Gynecomastia (Large breasts in men)
Some men develop enlarged breasts. It is important to look at the possible causes of this. Hormonal disturbance or the use of anabolic steroids can have a major effect of the development of the male breast. In some cases, gynecomastia is idiopathic, and we simply do not know the reason for its occurrence. But the condition can be very distressing, both socially and intimately.
Treatment can be with fat removal if the proportion of fat is more than the gland (see information about liposuction / breast enlargement and breast reduction). However, it may be necessary to remove the entire glands or parts of the glands in the reduction procedure.
If the breasts are very large, the same procedure as a female breast reduction would apply. (See Breast reduction)
It is important that a thorough assessment is made with your surgeon at your initial consultation. One must remember that the procedure will leave scars around the nipple or below the chest. The operation can be performed under local anesthesia and sedation as well. The wound is closed either with sutures that dissolve themselves, or sutures that must be removed after 10 days. You will receive a bandage (bodysuit) from us after the operation that you will wear day and night for 6 weeks, which tightens well over the chest area.
The operation provides in principle the basis for sick leave. Physical training and hard physical labor, one should wait for 2-3 weeks. You get be given a compression garment, which must be worn for 6 weeks day and night.
To get the best possible result and to avoid complications, it is recommended that you have as normal a weight as possible. If you smoke, you must stop at least 1 week before the operation and be smoke-free for 2 weeks after the operation.
The scars are often red, itchy, and hard at first, but with time they fade and soften. In rare cases, the scars become wide and clearly visible because this depends on the man’s own inherited characteristics.
Pick-up and accommodation
If you live some distance from the clinic, we recommend that you spend one night in or near Oslo Plastic Surgery Clinic so that our caring staff are on hand to reassure you should any issue arise, that will cause you concern.
You must agree in advance with a person to pick you up at the clinic approx. 1 hour after the end of the operation, as you cannot drive, take public transport or taxi alone. You should also have someone with you the same day and the first night.
If you live far from the clinic, we recommend that you spend the night in Oslo, either with family / friends or at a hotel.
Hotels near Oslo Plastic Surgery.
-Frogner House Apartments, Bygdøy Allé 53. Website: https://frognerhouse.no (We have an agreement with Frogner House Apartments).
-Hotel Gabel’s Hus in Gabel gate 16. Website; www.nordicchoicehotels.no
To get optimal results and avoid complications
Avoid stress, stay out of the sun, eat healthily, keep your weight within a normal BMI range, exercise regularly, and refrain from alcohol for 2 days prior to surgery and 2 weeks after surgery. Please refrain from smoking/snoozing for at least 2 weeks before surgery and a minimum of 2 weeks after surgery as smoking can interfere with the result.
You must ensure your personal health on the day of surgery. Please contact us as soon as possible if you are in doubt, as we may have to postpone your surgery therefore saving you a journey to our clinic.
Prior to surgery you will have received a prescription for antibiotics, pain killers and Hibiscrub 40 mg/ml which are all available from your local pharmacy. The day before surgery you must shower using the Hibiscrub and again on the day of the procedure immediately
before surgery. Use a clean towel for drying and put on clean clothes when you leave home and change the sheets on your bed.
YOU MUST NOT EAT ANYTHING 6 HOURS BEFORE SURGERY, but you may drink water and light juice (not milk) and chew gum up to 4 hours prior to your surgery. You may take necessary medication/s with a sip of water on the morning of the operation.
Please decide for an adult friend to pick you up after surgery, as you will not be able to drive or take a cab alone. We also advise you to have a responsible adult person staying with you during the first 24 hours.
Taking medications prior to surgery:
It is very important that you stop using the following medications 2 weeks before surgery: Acetylsalisyre, Albyl, Albyl-E and other medications that cause extended bleeding as Ibux, Alka-Seltzer, Antineuralgica, Asacol, Artrizin Alka, Brufen, Butazolidin Alka, Codacetyl, Confortid, Dispril, Dispril med kodein, Doloxene Forte, Denobid, Felden, Fenylbutazon, Gamaquil Comp, Globentyl, Globoid, Indocin, Kodein-Magnyl, Kodifen, Licyl, Magnyl, Magnyl-Koffein, Mundisal, Napren, Naprosyn, Novid, Novid with koffein, Paraflex Comp., Tanderil, Vitamin E, and Selen, Tricycliske antidepressiva.
We also recommend you omit
Garlic, evening primrose oil, Gingko Bilabo, Aspirin and any drug containing blood thinners.
The above products are known blood thinners therefore not beneficial when you are having surgery.
For Marivan we have individual arrangement. Please request this information on your consultation.
Day of Surgery
After a final discussion with your surgeon the planning process will begin. You will be photographed, and markings will be made on your surgical areas. At this stage you will have time and the opportunity to ask any questions that you may have forgotten so that your surgeon can reassure you that he fully understands your goals and expectations.
You will be introduced to your anesthetist (who will be happy to discuss any fears or issues you have regarding your anesthetization). You will also meet your theatre nurse.
The sedation which you are given in your arm is a quick and painless procedure and you will fall asleep very quickly.
You should be ready to go home within 1 hour following surgery and remember to arrange for someone to pick you up. You should have adult company with you for the next 24 hours to assist you with general tasks, so that you can relax and take it relatively easy.
We will provide you with the cell phone numbers to call us should you feel the need, but this is very rare. We just need to reassure you that we are there for you 24 hours a day.
We will require you to come to the clinic for a follow up check. WITH ALL SURGERY THIS IS IMPORTANT AS YOUR SURGEON NEEDS TO SEE HOW YOU ARE SETTLING.
We do not recommend you fly for 48 hours post-surgery. You may feel nauseous and tired in the hours following surgery. It is important to take your painkillers and drink enough fluids.
We close the wound with stitches that dissolve on their own. We do not usually insert the drain (tube), only in very few cases is it inserted to remove blood and fluid from the wound area under the chest. These are usually removed at the clinic 1-2 days after the operation.
You may experience dizziness if you get up quickly from a chair or perhaps when you are lying in bed, so be sensible, take it easy and move slowly. This is quite normal following surgery and should pass within a couple of days.
The first 2-5 days following your breast surgery you may feel stiff and sore in the chest region. You should be calm and lie as still as possible, with your upper body raised. For the next five days, you can move gently. If you have an active job, it is a good idea to stay home.
After the operation, you get a special bandage that is removed after 2 days, the tape is kept on for 2 weeks. You will be required to wear a sports bra for approximately 6 weeks after surgery day and night and 6 more week at daytime. Your breasts may feel tight and sensitive to the touch and your skin may feel warm or itchy.
After the tape is removed (after 2 weeks) you can shower the area and put on new tape. It is recommended that you tape the scars with skin-friendly tape for at least 2 months. Surgical tape such as Micropore or Steri-Strip can be bought at the pharmacy, alternatively silicone tape.
Follow ups will be carried out at the clinic/alternatively through phone or video consultation:
1 day after surgery, after 1-2 weeks, after 3-6 months and finally after 1 year when our guarantee to you is completed.
Bleeding and infection are unusual and if they do occur, they may need to be treated with a small operation and/or an antibiotic. Asymmetry, incorrectly placed implants, or the formation of hard capsules” capsular contracture” can also occur. If corrections are needed, they will be scheduled free of charge within one year after your surgery. Anesthesia allergy is extremely rare.
If correction is necessary due to complications or unsatisfactory results, this is done free of charge within one year if there is a medical indication and a clear potential for improvement. This is our warranty period.
Heavy physical exercise and strenuous body movement or lifting must not be undertaken for a minimum of 4 weeks following the surgery.
The results will emerge between 3 to 6 months following surgery.
On this page you will find:
If you want to know more or have questions, use the form and we will reply to you within a short time.
Dr. Amin Kalaaji
The responsible physician is Dr. Amin Kalaaji, senior physician MD, specialist in plastic surgery and head of clinic at Oslo Plastic Surgery, and head of the Norwegian Association for Aesthetic Plastic Surgery (NFEP) 2018-2020.
Dr. Kalaaji holds many positions and gives lectures and training around the world. This benefits all our patients as he is always up to date on the latest and most advanced treatments and surgical techniques.
Patient safety, high quality and individual treatment always weigh the most at Oslo Plastic Surgery.
Oslo Plastikkirurgi answers here frequently asked questions, and we hope that this will give you good information. We want to be helpful in the process before an operation. If you have more questions, just write or call us.
Men with abnormally large breast growth
Who find this embarrassing both in a private, social, or intimate situation
Who have developed male breasts to a greater or lesser extent after the end of puberty
Normally, you can exercise carefully after 4 weeks, and you must use your arms carefully for the first three weeks after the operation, i.e. do not raise your arms high, nor sleep on your stomach.
You can work normally after 1-2 days if you do not have hard physical work. Consult your doctor about this at the consultation just in case.
All patients must have a consultation before the operation. The consultation is conducted by our experienced plastic surgeon who will confer with you and your medical condition and motivation for surgery. An examination is then performed, and the surgeon assesses a possible operation.
If you are suitable for the procedure, you will receive information about the procedure, precautions for the time before and after the procedure, and you will receive answers to your questions.
In a consultation you get a prescription for antibiotics, possibly painkillers and Hibiscrub solution 40 mg / ml which you can buy at the pharmacy.
You must be healthy on the day of surgery. If you are in doubt about whether you have a cold or the like, you must contact us. The operation is not performed when you have the flu and / or fever or cough or other infection in the body. Our staff will receive you and together complete you for the operation, the surgeon looks at you before the procedure and draws up the planned procedure, as well as answers your questions. Anesthesia staff also come to greet you and answer your questions. After the operation, you will be served food and plenty of drinks in the form of bread, yoghurt, and juice (tell us if you want another diet / have allergies).
In Norway, it is not allowed to show before and after pictures from cosmetic procedures during marketing or on the clinic’s website. However, we can show great pictures from previous patients when you come for a consultation with the surgeon. This can be very helpful when choosing the shape and size of the implant, and it can make it easier for you to imagine a result. We do not send photos.
We have a 1-year warranty. If correction is necessary due to complications or unsatisfactory results, this is done free of charge within one year if there is a medical indication and a clear potential for improvement. This is our one-year warranty agreement.