Flat chest. Permanent results. Day surgery. Expert plastic surgeons across 21 cities in India.
Rs 55Kโ1.2L
Cost Range
1โ2 hrs
Surgery Time
Same Day
Discharge
3โ5 Days
Back to Work
Gynecomastia Grades
Minor Enlargement
Rs 45,000 โ Rs 70,000
Moderate Enlargement
Rs 55,000 โ Rs 95,000
Significant Enlargement
Rs 70,000 โ Rs 1,10,000
Severe Enlargement
Rs 90,000 โ Rs 1,50,000
What Is It?
Gynecomastia is the benign enlargement of male breast tissue caused by an imbalance between oestrogen and testosterone. It affects 40-60% of men at some point in their life and can occur at any age โ from newborns to elderly men.
It is important to distinguish true gynecomastia (glandular tissue) from pseudogynecomastia (pure fat) as treatment differs. A surgeon can determine this on examination.
Surgery permanently removes the excess tissue giving a flat, masculine chest contour. Over 95% of patients report significantly improved confidence and quality of life after surgery.
โ ๏ธ True Gynecomastia vs Pseudogynecomastia
True Gynecomastia
Firm glandular tissue under the nipple. Feels like a disc. Cannot be reduced by diet or exercise alone.
Pseudogynecomastia
Soft fatty tissue. Can be partly reduced with weight loss. Treated with liposuction alone.
๐ฅ How Common Is It?
Visual Guide
Educational images to help you understand the condition and surgical techniques
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Classification
Gynecomastia is classified into 4 grades. Treatment and cost depend on your grade. A surgeon determines your grade on examination.
Grade 1
Minor Enlargement
Small amount of breast tissue around the nipple. No excess skin. Often seen in teenagers and resolves on its own.
Recommended Treatment
Observation (if recent) or Liposuction alone
Grade 2
Moderate Enlargement
Breast tissue extends beyond the areola. No excess skin. Most common grade in adults. Surgery gives excellent results.
Recommended Treatment
Liposuction + Gland Excision (recommended)
Grade 3
Significant Enlargement
Moderate enlargement with some excess skin. Breast tissue clearly visible through clothing. Causes psychological distress.
Recommended Treatment
Liposuction + Gland Excision + Skin tightening
Grade 4
Severe Enlargement
Severe enlargement with significant excess skin. Resembles female breast tissue. Requires more extensive surgical correction.
Recommended Treatment
Extensive excision + Skin reduction + Areola repositioning
Not sure what grade you have?
Book a free consultation โ our surgeon will examine and grade your gynecomastia and recommend the right technique. Takes 15 minutes. Book now โ
Surgical Techniques
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Day of Surgery
โข Same-day discharge in most cases
โข Compression vest applied immediately
โข Mild soreness โ controlled with painkillers
โข Rest at home
Day 1-3
โข Mild to moderate swelling and bruising
โข Take prescribed painkillers
โข Short walks around home
โข No lifting or exertion
Day 3-7
โข Return to desk work for most patients
โข Swelling reduces significantly
โข Compression vest worn 24/7
โข Short drives possible
Week 2-3
โข Light activity and walking
โข Swelling continues to reduce
โข Compression vest during day
โข No gym or sports yet
Week 4-6
โข Return to light gym
โข Most swelling resolved
โข Results becoming visible
โข Cleared by surgeon at follow-up
3-6 Months
โข Final results visible
โข All swelling completely gone
โข Flat masculine chest achieved
โข Scars fading significantly
Puberty
COMMONMost common. 50-70% of teenage boys experience it. Usually resolves in 1-2 years.
Anabolic Steroids
COMMONSteroids and prohormones convert to oestrogen causing significant gynecomastia.
Obesity
COMMONFat tissue produces oestrogen. Weight loss helps but does not remove glandular tissue.
Medications
Antidepressants, blood pressure drugs, antifungals, and some antibiotics can cause it.
Hormonal Imbalance
Low testosterone or high oestrogen from any cause including hypogonadism.
Liver Disease
Liver processes hormones. Liver disease can lead to oestrogen excess.
Alcohol
Chronic alcohol use affects hormone metabolism and can cause gynecomastia.
Idiopathic
In many cases no specific cause is found. Surgery is still effective regardless.
| City | Grade 1-2 | Grade 2-3 | Grade 3-4 | Insurance |
|---|---|---|---|---|
| Delhi | Rs 55,000 โ 80,000 | Rs 70,000 โ 1,00,000 | Rs 90,000 โ 1,30,000 | Usually not covered |
| Gurugram | Rs 60,000 โ 85,000 | Rs 75,000 โ 1,05,000 | Rs 95,000 โ 1,35,000 | Usually not covered |
| Mumbai | Rs 65,000 โ 95,000 | Rs 80,000 โ 1,15,000 | Rs 1,00,000 โ 1,50,000 | Usually not covered |
| Bangalore | Rs 55,000 โ 85,000 | Rs 70,000 โ 1,05,000 | Rs 90,000 โ 1,30,000 | Usually not covered |
| Noida | Rs 50,000 โ 75,000 | Rs 65,000 โ 95,000 | Rs 85,000 โ 1,20,000 | Usually not covered |
| Chennai | Rs 50,000 โ 78,000 | Rs 65,000 โ 95,000 | Rs 85,000 โ 1,20,000 | Usually not covered |
Costs include surgeon fee, OT charges, anaesthesia, compression vest, and post-op medicines. May vary based on clinic and extent of surgery.
Yes. Once the glandular tissue is surgically removed, gynecomastia does not return. The results are permanent as long as you maintain a healthy lifestyle and avoid steroids or medications that caused it. Pure fatty gynecomastia treated with liposuction alone may return with significant weight gain.
Surgery is recommended after 18 years when the condition is fully developed. For teenagers with pubertal gynecomastia, doctors usually wait 1-2 years as it may resolve naturally. If it persists beyond age 17-18 or causes significant psychological distress, surgery is considered.
Most patients return to desk work in 3-5 days. A compression vest is worn for 4-6 weeks to reduce swelling. Light exercise resumes at 2-3 weeks. Gym and heavy lifting at 4-6 weeks. Final results are seen at 3-6 months as swelling fully resolves.
Usually not. Gynecomastia surgery is considered cosmetic/elective and is excluded by most health insurance policies. However if gynecomastia is caused by a medical condition (like liver disease or medication side effects), some policies may consider coverage. MySurgery can check your specific policy.
Common causes include hormonal imbalance (high oestrogen relative to testosterone), puberty, obesity, steroids and bodybuilding supplements, alcohol, certain medications (antidepressants, blood pressure drugs), kidney disease, and liver disease. In many cases no specific cause is found (idiopathic gynecomastia).
Grade 2 has breast tissue extending beyond the areola border without excess skin. Grade 3 has similar tissue extension but with some excess skin that causes the breast to droop. A physical examination by an experienced plastic surgeon confirms the grade and recommends the right technique.
For liposuction alone โ the 3-4mm entry points are nearly invisible. For gland excision โ the incision is made at the lower border of the areola where it meets skin, making it almost invisible. For severe Grade 4 โ there may be a larger scar but it is placed in natural skin folds.
Grade 1 pubertal gynecomastia may resolve on its own in 1-2 years. Addressing the underlying cause (stopping steroids, changing medication) can help. Medications (tamoxifen, raloxifene) have limited evidence and are rarely used in India. For Grade 2 and above, surgery is the only reliable permanent solution.
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