Gynecomastia surgery, also known as male breast reduction surgery, is a medical procedure designed to remove excess glandular tissue and fat from the male chest. It is a common treatment for gynecomastia, a condition where men develop enlarged breasts due to hormonal imbalances, obesity, steroid use, or certain medications. This article provides a comprehensive guide to gynecomastia surgery, including its causes, procedures, recovery, risks, and cost.
Understanding Gynecomastia
Causes of Gynecomastia
Gynecomastia occurs due to an imbalance between estrogen and testosterone levels. Some common causes include:
- Hormonal Imbalance – High estrogen levels or low testosterone can lead to breast tissue growth.
- Obesity – Excess fat can lead to increased estrogen production, causing chest enlargement.
- Puberty – Hormonal fluctuations during adolescence can trigger temporary gynecomastia.
- Steroid Use – Anabolic steroids disrupt the body’s hormonal balance.
- Medications – Certain drugs, including anti-androgens, antidepressants, and heart medications, can contribute to the condition.
- Underlying Medical Conditions – Liver disease, kidney failure, and tumors affecting hormone levels may lead to gynecomastia.
Symptoms of Gynecomastia
- Enlarged breast tissue in one or both breasts
- Puffy or tender nipples
- Pain or discomfort in the chest area
- Uneven chest appearance
Gynecomastia Surgery: Procedure & Techniques
Types of Gynecomastia Surgery
There are two main types of procedures used to treat gynecomastia:
- Liposuction Surgery
- Best suited for cases caused by excess fat (pseudogynecomastia).
- Uses small incisions to remove fat with suction cannulas.
- Minimal scarring and quick recovery.
- Glandular Tissue Excision
- Ideal for cases with excess glandular tissue.
- Involves making an incision around the areola to remove the glandular tissue.
- Provides a more contoured chest appearance.
Step-by-Step Surgical Procedure
- Consultation & Diagnosis – The surgeon evaluates the severity and underlying cause of gynecomastia.
- Pre-Surgery Preparation – Blood tests, stopping certain medications, and avoiding smoking/alcohol before surgery.
- Anesthesia Administration – Local or general anesthesia is used.
- Surgical Procedure – Liposuction, glandular excision, or a combination of both is performed.
- Closure & Bandaging – Incisions are stitched, and compression garments are applied.
- Recovery & Follow-up – Patients must follow post-surgery care guidelines for optimal healing.
Post-Surgery Recovery & Care
Recovery Timeline
- First Week: Swelling, bruising, and mild discomfort are common.
- Two to Three Weeks: Patients can resume light activities.
- One Month Onward: Most swelling subsides, and final results start becoming visible.
Aftercare Tips
- Wear compression garments for at least four weeks to reduce swelling.
- Avoid heavy exercise for four to six weeks.
- Maintain a healthy diet and exercise to prevent fat accumulation.
- Follow-up appointments are crucial for monitoring healing.
Risks & Complications of Gynecomastia Surgery
Like any surgical procedure, gynecomastia surgery carries some risks, including:
- Scarring – Small scars may develop around the areola or under the chest.
- Asymmetry – Uneven chest contour may require revision surgery.
- Infection – Proper wound care reduces infection risks.
- Loss of Nipple Sensation – Temporary numbness or changes in sensitivity may occur.
- Hematoma or Seroma – Fluid buildup that may require drainage.
Cost of Gynecomastia Surgery in India
The cost of gynecomastia surgery varies based on the city, surgeon expertise, and hospital facilities. Below is an estimated price range:
- Delhi: INR 60,000 – INR 1,50,000
- Mumbai: INR 70,000 – INR 1,60,000
- Bangalore: INR 65,000 – INR 1,40,000
- Chennai: INR 55,000 – INR 1,30,000
Factors Affecting Cost
- Surgeon’s experience and qualifications
- Hospital location and infrastructure
- Type of procedure (Liposuction vs Excision)
- Anesthesia fees and post-surgery medications
- Follow-up consultations
Insurance & EMI Options
- Insurance Coverage: Generally, gynecomastia surgery is considered a cosmetic procedure and not covered under insurance, unless due to a medical condition.
- EMI & Payment Plans: Many hospitals offer financing options to make the procedure more affordable.
Choosing the Best Gynecomastia Surgeon in India
Qualities to Look for in a Surgeon
- Board-certified plastic or cosmetic surgeon
- Experience in performing gynecomastia surgeries
- Positive patient reviews and before-after results
- Hospital accreditation and safety standards
Top Cities for Gynecomastia Surgery in India
- Delhi – Known for top plastic surgeons and advanced medical facilities.
- Mumbai – Offers reputed cosmetic surgery clinics.
- Bangalore – Home to leading plastic surgery hospitals.
- Chennai & Hyderabad – Affordable yet high-quality treatments.
FAQs About Gynecomastia Surgery
1. Is gynecomastia surgery painful?
Mild discomfort is expected post-surgery, but pain medication helps manage it.
2. How long does the surgery take?
The procedure typically lasts between 1-2 hours.
3. What is the success rate of gynecomastia surgery?
Gynecomastia surgery has a high success rate of over 90% with permanent results.
4. Can gynecomastia return after surgery?
In most cases, the results are permanent. However, excessive weight gain or steroid use can cause recurrence.
5. How do I know if I need gynecomastia surgery?
If you have persistent chest enlargement despite exercise and diet changes, consult a specialist for evaluation.
Conclusion
Gynecomastia surgery is an effective solution for men struggling with enlarged chest tissue. With advanced surgical techniques, experienced surgeons, and affordable costs in India, the procedure offers a safe and permanent way to achieve a masculine chest contour. If you are considering gynecomastia surgery, consult a qualified specialist to discuss the best treatment options for you.