Prof. Dr. Robert Hierner at a glance.
FAQs for Male Breast Surgery in Dubai
About Gynaecomastia
An appealing breast shape is very important for both women and men. When talking about breast surgery, most people automatically think of the female breast.
Gynecomastia is the most common body deformity in men.
Changes in the male breast shape can lead to psychological and functional impairments:The unaesthetic male breast can be a great psychological burden for the patient.
The key to a successful treatment is a profound analysis of the different changes in the:
- Breast
- Chest
- Body Silhouette
If a medical condition or medicine causes your man boobs, Prof Dr Robert Hierner can help you with his expertise in Gynecomastia surgery. He is a nationally and internationally renowned specialist in the field of male breast surgery or Gynecomastia surgery. Professor Dr. Robert Hierner is one of Dubai’s most distinguished Plastic Surgeons with an outstanding international reputation. Based on many years of research and clinical experience in the field of Male Breast Surgery, Prof. Hierner has developed the so-called “holistic treatment concept for the male breast” and successfully implemented it in his daily practice.
Who is a good candidate for gynecomastia surgery?
The majority of men in good overall health who have excess glandular tissue or fat-causing enlarged breasts known as man boobs are good candidates for gynecomastia surgery. Patients should be realistic about the outcome of the procedure and committed to maintaining a healthy lifestyle afterward. are good candidates for gynecomastia surgery. Patients should be realistic about the outcome of the procedure and committed to maintaining a healthy lifestyle afterward.
Is there an age limit for male breast reduction?
Male breast reduction is not age-specific, but patients should be physically mature before undergoing the procedure.
How is gynecomastia surgery in Dubai performed?
Gynecomastia surgery in Dubai is performed using liposuction, excision, or both techniques together. Liposuction involves using a thin tube (cannula) to remove excess fat from man boobs, while excision involves making incisions and removing excess glandular tissue.
Is gynecomastia surgery painful?
There can be some discomfort and soreness after gynecomastia surgery, but most patients can manage their pain with medication and rest. The level of pain may vary depending on the type of procedure performed and the patient’s pain tolerance.
Can male breast reduction in Dubai correct puffy nipples?
Yes, Male breast reduction in Dubai can correct puffy nipples by removing excess glandular tissue and reshaping the chest. This depends on the severity of the condition.
Will gynecomastia surgery permanently get rid of enlarged breasts?
To avoid future weight gain or hormonal imbalances that may cause the condition to recur, patients should maintain a healthy lifestyle after undergoing gynecomastia surgery.
How long does the male breast reduction surgery take?
Surgery can take between 1-2 hours, depending on the extent of the procedure.
Can male breast reduction in Dubai be combined with other procedures?
Yes, for a more comprehensive body contouring in Dubai, male breast reduction can be combined with liposuction or abdominoplasty (tummy tuck).
When can I see the results of male breast reduction?
It is common for patients to see a noticeable improvement in their chest immediately after surgery, but the final results may not be evident for several weeks or months.
Can male breast reduction improve self-confidence?
Depending on the extent of the surgery and the healing process of the individual patient, recovery times can vary. After the procedure, most patients can resume light activities and work within a week or two, but you should avoid strenuous exercise and heavy lifting for several weeks.

Ask the Expert: Male Breast Surgery
Prof. Dr. Robert Hierner offers specialized gynecomastia surgery in Dubai, providing personalized treatments to correct male breast enlargement and enhance chest aesthetics.
Male Breast Shaping - Procedures
Nipple & Areola Contouring
The ideal Nipple Areola Complex (NAC) in man exhibits the following characteristics
- Shape: round or oval
- Diameter: 24 – 25 mm
- Localization:
1) Distance from:
- Medial line/Acromion: 60/40 (11 – 13 cm)
- Sternal notch: 21 cm
- Lower border of the pectoralis major muscle: 2 – 3 cm
2) Intersection of the umbilicus/axillary line and the horizontal line crossing the mid arm height
The most common reason for corrections in the nipple area are scars after surgery and piercing.

Liposuction
Liposuction reduces breast size in direct proportion to the volume of fat removed. Liposuction reduces the weight of the breast and allows the natural elastic tissue in the breast to retract and produce a visible natural breast lift.

Breast Gland Removal
By locating the skin incision in the area of the brown breast areola skin, the scar can be achieved in most cases as an inconspicuous scar.

Liposuction & Breast Gland removal
The therapy consists in the removal of the enlarged mammary gland (subcutaneous mastectomy). To improve the aesthetic result, a matching liposuction is carried out in the chest area of the man. This allows the deformity to be reliably eliminated.

Liposuction & Breast Gland Removal & Concentric Skin Resection
The therapy consists in the removal of the enlarged mammary gland (subcutaneous mastectomy). To improve the aesthetic result, a matching liposuction is carried out in the chest area of the man. For removal of the excess skin a concentric skin resection is carried out around the areola.

Breast Reduction
Patients that cannot be managed with concentric skin resection need a formal Breast reduction.
Contrary to female breast reduction, the vertical scar must be avoided in men at any cost. The least noticeable scar location is the inframammary fold, which very often must be reconstructed or at least reinforced. The other important point is the new position and shape of the Nipple-Areola Complex (NAC).

Upper Body Lift (270°/360°)
After massive weight loss, there is a significant excess of inelastic skin in the area of the male breast and often also in the adjacent area of the armpit. Excess skin in the chest area appears on the:
- Front of the chest (“sagging chest”): inframammary fold is loose and breast appears low on the thorax (ptosis)
- Side chest wall (lateral skin sacs)
- Back (posterior skin sacs)
Many patients feel severely restricted as a result and even perceive this as an impairment of their quality of life; they no longer want to wear tight-fitting T-shirts or shirts.
The therapy consists in the removal of the enlarged mammary gland (subcutaneous mastectomy) and resection of the skin excess as part of a breast reduction for the anterior chest (see Significant Skin excess at the breast & anterior chest level) and removal of excess skin at the lateral (270° Upper Body Lift) and dorsal chest (360° Upper Body Lift).


FAQs for Female Breast Surgery in Dubai
The breast is the most important problem area for women. Disturbances in the aesthetic image of the female breast can be caused by:
- Insufficient volume (hypoplasia)
- Excessive volume (hyperplasia)
- Breasts of unequal size (asymmetry, anisomastia)
- Sagging after massive weight loss and age changes (ptosis)
- Shape changes after operations (e.g. breast cancer)
What is the best age for breast surgery?
There is no one-size-fits-all answer to this question. However, usually, the surgeon recommends to undergo breast reduction surgery above the age of 18. This is because breasts typically reach their full development by this age, minimizing the risk of asymmetry or the need for future revision surgery.
What is the most common breast surgery?
Breast augmentation is the most common breast surgery. It is a quick procedure with a quick recovery, and is ideal to enhance breasts that have the right amount of skin, but not enough tissue or volume.
What is better, breast implants or fat transfer?
Implants offer a broader range of size options, ideal for those seeking a significant change. Fat transfer provides a more subtle increase, suitable for those looking for modest enhancement or addressing specific concerns.
Should I do breast reduction surgery before or after pregnancy?
Breasts often undergo changes in size and shape during and after pregnancy, so it’s helpful to talk to your surgeon about the possibility of becoming pregnant after breast reduction surgery.
If you plan to become pregnant in the future, breast reduction surgery may limit your ability to breastfeed, particularly if a large amount of breast tissue is removed or if the milk ducts are affected by the surgery. These are good questions to discuss during your breast reduction consultation.
What is breast lift surgery?
A breast lift is a surgical procedure performed by a plastic surgeon to change the shape of the breasts. During a breast lift, a plastic surgeon removes excess skin and reshapes breast tissue to raise the breasts. A breast lift is also known as mastopexy.
What are the post op instructions for breast surgery?
Refrain from vigorous activity for 6 weeks. Restrict excessive use of arms for at least 5-7 days. No lifting above the head for 2 weeks. Refrain from physical contact with breasts for 6 weeks.
Can my husband touch my breast after breast surgery?
Key points to remember? Keep your boobs supported (at every angle!), be wary of vigorous movement and try to keep a little distance between your chest and your partner’s body weight. Although there’s no harm in light fondling, be mindful that your breasts will be sensitive to touch for up to 3 weeks after surgery.
How long do I have to wear a surgical bra after breast augmentation?
Your breasts are in a daily fight against gravity. The support of a bra is essential in this battle. Generally speaking, you shouldn’t consider going braless for at least six weeks after breast augmentation. Your breasts need to be thoroughly supported during this time to ensure optimal healing.
What is the best treatment for scars after breast surgery?
A scar suppressive treatment with scar massage during daytime, and application of silicone sheet over night should be the golden standard in each breast surgery. Silicone treatments help to hydrate the scar tissue, producing softer, flatter scars. They also act as a barrier to bacteria. The material is ‘breathable’, preventing the scar tissue from becoming sweaty and irritated, and can in fact reduce the itching feeling that comes with scars. from becoming sweaty and irritated, and can in fact reduce the itching feeling that comes with scars.
How long does it take for breast surgery scars to fade?
If you follow our aftercare instructions, in most cases your scars will flatten out after 2–3 months, then continue to fade over the next 6–12 months.
Female Breast Shaping - Procedures
Restoration of the Areola/Nipple Complex (female version)
The nipple is in the center of the areola. Although the size and condition of nipples are genetically determined, external factors such as, piercing, pregnancy and breastfeeding period can also lead to nipple changes. Deformed nipples and nipples that are too big can seriously impair the overall appearance of a breast,
Nipple reduction procedure can be done only in local anesthesia. Additional sedation can be given for anxious patients.
Nipple Reduction procedure includes minimizing the size of protruding or overly enlarged nipples and removing excess tissue to produce an ascetically appropriate breast.

Breast Enlargement with Fat Transfer
Breast augmentation is one of the most popular aesthetic treatments among women. The chances of success, that transplanted fat cells grow permanently, are very high. The result of the fat transfer is long-lasting and can be corrected over the years.
In contrast to silicone prostheses, fat is a patient’s own substance that cannot lead to a rejection reaction and/or scarring in the sense of a capsule formation. The chest is warm and feels normal. Another advantage is that aesthetic wishes can also be taken into account during the liposuction required for the procedure. In this way, problem areas can become the source of the implant. In addition to the immediate volume effect, the body’s own fatty tissue also has a regenerative effect on the skin overlying it. After about 6 – 12 weeks, the skin thickens and there is an increase in elastic fibers (regeneration).
The disadvantage of autologous fat transplantation lies in the fact that only a certain maximum amount of fat cells can be introduced per procedure (golden rule: “1 size bigger per procedure)”, which is why a second procedure is often necessary.

Breast Enlargement with Silicone Implants
It is important to understand, that the term breast enlargement (augmentation) does not describe one single procedure but a variety of different surgical techniques. The most important criteria for the patient are:
- Location of the scar (surgical access)
- Shape of Implant
- Placement of Implants

Breast Reduction
Excessively large breasts can lead to
- physical (back pain, poor posture, chronic inflammation below the breasts, ..)
- functional (impairments in everyday life, in sports, when choosing clothing, …) and
- psychological impairments (lack of self-confidence, etc.).
Breast reduction surgery removes excess skin, breast fat, and glandular tissue. Breast reduction aims to achieve a breast size in proportion with your body.
There are numerous surgical techniques available for breast reduction/mammary reduction, which enable scar-saving volume reduction.

Breast Lift
In the course of tissue aging, characteristic age changes in the area of the female breast appear, sagging (drooping, ptotic) breasts develop. Empty and/or sagging female breasts often disturb a positive body feeling”.
There are numerous surgical techniques available for breast sagging correction, which enable scar-saving breast lift. The selection of the corrective procedure depends on the extent of the breast sagging (ptosis), the quality of the soft skin and the patient’s wishes. The result is long-lasting but depends on your lifestyle. With aging, some sagging may reoccur.

Restoration of Breast after Massive Weight Loss
With the help of liposuction in the back area, fat can be permanently sucked out of the fat layer directly under the skin. When the skin is sufficiently elastic, the overlying skin shrinks and the shape changes, which restores a defined appearance and thus improves the overall profile of the back.
The result of the treatment leads to a significant narrowing and beautification of the silhouette of the back. A well-formed back gives a younger appearance.
After liposuction, patients who used to feel ashamed and hid their figure under their clothes feel noticeably better and dare to show themselves in public with tight-fitting clothes again. Of course, the clothes also fit better again.

Liposuction Upper Back & Lateral Chest
With the help of liposuction in the back area, fat can be permanently sucked out of the fat layer directly under the skin. When the skin is sufficiently elastic, the overlying skin shrinks and the shape changes, which restores a defined appearance and thus improves the overall profile of the back.
The result of the treatment leads to a significant narrowing and beautification of the silhouette of the back. A well-formed back gives a younger appearance.
After liposuction, patients who used to feel ashamed and hid their figure under their clothes feel noticeably better and dare to show themselves in public with tight-fitting clothes again. Of course, the clothes also fit better again.

Bra-Line Lift (Upper Back Lift)
Bra-line back lift surgery represents one of the most potent strategies for eliminating excess tissue and sculpting the upper back region. One of its greatest advantages is the ability to camouflage the surgical scar within the natural bra line, making it less noticeable.

Upper Body Lift (Female Version)
Dramatic weight loss, weight fluctuation or natural aging frequently results in sagging skin in areas below the armpit (axilla) level.
An “Upper Body Lift” refers to a set of plastic surgical procedures, done at the same time, that help a person to get rid of the skin excess (and residual fat) and regain an aesthetic upper body shape. Depending on the individual body shape loss, the patient can select from a variety of procedures, including
- Breast Lift (Mastopexy)
- Lateral chest Lift
- Dorsal Chest/Upper Back Lift (Bra-Lift)


