Gynecomastia Surgery: Everything you need to know

Gynecomastia is a condition characterised by the enlargement of male breast tissue that can be physically uncomfortable and emotionally distressing. While it's often caused by hormonal imbalances, medications, or certain health conditions, it can affect men of all ages. When lifestyle changes and medications prove ineffective, Gynecomastia surgery in Bangalore can offer a lasting solution. If you're considering this procedure, in this blog you will find everything that you need to know about the surgery. For further information, continue reading for further information.
Understanding Gynecomastia
Gynecomastia refers to excess glandular breast tissue development in men, often resulting in a swollen or puffy chest appearance. It’s different from pseudogynecomastia, which is due to excess fat and not glandular tissue. Some of the common causes of gynecomastia are mentioned below:
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Hormonal imbalances (estrogen/testosterone)
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Certain medications (e.g., anti-androgens, steroids, antidepressants)
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Medical conditions (e.g., liver disease, hyperthyroidism)
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Puberty or aging
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Obesity or genetics
What Is Gynecomastia Surgery?
Also known as male breast reduction surgery, gynecomastia surgery removes excess glandular tissue, fat, and sometimes skin to create a flatter, firmer chest contour. It's a cosmetic surgical procedure that offers permanent results when performed correctly. There are two techniques involved in the gynecomastia surgery mentioned below:
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Liposuction: Ideal for fat-dominant gynecomastia.
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Excision: Ideal for glandular tissue or excess skin removal.
Often, a combination of both is used for optimal results.
Ideal Candidate for Gynecomastia
You might be an ideal candidate if:
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You’re physically healthy and at a stable weight.
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You have enlarged breast tissue unresponsive to diet or exercise.
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Your breast development has stabilized (common after puberty).
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You’re emotionally distressed or self-conscious due to your chest appearance.
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You don’t smoke or use recreational drugs (which can impact healing and contribute to gynecomastia).
What to Expect: Step-by-Step
Here’s what you can expect:
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Initial Consultation: The plastic surgeon will:
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Evaluate your medical history and chest condition.
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Discuss your goals and expectations.
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Perform a physical exam and may order lab tests or imaging.
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Recommend a personalized surgical approach.
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Preparing for Surgery
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Avoid smoking and blood-thinning medications for at least 2 weeks before surgery.
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Arrange for someone to drive you home post-op.
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Wear loose-fitting clothes and avoid eating after midnight the night before surgery.
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The Procedure: Gynecomastia surgery is typically performed under general anesthesia or local anesthesia with sedation. It usually takes 1 to 2 hours. During the procedure:
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Small incisions are made near the chest.
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A cannula (thin tube) is inserted to suction excess fat.
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Ideal for patients with good skin elasticity and minimal glandular tissue.
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Excision Technique:
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Used when glandular tissue or sagging skin must be removed.
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Incisions are often made around the areola or in natural chest creases.
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May be combined with liposuction.
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Recovery Process
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You’ll go home the same day in most cases.
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Expect some swelling, bruising, and discomfort for a few days.
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A compression garment is worn to support healing and reduce swelling.
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Avoid strenuous activities and heavy lifting for at least 3–4 weeks.
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Most patients return to work within 5–7 days, depending on their job.
Results: What to Expect
Here’s what you can expect as a result from the surgery:
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Initial results are noticeable once swelling subsides.
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Final results appear within 3–6 months.
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The chest appears flatter, more masculine, and proportionate.
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Scars typically fade with time and proper care.
Risks and Considerations
Here are some of the common risks and considerations associated with gynaecomastia surgery mentioned below:
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Scarring
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Infection
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Asymmetry
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Changes in nipple sensation
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Under- or over-correction
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Fluid accumulation (seroma)
Visit Dr. Sandhya Balasubramanyan!
Gynecomastia surgery can be a life-changing procedure for men struggling with enlarged breast tissue. It not only enhances your physical appearance but also boosts your self-esteem and comfort in everyday life.
If you are considering this surgery, start by consulting with a qualified plastic surgeon to determine if it’s right for you. With realistic expectations, proper planning, and post-op care, you can achieve a more sculpted, masculine chest and a renewed sense of confidence. For more information, book an appointment with the Best Plastic Surgeon In Bangalore, Dr. Sandhya Balasubramanyan, today!

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