Gynecomastia is a prevalent problem that affects both men and boys. It is a medical disorder characterized by male breast tissue growth induced by a hormonal imbalance. It is normally harmless, but it might occasionally be an indication of an underlying medical issue that needs medical treatment. Gynecomastia surgery, commonly known as male breast reduction surgery, is a cosmetic surgical treatment used to reduce the size of a man’s breasts. Under this surgery, excess glandular tissue, fat, and skin are removed from the chest region, and the areola and nipple may be repositioned to give a more manly chest shape.

Males with larger breasts may benefit from this procedure physically and psychologically. Physically, gynecomastia surgery can relieve discomfort, pain, and soreness while improving the chest region’s aesthetics. Psychologically, the operation can boost patients’ self-esteem, body image, and confidence, helping them to feel more at ease and confident in social and personal circumstances. So, if you have Gynecomastia, consider getting this treatment and reaping the advantages!!

Causes of Gynecomastia

Gynecomastia is caused by a reduction in the level of testosterone in comparison to estrogen. Issues that restrict the impact of testosterone, diminish testosterone or elevate estrogen levels can all cause a decline in testosterone. Several other causes that may contribute to this problem include the following.

Hormonal Imbalances:

Gynecomastia is frequently caused by a hormonal imbalance, including increased estrogen levels compared to testosterone levels. It can happen naturally throughout puberty, as we age, or due to certain medical diseases such as estrogen-producing tumors.


Being overweight or obese may boost the amount of fatty tissue in the body, which can raise estrogen levels which leads to gynecomastia.

Use of Certain Medications:

Several medications might induce gynecomastia. Anti-androgens, ADHD drugs, anabolic steroids, anti-anxiety meds, tricyclic antidepressants, antibiotics, ulcer treatments, heart medications, etc., are examples.

Medical Conditions:

Certain medical disorders, including renal failure, liver illness, and hypogonadism, can also induce gynecomastia.

Types of Gynecomastia Surgery

Gynecomastia surgery can be classified into numerous categories, including the following:


This procedure includes removing extra fat from the breast region with the help of a short, thin tube known as a cannula. The liposuction procedure leaves the gland tissue intact. It is usually advised for individuals with mild to severe gynecomastia, where the breast expansion is caused mostly by extra fatty tissue. The major advantage of this technique is that the scar will be minor.

Excision Surgery:

This procedure removes glandular breast tissue using larger incisions in the affected area. The chest size and the desired outcome influence the incisions’ total length, location, and pattern. This technique is often advised for individuals with severe gynecomastia when the breast enlargement is caused largely by glandular tissue.

Combination of Liposuction and Excision Surgery:

To obtain the greatest outcomes, a combination of liposuction and excision surgery may be advised in some circumstances. This combination of surgery eliminates as much undesirable tissue and fat as feasible. The weight and bulk of extra breast tissue may lead it to sag, forcing the nipple downwards. This can cause the skin surrounding the nipple (areola) to expand, giving the area an inflated look. Overall, this technique is more intrusive and needs more recovery time.

Preparation for Gynecomastia Surgery


A gynecomastia diagnosis depends on a study of the symptoms and a medical assessment that involves a thorough examination of the breast tissue.

Pre-operative Evaluation:

An individual should have a thorough pre-operative evaluation before having gynecomastia surgery. Your doctor will most likely conduct tests to determine the source of the gynecomastia, which might include the following:

  • 1. Blood tests
  • 2. CT (Computerized tomography) scans
  • 3. Mammograms
  • 4. MRI (Magnetic resonance imaging) scans
  • 5. Tissue biopsies
  • 6. Testicular ultrasounds


All medicines, including over-the-counter medications, should be discussed with the surgeon. Certain blood thinner-containing drugs or supplements should be avoided for at least two weeks before and after surgery. Ibuprofen, aspirin, and green tea are examples of such goods.

Fasting Guidelines:

The patient should adhere to the fasting instructions advised by their surgeon. To lessen the risk of aspiration, patients should refrain from drinking or consuming anything for 8 hours before the operation. Detailed fasting guidelines may differ based on the patient’s age, medical history, and anesthesia type. It is critical to strictly adhere to the fasting recommendations to reduce the risk of problems before and after surgery.

  1. Post-operative Care

Any operation, including gynecomastia surgery, requires care after the operation. Here are some common suggestions for gynecomastia surgery aftercare:

  1. Pain Management: Patients may suffer mild to severe pain and discomfort following surgery. To relieve the pain, the doctor suggests appropriate medicines and pain management strategies to follow for better results.
  2. Dressings and Drains: Like other surgeries, gynecomastia also involves using dressings and drains after the operation. You need to take care of the dressings covering your surgical site. Follow the doctor’s advice as they instruct how to properly care for the bandages, dressings and drains and when they should be changed.
  3. Diet: Diet should be strictly monitored following gynecomastia surgery. After surgery, the individual should not consume solid foods and gradually transition to a soft, easy-to-digest diet. They should also drink plenty of water and avoid alcohol and coffee.
  4. Activity Restrictions: Activity restrictions are essential for avoiding problems and promoting recovery. The patient must refrain from intense activity and exercise for a few weeks following surgery. They must also avoid lifting heavy things, bending, or twisting, as these activities might strain the chest.
  5. Follow-up Appointments: Follow-up consultations are essential for monitoring the patient’s recovery and ensuring no issues arise. The initial follow-up visit should be made within a few days of the procedure. Subsequent visits should be made in accordance with the surgeon’s advice.
  6. Risks and Complications

Patients should be informed of every surgical operation’s dangers and potential consequences before having the procedure. The following are some of the risks and consequences linked with gynecomastia surgery:

  1. Bleeding: Bleeding is a typical complication of every surgical operation. Additional surgery or blood transfusions might be required if excessive bleeding occurs before or after surgery.
  2. Infection: Any surgical operation, including gynecomastia surgery, carries the risk of infection. It is treatable with antibiotics, although extra surgery to remove contaminated tissue may be required in certain cases.
  3. Scarring: It is a possible side effect of any operation. Scarring might differ relying on the surgical procedure employed. The scars may be long-term and can fade away with time.
  4. Numbness: Numbness is a possible side effect of gynecomastia surgery, especially if liposuction is performed to reduce additional breast tissue. Because the nerves that give sensation to the region surrounding the breast tissue may be injured during the treatment, resulting in numbness.
  5. Recovery and Outlook

Gynecomastia surgery is often performed as an outpatient procedure. Most patients can return home with a family member or friend on the same day they recuperate from anesthesia. Discomfort and pain at the surgery site are also normal, and your doctor might give you medicine to help you control these side effects.

  1. Recovery Time: The time it takes to recuperate after gynecomastia surgery depends on the degree of the treatment, the individual’s health, and the surgical method employed. However, patients often return to work and normal activities after 1 or 2 weeks. They should plan on missing one to two weeks of work and avoiding intense exercise for three to four weeks.
  2. Expected Outcomes: Gynecomastia surgery aims to shrink the male breast tissue to achieve a flatter, more manly chest shape. The operation is likely to result in a decrease in breast size and enhanced chest symmetry. The surgery’s effects are usually long-lasting, although weight increases, specific medical conditions, and unhealthy lifestyle habits might cause gynecomastia to reappear.
  3. Lifestyle Changes: Patients with gynecomastia surgery might have to modify certain lifestyles to retain their results. These modifications may include the following:
  • Maintaining a healthy weight is important since gaining weight after surgery might result in a return of gynecomastia.
  • Certain drugs, including anabolic steroids and certain antidepressants, should be avoided since they might cause gynecomastia.
  • Exercising regularly can help you achieve a healthy weight and improve your overall health.
  • Compression garments are used to minimize edema and improve recovery.
  • Attend all follow-up meetings with their surgeon to ensure optimal healing and progress.


To summarize, Gynecomastia surgery is an approach that removes additional breast tissue in men. The procedure is normally performed as an outpatient under general anesthesia, with a quick recovery period. It has an excellent success rate of over 90 percent and is generally safe, with minimal complications. You will develop regular male-type pattern breast outlines after you have healed. Following post-operative instructions, living a healthy lifestyle, contemplating a workout plan, and using compression garments can all help to get excellent outcomes and maintain their new shape.

Moreover, getting early gynecomastia treatment is better to prevent the problem from progressing and creating psychological anguish. Patients are likely to witness a significant decrease in the size of their breasts before and after gynecomastia surgery, which can boost their self-confidence and self-worth. It is important to remember that surgery is not a replacement for weight reduction, and patients should maintain a healthy lifestyle to obtain the best outcomes.

Frequently Asked Questions

What are the different types of gynecomastia surgery?

Gynecomastia surgery is a cosmetic procedure that eliminates extra breast tissue in men. Gynecomastia surgery is classified into two types: liposuction and excision surgery.

Liposuction uses a cannula to suck and remove extra fat and glandular tissue, leaving a flatter chest. In comparison, excision surgery is performed when liposuction alone is ineffective. An incision is created around the areola, and the extra tissue is excised during this operation.

How long does a gynecomastia surgery procedure usually take?

Depending on the number of tissues to be eliminated, the Gynecomastia surgery normally takes 1-2 hours to complete.

What anesthesia is used in gynecomastia surgery?

Gynecomastia surgery can be performed under sedation, local anesthetic, or general anesthesia. However, general anesthesia is still the most often used for men considering this surgery.

How long does recovery after gynecomastia surgery take?

On average, men’s breast reduction recovery period is 1 to 2 weeks. During this period, sufferers are inclined to rest and avoid hard activities to assist recovery and minimize difficulties.

What kind of pain management is available after gynecomastia surgery?

Your doctor may offer many pain management choices following gynecomastia surgery. Pain medication given by your doctor is the greatest sort of pain management. Over-the-counter drugs, such as Tylenol, acetaminophen, or ibuprofen, may be used as stronger prescription treatments.

Will there be scarring after gynecomastia surgery?

Scarring concerns differ from individual to person. Scar tissue may occur more often in certain people than in others.  Most gynecomastia surgery scarring is permanent, even if the natural curves of the breast hide them. It will, however, ultimately recede to an unnoticeable color.

What are the hazards and consequences of gynecomastia surgery?

Some of the risks and complications associated with gynecomastia surgery include:

  • 1. Bleeding
  • 2. Infection
  • 3. Scarring
  • 4. Fluid accumulation
  • 5. Anesthesia risks
  • 6. Blood clots.
  • 7. Breast asymmetry
  • 8. Breast shape and contour irregularities

Will I need to change my diet or lifestyle after gynecomastia surgery?

Following your surgeon’s recommendations for post-operative care following gynecomastia surgery is essential. Avoid heavy lifting or vigorous exercise, wear a compression garment and follow a balanced diet for good recovery from the surgery. Boost your protein, Omega-3, and Vitamin C consumption to kickstart your healing process.

Can gynecomastia surgery be done as an outpatient procedure?

Gynecomastia surgery is often performed as an outpatient treatment, which implies you can return home on the same day of the procedure. After the operation, it’s necessary to arrange for somebody to take you home safely.

When can I return to work and normal activities after gynecomastia surgery?

The patient can recover entirely in 4 to 6 weeks, based on the patient’s condition, the volume of tissue eliminated, and the procedure employed.

What should I expect during my follow-up appointments after gynecomastia surgery?

Following gynecomastia surgery, your follow-up appointments will be an important part of your rehabilitation. During these appointments, you may expect the following from your doctor:

  • 1. Examination of the treated region for any indications of infection.
  • 2. Obtaining post-operative instructions to enable a quick and complete recovery.
  • 3. Recommendation for wearing compression garments for several weeks.
  • 4. Scheduling subsequent sessions to check your progress.

How successful is gynecomastia surgery?

The surgery’s success rate is determined by several factors, including the severity of the gynecomastia, the patient’s general health, and the surgeon’s experience. Furthermore, it has a high success rate of more than 90% and is typically safe, with few side effects.

Are there any non-surgical treatments for gynecomastia?

Yes, there are non-surgical treatments for gynecomastia, which is the enlargement of the breast tissue in males. Here are a few options:

  • 1. Medications
  • 2. Lifestyle changes
  • 3. Compression garments
  • 4. Exercise

Can gynecomastia recur after surgery?

Gynecomastia surgery often provides patients with long-term benefits. However, in certain circumstances, gynecomastia might reappear following the surgery.

Is gynecomastia a risky surgery?

Gynecomastia surgery is a relatively safe procedure, and many individuals recover quickly. However, complications can arise even when both patient and surgeon pay the utmost attention to precautions and safety.

Does gynecomastia grow back after surgery?

Gynecomastia surgery is a non-reversible cosmetic operation, meaning the removed glandular and fat tissue will not regrow. However, it is crucial to remember that extra tissue regrowth may occur if patients live an unhealthy lifestyle or due to particular medications and post-surgery medicines.

Is gynecomastia major surgery?

Gynecomastia surgery is generally a mild to moderate surgical operation that typically uses general anesthesia as an outpatient procedure.

What is the side effect of gynecomastia surgery?

Bruising, bleeding, blood clots, contour abnormalities, obvious scars, numbness in nipples, loose breast skin, and breast asymmetries are all common side effects of this surgery.

Which surgery is best for gynecomastia?

Liposuction is often considered the finest gynecomastia procedure for removing excess breast fat.

How much does gyno surgery cost in Delhi?

Depending on the doctors and clinics you choose, Gynecomastia surgery in Delhi costs between Rs. 30,000 and Rs. 40,000.

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