Gynecomastia (Male Breast Reduction)

Gynecomastia — the enlargement of breast tissue in males — is a remarkably common condition, affecting an estimated 40–60% of men at some point in their lives. The condition can cause significant embarrassment, avoidance of activities that require removing one's shirt, and reduced self-confidence. At Amit Aesthetics in Aligarh, Dr. Amit Agrawal offers expert gynecomastia surgery to help men achieve a flatter, more masculine chest contour with minimal scarring.

The causes of gynecomastia are varied and include hormonal imbalances (elevated estrogen relative to testosterone), puberty-related hormonal fluctuations, obesity, certain medications (including some blood pressure drugs, antidepressants, and steroids), liver or kidney disease, thyroid disorders, marijuana use, and idiopathic causes. Research shows a strong correlation between body mass index and gynecomastia — men with a BMI over 25 have approximately an 80% prevalence of the condition. Distinguishing true gynecomastia (glandular tissue enlargement) from pseudogynecomastia (fat deposition alone) is essential, as the surgical approach differs.

Dr. Agrawal employs three surgical approaches depending on the severity and composition of the breast enlargement. For mild cases with primarily fatty tissue, liposuction alone may suffice. Moderate cases with a combination of fat and firm glandular tissue benefit from a combined approach using liposuction plus direct gland excision through a small periareolar incision. Extensive gynecomastia with significant skin excess may require additional skin removal. In all cases, the goal is a natural-appearing, flat chest with inconspicuous scarring.