Gynecomastia Surgery

Gynecomastia

What Is Gynecomastia Surgery?

Gynecomastia is the condition of overdeveloped or enlarged breasts seen in males. This can occur at any age and may be a result of obesity, genetics, hormonal changes, or the use of certain drugs. Even if it is not a health issue, this condition can cause significant psychological distress in men.

Gynecomastia surgery is a highly successful surgical procedure developed to reduce the breast size and restore firmer, masculine chest contours. During surgery, excess fat and glandular tissue is removed. In extreme cases, removing excess skin and repositioning the areola may also be necessary.

Surgical Techniques

Different approaches for different types of gynecomastia

Liposuction Technique

Preferred when most excess tissue is fat with minimal skin sagging. Less invasive approach with small incisions.

Excision Technique

Used when glandular tissue is present, excess skin needs removal, or areola repositioning is required.

Who Is A Good Candidate?

Gynecomastia surgery may be right for you if you are healthy and bothered by enlarged breasts

  • Overdeveloped or enlarged breasts
  • Bothered by the appearance of your chest
  • Condition cannot be corrected through medical treatments
  • Breast development is complete
  • In overall good health
  • Not significantly overweight
  • Have realistic expectations

The Procedure

Understanding what to expect during gynecomastia surgery

Anesthesia

General anesthesia or local anesthesia with sedation is administered for your comfort during the surgical procedure. Your surgeon will decide the best option for your specific case.

Liposuction Approach

Small incisions are made (within armpit, around areola, or below breast crease). Excess fat and glandular tissue are removed through these incisions. The chest contours are sculpted to achieve a natural masculine appearance.

Excision Approach

Used when larger amounts of glandular tissue or excess skin need removal. Incisions are typically made around the areola or within natural chest creases. The areola may be reduced and nipple repositioned if needed.

Recovery & Results

What to expect after your gynecomastia surgery

First Week

Stitches, dressings, and possibly drainage tubes will be in place. Some soreness and swelling is normal but minimal. Pain medication will help control discomfort. Compression garment may be recommended.

1-2 Weeks

Can return to work or school (timing depends on procedure type). Swelling begins to subside. Continue wearing compression garment if recommended. Avoid strenuous activities.

3+ Weeks

Most swelling has subsided. Can gradually resume exercise after 2 weeks, vigorous exercise after 3 weeks. Final results visible after 3-6 months as swelling completely resolves.

Risks & Complications

As with any surgery, gynecomastia surgery carries some risks

  • Infection
  • Bleeding and hematoma
  • Poor wound healing
  • Changes in skin sensation (usually temporary)
  • Contour irregularities
  • Asymmetry
  • Scarring
  • Fluid accumulation
  • Allergic reactions to anesthesia
  • Need for revision surgery

Frequently Asked Questions

Gynecomastia may result from obesity, genetics, hormonal changes, or the use of certain drugs. In some cases, the cause is unknown.
The procedure typically takes 1-2 hours, depending on the technique used and the extent of correction needed.
Incisions are strategically placed to minimize visible scarring (around areola, in natural creases, or in armpits). Scars typically fade significantly over time.
Results are generally long-lasting. However, significant weight gain, hormonal changes, steroid use, or certain medications may cause recurrence.
Most patients can return to work within several days to 1 week, depending on the nature of their job and the type of procedure performed.