Gynecomastia treatment Overview: Treatment, Ideal candidates, Procedure, Benefits, Result, Cost, Complications, and Aftercare

Gynecomastia or enlarged male chest is a condition caused when the chest tissue in men or boys swells with glandular tissue, excess localized fat and excess chest skin. This condition can affect one or both chests.

Testosterone and estrogen levels are balanced in healthy males, but a hormonal imbalance can lead to decreased testosterone levels, and an increase in the hormone estrogen can trigger gynecomastia. Testosterone is responsible for developing secondary sexual traits in males, and estrogen helps control chest growth.

Gynecomastia can develop in different scenarios :

Adolescent Gynecomastia

Chest enlargement is seen between children of age group 12-15 years, which generally occurs due to hormonal imbalance. In majority of cases, the enlarged chest tissue may regress. In a small number of cases, the tissue may persist, necessitating surgery.

Senescent Gynecomastia

Chest enlargement occurs at the age of 50 and above. This condition may occur due to a gradual decrease in the testosterone resistance levels with advancing age.

Pathological Gynecomastia

This may occur due to tumours that secrete sex-hormone analogs, liver diseases, intake of certain medications, drug abuse, etc.

Pseudo Gynecomastia

This is seen in obese males. The appearance mimics that of gynecomastia but comprises only fibro fatty tissue with the absence of glandular elements.

Gynecomastia can cause social withdrawal, avoidance of athletics, swimming, interaction with peers, etc. to avoid this condition's psychological effects. Although it's not a disease by itself, gynecomastia can cause psychological stress, especially in teenagers and younger adults.

To correct this enlarged chest condition in males, chest reduction surgeries are advisable even in younger adolescents. Older men suffering from gynecomastia usually opt for surgery as a lifestyle choice. Gynecomastia surgery or male chest reduction surgery helps to remove excess, stubborn, and unwanted chest fat.

In this male chest reduction surgery, the enlarged male chest is surgically reduced by removing excess fat, glandular tissue, or skin to achieve an ideal masculine chest profile. In this surgery, liposuction is done in combination with a minimal scar surgical technique approach to gives the best results.

Ideal candidate for Gynecomastia Surgery

  • Males who want to improve their chest proportions.

  • Males suffering from psychological discomfort due to large chests.

  • Males who want to participate in activities sports, gym, and swimming, but they feel embarrassed due to their enlarged chest.

  • Males unhappy with the appearance and size of their chest.

  • Males who suffer from discomfort and embarrassment due to their enlarged chest.

  • Males in a good state of health and have a positive attitude and realistic expectations with the surgery.

What happens during the consultation period?

  • The patient is clinically evaluated via history and physical examination to rule out pathological gynecomastia.

  • Further investigations like hormone levels, liver function tests, and abdominal scars are done if pathological gynecomastia is suspected.

  • Fitness for surgery is confirmed, and the patient is referred for surgery.

  • One must refrain from smoking and taking any anti-inflammatory drugs or blood-thinning medications for at least two weeks before the surgery.

What are the symptoms of Gynecomastia?

Gynecomastia can be present both unilaterally and bilaterally. The chest tissues would be swollen, and one often feels tenderness in their chest area. Other symptoms include an increase in the diameter of the areola and chest asymmetry, discharge of fluid from the nipples, and persistent swelling.

One can get the best gynecomastia or male chest reduction surgery benefits in Hyderabad at Inform Clinics, where an expert surgeon performs this surgery and offers the patients with the desired results.

Gynecomastia Surgery Procedure

The goal of gynecomastia surgery is to restore the normal male chest contour and correct the deformities of the chest and nipples. Surgical reduction option includes liposuction of the fatty tissue, an excision (surgical removal of tissue), or a combination of both approaches.

The procedure can be performed under tumescent anesthesia in smaller grades (Grades I & II). Higher grades (Grades III & IV) may require general anesthesia.

The procedure starts with liposuction of the fatty tissue in the chest. It can be done via a small (1cm) incision in the lower border of the chest or via a nipple incision (scarless technique). This procedure typically takes about 45 minutes to 60 minutes.

For the removal of excess fatty tissue alone, a liposuction is an ideal option. If excessive glandular tissue and skin are present, then it is removed with the surgical technique.

When the surgery is complete, the chest is wrapped with bandages, and the specialized compression garment helps to minimize swelling. The patient is discharged on the same day. Pain medications are also prescribed to alleviate any pain or discomfort after surgery. Sedentary activity is allowed from the day of surgery itself. Strenuous activity and sports are allowed after 4-8 weeks.

Scars and incision of Gynecomastia Surgery

The scars are small and barely visible and are hidden in the natural creases of the body.

Gynecomastia Surgeon in Hyderabad

Dr. Dushyanth Kalva is a specialist in performing male chest reduction surgery. He performs safe and effective male chest reduction surgery at Inform Clinics along with his team of medical experts. Dr. Kalva performs and treats all types of gynecomastia (Grade I, II, III, and IV) problems.

Grade I: In this case, there is minor chest enlargement with no presence of excess skin.

Grade II: In this case, there is moderate chest enlargement with no excess skin presence.

Grade III: In this case, there is moderate chest enlargement with some amount of extra skin.

Grade IV: In this case, there is marked chest enlargement with a lot of extra skin.

With this surgery results, men are usually very satisfied with their new look and feel more confident in their physical appearance. They do not feel embarrassed about taking their shirt off in public or enjoying in beaches.

Benefits of Gynecomastia Surgery

Gynecomastia surgery helps one to achieve a better proportioned and more masculine-contoured upper body. Other benefits of this surgery are:

  • Improves self-confidence.

  • Permanent results.

  • Gain more social confidence.

  • Provides with a masculine chest profile.

  • Feel comfortable revealing your chest contours, clothed, or unclothed.

Treatment duration

Gynecomastia surgery can take 1 to 3 hours, depending on the amount of tissue being removed and the type of techniques involved.

Final Results Gynecomastia Surgery

Results are immediately noticeable, and swelling is common, and subsides after a few weeks. Once the swelling declines, the contour of the figure becomes evident.

One can see the best results after 3-5 months of the surgery. The scarring also fades away over time. The surgeon also takes care that the incision is made carefully in the body's natural creases to minimize scarring.


  • One should maintain a stable weight after surgery as that would ensure that the improved chest contour will be long-lasting.

  • Wearing a compression garment is a must, and once the swelling subsides, gentle massage can help to control the development of small lumps and bumps in the chest after surgery.

Gynecomastia Surgery cost

Inform Clinics provides individualized treatment, as each person's body anatomy and expectations are different. Therefore, gynecomastia surgery cost in Hyderabad varies for each individual case. The cost of gynecomastia surgery depends on various factors:

  • Type of surgical technique involved (liposuction or surgical).

  • Complexity of the procedure.

  • Anesthetist’s fees.

  • Laboratory tests.

  • Operation Theatre charges.

  • Post-surgery garments.

  • Medications.

  • Surgeon's fees.

  • Location of the clinic.

What are the complications and side effects associated with this treatment?

With every surgical procedure, there are some potential risks and complications associated. These include:

  • Bleeding

  • Blood clots

  • Infection

  • Chest asymmetry

  • Changes in nipple sensation

  • Fat necrosis

Hence, one must always undergo the treatment from an expert surgeon so that there is minimal risk of getting any complications from the surgery.

Aftercare Gynecomastia Surgery

  • One can do little physical work after 10-15 days after surgery.

  • One can perform non-chest workouts after 3 weeks and chest and high-impact cardio workouts 6-8 weeks after surgery.

  • Take care of the surgical site and do not scratch the treated area.

  • Sleep straight and do not put pressure at the treated site.

  • Do not smoke or consume alcohol for a few weeks both before and after surgery.

  • Take proper rest and consume a healthy diet.

  • Stay hydrated and avoid stress.

  • Do not perform strenuous activities for a few weeks after the treatment.

  • Take pain medications as prescribed.

  • Avoid fluid buildup in the treated area.

  • Practice physical activities in moderation.

To avail of this treatment benefits, consult today with an expert plastic and cosmetic surgeon in Hyderabad, Dr. Dushyanth Kalva, at Inform Clinics.

Frequently Asked Questions?

Know more about these services from an expert!

Real Results

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