Gynecomastia surgery/Male Breast reduction

Gynecomastia surgery/Male Breast reduction

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At Athera, our nationally and internationally certified Plastic surgeon assess the patient thoroughly and treatment plan is formulated as per grading of gynecomastia. It is the procedure in which excess breast tissue is removed by direct excision and liposuction so that more natural body contour and flattened chest can be achieved.

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What is Gynecomastia?

Gynecomastia is development of abnormally enlarged breast tissue in males. While every male has breast tissue, defining feature of gynecomastia is presence of excess amount of glandular and fatty tissue.

Who are the candidates for gynecomastia surgery?

A young male with enlarged breast having hormonal imbalance, hereditary conditions, obesity, alcohol abuse, steroid intake, testicular pathology, liver disease, kidney failure, thyroid disease. Most of teenage gynecomastia often resolves as young man grows into adulthood. In cases few surgeries are required. Gynecomastia that has developed later in life is usually associated with obesity, use of certain medications or hormonal therapy. It is possible to develop gynecomastia in one or both the breast.

How is Gynecomastia surgery performed?

Surgery is performed under general anaesthesia. Keyhole incisions are made in natural skin creases of the chest for the insertion of graded liposuction cannulas. Gland removal is done by a small peri-areolar incision. Entire procedure is near scarless. Excess skin if needed can be removed in higher grades of gynecomastia. This creates reduced breast size, flattened chest contour and masculine looking chest.


Gynecomastia surgery can be considered semi-permanent cosmetic procedure, meaning the glandular tissue will not grow back. However, no cosmetic surgery is ever truly permanent. Factors that may lead to regrowth includes use of anabolic steroids, weight fluctuations and uncontrolled hormonal imbalance.
Some of the patients may encounter discrete red patches over the skin which usually resolves over 3 to 5 days with medication. Swelling can persist throughout 1st week of surgery. Mild to moderate pain, discrete red patches and swelling can taken care by use of pain killer, anti-inflammatory medication, multivitamins and pressure garments. Swelling typically resolves between 2 to 3 weeks after the surgery. Occasionally, discoloration of nipple areola complex may occur which usually resolves over a period of 4 to 6 weeks.
Patient is advised to start wearing pressure garment from the next day of surgery. It helps to maintain the chest contour achieved by the surgery and mitigates the post-surgery swelling, pain. It is mandatory to wear pressure garment for minimum of 1-month post-surgery and preferably up to 3 months.
Daily routine activities can be resumed immediately from the next day. Strenuous work and exercises can be started 4 to 6 weeks after surgery.
Although, gland excision is done by peri-areolar incision, the nerve and blood supply of nipple areola complex is well preserved. There is no comprise in sensation when the surgery is performed by trained board-certified plastic surgeon.

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