Male Breast Reduction
Available at Amrit Clinic, Mulund West, Mumbai. Every treatment starts with an in-person assessment.
Male breast reduction treats gynaecomastia — enlarged male breast tissue — usually by combining liposuction for the fatty component with direct excision of the firm glandular tissue behind the nipple. The step before surgery matters: some causes are medical or drug-related and reversible without operating.
Key facts
| Investigate first | Yes — some causes are reversible |
|---|---|
| Anaesthetic | General, or local with sedation |
| Technique | Liposuction for fat, excision for firm gland |
| Off work | Around 1 week |
| Compression vest | 4–6 weeks |
| Recurrence | Possible if an underlying cause persists |
Find out why first
Gynaecomastia is a sign as well as a complaint. It can be physiological — common and usually self-resolving in adolescence — or it can be caused by thyroid disease, liver disease, kidney disease, testosterone deficiency, certain tumours, anabolic steroid use, cannabis, alcohol, or a long list of prescribed medications including some used for blood pressure, reflux, prostate conditions and depression.
Operating without establishing the cause means potentially missing a treatable medical condition, and it also means the tissue may simply come back. Basic investigation is quick and it is the right first step. If a drug is responsible, changing it sometimes resolves the problem without surgery at all.
Fat, gland, or both
Soft, diffuse fullness that follows general weight gain is largely fatty, and liposuction alone contours it well. A firm, sometimes tender disc directly behind the nipple is glandular tissue, and liposuction does not remove it — it has to be excised through a small incision at the edge of the areola.
Most patients have a mixture, and treating only the fat leaves the firm lump behind, which is a common cause of dissatisfaction after inadequate surgery elsewhere. Where there is also significant loose skin, skin removal may be needed, which means more scarring.
Risks
Over-resection behind the nipple causes a visible saucer-shaped depression, which is difficult to correct and is a recognised pitfall of the operation. Contour irregularity, asymmetry, altered nipple sensation, and fluid collection needing drainage all occur. Haematoma is relatively common in this operation and may need evacuation. Infection, poor scarring and recurrence are possible, the last particularly where an underlying cause continues.