Introduction

Gynecomastia is a common condition in men where the chest develops a female-like breast appearance due to excess glandular tissue, fat, or both. It may result from hormonal imbalance, genetics, certain medications, or fat accumulation. This condition can impact confidence, daily life, and even clothing choices—many young men often feel embarrassed to remove their shirts at the gym, pool, or social gatherings.

At MyCosmeticSurgery (Dr. R. K. Mishra, Lucknow), we offer personalized treatment plans to restore a natural, masculine chest contour. The good news is: gynecomastia can be corrected permanently with surgery, helping you regain both your confidence and body shape.

Why Does Gynecomastia Happen?

Gynecomastia occurs when there’s an imbalance between the hormones estrogen and testosterone, causing the breast tissue in men to enlarge. There are several possible reasons behind this condition, including:

• • Hormonal imbalance (during puberty or adulthood)

  • Weight gain and fat deposition (especially in obesity)

  • Certain medications or steroid use

  • Genetic factors or unknown causes

  • Underlying health conditions (such as liver, kidney, or thyroid disorders)

In some cases, true gynecomastia involves excess glandular tissue, while pseudogynecomastia results mainly from fat accumulation. Treatment varies based on the type and cause.

Whatever the reason, once the gland has developed, it does not go away with exercise, diet, or medicines — only surgical correction can provide a permanent solution.

Why Choose Dr. R. K. Mishra – MyCosmeticSurgery

• • Over 25 years of experience in plastic & cosmetic surgery.

  • Thousands of successful Gynecomastia Surgery  

• • Scar less, advanced technique not commonly available elsewhere

• • Dedicated and supportive medical team

  •  Strict focus on safety, privacy, and patient satisfaction

Treatment – Why Surgery is the Only Permanent Solution

Many patients try home remedies, creams, or gym workouts, but none of these can remove glandular tissue. The only safe and permanent solution is gynecomastia surgery, which removes excess gland and fat to restore a flat, masculine chest.

Traditionally, gynecomastia excision is performed through an incision around the areola (the pigmented skin surrounding the nipple). While effective, this often leaves a fine scar that may remain visible.

At our centre, Dr. R. K. Mishra uses a more advanced approach – the Trans-Nipple Incision Technique.

Our Unique Scarless Surgical Technique

–  The incision is made directly on the nipple, not around the areola.
–  Once healed, the incision is practically invisible, leaving the chest scar-free.
–  Excess gland is excised precisely, and liposuction is added if fat removal is needed.
–  Patients achieve a natural, flat chest with no tell-tale marks of surgery.

This technique is the biggest reasons why patients from across India and abroad trust us for gynecomastia correction.

Benefits of Our Scarless Technique

– No visible scar – incision heals seamlessly at the nipple
– Flat & masculine chest – restores natural body contour
– Quick recovery – most patients return to work in 3–4 days
– Permanent solution – no recurrence of gland once removed
– Boost in confidence – wear fitted clothes, go shirtless without worry.

Pros & Cons of Gynecomastia Surgery  

Pros

• • Restores a flat, masculine chest contour

  • Boosts self-esteem and confidence while reducing discomfort

  • Results are long-lasting and often permanent if weight and hormones are managed

  • Minimal downtime compared to other invasive procedures

Considerations (Cons)

• • Some temporary swelling, bruising, or mild discomfort may occur in the early recovery phase—but these typically subside within weeks

  • Slight differences between both sides are possible, but skilled surgeons work carefully to maintain symmetry

  • Scars are generally small, fade over time, and are placed in discreet areas for minimal visibility

  • In rare cases, a touch-up procedure may be needed if body changes or hormones affect the results

Pre-Operative Precautions

To ensure the best outcome, patients are advised to:

• • Undergo a complete medical check-up and blood tests as directed

  • Stop smoking at least 2–4 weeks before surgery to support faster healing

  • Avoid blood thinners or certain supplements (only under doctor’s advice)

  • Maintain a stable weight before the procedure

  • Share any history of medications or steroid use with the surgeon

Recovery & Aftercare

–  Surgery is done as a daycare procedure under anesthesia.
–  Patients go home the same day.
–  A compression garment is worn for a few weeks.
–  Light activity can be resumed in 2–3 days, and gym workouts in 3–4 weeks.

FAQs