Gynecomastia

Gynaecomastia Surgery · Gajularamaram, Hyderabad

Not all chest enlargement in men is the same — and not all of it needs surgery.

Gynaecomastia correction at Dr. Suman's Plastic and Cosmetic Surgery Clinic begins with identifying whether the enlargement is glandular, fatty, or mixed — that distinction, not preference alone, decides whether liposuction, gland excision, or both are needed.

Book a Chest Assessment See Correction Options
Understanding the Condition

What gynaecomastia is

Gynaecomastia is the benign enlargement of male breast tissue, caused by an imbalance between oestrogen and testosterone effects on glandular tissue. It's common — affecting a large proportion of men at some point, often during puberty or with age — and is not the same as chest fat from weight gain alone, called pseudogynaecomastia.

Ruling out underlying causes first

Common causes

Pubertal hormonal shifts, certain medications, anabolic steroid or supplement use, liver or thyroid conditions, and idiopathic (no identifiable cause) cases.

When work-up matters

New-onset gynaecomastia in adulthood, one-sided enlargement, or a firm/irregular lump warrants hormonal and clinical evaluation before planning surgery.

Glandular vs fatty vs mixed

Assessed on clinical examination — determines whether liposuction alone is sufficient or gland excision is also needed.

Non-surgical cases

Pubertal gynaecomastia often resolves on its own within 1–2 years and may only need monitoring, not surgery.

Correction Options

Liposuction, excision, or both

Fatty

Liposuction Alone

Suited where the enlargement is predominantly fatty tissue with minimal firm glandular component. Performed through small, well-concealed incisions.

Glandular

Gland Excision

Firm glandular tissue beneath the areola doesn't respond to liposuction and is removed surgically, often through a peri-areolar incision.

Mixed

Combined Approach

The most common presentation — liposuction to contour the surrounding fat plus excision of the firm glandular core, in the same session.

Severe / Grade III–IV

Skin Excision

Significant skin excess or sagging (common in higher-grade or weight-loss-related cases) may need skin resection alongside tissue removal to avoid residual looseness.

What to Expect

Recovery timeline

Individual healing varies with technique and grade — reviewed against your specific plan at consultation.

Day 1–3

Compression garment worn continuously; swelling and mild soreness are expected, usually manageable with prescribed medication.

Week 1–2

Return to desk-based work is often possible; compression garment continues, bruising gradually fades.

Week 3–6

Swelling continues settling; strenuous exercise and contact activity are typically avoided until cleared.

Month 3–6

Final chest contour becomes clearer as residual swelling resolves and skin adapts to the new contour.

Common Questions

FAQ

Will gynaecomastia come back after surgery?

Surgically removed glandular tissue doesn't regenerate, but significant weight gain, steroid use, or an underlying hormonal condition left unaddressed can still cause new enlargement — this is discussed at consultation.

Do I need blood tests before surgery?

Hormonal and general fitness work-up may be recommended depending on your age, onset pattern, and clinical examination findings.

Will there be visible scars?

Incisions are placed to be as inconspicuous as possible — typically peri-areolar or small liposuction access points — and scar visibility depends on individual healing.

Is gynaecomastia surgery only cosmetic?

It's classified as reconstructive when correcting a physically and often psychologically significant condition, though insurance coverage varies and is worth checking individually.

Get a clear diagnosis before deciding on surgery

Consult Dr. Suman Babu G at Dr. Suman's Plastic and Cosmetic Surgery Clinic, Gajularamaram, Hyderabad, for a clinical assessment of your chest enlargement and its likely cause.

Book Your Gynaecomastia Consultation