Gynecomastia surgery.
Understand your options.

Chest fullness can have several causes. Learn what an assessment involves, when surgery may help and the recovery to consider.

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What is gynecomastia?

A side-view drawing distinguishes fat from gland tissue behind the nipple.

Gynecomastia means an increase in breast gland tissue in boys or men. It can affect one or both sides and may cause tenderness or a change in chest shape.

Extra chest fat can look similar but is different from gland enlargement. Some people have both. Male breast reduction surgery removes selected tissue to change the contour once the cause and suitable options have been assessed.

Check the cause before choosing treatment.

An assessment checklist represents finding the cause before selecting treatment.

01
Your history matters
Tell the clinician when the change began and about medicines, supplements, anabolic steroids and other health conditions. Hormonal changes, some medicines and medical conditions can contribute.
02
An examination comes first
The clinician checks the tissue, skin and any lump or tenderness. Blood tests or imaging may be requested when the history or examination suggests a need.
03
Some changes settle without surgery
Puberty-related enlargement may improve with time. Treating an underlying cause or reviewing a medicine may help. Never stop prescribed medication without your prescriber’s advice.

The tissue guides the operation.

A cannula passes into the fatty layer, separate from the gland behind the nipple.

Liposuction for excess fat

A thin suction tube removes selected fat through small openings. It may help a fat-dominant concern, but does not reliably remove firm gland tissue.

Explore liposuction

The gland behind the nipple is highlighted as tissue selected for excision.

Excision for gland tissue

Gland tissue is removed through an incision, often near the areola edge. Liposuction and excision may be combined when both fat and gland contribute.

Extra chest skin is highlighted as a separate part of surgical planning.

Skin removal when needed

Larger or stretched skin folds may need removal and sometimes nipple repositioning. This requires a different scar pattern from a small gland-removal incision.

When may surgery be worth considering?

Fat and gland tissue are shown as distinct parts of chest fullness.

01
The concern persists
Persistent enlargement, discomfort or difficulty with clothing can be reasons to discuss surgery after the cause has been assessed. The decision should reflect your own priorities.
02
Your health supports healing
A stable weight, review of nicotine use and control of medical conditions help planning. Discuss any ongoing medicine or hormone-related cause that may affect the result.
03
You understand the limits
Surgery changes tissue and contour. It does not create muscle or guarantee a perfectly flat or symmetrical chest. Scars and altered nipple sensation are possible.

Where will the incisions be?

Dotted lines show example incisions along the lower edges of the areolas.

Liposuction uses small access points. Gland removal may use an incision along part of the areola edge. If skin needs removal, the incision can be longer or follow another pattern.

Scars are permanent, though they may fade over time. Ask the surgeon to show the expected placement and explain how much reshaping is possible with that approach.

OUR PROCEDURE

Before, during and after surgery.

STEP 01

Confirm the plan

Assessment and consent
Discuss the cause, the proposed tissue removal, scars, anaesthetic and expected change with the plastic surgeon. Confirm the facility and follow-up arrangements.
Preparation and support
Follow individual instructions for medicines, nicotine, food and drink. Arrange transport and help at home, particularly if your routine involves lifting.

A checklist represents surgical planning.

STEP 02

Remove the selected tissue

Liposuction, excision or both
Under the agreed anaesthetic, the surgeon removes the tissue using the planned method. Skin removal or nipple adjustment is added only if part of your plan.
Close and protect
The incisions are closed and dressed. A temporary drain may be placed, and removed tissue may be sent for examination when indicated.

A clinical drawing highlights gland tissue selected for removal.

STEP 03

Support healing

Wound and garment care
Follow instructions for dressings, any drains and the support garment. Ask when to wash and what changes should prompt a call.
Review and activity
Attend your follow-ups. The team will guide your return to work, lifting and exercise based on the operation and healing.

A front-opening chest support garment represents postoperative care.

Return to your routine gradually.

A support vest is shown for the chest during healing.

01
Early healing
Bruising, swelling and soreness are expected at first. Take medicines as prescribed and keep to the wound-care instructions.
02
Work and everyday movement
Time away depends on the operation and how physical your work is. Gentle movement and heavier tasks have different demands; follow the advice you are given.
03
Gym and chest exercise
Do not rush back to chest training or heavy lifting. Wait for clearance so strain does not disrupt the incisions or recovering tissue.

Know the possible complications.

Healing problems

Bleeding, infection, fluid collections, slow healing, tissue damage and noticeable scars can occur. Some problems need further treatment or surgery.

Contour and sensation

Dents, unevenness, asymmetry, persistent pain or temporary or lasting nipple numbness are possible. A further procedure may be needed for a contour concern.

Surgical and anaesthetic risks

Blood clots, injury to deeper structures and heart, lung or anaesthetic complications are serious risks. Your health and the extent of surgery affect the assessment.

Give the contour time to settle.

Swelling can hide the final contour for several months. Assess shape, comfort and healing at your follow-ups rather than judging the result immediately.

The change can be lasting, but weight gain and an ongoing hormonal or medicine-related cause can lead to further enlargement. Review these factors with your clinician and maintain a stable routine.

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DOONDI NEERAJ19Vijayawada, Andhra Pradesh

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“The doctors listened carefully to my concerns and explained the treatment in a clear and professional manner.”