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Find detailed information about Gynecomastia Causes, Symtoms, Diagnosis, Gynecomastia Grades, Candidates, Myths, Facts, Faq’s & Male Chest Reduction & Reshaping surgery in Mumbai. If you are a Doctor from Mumbai, You can request your profile on our website & If you are Gynecomastia patient you can find doctors, Ask your doubts about Male breast reduction or read the blogs. We have tried to list best Clinics, doctors & surgeons in & near Mumbai. You can fill the form & submit your contact details to fix your free consultation with one of our affiliate doctors in Mumbai. To know the approximate cost of Gynecomastia Treatment, click on - http://www.gynecomastiasurgery.co.in/gynecomastia-surgery-cost-financing/.

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Mumbai is the capital city of the Indian state of Maharashtra. It is the most populous city in India and the ninth most populous agglomeration in the world, with an estimated city population of 18.4 million. Mumbai is the financial, commercial and entertainment capital of India. It is also one of the world's top ten centres of commerce in terms of global financial flow, generating 6.16% of India's GDP and accounting for 25% of industrial output, 70% of maritime trade in India (Mumbai Port Trust and JNPT), and 70% of capital transactions to India's economy. Mumbai consists of two distinct regions: Mumbai City district and Mumbai Suburban district, which form two separate revenue districts of Maharashtra. Public transport systems in Mumbai include the Mumbai Suburban Railway, Monorail, Metro, Brihanmumbai Electric Supply and Transport (BEST) buses, black-and-yellow meter taxis, auto rickshaws and ferries. The Mumbai Suburban Railway, popularly referred to as Locals forms the backbone of the city's transport system. Water transport in Mumbai consists of ferries, hovercrafts and catamarans. Mumbai is served by National Highway 3, National Highway 4, National Highway 8, National Highway 17 and National Highway 222 of India's National Highways system. The Mumbai-Pune Expressway was the first expressway built in India. The Chhatrapati Shivaji International Airport (formerly Sahar International Airport) is the main aviation hub in the city and the second busiest airport in India in terms of passenger traffic. Mumbai City District is a district of Maharashtra in Konkan Division. As a city district, it has no headquarters or subdivisions. It, along with the Mumbai Suburban District, makes up the metropolis of Mumbai. The city area is called the "island city" or South Mumbai or Old Mumbai. It extends from Colaba in the south to Mahim and Sion in the north. Mumbai Suburban District is a district of Maharashtra in Konkan Division. Its headquarters is in Bandra. It consists of three administrative subdivisions : Kurla, Andheri, and Borivali. The district along with Mumbai City district and other suburban communities make up the metropolis of Mumbai on Salsette Island.

The information on this site is intended for general purposes only and is not intended to nor implied to be a substitute for professional medical advice relative to specific medical conditions or questions. The information on this website is not a guide to treatment, and it should not replace seeking medical advice from your physician. We do not warrant the accuracy, completeness, correctness, timeliness or usefulness of any information contained herein. In no event Domain.com be liable to anyone for any decision made or action taken in reliance upon the information provided through this website. The photos on this website are of models & are not intended to represent the results that every patient can expect. Surgical results vary greatly from patient to patient and are not guaranteed.

The word “Gynecomastia” is derived from the greek word which means, “the augmentation/extension/growth of gland tissues in male breast’s (Moobs)”. Nowdays this is the very common problem arising in mens.30%-65% of men’s global population is affected of these problems. Gynecomastia can be marked by breast skin, excessive fat tissues, and glandular tissues.

If you are the person who is looking for gynecomastia surgery in Mumbai then it is very essential to select an expert surgeon who specialized and have years of experience in male breast reduction surgery. It is very crucial to decide a plastic surgeon who is #board-certified. Besides from certification you should also go through the websites, reviews and also after and before photos as it well help you a lot to decide whether it is a right place to do your gynecomastia surgery or not. After assembling all these information you make a well-informed decision.

Statistical study:

According to the American Society of Plastic Surgeons in their cosmetic national data bank statistic reports of 2014, breast reduction in men (gynecomastia surgery) was performed in 26,175 patients that year. That is a 14% increase in male breast reduction procedures compared to the year 2013 and a 29% increase compared to the year 2000.

Reasons/Causes for Gynecomastia:

Following are the main reasons due to which this  problem is arises in mans:

  • Gynecomastia results from an hormonal changes/imbalance in the body with a relative excess of female hormones when compared to male hormones.
  • Genetic such as Klinefelter's syndrome, reduced blood flow, infection,or aging. Testicular cancers are the secrete hormones that cause gynecomastia.
  • It can also occurs because of side effects of a particular drugs such as Antibiotics, etc
  • Nutritions
  • Liver Damage
  • Kidney Failure,
  • Estrogen-Containing Medicine,
  • Anabolic Steroids,
  • Obesity,
  • Marijuana Or Alcohol.

Who can be the Ideal candidate for Gynecomastia?

  • A person at any age from adolescence to adulthood.
  • A person who wish to increase self confidence when shirtless; who want to show off the body
  • A person who Wish to reduce the projection and size of their breast.
  • A person who Wish to improve the contours of the chest.
  • A person who Wish to address sagging breast tissue or stretched skin

Many men avoid situations where they need to show their chest, such as removing shirt on beach or exercising in gym etc.

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What is gynecomastia

Gynecomastia is the benign enlargement of breasts in men, there are two causes for this growth:

- The accumulation of fat in the breasts, a consequence of weight gain, is also called lipomastia or pseudogynecomastia;

- The enlargement of the mammary gland, called gynecomastia.

In this case, the causes may be related to hormonal imbalances caused by medication, such as (used to treat high blood pressure) and benzodiazepines (psychoactive drugs), liver and thyroid problems. Drugs like marijuana and heroin can also cause breast enlargement.

There are still individuals who have both changes.

In all three cases it is possible to undergo surgical treatment, however, boys who are going through puberty must wait until at least 18 years of age. "Waiting for this time ensures that the patient does not have to undergo another surgical procedure later," explains plastic surgeon Patrick.

There is also a need for the patient to go to the endocrinologist before opting for the operation, as it is also necessary to treat the causes of breast enlargement.

Gynecomastia and lipomastia do not cause immediate damage to man's health. However, plastic surgeon also a member of the Indian Society of Plastic Surgery, explains that if the patient feels embarrassed and avoids social contact, harming the emotional, it is certain to say that his health is compromised.

What is gynecomastia surgery

In cases of lipomastia, the recommendation is for a common liposuction.

In the case of enlarged glandular tissue, it is necessary to remove the entire mammary gland. "If the surgeon leaves any remnants of this tissue, the gland will grow back", explains plastic surgeon Patrick.

The incision will depend on the amount of tissue to be removed, larger breasts will also need greater skin removal, which can leave larger scars. In general, a half moon cut is made around the nipple, with the opening facing up.

"Both surgeries are performed with local anesthesia and sedation, with discharge on the same day and return to work in three days", explains plastic surgeon André Colaneri, a member of the Indian Society of Plastic Surgery. In rare cases, general surgery is used, in which case, the length of stay must be longer (at least 24 hours).

Professional indicated to perform gynecomastia surgery

The plastic surgeon is the professional able to perform this surgery.

Indications for gynecomastia surgery

The gynecomastia surgery is indicated for men over 18 who did not get the expected response with clinical and / or psychological discomfort due have gynecomastia.

Necessary exams before surgery

General exams

In general, laboratory tests are requested, such as a complete blood count. Mainly, the presence of anemias, infections, changes in platelet count will be evaluated. It is considered prudent to request the measurements of sodium, potassium, urea and creatinine in order to assess renal function. A complete coagulogram is also requested to check for any blood clotting disorder. After a certain age, it is advisable to request fasting blood glucose to assess whether the patient has diabetes. In some cases, it may be necessary to request a common urine test with urine culture, with which it is possible to diagnose a urinary tract infection. For older patients, other tests are necessary, such as electrocardiogram and chest radiography to assess cardiac and lung function.

Specific exams

The doctor should order a breast ultrasound, even to assess what the composition of the patient's breast augmentation is.

Surgery time

Both lipomastia and gynecomastia last for about an hour. If there are both, the surgery lasts around 1.5 hours.

Preoperative care

The patient must fast for eight hours before surgery and not take drugs that interfere with clotting, such as acetylsalicylic acid, for example. It will be necessary to trichotomy - removal of hair between the neck and navel and underarm hair. If the man prefers, he can perform this procedure at home, before surgery.

Recovery after surgery

The patient can be discharged on the same day, six hours after the end of the surgery. It is necessary to use drains with an incision at the surgery site for an average of three days.

After gynecomastia surgery, it takes an average of two weeks to return to normal movement. The patient must also wear an elastic vest in the postoperative period, for about 30 to 45 days, with the aim of improving the skin's adherence to the chest. The vest must be removed only for the bath, which must be done one day after the surgery. Physical exercises should be resumed within 30 days after removing the surgical vest. Smoking should be avoided for at least 15 days after surgery. Cigarettes impair the healing of operated tissues.

The plastic surgeon must also prescribe an antibiotic in order to avoid infections and analgesic and anti-inflammatory medication, especially if liposuction is performed, surgery that usually has a more painful postoperative period.

Risks of gynecomastia surgery

The risks of gynecomastia surgery are the formation of hematomas (which the use of an elastic waistcoat helps to avoid), ecchymosis (purple spots), opening the incision (the surgical wound, before it becomes a scar), infection, skin necrosis and unsightly scars. Keloids can happen, but they are rare.

Results of gynecomastia surgery

According to surgeon André Colaneri, the results of gynecomastia surgery depend on many individual factors, however, it is common for the breasts to look satisfactory and with discrete scars. The final result occurs between six months and one year after surgery.

Check before consultation

  • The doctor you are going to see must be registered with the Federal Council of Medicine (CFM), it is possible to do this check on the institution's website
  • -The professional must be a member of the Indian Society of Plastic Surgery. Other institutions do not evaluate the training and experience of professionals in this area
  • -The surgery must be performed in a hospital that is accredited to perform medium-sized surgeries. Contact the hospital to check
  • -Talk to someone who has had surgery with the same doctor and find out about the procedure and results
  • -If the choice is local anesthesia and there are no postoperative complications, it is possible to return home on the same day. It is recommended that the patient be observed for at least six hours after surgery.

The Gynecomastia is the abnormal growth of breasts for men, and the problem is through excess breast tissue in the region. This disorder can be caused by a hormonal imbalance, very recurrent at puberty due to the various transformations that man goes through.

The increase in male breast tissue can manifest itself in different degrees, from a small bud to a full formed breast. The change can be only one-sided, but it can also compromise both breasts.

In some cases, over time, the problem may go away on its own, but in others, gynecomastia surgery is necessary to reduce the breasts.

Main causes and symptoms

The main cause is due to hormonal changes that men go through, especially during the period of puberty. Other factors may be related to excess glandular breast tissue, excess weight (accumulation of fat) or even some diseases.

Another cause that is not always taken into account is that some patients, in an attempt to gain muscle more quickly, use anabolic steroids indiscriminately, and one of the side effects is precisely the enlargement of the breasts.

Some patients with gynecomastia may experience breast pain, swelling, lumps and breast discharge.

How Gynecomastia Surgery Works

The approach to treating gynecomastia must be twofold: first, to treat the developed mammary gland, and second, to the fat present in the chest.

The surgery aims to remove the breast tissue and excess fat that some patients have. Associated liposuction can be performed, depending on the fat content of the breast and the quality of the skin.

To remove this fat, an incision is made in the axillary crease, and through liposuction in the chest region, the entire area is aspirated to reduce this fat tissue as a whole. After there is a regularity in the skin, a small incision is made in the areolar region (small circular area that surrounds the nipple), from where the gland that is located just below the areola is removed.

After the procedure, a drain is placed for two days, on average, and then removed. Then a retaining mesh is placed that puts pressure on the detached region for 30 days.

Classification of gynecomastia

Surgeons classify gynecomastia into three types, with their different degrees. Are they:

- Grade 1 gynecomastia : when a glandular mass appears around the areola. It is apparent with the contraction of the nipple and / or the use of tight clothes. Because it is small, it is easy to remove.

- Grade 2 gynecomastia : the breast is slightly larger than the previous grade. Here, gynecomastia begins to expand and reaches the chest area as well.

- Grade 3 gynecomastia: this is the one that has the largest amount of breast tissue. In addition, the breast is drooping due to the weight it has.

Results of gynecomastia surgery

The first results are already visible after 30 days, although swelling is common in the region. The final result occurs from four to six months.


Patients are released to return to work and normal study activities the day after surgery, taking simple painkillers and anti-inflammatory drugs for about five days. After 30 days, they are free to practice physical activity and return to their daily activities.

Imperceptible scars

The scars left by the surgery are practically imperceptible. Only in cases where the breast has grown exaggerated, the incisions will be larger, as well as your scars.

At GrafGuimarães, our patients receive all the care and guidance for gynecomastia surgery. Schedule an evaluation and answer your questions with our medical team.

Gynecomastia consists of the enlargement of the mammary gland in men on one or both sides (uni or bilateral).

Gynecomastia can be predominantly made up of fat, a mammary gland or a combination of these two.

There is usually an increase in the mammary glands in men in the pre-adolescent phase due to hormonal influence that disappears after a few years (16-18 years). When this does not occur, gynecomastia is characterized. In these cases it is bilateral and usually with a predominance of fat. It consists of the most common cause of gynecomastia.

Gynecomastia can also occur in adulthood, having a relationship in this age group with the use of some medications or drugs and systemic diseases, which must be properly investigated before surgery is proposed.

There is also breast enlargement in men due to weight gain and obesity. This can be corrected with weight loss and, if necessary, surgical correction after weight loss.


The correction of gynecomastia is indicated when it is present and stabilized in cases related to hormonal influences in youth and when they do not return after 18 years of age.

In cases related to weight gain, correction can also be performed after weight loss, if there is no reversal of the condition.

In other causes related to medications and diseases, surgery can be performed after clinical investigation and clearance by an endocrinologist and appropriate examinations.

Surgical preparation

Depending on the patient's age and the presence of associated conditions, preoperative tests such as blood tests (blood count and coagulorama), chest radiography and electrocardiogram are requested. In some situations, the opinion of the endocrinologist may be necessary.

A hormonal profile and other specific exams may be necessary in the preoperative period. As a preparation for surgery, it is necessary to evaluate the breasts through imaging exams (ultrasound).

On the eve of the surgery, the patient must fast for eight hours and be admitted to the chosen hospital 2 hours before the procedure. Details are provided in writing for each patient depending on the surgery.

In the week before surgery, the use of any medication and even some teas, which can alter clotting, are avoided. The need to use medication should be informed to the surgeon.


The preferred anesthesia is the location associated with sedation and is performed by an anesthesiologist on the team, used to the particularities of each procedure.

Surgical technique (figures 1 to 4)

The correction of gynecomastia can be performed in two different ways, alone or in combination.

When there is a predominance of fatty tissue, correction is performed through liposuction of the region. It is used to access between 1 and 3 small incisions and aspiration is performed to reduce the breast region and obtain an adequate contour.

In cases with the presence of glandular tissue, which is more solid and does not yield with liposuction, there is a need to make an incision near the lower edge of the areola to access the region (figure 2). After that, excess breast tissue is removed. In these cases, a drain is often placed to aspirate the liquid from the operated region that remains in place for 24 to 48 hours.

Frequently, patients with gynecomastia present a mixed pattern, with fat and mammary parenchyma, with the need to combine liposuction with resection through an incision in the areola to obtain the best result.

The average time of surgery varies between 1 and 2 hours. After closing the incisions, a dressing is placed to protect the region.


Usually the patient is discharged at the end of the day.

Gynecomastia correction surgery causes mild to moderate pain and analgesics are prescribed for its control. Anti-inflammatory, antibiotic (infection prevention) and gastric protector (to prevent stomach irritation by other medications) are also prescribed.

For one month, the use of a continuous-use compressive band around the chest is indicated to help recovery, and after that period, the band is used during the day for another 30 days.

The patient must remain at relative rest (without exaggerated efforts) for 1 week. After 4 weeks the patient is released for normal physical activity, including gym. Initial care is taken not to make excessive movements with the arms in the first 2 weeks so that the incisions heal properly.

The operated region presents swelling for a period of 1 to 2 months, with benefit from lymphatic drainage and other physiotherapy procedures.

Common questions

  1. Is there a change in breast sensitivity?

Not usually. There may be a transient period of decreased sensitivity that returns to normal after 3 to 6 months.

  1. If my weight fluctuates after surgery, will I lose the result obtained?

It depends on the degree of oscillation. The breasts gain and lose volume together with the fluctuations of the organism, but in small degrees of variation (3 to 5 kg) the changes are subtle and do not attract attention. However, in cases with oscillation from 5 kg, the changes are noticeable, with an increase in volume with weight gain.

  1. Does smoking hinder surgery?

Yes. Cigarettes act by decreasing blood flow to the operated region. In gynecomastia correction surgery, as the detachment is limited, there is a small risk of incision dehiscence (opening of stitches).

  1. Is the scar visible?

Every scar is permanent, but over time it becomes clear and barely visible. At first the scar is reddish and, after 1 to 2 years, it becomes mature and lighter. In the case of gynecomastia correction surgery, the scar is positioned on the lower edge of the areola, which is not very apparent. When only liposuction is performed to correct gynecomastia, the incisions are smaller (5 mm) and are in the region between the mammary glands and on the side of the breasts close to the armpits.

  1. When will I notice the final result of the surgery?

The final result is obtained after 3 to 4 months when there is no more swelling and the region has a natural shape. Aesthetic treatments like lymphatic drainage and ultrasound help to speed up the result.

  1. Is there a risk in this surgery?

As the simple act of crossing a street carries risks, plastic surgery also presents risks. Surgical complications of gynecomastia correction are uncommon, but should not be minimized. Thus, a good preoperative evaluation and the ordering of tests according to each case are essential. The benefits and risks of the surgery must be measured and when the relationship tends towards a great benefit with a small risk it must be performed.

The risks of surgery would be hematoma (bleeding in the operated region), which may require surgical drainage and infection (1-2%), requiring specific treatment for each case.

The gynecomastia is a relatively common problem in certain age groups. It is an increase in the breast tissue of men, being more frequent in adolescents and the elderly. The problem is due to an imbalance in the amounts of two hormones: testosterone (linked to male characteristics) and estrogen (linked to female characteristics).

In general, it is not a serious condition, but aesthetic discomfort can cause unpleasant comments and affect the individual's self-esteem. The good thing about the story is that the condition can regress spontaneously. If it doesn't, doctors can recommend drug treatment or, depending on the case, surgery.

Who is surgical treatment indicated for?

Gynecomastia surgery is indicated for cases lasting more than one year that did not regress with the use of drugs or spontaneously. It can be anticipated in cases of severe psychological impact.

Surgical treatment can only be performed after all adjacent causes, such as certain associated health conditions, overweight and use of certain substances (medications, drugs, alcohol, anabolic steroids) have been remedied.

How is the surgery?

The surgery is performed by a plastic surgeon and consists of the removal of breast tissue. Complementary aesthetic procedures are performed in order to restore the aesthetic aspect of the thoracic region, such as removing excess skin. Local liposuction can also be performed to remove adipose tissue (fat), as it facilitates the isolation of the mammary gland.

The types of incisions vary according to the degree of development of the condition, but in general they consist of a cut in the shape of a half moon facing upwards around the nipple.

The procedure is performed with local anesthesia and sedation and usually lasts between one and two hours, usually with discharge on the same day. In rare cases, general anesthesia can be used.

How is the preoperative?

The doctor orders a blood test to assess the patient's general health condition, as well as to check that there is no clotting disorder. A breast ultrasound is also requested to assess the condition. For older patients, other tests may be ordered, such as electrocardiogram and chest radiography, assessing their cardiopulmonary conditions.

Before the procedure, an eight-hour fast is given and medications that interfere with clotting should not be taken. The patient must also remove the hair between the neck and the navel and under the armpits.

How is the postoperative?

After surgery, it is natural that the thoracic region becomes sensitive and has a purple color. It is recommended to use an elastic vest for a period between 30 and 45 days after the procedure, to increase the skin's adherence to the chest. Anti-inflammatories, antibiotics and pain relievers may be recommended. It is recommended that the patient stay at least 15 days without smoking, as the consumption of cigarettes has harmful effects on the healing process. Routine activities can be resumed within the following deadlines:

  • Bath: the next day (the only case in which the vest is allowed to be removed);
  • Work and study: 5 days after surgery (in simpler cases) or two weeks (in more complex cases);
  • Driving: 20 days after surgery;
  • Moderate physical activities: 1 month after surgery;
  • Intense physical activity: 2 months after surgery.

Complete healing usually takes place between six months and one year after surgery.

How to treat gynecomastia (male breast augmentation)

The treatment for gynecomastia, which is the enlargement of breasts in men, can be done with the use of medication or surgery, but it should always be directed to fight its cause. Aesthetic treatments with devices that eliminate fat and improve the firmness of the skin can also be used and should be guided by the physiotherapist.

As breast growth is not a natural situation in men, this situation can have psychological consequences, which require specialized attention. In addition, participating in support groups during medical treatment, before and after surgery, and receiving support from friends and family, is important for men to feel motivated to undergo treatment and to deal with the situation better.

An option of natural treatment for gynecomastia is to do exercises that strengthen the chest and lose weight, since, by eliminating localized fat, the size of the breast also decreases.

If gynecomastia occurs in adolescence, treatment is not always necessary, because the size of the breasts tends to disappear over time.

1. Remedies

In gynecomastia caused by an imbalance between male and female hormones, treatment with drugs is the main option to try to regulate and stabilize hormones. An example of a remedy for gynecomastia is, but the doctor may also recommend for example.

2. Surgery

The surgery for gynecomastia, called reduction mammoplasty, aims to reduce the size of the breasts in men and is usually indicated when other treatments have no effect and the symptoms last for more than 2 years.

The surgery takes about an hour and a half and is performed with sedation and local or general anesthesia, depending on the plastic surgeon who will perform the surgery. During surgery, a half-moon cut is made around the nipple, in order to remove excess breast tissue, which is then sent for analysis to rule out the possibility of cancer or, if necessary, to initiate appropriate treatment. .

In cases where the patient has excess fat in the breasts, instead of surgery, liposuction can be performed to remove excess volume and correct any flaccidity that may exist.

In the most severe cases of gynecomastia, in which the excess breast tissue can cause the breasts to become flaccid and the areola enlarged, surgery is also performed to reposition the areola and remove excess skin.

The price of surgery for gynecomastia varies between 3000 and 6000 reais. It is also possible to perform gynecomastia through SUS or the health plan.

Recovery after surgery

Recovery after surgery for gynecomastia is usually rapid, as the patient is discharged on the same day.

Although problems with surgery are rare, irregularities in the surface of the breast and changes in the shape or position of the nipple can occur.

Postoperative of surgery

In the postoperative period of surgery for gynecomastia, the patient may experience swelling and changes in breast tenderness. Usually the swelling lasts about 7 to 10 days and the lack of sensation at the site, although transient, can last up to 1 year.

After surgery, the patient must use a chest compression brace every day for about 30 to 45 days, as shown in the image, to help improve skin adherence, support the operated area and reduce postoperative risks like bleeding, for example.

It is very important for the patient to avoid physical efforts in the first two weeks, as well as sun exposure in the first months. Physical exercises are usually resumed 3 months after surgery and always under the recommendation of the plastic surgeon.

Different techniques of gynecomastia surgery

 To perform the gynecomastia procedure , we can use several different techniques, such as associating liposuction to remove fat from the region, as well as removing excess gland, where we make a small cut on the lower edge of the areola.

When necessary, we also remove excess skin, everything so that the patient can conquer his self-esteem, providing a natural and very positive result. It is incredible to see the before and after of gynecomastia surgery , not only in relation to the aesthetic result of the region, but in the change in behavior of men, who become much more determined and confident in themselves. In fact, this is a great achievement for me as a professional, to be able to see this happiness in every patient who undergoes plastic surgery with me!

Who is gynecomastia correction surgery indicated for?

It is indicated for any man who is in good health, and who wants to undergo breast growth treatment, solving the problem 100% with gynecomastia surgery.

The treatment of gynecomastia is simple and can be performed in men of any age.

Causes of excess breast

Like women, men also have mammary glands, and the development of breasts in men occurs due to the enlarged glands, which is known as gynecomastia.

Factors such as genetics, hormonal changes in childhood, adolescence and old age and even due to the use of certain medications are possible causes of the enlargement of these glands .

Consultation, preoperative and laboratory tests

If you suffer from this problem, you must first make an appointment with a plastic surgeon who is a member of the Indian Society of Plastic Surgery.

During the session, he must evaluate and make the diagnosis to indicate the best treatment for gynecomastia.

To perform gynecomastia surgery , he must request laboratory and imaging tests.

After the exams, and in case of positive results, plastic surgery can already be scheduled. Right now, there is very little left to get rid of this unwanted problem.

For the surgery to be a success, schedule your social life respecting the instructions of your doctor in the preoperative period. As you have chosen a good plastic surgeon, renowned and with all the necessary experience, rest assured that you will be in good hands.

Do not forget to inform your plastic surgeon about medications for continuous use, as they should normally be suspended.

In addition, my patients always have at my disposal, after they have undergone plastic surgery, my entire team on call to answer questions and attend whenever necessary. In addition, I always work in highly equipped hospitals to make the surgical procedure a success.

Having plastic surgery is the dream of many women and men too. To make this dream come true, we must be very careful in choosing the surgeon who will make this transformation. I chose Dr. Daniel Borges because he gave me a lot of security since the first appointment. He explained to me in detail how the procedures would be done, with great patience. He is very attentive, careful and does not like to leave any doubts, both in the pre and post operative. I did abdominoplasty and mastopexy with prosthesis with him. I was super satisfied with the result! If you are looking for a doctor who cares about the result you expect, he is the guy! Thank you Dr. Daniel for making my dream come true!

Postoperative of Gynecomastia surgery

After the surgery, the pectoral area will be slightly swollen, but don't worry as this will reduce over time. It is important to rest, change the dressings at the right time, and take the medicine prescribed by the plastic surgeon.

Patients will also be instructed on the use of a comprehensive mesh in the thoracic region, for approximately four weeks.

I always emphasize that men can and should also receive the benefits of plastic surgery , thus increasing confidence and well-being in general.

Following the postoperative recommendations, it is possible to return to daily life and normal activities within a week. If you have doubts about the price of gynecomastia, it is important to make an appointment now, as the budget depends on the medical evaluation, and the procedure that will be indicated to treat your case.

Don't be afraid, get rid of the hassle of gynecomastia

You can get rid of this problem of breast growth with gynecomastia surgery. In addition to having your self-esteem back, you can wear t-shirts without marking the chest area, you will no longer experience embarrassment on the beach, and you can still notice the results in sports, such as weight training.

Gynecomastia: How to stop breast growth in men

Gynecomastia (breast augmentation in men) may seem like a strange term, but it is more common than you think.

Male breast augmentation affects about 40% of men, according to the World Health Organization (WHO).

In Mumbai, an estimate by the Indian Society of Plastic Surgery (SBCP) indicates that, in the male audience, 10% of plastic surgeries are treatments for breast growth in men.

And the demand for gynecomastia surgery is extremely acceptable, since having a large breast causes great embarrassment and psychological discomfort.

Social relationships, tight clothes and walks on the beach are just some of the restrictions to which the man with gynecomastia chest is submitted.

Continue reading the text to learn more about treatment and remedy for gynecomastia.

Before having Gynecomastia Surgery

Gynecomastia affects boys, especially during adolescence. And, of course, that no man wants to have a bigger-than-normal male chest.

Therefore, the growth of breasts in men greatly interferes with their psychological. And feelings like shame, discomfort with the body and sadness are part of the reality of those who suffer from male gynecomastia.

Some strategies are adopted , on a daily basis, thinking about how to reduce gynecomastia. Perhaps these situations are quite common for you:

  • Always wear wider t-shirts to hide the extra volume in the chest area.
  • Being the victim of jokes about your breasts being feminine in appearance.
  • As much as possible avoid shirtlessness in places such as: beaches, swimming pools and gym locker rooms.
  • Change the posture, becoming more hunchback, to try to disguise the large appearance of the chest in a man.
  • Adopt a diet and exercise routine for male gynecomastia, believing that this reduces the problem of chest fat.
  • Be ashamed to have sex with your girlfriend.

The shame is so great that hardly anyone who has gynecomastia in adolescence will tell or talk about it with their parents or friends.

Certainly, the biggest desire of men with big breasts is to be able to be free, without any worries about what to do to disguise breast augmentation.

Imagine going to the beach, shirtless, feeling normal and realizing that no one is judging your body. This is the desire of many men who have been suffering from male breasts for years.

What is Male Gynecomastia?

Gynecomastia is characterized by the growth of breasts in men. The development of the male breast happens when there is an excessive enlargement of the mammary gland.

It is worth mentioning that men, like women, have mammary glands. However, in normal situations, they do not develop.

Usually, this breast augmentation in men occurs during adolescence, between 13 and 15 years of age, known as pubertal gynecomastia.

Interestingly, breast augmentation in men tends to regress spontaneously by the age of 17. So, in these cases, there is no need to adopt any treatment for gynecomastia.

However, about 7.5% of boys will not be so lucky. In some cases, male gynecomastia will not disappear without adhering to treatments to prevent breast growth in men.

In addition, breast augmentation in men can occur only on one side, being classified as unilateral gynecomastia. Or in both breasts, known as bilateral gynecomastia .

Gynecomastia: causes that increase male breast

The causes that lead to breast growth in men are still unknown.

However, men with gynecomastia usually had breast enlargement for one of the 3 reasons listed below:

Obesity: the fat in the chest can give the impression that the breasts are bigger. That's why many men invest in heavy diets and exercises for gynecomastia, with hopes of ending the fat chest.

However, it must be taken into account that chest fat, also known as pseudogynecomastia or lipomastia, is not classified as male gynecomastia. Therefore, the breast will not shrink with exercise.

Endocrine changes: breast in a man can happen due to the increase in female hormones (estrogens) and the decrease in male hormones (androgens).

The causes of this hormonal imbalance are:

  • Pituitary tumors
  • Adrenal gland tumors
  • Congenital or acquired testicular disorders (inflammation or trauma)
  • Liver failure (cirrhosis and hepatitis)

Gynecomastia grade 1, 2 and 3

Grade 1 gynecomastia: it is identified by the apparent swelling of the areolas, as if there were a button in the glandular tissue of that region.

How to cure grade 1 gynecomastia ? Over time, this excess glandular tissue volume decreases. Or you can choose a treatment with medicine for gynecomastia.

Grade 2 gynecomastia : there is fatty tissue in the chest area, but the limits of the breasts are not visible. It can be diagnosed as just Lipomastia.

Lipomastia recommended treatment : doctors recommend liposuction to remove fatty tissue.

Grade 3: it is characterized as the most serious, as it presents fat and glandular tissue, in addition to sagging and excess skin.

Gynecomastia effective treatment : Plastic Surgery removes glandular tissue through an incision made in the areola.

How do I know if I have Gynecomastia?

Have you ever asked yourself: how do I know if I have gynecomastia?

This doubt is very common, so we decided to list some symptoms of breast growth in men. Stay tuned and find out how to cure gynecomastia.

  1. How your chest looks

In men with gynecomastia, glandular tissue develops in one or both breasts. Such tissue is located in the nipple region.

The tip is to analyze if the region is slightly more bulky, especially the nipples.

  1. Sore Male Mammary Gland

Gynecomastia makes the male breast sore, especially when touching or pressing the chest. Because there is a sensitivity present in the region or nodules behind the nipples.

  1. Identify if it is fat or mammary gland

Chest fat can create false Gynecomastia, very common in people who are overweight. This type of male breast augmentation is called lipomastia.

The chest with male gynecomastia is different from a fat chest.

The male breast will only be characterized with Gynecomastia if, when you touch it, you feel sensitivity. But if you have only chest fat, then that volume disappears with weight loss.

Gynecomastia Surgery

The first thing that you must do is to seek a doctor for Gynecomastia. It indicates the tests to be performed.

But, when you suspect that you have Gynecomastia which doctor to look for? The specialist doctors for diagnosing and treating breast growth in men are: endocrinologist, plastic surgeon or mastologist.

At your consultation, a doctor for Gynecomastia will ask you a series of questions, trying to understand and evaluate your male breast, such as:

  • At what age did you notice breast growth?
  • Does your chest keep growing?
  • Did you notice symptoms of breast growth? Which are?

Passing an evaluation consultation is extremely important for the surgeon to better understand your case.

Plastic Surgery for the treatment of Gynecomastia can be performed in patients from adolescence, as long as they have good physical and psychological health.

The Anesthesiologist can use local or epidural anesthesia with sedation in Gynecomastia. But, we always indicate that the patient undergoes a pre-anesthetic evaluation (PAC) days before the surgical intervention. In this way, it is possible to clarify doubts with a professional doctor.

Check if at the Plastic Surgery clinic you have chosen in São Paulo you have this type of consultation. Here at Dream Plastic it is essential and will be done by an Anesthesiologist from our team.

The gynecomastia operation usually lasts around 1 hour. Learn more about Surgery by clicking here.

How Gynecomastia Surgery is done

The technique used in surgery varies according to the severity of the problem. But they all involve a small half-moon cut at the bottom of the areola. The result of Gynecomastia Surgery before and after ends with the female breast in men.

In simpler cases, liposuction may be sufficient to provide the desired appearance.

However, when the breasts are very developed, removal of the mammary gland and excess skin may also be necessary.

The reduction mammoplasty is indicated in more severe cases. For, in addition to the removal of fat and gland, the skin that is left is also reduced.

Want more information about Gynecomastia Surgery? Following video can help you!

Postoperative Gynecomastia

After performing the surgery, the patient must adopt some precautions during his routine at home. Find out the main tips for postoperative gynecomastia here .

During the first few days, it is possible for the patient to feel the painful swollen male breast. However, the doctor prescribes some painkillers and anti-inflammatory drugs to control the discomfort.

The return to daily activities occurs between 1 and 2 days, but it is necessary to avoid any physical effort during at least the first two weeks. As for physical activities, only after one month and with medical clearance.

Gynecomastia: price to perform the surgery

The information about how much a Gynecomastia Surgery costs is extremely important for anyone who is thinking about the procedure.

However, don't just take value into account, choose a location that offers quality and safety. Dream Plastic is an example of this!

And, remember: the exact price of the procedure will only be informed after the doctor has personally evaluated you . Well, it depends a lot on the indication of the ideal procedure to solve your problem.

But, for you to have an idea, we did a survey among the clinics and offices that do Plastic Surgery in São Paulo and act according to medical laws.

Male gynecomastia surgery requires some care!

Check below 3 points that you need to pay close attention to perform a surgical intervention with maximum safety!

Choose an Experienced Plastic Surgeon

Give preference to professionals with a specialist title, if he is a Plastic Surgeon he must be qualified by SBCP. Here at Dream Plastic, our doctors have more than 10 years of experience in male gynecomastia .

How to measure if a doctor is experienced? See the amount of Plastic Surgery he has performed. For the more he practiced, the better technique he will have.

Adequate structure in the postoperative period

Make sure you choose a location with multiple contact channels. Here at Dream Plastic, we provide a direct channel with the nursing team. So, if you have any questions just call our Disk-Enfermagem.

In addition, the clinic must have complete medical teams and specific postoperative equipment. So you increase the chances of having a good result.

Choose a Specialized Clinic

Dream Plastic values ​​all items that provide the safety and quality of a procedure. It is not for nothing that we received the Top of Quality award, granted by the Order of Parliamentarians of Mumbai. We were awarded 3 consecutive years in the category: “Best Clinic for Specialized Plastic Surgery”.

And that's not all! In the most praised clinic in Mumbai, all medical professionals work exclusively with Plastic Surgery.

Gynecomastia surgery is the solution for men who have large breasts. Find out how this is possible!

Did you know that Gynecomastia Surgery is the most effective solution for men who suffer from excessive breast volume?
That's right, if you have Gynecomastia, Surgery is a perfectly viable alternative and capable of transforming your life. Have you ever imagined stop using baggy T-shirts so that your breasts are not in evidence or even taking your shirt off the beach without being embarrassed?
It would be wonderful, wouldn't it? To achieve this goal, gynecomastia surgery in São Paulo is the most suitable treatment. This is because the procedure is able to solve the physical problem of Gynecomastia withdrawal and still offer numerous psychological benefits, such as raising your self-esteem and making you more self-confident!
But how does male breast reduction work? Is treatment right for me? What is the first step towards Gynecomastia Surgery? There are so many questions, so many doubts ... Easy! We consulted some specialized doctors to help us and clarify them from now on. So, keep reading and learn everything that is important about gynecomastia surgery before and after!

When should I have Gynecomastia Surgery?


Before thinking about Gynecomastia withdrawal, it is necessary to identify the problem clinically. The signs are very evident, such as overgrowth in one or both male breasts. The region is usually sensitive and you may even feel pain.
But in general, this increase occurs in adolescence (13 to 15 years of age) and regresses naturally until the age of 17.
If that doesn't happen and Gynecomastia becomes a reality in your life, you need to assess how much it bothers you. For example, you:

  • Are you ashamed of being shirtless in front of strangers or even people you know?
  • Don't feel comfortable having sex with women?
  • Do you suffer just thinking about going to the beach, swimming pool or any environment in which being without a shirt is common?
  • Are you tired of suffering with jokes about having a woman's breast?

Time to seek a Gynecomastia Specialist

The problems mentioned above are common in the life of those considering male breast surgery. If you have identified with them and this type of situation bothers you a lot, then it's time to seek out a Gynecomastia specialist. But rest assured, male breast surgery is relatively simple and safe. This is done by a qualified gynecomastia doctor, with the support of a regulated clinic and within a recognized hospital.
Here at Dream Plastic, you are guaranteed to be attended by a specialized plastic surgeon, one of the most experienced in Mumbai. Not to mention the entire structure of the clinic for its pre and post-operative. Fundamental periods for successful gynecomastia surgery before and after. And, of course, your surgery takes place in a reference hospital in Plastic Surgery.

Bilateral or Unilateral Gynecomastia?

Men who suffer from breast enlargement may develop Bilateral or Unilateral Gynecomastia.
Bilateral Gynecomastia occurs when both breasts are affected. This type is more related to a systemic cause, which affects the entire body. For example, obesity or the use of anabolic steroids.
When the problem affects only one breast, it is called Unilateral Gynecomastia. In it, the cause tends to be more localized, such as the change in the gland on only one side or the appearance of a tumor.

Degree of Gynecomastia, which is mine?

Before doing Male Chest Surgery, the doctor will understand what degree you have, as this also interferes with the chosen technique.
For example, in Grade 1 Gynecomastia Surgery, there is a small increase in the region, but without excess skin. In grade 2 the same thing happens, but with more fatty tissue. When there is Grade 3 or 4, in addition to the significant increase in fatty tissue, there are mammary glands and excess skin

How does Gynecomastia Surgery work?

As we mentioned earlier, male breast surgery is something simple, which can be done from adolescence. But it is important that you are in good health. For this reason, at the consultation the gynecomastia specialist will order some tests.
The procedure is performed in a hospital and lasts between 1 and 2 hours. In fact, for your safety, never accept to operate outside a hospital environment.
In gynecomastia, local anesthesia is the most indicated and used. But depending on the volume of glands or fat and even the anesthetist's experience, general anesthesia can be chosen.


Gynecomastia: risks, how to avoid them?


To avoid risks, always give preference to plastic surgery clinics with their own teams of anesthetists, they are the best and most experienced in the subject.
Ah, here at Dream Plastic, in addition to having experienced anesthetists, your right to make the previous consultation with him is taken care of. More than that, it is encouraged, because we know how important this consultation is for your safety!
In the male breast reduction procedure, the plastic surgeon can use 2 techniques and, if necessary, even combine them.
In the simplest, the doctor performs a gynecomastia with lipo. That is, a liposuction on male breasts, something common when the problem is due to or associated with obesity. This type of situation is indicated for those seeking male breast surgery and has Grade 1 or 2 Gynecomastia.
The other option is to remove the mammary glands . This occurs when there is an overgrowth of these glands, stimulated, for example, by the use of hormones. Common in those who have Grade 3 Gynecomastia.
In more serious cases, in addition to eliminating excess fat, the doctor removes the excess skin.

Gynecomastia Treatment, do not confuse with ...

In search of how to end gynecomastia, you are faced with other treatments such as Male Mastectomy and Male Mammoplasty. But know that they are different procedures.
Unlike Gynecomastia Surgery, in Male Mastectomy, total breast removal is performed. Male Mammoplasty, on the other hand, is characterized by breast reconstruction. These 2 procedures are applied more in cases of tumors or in surgeries of sex change. Gynecomastia Surgery is much simpler and faster

Gynecomastia Surgery Before and After, what to expect?

When verifying the problem and choosing a regulated clinic with specialized plastic surgeons, which is the doctor for gynecomastia, you must strictly follow preoperative care. For example, get tested, stop smoking and follow all the instructions given by your doctor. Something that can vary according to the conditions and needs of each patient.
After male breast surgery, pay the utmost attention to your recovery , as this is a fundamental period for the success of your result.

Gynecomastia: postoperative surgery

In general, the postoperative period is quite simple. And, the definitive result should occur between 12 and 24 months, when the healing process ends. But well before that, you can get back to your normal routine. See below the average time you need to go without doing some activities after gynecomastia surgery:

  • Do not lift your arms or take weight for 30 days
  • 30 days is also the period you should go without driving
  • If you usually work out, know that you should avoid the gym for about 60 days
  • Do not let the area receive direct sunlight until its complete healing

A very common question is: can my gynecomastia come back after surgery? Yes, it can happen. But this in very specific cases, such as when the mammary gland is not completely removed or if the cause of the problem persists. Overall, it is quite unusual for him to return.
So, if you are a man and are tired of suffering from excess volume in your breasts, it is worth doing Gynecomastia Surgery and ending this problem.

Gynecomastia (grade 1): what it is, treatment, medicine, surgery (price)

What is gynecomastia?

Gynecomastia consists of the swelling or enlargement of breast tissue in men , caused by the imbalance between the hormones testosterone and estrogen.

The condition may be due to enlarged mammary glands ( true gynecomastia ), increased fat ( false gynecomastia ) or an increase in both (mixed gynecomastia).

What happens is that the lack or decrease in the production of testosterone, a hormone that gives male characteristics, allows estrogen to exert a greater influence on the development of female traits, such as breast growth.

Some factors can provide this hormonal dysregulation, such as changes in the body itself, the use of certain medications (such as antiandrogens used to treat enlarged prostate) and anabolic steroids.

In addition, the frequent and excessive use of alcohol and the consumption of fatty foods can also accumulate liquid and fat, favoring gynecomastia.

There are usually no associated symptoms. But when pain and secretions appear, gynecomastia can be indicative of pathological changes, such as tumors.

There are 4 degrees of gynecomastia, which can be diagnosed as grade 1, grade 2A, 2B and grade 3.

The specialist who can take care of and indicate the best treatment can be the general practitioner, plastic surgeon, endocrinologist or mastologist.

Depending on the degree, the indicated treatment can be oral, using medications, or by performing surgery to remove breast fat.

There are also cases where nothing needs to be done, only follow-up, as the breasts return to their normal state.

Gynecomastia can be found in the International Statistical Classification of Diseases and Health-Related Problems, the ICD-10 , by the code:

  • N62:Breast hypertrophy.

What is pubertal gynecomastia?

Pubertal gynecomastia is a condition that occurs with boys entering adolescence, in which hormones start to work harder for the development of the body.

What happens is that the hormones can become unbalanced, in this case the level of testosterone low and that of estrogen goes up, causing the growth in the breasts.

But this condition is reversed, in the vast majority, without the need for surgery or other therapies, because with time and sexual maturation, the hormones return to normal and the breasts gradually disappear.

Only in some cases, usually due to other diseases, such as obesity, may need therapeutic interventions

What is unilateral gynecomastia?

It is characterized as a condition of gynecomastia in which there is an enlargement of only one breast, one side being larger than the other.

The condition is, in general, less common than the bilateral condition (which affects both breasts), but the causes are the same and involve hormonal imbalance, in which the testosterone rate drops and the estrogen rate increases.

It is possible to reverse this situation without using medications or surgical procedures in many cases, just waiting for the body to develop and the hormones to act in the correct amounts.

However, as in the bilateral case, if the situation persists or severely affects the patient's social life, treatments can be considered.


Gynecomastia can be triggered due to the decrease in testosterone in relation to the hormone estrogen or when the estrogen itself increases.

These changes can occur for different reasons, but generally the causes are:

Hormonal changes due to age

During the growth and development of the body, hormones do their part taking care of maintaining the female and male characteristics.

Both women and men have the hormones testosterone and estrogen. They are not exclusive to just one sex, but are present in different measures: in men, there is more testosterone, and in women, more estrogen.

However, in some stages of life, when changes are involved, they can change the amount in the body.

By increasing estrogen in the male body, men have some characteristics that are more prevalent in women. Mainly in the phases:


When babies are born their breasts may be larger, due to the influence of the estrogen inherited from the period in which it was in the mother's womb. But after about 3 weeks of birth, the breast tissue disappears.


In adolescence the body presents different changes, it is possible that in boys the growth of breast tissue occurs, but this occurs due to the swelling that disappears about six months to two years until the hormones stabilize.

Third Age

Just as women suffer in old age with the onset of menopause , men suffer from andropause . There is a decrease in the hormone testosterone in relation to estrogen, which can cause the breast to enlarge.

Certain medications

Some medications can cause side effects in men, swelling breast tissue and forming gynecomastia.

Diseases and changes in the body

Some diseases or conditions may have, as symptoms or consequences, breast growth in male patients. Between them:

Klinefelter syndrome

This syndrome occurs due to an error in the genes, right after conception. The man is born with an extra X chromosome (female), which provides greater characteristics of the woman's body, such as breast growth.


Hypopituitarism is a condition in which the body is unable to produce one or more hormones sufficient for the body to function properly.

In men, it can affect testosterone, making the hormone estrogen stand out, highlighting some female characteristics, such as breast enlargement.


When a tumor settles in our body, it may show some symptoms of where it is located, in the breasts, for example, it may increase in size as it grows.


One of the factors of cirrhosis is the exaggerated and long-term consumption of alcohol, when cirrhosis settles in the patient, one of the possible symptoms is swelling of the breasts.


If the patient has a kidney problem, and hemodialysis is necessary, breast enlargement may occur. This is due to the different ways that hormones can behave in the patient's body due to the performance of the procedure, which tries to contain them.

Degrees of gynecomastia

Gynecomastia can be classified into four degrees, according to the type and growth of the breast, they are:

Grade 1

It is characterized as a small breast enlargement, with emphasis on the areola region, in which there is no leftover skin, but it can bother the patient when using tight and more marked shirts, which can highlight the region.

Grade 2A

This grade has a moderate increase, but slightly higher than grade 1. In this case, there is also no leftover skin, but it is observed that the protrusion starts in the chest and not only in the breast.

Grade 2B

In grade 2B, gynecomastia usually causes a moderate breast enlargement, with excess skin, making the protrusion more apparent, even when wearing a blouse that is not tight.

Grade 3

When grade 3 occurs, there is a large increase in the breast with the presence of excess skin. In this case, the condition is much more apparent than the others, being difficult to disguise.

Risk factors

Regarding the risk factors that can trigger gynecomastia, are:

Early adolescence

When adolescence begins, the body undergoes several changes due to the development of the body.

Hormones are responsible for the appearance of female or male characteristics. Due to normal phase changes, gynecomastia may occur.

Arrival at old age

When we reach old age, our body reduces the production of some substances, among them are hormones. In this case, testosterone reduces and estrogen (female hormone) starts to act more predominantly, which may result in a picture of gynecomastia.

Obesity or overweight

The consumption of food in excess and rich in fats not only increases the weight, but also allows the breast tissues to grow, generating gynecomastia.

Use of anabolic steroids

The use of anabolic steroids, especially without medical advice, instead of helping can harm your health.

As the products contain hormones, irregular use can affect the body's balance and cause side effects such as gynecomastia.

Liver and kidney diseases

Gynecomastia can be due to liver diseases (which affect the liver) and kidneys (which affect the functioning of the kidneys). For this reason, patients who have a history of changes in organ functioning are part of the risk group.

Excessive alcohol consumption

Alcohol has many calories, consuming this liquid in excess can generate the accumulation of fat in the body. In that case, there is only an increase in fat tissue in the breasts.

But, in addition, alcohol has substances capable of stimulating hormonal changes, causing gynecomastia to develop.

Can women have gynecomastia?

No. Women can also have irregular breast enlargement or growth, but the condition gets another name: breast hypertrophy .

The problems in women's breasts can be caused by several factors, such as diabetes, pregnancy, menopause, heredity, lumbar lordosis or pathologies.

Breast hypertrophy can be classified up to 4 degrees, which vary by the size and weight of the breasts in each woman.


Breast enlargement, in general, does not affect the functioning of the organism and tends not to cause other symptoms, besides the characteristic breast enlargement.

Thus, it is noted that the breast or breast is larger than normal, as if it were swollen.

However, in some cases they may occur:

Breast tenderness

Usually, the man does not feel pain in the breast or the sensitive chest, except in situations of impactful physical activities.

Asymmetric areola

Due to breast growth, the areola may change (the pigmented part that surrounds the nipple). Thus, the rounded shape can become asymmetrical, just as changes in size can occur.

Nipple discharge

Nipple discharge is a matter of concern. When it appears in men, it is necessary to consult a doctor to assess the causes, since it is usually associated with diseases or changes in the body.


Feeling very itchy in the chest, especially in the nipples is one of the symptoms that can accompany the breast change.

How is the diagnosis made?

To make the diagnosis, the indicated professionals can be a general practitioner, plastic surgeon, endocrinologist or mastologist .

These four professionals are able to make the diagnosis and, for that, they will be able to ask questions about your family history, if by chance there were cases in someone close to you.

The professional can still request exams such as:


The blood test helps to measure the level of hormones in the patient's body, to see if they are altered. The examination request may include an assessment of the following hormone rates:

  • FSH;
  • TSH;
  • Total testosterone.

In addition, kidney and liver function tests may be ordered.

This test consists of taking a blood sample while the patient is fasting. After removal, the sample is sent to a laboratory for analysis.

The results help to investigate the possible causes of gynecomastia.


The mammography can diagnose whether gynecomastia was caused by some tumors, lesions, cysts or when the patient has a lot of breast pain.

This examination can be done in two ways, the first is using a type of x-ray , in which the breast is exposed to the ray and an image is generated that will be stored in a film for later analysis.

The second way is when the breast is exposed to an x-ray that produces an electrical signal and transmits it to a computer for analysis.

Computed tomography

The computed tomography exam may be indicated, in order to be able to detail more precisely what may have caused gynecomastia in more difficult cases of diagnosis. Tomography consists of an x-ray examination, in which the patient lies on a stretcher.

This mobile stretcher is transported into a kind of cylinder-shaped cabin. While the patient is lying down, the cylinder has an x-ray that produces internal images of the body.

Tissue biopsy

Performing a tissue biopsy will be able to assess the health of the breast tissue and identify the cause in greater depth.

Depending on the case, the biopsy must be performed with the patient sedated. For that, hospitalization is necessary.

After the patient is sedated, the doctor removes a part of the body tissue in the place where the problem presents itself, this living tissue is stored and sent to a laboratory for analysis.

In general, biopsy is requested when cancer or tumors are suspected .

Is there a cure?

Yes . Gynecomastia often regresses spontaneously and does not require therapeutic intervention. However, when necessary, there are procedures capable of reversing the condition, such as medications and surgery.

What is the recommended treatment for gynecomastia?

In some cases, such as in adolescence and old age, surgery is not necessary. But, when treatment with surgical intervention is necessary, there are two options: mastectomy and liposuction. The doctor will determine the best procedure based on the case:


In some cases, drug therapy may be indicated to control hormonal changes or stop the progression of the condition. Medicines should always be used with close medical supervision.


When there is no reversal of the condition or the breasts continue to develop for more than 18 months, surgery can be indicated.

In general, the procedure can be done to remove excess fat layers, the mammary glands or both (called mixed surgery).

Medicines for gynecomastia

In some cases, medications can be used to help reduce breasts, but when the satisfactory result is not obtained, surgery is indicated. The medications that can be used to treat gynecomastia are:

Androgens (testosterone replenishers)

As gynecomastia occurs due to the female hormone estrogen, testosterone and  can be used to assist in breast reduction work. It is indicated to use these drugs in elderly patients, with very low levels of testosterone.


Used to fight breast cancer , antiestrogens work by blocking the hormone estrogen. In some cases, they are used to decrease gynecomastia, providing a substantial improvement in this condition.

Aromatase inhibitors

Aromatase inhibitors are drugs responsible for reducing the level of estrogen, the hormone responsible for breast enlargement in men.

NEVER self-medicate or stop using a medication without first consulting a doctor. Only he will be able to tell which medicine, dosage and duration of treatment is the most suitable for his specific case. The information contained in this website is only intended to inform, not in any way intended to replace the guidance of a specialist or serve as a recommendation for any type of treatment. Always follow the instructions on the package insert and, if symptoms persist, seek medical or pharmaceutical advice.

How is surgery for gynecomastia?

The type of surgery will be determined by the cause of gynecomastia - whether it is due to excess fat, glands or both.

In some cases, it is also necessary to perform excision surgery to correct problems in the areolas and nipples.

Regardless of the physician's choice of surgery, these procedures may leave small scars, but the postoperative period tends to be quiet.

But some preoperative care needs to be performed.

The doctor in charge may order some tests, such as blood. In addition, sometimes weight loss can also be requested from the patient.

When the time comes for the operation, it may be necessary to apply local anesthesia with sedation or general anesthesia.

It is normal to feel a sore and swollen chest, but together with the recommended medications it is possible to control these discomforts.

The surgery lasts around 1 hour and it may be necessary for the patient to remain between 8 to 12 hours under medical supervision after completion.

Upon discharge, absolute rest is recommended, and you may gradually return to daily activities after 1 to 2 days, but it is necessary to avoid any physical effort for at least 30 days.

Surgical options include:


This type of surgery is known to remove breast cancer tumors in women, but the same technique can be used to remove tissue from the male mammary glands. Small cuts are made around the areola, where the tissue that causes the enlargement of the breasts is removed.


Liposuction is a method that consists of the suction of fat through a device similar to a pipe, very small. This pipe sucks out all the fat that resulted in breast augmentation, after surgery there may be small scars on the chest due to the process.

Price: How much does gynecomastia surgery cost?

The values ​​of a gynecomastia surgery vary widely, starting with the degree of the disease and the type of surgery. That is, whether it is liposuction or gland removal (each of these processes varies in cost).

The ideal is to consult the plastic surgeon in your region, about what type of surgery needs to be performed in your case and then research the values ​​in clinics and hospitals. There are cases where private health plans can cover the cost.

Living together

It is possible to live with gynecomastia cases by acquiring some care, they are:

Avoid or restrict the use of medications that can cause gynecomastia

Medications such as antihypertensive drugs, drugs that treat gastritis , heart failure and male infertility can have the side effect of developing gynecomastia.

Pay attention to the package leaflet and if you notice any difference in your body, tell the doctor and avoid using the medication.

Take care of associated diseases

Some diseases can involuntarily cause the appearance of gynecomastia, to avoid a case like this one must take care of the treatment of the condition.

The most common ones that cause breast enlargement are: liver cirrhosis, hypothyroidism, hypogonadism, some tumors such as in the testicles, liver and lungs.

Change eating habits

Consuming many foods high in fat promotes the formation of tissue that can develop gynecomastia.

Avoid overeating these fatty foods and alcoholic beverages, so as not to generate fluid accumulation and swelling that can facilitate the accumulation of adipose tissue in the breasts.


The prognosis of gynecomastia is positive in the vast majority of cases. Taking the right post-surgical care, the breasts tend to return to normal without damage. In cases like puberty, gynecomastia tends to regress spontaneously over time.


Gynecomastia, in itself, does not cause any harm to the patient, when it is not associated with pathologies, such as cancer. However, surgical interventions are the most related to complications.

Although they rarely occur, they can cause:

  • Scars;
  • Bleeding (hematoma);
  • Infection;
  • Poor healing;
  • Sensitivity changes in the breast or nipple;
  • Accumulation of liquid;
  • Irregular contour and shape of the nipple;
  • Pigmentation changes;
  • Swelling;
  • Damage to deeper structures such as nerves and blood vessels;
  • Allergies to suture materials used in surgery;
  • Breast asymmetry;
  • Adipose tissue necrosis;
  • Cardiac and pulmonary complications;
  • Pain that can endure;
  • Need for a new surgical procedure (touch-up).

For patients who do not undergo surgical procedures and do not treat gynecomastia, it can cause complications such as:

  • Sociability problems;
  • Low self esteem;
  • Emotional problems.

How to prevent?

It is possible to prevent gynecomastia cases with some precautions, such as:

Avoid foods with fats

When we consume foods with a lot of fats, we stimulate the increase of adipose tissue in the body, which stimulates the action of an enzyme called aromatase. It is related to the conversion of testosterone to estrogen (female hormone), which may favor gynecomastia.

Decrease the consumption of alcohol and other drugs

As with food fat, alcohol has many calories that generate fat accumulation in the body. This stimulates the aromatase enzyme, which converts testosterone to estrogen, providing female characteristics.

In addition, alcohol in excess compromises liver functions, causing imbalance that can lead to breast enlargement.

In addition, some drugs, such as marijuana and heroin, when they enter our bodies produce an action similar to the hormone estrogen, which impairs the production of testosterone, promoting breast growth.

Taking care of the treatment of associated diseases

When the patient has another disease, such as lung or testicular tumor, hypothyroidism, stroke, tuberculosis or kidney failure, he must always be attentive to health care.

These other pathologies or changes can deregulate the functioning of hormones and produce an increase in breast tissue.

Do not consume nutritional supplements without guidance

Supplements, especially aimed at gaining muscle mass, can stimulate hormonal changes. Therefore, the use should only be done under medical and nutritional guidance.

Common questions

Is gynecomastia in adolescence normal?

Yes , during adolescence it is normal for breast enlargement to occur in boys. In general, the condition normalizes without the need for treatments or interventions.

Is breast augmentation in men always bilateral or is there unilateral gynecomastia?

There is unilateral gynecomastia. Most cases occur in both breasts (bilateral), but some patients may experience breast enlargement on only one side. Treatment and management are similar.

Is there a remedy for gynecomastia?

In some cases, medications can be used to try to control hormonal changes. But, in most cases, if clinical intervention is necessary, the preferential treatment is surgery.

Gynecomastia decreases with the gym?

In general, no . In some cases, when the breasts are increased by body fat, exercise can help reduce it if there is a general weight loss.

However, weight training exercises can favor the pectoralis muscle development, maintaining or even increasing the breast bulge.

Can gynecomastia return after surgery?

It is unusual, but it can occur. Especially in cases where the patient gains a lot of weight after months of the surgery or, also, if he has any disorder that can lead to breast enlargement again, such as hormonal and metabolic problems.

Gynecomastia is a disease that can affect men at different stages of life, related to hormonal changes. Although there are no complications or serious symptoms, capable of compromising the patient's health, the condition can bring social damage.