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During the consultation, the doctor evaluates whether the enlargement is mainly due to fatty tissue or a mixed finding. The extent of the procedure, planned incision sites, and the possibility of combining it with gland removal are discussed. Preoperative examinations are included, along with recommendations to ensure the most balanced and safe outcome.
Under general anesthesia, a tumescent solution is introduced into the subcutaneous tissue to gently loosen the fat. Using a thin cannula, excess fat is evenly removed from the upper and lower chest and the transition to the armpit, ensuring a smooth, continuous contour. Emphasis is placed on symmetry and a smooth surface without irregularities. Incisions are small and usually well-hidden.
After checking for symmetry, the incisions are closed with a plaster or individual stitches, and a compression vest is applied. This helps reduce swelling, promotes skin adherence, and stabilizes the chest shape. Clear instructions are provided for care, wearing the compression garment, and returning to sports, allowing the chest contour to settle into a natural shape.


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A standard consultation takes approximately 30–60 minutes. During the consultation, the doctor will assess your situation, explain possible treatment options, and answer all your questions.
Compression garments should be worn continuously for 6–8 weeks, including during sleep. They help reduce swelling, support the tissues, and promote scar healing. After consulting with your doctor, wearing time can be gradually reduced.
Compression garments should be worn continuously for 6–8 weeks, including during sleep. They help reduce swelling, support the tissues, and promote scar healing. After consulting with your doctor, wearing time can be gradually reduced.