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Gynecomastia Surgery

What Is Gynecomastia?

Gynecomastia is the excess growth of breast tissue in men, often caused by hormonal imbalances, weight gain, medication use, or genetic factors. It can affect one or both sides of the chest and may cause physical discomfort or emotional distress. Fortunately, it can be treated effectively through male breast reduction surgery.

How Is Gynecomastia Surgery Performed?

The procedure is done under general or local anesthesia and takes around 1–2 hours. Depending on the severity, your surgeon may:

  • Remove excess fat with liposuction

  • Excise glandular breast tissue through a small incision around the areola

  • In more severe cases, remove stretched skin to restore natural contour

The result is a flatter, firmer, and more masculine chest appearance.

Why Do People Choose Gynecomastia Surgery?

Common reasons include:

    • Feelings of self-consciousness in tight clothing or at the beach

    • Avoiding physical activities like swimming or gym workouts

    • Discomfort or pain due to enlarged breast tissue

    • No success with exercise or weight loss alone

    • Desire for a firmer, more defined chest

Who Is a Good Candidate for Gynecomastia Surgery?

You may be a suitable candidate if you:

  • Are physically healthy and at a stable weight

  • Have enlarged or sagging chest tissue that doesn’t improve with diet or exercise

  • Are emotionally affected by your chest appearance

  • Have realistic expectations

  • Are a non-smoker or can stop smoking temporarily for healing

At What Age Can Gynecomastia Surgery Be Performed?

The procedure can be performed after puberty, usually from age 18 and older. For teenagers with persistent gynecomastia that hasn’t resolved naturally, surgery may be considered after medical evaluation.

What Techniques Are Used in the Surgery?

Surgical technique depends on the type and severity of gynecomastia:

  • Liposuction only: For soft fatty tissue with good skin elasticity

  • Excision (tissue removal): For dense glandular tissue or sagging

  • Combination of both: Most common and comprehensive approach

  • Skin tightening: In cases of extreme sagging or weight loss-related gynecomastia

The incisions are small and usually placed discreetly around the areola.

How Long Does the Procedure and Recovery Take?

  • Surgery Duration: 1–2 hours

  • Hospital Stay: Often same-day or 1 night

  • Initial Recovery: 4–7 days for light activity

  • Full Recovery: 4–6 weeks for swelling to resolve and results to settle

Patients typically wear a compression garment for several weeks to support healing.

How Should I Prepare for Surgery?

Before your surgery:

  • Stop smoking and alcohol 1–2 weeks prior

  • Avoid blood-thinning medications unless instructed otherwise

  • Maintain a stable, healthy weight

  • Get a medical evaluation to confirm the cause of gynecomastia

A consultation with your plastic surgeon is crucial to align expectations and choose the right surgical approach.

What Should I Expect After Surgery?

After the operation:

  • Some swelling, bruising, and tenderness are normal

  • A compression vest helps reduce swelling and improve contour

  • Avoid upper body workouts or heavy lifting for 3–4 weeks

  • Final results become visible as swelling subsides

  • Scars are minimal and fade over time

The emotional benefit is often just as powerful as the physical transformation.

Treatment Summary

Number of Operations

One

Anesthesia

Local anesthesia

Back To Work

Immediately

Full Healing

7 days

Hospitalization

None

* For informational purposes only, be sure to consult your doctor for diagnosis and treatment.

 

Frequently asked questions

Yes, the removed tissue does not grow back. However, maintaining a stable weight and avoiding hormone-altering drugs or steroids is important to prevent recurrence.

Scars are usually small and placed around the edge of the areola or in the underarm area. With proper care, they fade significantly and are often barely noticeable.

Not always. If the enlargement is due to glandular tissue (not just fat), no amount of exercise can fully eliminate it. Surgery is the most effective solution in such cases.

Most patients return to desk jobs within 3–5 days. For physical work or exercise, you may need to wait 3–4 weeks, depending on your recovery.

Temporary changes in sensation are possible, but permanent loss is rare. Most patients regain normal sensitivity within a few months.

Not at all. Men of all ages and body types seek gynecomastia surgery—it's about comfort, confidence, and quality of life, not appearance alone.