During the consultation, Dr Schlaudraff will determine whether your gynecomastia is caused by poor liver function, use of medication containing hormones, and decide if additional blood tests are necessary. He will then examine your body and carry out a careful assessment of the quality of your skin, fatty tissue, mammary glands and pectoral muscles. On the basis of this specific information, Dr Schlaudraff will be able to advise you on the matter of scar reduction treatment and explain the health insurance options for reimbursement of the cost of gynecomastia.Gynecomastia is carried out under general anaesthesia in Concept Clinic’s state-of-the art operating theatre, which meets with the highest standards of comfort and hygiene. Depending on the scale of the gynecomastia, the surgery can take between one and three hours. The operation involves removing the enlarged mammary gland through a small incision in the lower edge of the nipple. The unwanted fatty tissue is then treated with VASER Hi Def liposuction before applying a compression garment.