Gynecomastia Surgery in Delhi

Gynecomastia is caused by an imbalance between oestrogen and testosterone in the male body. Common triggers include puberty (the most common cause, affecting up to 70% of adolescent boys), ageing-related androgen decline, anabolic steroid use, certain medications (spironolactone, anti-androgens, some antidepressants), and occasionally liver disease or testicular tumours. In a significant number of cases, no identifiable cause is found — this is called idiopathic gynecomastia.

Yes. The glandular tissue removed during surgery does not regenerate. Once excised, the result is permanent — provided the underlying cause is addressed. If gynecomastia was triggered by a medication or hormone supplement that you continue using, some regrowth of glandular tissue is possible. Dr. Ankit discusses this in detail at consultation.

The anaesthesia choice depends on the grade of gynecomastia. Grade 1 and mild Grade 2 cases — involving limited glandular tissue and minimal liposuction — can be performed comfortably under local anaesthesia with or without oral sedation, as a daycare procedure. Grade 3 and Grade 4 cases — involving significant tissue volume, extensive liposuction, or potential skin excision — are performed under general anaesthesia for patient comfort and surgical precision. Dr. Ankit recommends the appropriate option at consultation after grading your case.

The primary incision for gland excision is placed at the lower border of the areola — where the dark areolar skin meets the normal chest skin. This boundary effectively camouflages the scar, which becomes difficult to detect once healed. Liposuction cannula entry points are tiny (2–3mm) and placed in natural skin creases. Most patients are very satisfied with how inconspicuous the final scarring is.

True gynecomastia involves genuine glandular breast tissue beneath the nipple — firm to palpation, often with a distinct disc-like feel. It cannot be reduced by weight loss or exercise. Pseudogynecomastia (lipomastia) is fat accumulation in the chest area without true glandular tissue — and can improve with weight reduction. Many patients have a mixed presentation. Dr. Ankit's examination determines the composition of your case, which dictates whether gland excision, liposuction, or both are needed.

Light walking is encouraged from Day 2–3. Desk work is typically resumed at Day 5–7. Upper-body exercise and chest training should be avoided for a minimum of 4 weeks to allow the surgical site to heal. Most patients can return to full gym training by Week 5–6. The compression vest is worn continuously for the first 3–4 weeks, then as directed.

No — removed glandular tissue does not regenerate. However, if the hormonal imbalance that caused the original gynecomastia persists (such as continued steroid use or an untreated endocrine condition), new glandular tissue can theoretically form. Surgery on a stable hormonal background produces a permanent result. Dr. Ankit recommends addressing any underlying cause before surgery.

The cost of gynecomastia surgery at Panache depends on several factors: (1) Grade of gynecomastia — higher grades require more extensive surgery and different anaesthesia; (2) Whether it is unilateral (one side) or bilateral (both sides); (3) Type of anaesthesia — local with sedation is less expensive than general anaesthesia; (4) Extent of liposuction required alongside gland excision; (5) Whether skin excision is needed (Grade 4). Dr. Ankit provides a complete, transparent cost breakdown at consultation — covering surgeon's fee, anaesthesia, facility, garment, and post-operative care. There are no hidden charges.