Gynecomastia Treatment in Zurich – Male Breast Correction
An enlarged male breast can significantly impair self-confidence and restrict those affected in their daily lives. Gynecomastia treatment offers a safe, discreet solution: a targeted surgical procedure removes excess glandular and fatty tissue, restoring a flat, masculine contoured chest. At the Metropolitan Clinic Zurich, Dr. Volker Rippmann and Christian Roessing, M.D. perform gynecomastia operations with the highest precision. Benefit from years of experience, modern techniques, and absolute discretion.
What is Gynecomastia?
Gynecomastia refers to the benign enlargement of the male mammary gland. It can occur unilaterally or bilaterally and affects men of all ages. The causes are varied:
Common Causes:
- Hormonal fluctuations (puberty, aging)
- Overweight and fat accumulation
- Medications (anabolic steroids, certain blood pressure reducers)
- Underlying diseases (liver, kidney, or thyroid diseases)
- Genetic predisposition
Many affected individuals suffer from psychological distress: they avoid swimming pools, saunas, or situations where they would have to show their upper body. Gynecomastia surgery can provide lasting relief and restore self-confidence.


Treatment Methods
The right treatment method for you depends on the type and extent of your gynecomastia. At the Metropolitan Clinic Zurich, we offer three proven procedures that can be used individually or in combination, depending on the individual situation. In a personal consultation, we analyze your initial situation and recommend the optimal treatment strategy.
For gynecomastia primarily caused by fat (lipomastia), liposuction may be sufficient. Excess fatty tissue is gently suctioned out through small incisions. The scars are minimal and usually heal inconspicuously.
Advantages:
- Minimally invasive
- Small, barely visible scars
- Fast recovery
- Can be performed outpatient
Treatment duration: 1–1.5 hours | Anesthesia: Local anesthesia with twilight sleep
If true glandular tissue is present, it must be surgically removed. The incision is usually made at the edge of the areola and is barely visible after healing. In many cases, surgical removal is combined with liposuction to achieve an optimal result.
Advantages:
- Complete removal of glandular tissue
- Permanent solution
- Scar usually at the areola, barely visible
- Combination with liposuction possible
Treatment duration: 1.5–2.5 hours | Anesthesia: General anesthesia or twilight sleep
In severe cases or after significant weight loss, excess skin may remain. In such cases, a skin tightening procedure is also necessary. The incision is made so that the scar is as inconspicuous as possible.
Advantages:
- Removal of excess skin
- Firm, defined chest contour
- Long-lasting results
Treatment duration: 2–3 hours | Anesthesia: General anesthesia
The Treatment Process
1. Consultation
In a discreet, confidential discussion, we analyze your situation, clarify the causes, and discuss the appropriate treatment method. We outline realistic expectations and answer all your questions.
2. Preparation
You will receive precise instructions for preparing for the operation. If necessary, we will conduct preliminary examinations to ensure that no hormonal or other underlying diseases are present.
3. The Operation
The procedure is performed on an outpatient basis or with an overnight stay – depending on the extent. After the operation, you will wear a compression garment that supports healing and reduces swelling.
4. Aftercare
The first follow-up appointment takes place after about one week. Light activities are possible after 1–2 weeks; you should pause sports for 4–6 weeks. The final result will be visible after 3–6 months.

Your Advantages at Metropolitan Clinic Zurich
✓ Absolute Discretion: We understand how sensitive this topic is and treat you confidentially
✓ Experienced Specialists: Dr. Rippmann and Christian Roessing have successfully performed numerous gynecomastia operations
✓ Modern Techniques: Minimally invasive procedures for small scars and fast recovery
✓ Natural Results: Flat, masculine contoured chest without looking "operated"
✓ Personal Care: By your side from consultation to aftercare
✓ Central Location: Right in the heart of Zurich
Frequently Asked Questions
After the procedure, mild to moderate pain may occur, but it is well manageable with painkillers. Most patients find the discomfort tolerable.
If the glandular tissue has been completely removed, it cannot regrow. However, significant weight gain can lead to new fat accumulation. A stable weight ensures a lasting result.
Generally, this is an aesthetic procedure, the costs of which you bear yourself. Coverage by health insurance is only possible in exceptional cases – for example, with demonstrable psychological distress or if an underlying medical condition exists.
Yes, after complete healing, you can train your chest muscles normally. The removed glandular and fat layers will even make the musculature more visible.
With pure liposuction, the scars are only a few millimeters in size and barely visible. With surgical removal, the scar runs along the edge of the areola and is usually inconspicuous after healing.
Light exercise is possible after 2 weeks; intense sports should be paused for 4–6 weeks. You should only resume chest muscle training after complete healing.
Swelling significantly reduces after 2–3 weeks. After 6 weeks, you are largely healed; the final result is visible after 3–6 months, once the tissue has fully settled.
Further Information
Before/After – What You Can Expect
After a successful gynecomastia treatment, the chest is flat, masculine contoured, and harmonious. Many patients report a significant gain in quality of life and self-confidence. They can once again swim without shame, wear tight T-shirts, and feel comfortable in their bodies.
Important: Every result is individual. In a personal consultation, we will show you realistic expectations for your specific situation.
The costs of a gynecomastia operation vary depending on the extent and chosen method:
There is the option of liposuction, surgical removal + liposuction, and additionally with an option for skin tightening.
In a personal consultation, we will create an individual cost plan for you – transparent and binding.





