Gynecomastia Surgery (Male Breast Reduction)

Gynecomastia surgery specifically refers to the operative correction of male breast enlargement, typically combining glandular excision with liposuction. It is the definitive treatment when non-surgical management has failed or when true glandular tissue is present.

Under general or local anaesthesia with sedation, a periareolar incision allows access to the glandular disc. The disc is carefully excised, leaving adequate tissue behind the nipple to prevent inversion. Liposuction via small lateral incisions removes excess fat. Results are shaped in real time with the patient sitting up if possible.

A flat, defined chest with natural male contour. Results are immediate and permanent if weight is maintained and no endocrine cause recurs. The periareolar scar fades to near invisibility within 12 months.

Compression vest for 4–6 weeks. Drain may be placed for 24–48 hours. Return to office work in 3–5 days. No chest exercise or heavy lifting for 4–6 weeks.