight asymmetries occur during the Healing process, a minor follow-up correction can be performed without any problems.
How much does gynecomastia surgery cost in Zurich?
Surgical removal of gynecomastia is always planned individually in Zurich. Dr. Köhler takes into account the specific causes of breast growth in order to guarantee you aesthetically pleasing and, above all, lasting results. Accordingly, the costs for the surgery may vary.
If you would like to have your male breasts reduced, please contact us for non-binding information about gynecomastia surgery. In Zurich, we will be happy to take the time to discuss possible treatment options with you and provide you with a personalized cost estimate.

Reviewed by Dr. Christian Köhler
Dr. Christian Köhler, general practitioner, MBA, and certified expert in Zurich, has more than 18 years of operational experience in aesthetic medicine. The information presented on this page has been personally reviewed by him and meets the highest medical standards.
Additional treatments
Tödistrasse 7 (2nd Floor)
8002 Zurich
+41 43 234 5000
+41 78 480 24 24
contact@kaleidoscop.ch
TUE – FRI
9 am – 1:30 pm
2:30 pm – 7 pm



