Background

What causes it?

Gynecomastia is the most common breast pathology in males. It results from an increased oestrogen-to-androgen ratio — oestrogens stimulate breast tissue while androgens antagonise its effects. Around 25% of cases have no identifiable cause.

Physiological — no treatment usually needed

Three natural peaks: neonatal (maternal oestrogen), pubertal (most common — resolves on its own by 17–18), and ageing. These are self-limiting. Reassurance is the standard approach.

Pathological / secondary causes — treat the underlying condition first

Gynaecomastia secondary to these causes is managed as part of treating the primary disease. If corrected early, breast enlargement may regress.

Idiopathic — no identifiable cause (≈ 25% of cases)

No underlying cause found despite thorough investigation. These patients — particularly those with persistent, bothersome gynaecomastia — are the primary candidates for surgical correction.

Cancer accounts for less than 1% of cases. Most gynaecomastia is benign and self-limiting.


Classification

Simon's classification — with accepted treatment

GradeDescriptionAccepted treatment
Grade I Minor enlargement. No skin redundancy. Small subareolar button of tissue. Observation if recent onset. Gland excision ± liposuction if persistent or >1 year.
Grade IIa Moderate enlargement. No skin redundancy. Visible feminised contour. Liposuction + open gland excision via periareolar incision. Most common presentation.
Grade IIb Moderate enlargement with minor skin redundancy. Liposuction + gland excision. Assess skin contraction at 3 months before deciding on skin excision.
Grade III Marked enlargement with significant skin redundancy and ptosis. Liposuction + excision + formal skin reduction (Inverted-T / Lejour / Wedge / Lalonde). Single-stage preferred.
Pseudo Fatty chest enlargement only. No glandular tissue. Often obesity-related. Weight loss first. Liposuction alone if weight stable and fat localised. No gland excision needed.

Eligibility

Who is a good candidate?

Age
18+ years
Pubertal gynaecomastia often self-resolves by 17–18.
Duration
> 1 year
Fibrosed tissue won't respond to medical therapy.
Weight
Stable BMI
Not actively losing significant weight.
Cause
Investigated
Drug causes stopped, hormonal disorders treated first.

Not an immediate candidate if: on anabolic steroids, obese with planned major weight loss, uncontrolled diabetes, or active hormonal disorder.


Surgical treatment

Surgery — the mainstay

Surgery is the mainstay for gynaecomastia lasting more than one year, or where the underlying cause has been addressed but the tissue persists.

1 · Liposuction

First step for most cases. Removes the fatty component, reduces bleeding for subsequent excision, and creates a natural plane for gland removal. Suitable for moderate to diffuse enlargement without significant skin excess. Not used alone when firm glandular tissue is present.

2 · Open gland excision

Glandular disc removed through a periareolar, circumareolar, trans-areolar, or circumthecal incision — performed after liposuction for better haemostasis and cleaner tissue planes. Standard approach for Grades I through IIb.

3 · Skin reduction — Grade IIb and III

Techniques

Inverted-TLejour short scarWedge excisionLalonde
Single stage (preferred)
Gland + skin together
Concentric or mastopexy pattern. Most preferred approach for Grade III.
Two stage
Staged approach
Gland excision → wait 4–6 months → skin excision. Avoids over-resection, smaller final scar.

After surgery

Recovery timeline

Day 0
Surgery 1–2 hrs. Compression garment applied immediately.
Days 1–3
Peak swelling and soreness. Drains removed if used.
Week 1
Dressing change. Light walking. No lifting or exertion.
Week 2
Return to desk work. Compression garment worn 24/7.
Weeks 4–6
Lower body gym resumed. Garment during activity.
3 months
Chest contour largely visible. Most swelling resolved.
6–12 months
Final result. Scars mature and fade.

What can go wrong

Complications

Minor

  • Temporary swelling and bruising
  • Nipple numbness (usually resolves)
  • Minor asymmetry
  • Skin irregularity or waviness
  • Visible scar (fades by 12 months)

Significant

  • Seroma — fluid collection
  • Haematoma — blood pooling
  • Infection
  • Nipple retraction or necrosis (rare)
  • Recurrence if cause not addressed

If something goes wrong

When to act

Call your surgeon immediately if

Sudden increase in chest swelling or firmness  ·  Fever above 38°C  ·  Discharge from wound  ·  Nipple darkening or rapid loss of sensation  ·  Chest pain or breathlessness

Minor asymmetry and mild swelling at 3–4 weeks: attend your scheduled follow-up, do not self-medicate. Seromas are aspirated in clinic under local anaesthesia. Haematomas may need small re-exploration. Infections are treated with antibiotics and rarely require wound opening.

Keep your surgeon's emergency number saved. If unreachable and symptoms are severe, go directly to the nearest emergency department and inform them of your recent procedure.

Final remarks

Most men with gynaecomastia do not need treatment.

The majority of cases fall into the physiological or idiopathic category. Within this group, most men are comfortable with their body and go through life without any intervention — which is entirely appropriate.

Treatment becomes relevant only when gynaecomastia is causing distress, affecting confidence or quality of life, or hampering daily activity — such as avoiding certain clothing, sports, or physical contact due to embarrassment or discomfort.

If you are not bothered by it, there is nothing that needs to be done. If you do want treatment for this condition, liposuction combined with gland excision is one of the accepted and widely performed procedures.

General patient information only. Individual assessment by a qualified MCh (Plastic Surgery) surgeon is essential before any surgical decision.

Have questions about
your case?

Book a consultation with Dr. Sinnet Roy — online or in person at Lakeshore Hospital, Ernakulam.

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