Flaunting a well-defined and contoured chest is every man’s wish, as it enhances their masculine appeal. However, some of you might have saggy and enlarged breasts, which is known as Gynecomastia. Though it is a common condition, enlarged breasts might affect your self-esteem and confidence levels [1]. Gynecomastia might also make it impossible for you to go shirtless or wear slim-fit shirts. The good news is, a simple procedure called Gynecomastia surgery can help treat this enlarged breast condition [2]. Keep reading to learn more about the Gynecomastia procedure to make a well-informed decision and flaunt a chiselled, shapely chest.
What is Gynecomastia?
Gynecomastia occurs when the breast tissue in men gets enlarged and looks similar to a female chest. It can affect males of all age groups [3] and can be found on one or both breasts. The breast tissue enlargement is mostly triggered by an imbalance in sex hormones like testosterone and estrogen.
Types of Gynecomastia
There are two types of Gynecomastia:
- Bilateral or two-sided Gynecomastia
- Unilateral or single-sided Gynecomastia
Why Does Gynecomastia Happen?
Several factors like obesity, hormonal changes, lifestyle factors, specific medications, or underlying medical issues, might cause Gynecomastia.
- Changes in Hormones: Changes in sex hormones during ageing and puberty will lead to Gynecomastia.[4]
- Bad Lifestyle: Using drugs like amphetamines or marijuana and drinking too much alcohol will cause enlarged breasts.
- Underlying Conditions: Health conditions like liver disease, kidney failure, or hypothyroidism might cause enlargement of breast tissue.
- Specific Medicines: If you are taking certain medications or drugs like antidepressants, anti-anxiety medicines, or anabolic steroids, the chances of breast enlargement will be high. Specific medications to treat prostate cancer might also cause Gynecomastia.
Whatever the causes might be, Gynecomastia surgery is effective in addressing the enlarged breast tissue to prevent embarrassment and low self-esteem [5].

How Safe is Gynecomastia Surgery? Medical Facts You Should Know
Gynecomastia Surgery is a safe procedure for male breast reduction that is performed by a well-qualified and skilled surgeon. It is a routine cosmetic procedure known to have an excellent success rate with minimal complications. However, it is essential to follow post-operative care and pre-operative evaluation for best breast reduction results.
Key Medical Facts About Gynecomastia Surgery
- Gynecomastia Surgery Types: Your surgeon might customize Gynecomastia Surgery after assessing your breast tissue appearance. The common Gynecomastia Surgery types include:
- Liposuction Procedure: [6] It is performed when there is too much fat accumulation rather than overgrown tissue. The fat would be sucked using a cannula tube after making a tiny incision.
- Excision Surgical Procedure: It is performed to remove the excess glandular tissue in the breast and the excess skin in the region.
- Nipple Reposition: Your surgeon would perform tissue removal and might reposition your nipple to make it look natural.
- Combination Procedure: Your surgeon would combine both excision surgery and liposuction procedures to derive the best results with less scarring.
- Anaesthesia: Gynecomastia procedure will be performed either with general anaesthesia, sedation or local anaesthesia based on patient needs.
- Duration of Gynecomastia Procedure: It will be performed in a couple of hours as Gynecomastia Surgery is a short procedure. You will be discharged the same day after the male breast reduction surgery.
- No Risks: There aren’t any long-term complications after Gynecomastia surgery. Plus, this procedure for breast reduction will not affect your fertility, hormone level or muscle growth.
What Makes Gynecomastia Surgery Safe?
- Gynecomastia Surgery is a safe procedure when performed by an expert surgeon along with perfect post-operative care.
- As the patient is chosen for Gynecomastia Surgery through a thorough assessment of ideal body weight and overall health, there are no chances of developing risky complications.
- Pre-surgical assessment to identify underlying health issues, breast examination, and blood work helps in determining the suitable patient for this procedure.
- Gynecomastia Surgery is a minimally invasive procedure involving tiny incisions made during liposuction. So, there are no risks like scarring, and healing is quicker.
- As the male breast reduction surgery is performed using advanced techniques, you can recover within a very short time.
- An experienced surgeon performing a Gynecomastia procedure will ensure there are minimal risks, no trauma, and quick recovery.
Gynecomastia Surgery Safety & Complication Statistics
| Metric |
Statistic |
| Overall Surgical Complication Rate |
1.9% in adults; 3.9% in minors Source |
| Medical Complication Rate (30-day) |
0.3% in adults; 0.0% in minors Source |
| Most Common Complication |
Hematoma (5.8%) Source |
| Other Common Complications |
Seroma (2.4%), Nipple sensation changes (3–19.2%), Contour irregularities (9.2%)
Source
|
| Outpatient Surgery Rate |
95% of procedures Source |
| Average Operative Time |
Adults: 56.7 minutes; Minors: 111.3 minutes |
| Revision Surgery Rate |
0% to 14.1%, depending on technique |
| Average Complication Rate (All Grades) |
Approximately 15.5%; highest in Grade I cases (21.6%) Source |
Note: Data varies based on source and surgical technique. Always consult a certified surgeon for personalized advice.
Common Myths and Fears about Gynecomastia Surgery
Let’s debunk some of the prevalent myths and fears about Gynecomastia Surgery and understand the reality to stay well-informed.
Myth#1: Gynecomastia Procedure Is Performed For Cosmetic Needs
Fact: Even though Gynecomastia surgery can enhance the look of a man’s chest, it is not just a cosmetic surgery [7].
Explanation: Gynecomastia can make you experience emotional distress, low self-esteem, social anxiety and discomfort. This breast reduction procedure focuses on restoring a contoured chest to address such concerns.
Myth#2: Gynecomastia Surgery Is A High-Risk Procedure
Fact: It is a relatively safe procedure that helps in alleviating Gynecomastia without any major risks or complications.
Explanation: Despite being minimally invasive, the Gynecomastia surgery is safe. Like any other surgical method, it also has a few rare complications like bleeding, nipple sensation changes or scarring [8]. You can consult the surgeon to assess the complication to get immediate relief.
Myth#3: Gynecomastia Surgery is Only For Obese Males
Fact: Gynecomastia can affect both healthy and obese men. Men with different types of body and age groups might develop enlarged breasts [9].
Explanation: Gynecomastia can occur due to medications, genetics, an imbalance in hormones or due to an underlying chronic health issue. Even if you are undergoing weight loss, it will not help in cutting down the enlarged breast tissue and a surgical procedure might be needed.
Myth#4: Gynecomastia Surgery is Not Needed for Enlarged Breast in Men
Fact: It is a common misconception about Gynecomastia, as many believe chest exercises can help in lowering excess fat. As Gynecomastia is caused by glandular tissue enlargement, it requires surgery.
Explanation: Chest workouts will help strengthen your muscles but will not have a positive effect on enlarged glandular tissue. As this surgical procedure removes glandular tissue as well as unwanted fat, it helps in achieving a chiselled look.
Myth#5: Gynecomastia Surgery Will Leave Visibly Huge Scars
Fact: Gynecomastia Surgery is performed by making tiny incisions, which rule out the possibility of scarring.
Explanation: Gynecomastia Surgery is performed with advanced and latest techniques like liposuction and excision surgery. Your surgeon will make incisions in skin creases and less noticeable areas, making them invisible after healing. The small incisions leave minimal scars that are nearly invisible.
Myth#6: The Recovery Period after Gynecomastia Surgery Is Painful and Longer
Fact: As Gynecomastia Surgery is a short procedure and minimally invasive, it has a quick and pain-free recovery period.
Explanation: As Gynecomastia Surgery will be performed by a skilled surgeon, the recovery process will take less than a week. You can resume your everyday tasks within a week after the breast reduction procedure with the right post-operative care.
Side Effects and Recovery: What to Expect Post-Surgery
Even though Gynecomastia surgery is very safe, some side effects might occur like any other surgical procedure.
- Bruising and Inflammation: These temporary side effects after Gynecomastia surgery are common and might last for a few days. Swelling is a sign of your body adjusting to the changes after surgery, and bruising is due to the breakage of tiny blood vessels. You can apply an ice pack and lie down with your chest elevated for better relief.
- Discomfort / Pain: It is a common side effect of Gynecomastia surgery, which can be managed with prescription pain medications. Take enough rest to heal quickly and relieve pain or discomfort.
- Numb Feeling: Some people might feel that their chest area is numb, which is caused by nerve disruptions during the breast reduction procedure. It is temporary and will improve as soon as the incision heals.
- Scarring: As the incisions are made in discrete places near the chest, there will be small scars. Follow aftercare suggestions regularly and use the prescribed scar creams to avoid scarring.
- Infection: Some people might develop infections like discharge on the surgical site or redness. To avoid infection risk, keep the surgical area dry and clean and take antibiotics.
Who is an Ideal Candidate for Gynecomastia Surgery?
- Your surgeon would check your eligibility for Gynecomastia Surgery after assessing various factors.
- If you are within the ideal body weight range, then you will be the perfect candidate for male breast reduction surgery.
- Your overall health will be assessed to ensure there are no underlying conditions like diabetes or heart issues to prevent complications after Gynecomastia.
- You must not smoke before and after Gynecomastia Surgery, as it can hinder the healing process.
Why Choose Akruti for Gynecomastia Surgery in Hyderabad?
Best plastic surgeons at a renowned facility in Hyderabad specialize in performing Gynecomastia surgery for males of different age groups. This ISO-certified premier facility with a team of well-qualified surgeons is rated as one of the best three cosmetic and plastic surgery facilities in Hyderabad. Avail personalized Gynecomastia surgical solutions coupled with top safety standards to regain your lost confidence in a few weeks.
FAQs on Safety of Gynecomastia Surgery
1. Can gynecomastia come back after surgery?
Recurrence after a gynecomastia surgery is rare but possible. Recurrence rates range from 5-10%. It is primarily linked to hormones or lifestyle. Some of the causes for its recurrence are steroid abuse, heavy drinking, or weight gain that can trigger new tissue growth. Surgery gives you a reset, not immunity. Stay healthy, avoid drugs that disrupt hormones, and follow medical guidance to maintain results. In short, the chest you gain is yours to keep, unless old habits sneak back in.
2. How soon can I hit the gym after gynecomastia surgery?
Most patients resume light cardio after 7-10 days. Weight training, especially chest workouts, usually begins after 4-6 weeks. A 2020 clinical survey reported 85% of patients returned to full gym routines by week six. Overdoing it too early risks swelling and delayed healing. Think of recovery like recharging a battery, give it enough time, and it runs at full power again.
3. Does gynecomastia surgery affect nipple sensitivity permanently?
Temporary changes are common, but permanent loss is uncommon. Research shows 80–90% of patients regain normal sensation within 6–12 months. The nerves need time to regenerate, which can feel odd at first, like when your foot “falls asleep.” Surgeons often reassure patients that numbness or tingling is part of healing. Permanent changes occur in less than 5% of cases, and those are usually mild.
4. Is gynecomastia surgery covered by insurance?
In most countries, insurers classify it as cosmetic, so coverage is limited. However, if the enlarged tissue causes pain, posture issues, or medical complications, some policies may approve partial reimbursement. Data from the U.S. shows less than 10% of procedures get insurance coverage. It’s always wise to check your policy and get a doctor’s medical justification. Think of it as an investment—both in health and in confidence.