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Gynaecomastia Surgery in Hyderabad — Male Breast Reduction, Grades, Techniques
Gynaecomastia — the enlargement of male breast tissue — is significantly more common than widely recognised, affecting up to 40–60% of adolescent boys and a substantial proportion of adult men. It causes significant psychological distress, social withdrawal, and avoidance of activities involving body exposure (swimming, gym, intimacy). Despite its prevalence, many men delay seeking treatment due to embarrassment. SurgiPartner connects men in Hyderabad with experienced plastic surgeons for confidential, permanent gynaecomastia surgery.
True Gynaecomastia vs Pseudo-Gynaecomastia
True gynaecomastia involves proliferation of glandular breast tissue beneath the nipple-areola complex — a firm, disc-like tissue palpable under the nipple. Requires glandular excision as part of treatment.
Pseudo-gynaecomastia (lipomastia) is excess fatty tissue in the chest without glandular proliferation — purely fatty; responds well to liposuction alone. Common in overweight men. Weight loss reduces pseudo-gynaecomastia.
Most patients presenting for surgery have a mixed pattern — both glandular tissue and excess fat — requiring a combined approach of liposuction + glandular excision for the best result.
Simon Grading of Gynaecomastia
| Grade | Definition | Nipple Position | Surgical Approach |
|---|---|---|---|
| Grade I (Mild ptosis) | Nipple at the level of the inframammary fold | At fold level; above lower breast pole | Periareolar mastopexy (crescent or Benelli technique) |
| Grade II (Moderate ptosis) | Nipple below the inframammary fold | 1–3cm below fold; above lower breast pole | Vertical mastopexy (lollipop scar) |
| Grade III (Severe ptosis) | Nipple well below the fold; at the most dependent point of the breast | >3cm below fold; points downward | Wise pattern (anchor/inverted T) mastopexy |
| Pseudoptosis | Nipple above fold but lower breast pole very lax and deflated | Above fold but inferior pole empty | Augmentation mastopexy (implant + lift combined) |
Causes of Gynaecomastia
- Physiological — neonatal (maternal oestrogen), pubertal (transient, usually resolves within 18 months), senescent (age-related testosterone decline)
- Drugs — anabolic steroids (most common cause in young men), spironolactone, digoxin, ketoconazole, anti-androgens, some antipsychotics, cimetidine, marijuana
- Hypogonadism — primary (Klinefelter syndrome) or secondary; reduces testosterone:oestrogen ratio
- Liver disease — impaired oestrogen metabolism; alcoholic cirrhosis
- Hyperthyroidism, renal failure, adrenal tumours — alter sex hormone balance
- Idiopathic — no identifiable cause; the most common category in adults
Gynaecomastia Surgery — The Procedure
- Surgery is performed under general anaesthesia as a day-care procedure (1–2 hours). The standard technique combines:
- Tumescent liposuction — large volumes of dilute local anaesthetic with adrenaline infiltrated into the chest; liposuction cannula removes excess fatty tissue, sculpts the chest contour, and thins the skin envelope, facilitating glandular excision
- Glandular excision — through a small periareolar (half-circle around the lower nipple) incision, the firm glandular disc is excised; specimen sent for histopathology (male breast cancer accounts for ~1% of all breast cancers — exclusion is important)
A compression garment is worn for 4–6 weeks post-operatively. Drains are placed for 24–48 hours in Grade III cases. Return to desk work: 3–5 days. Return to exercise: 4–6 weeks. Results are permanent provided weight is maintained and anabolic steroid/drug use is discontinued.
Insurance note:
Gynaecomastia surgery is covered under health insurance in India when it is causing documented psychological distress or physical symptoms (pain, nipple discharge), and when hormonal workup confirms true gynaecomastia. Purely cosmetic correction may require out-of-pocket payment.
SurgiPartner’s team advises on coverage — call
+91 9030053009.
Frequently Asked Questions — Gynaecomastia Surgery Hyderabad
Why Choose SurgiPartner for Gynecomastia Surgery?
Choosing SurgiPartner means choosing advanced cosmetic expertise with compassionate care.
01.
Experienced Cosmetic Surgeons
Highly skilled specialists with extensive experience in male chest contouring.
02.
Advanced Minimally Invasive Techniques
Modern liposuction-assisted procedures for minimal scars and faster recovery.
03.
Personalized Treatment Plans
Surgery tailored to gynecomastia grade, body type, and expectations.
04.
Comprehensive Post-Op Support
Regular follow-ups, recovery guidance, and long-term care.
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