Liposuction Contouring and Gland Excision for Moderate Breast Enlargement in a 30-Year-Old Male

A 30-year-old male from Hyderabad presented with bilateral enlarged breast tissue that had been present for several years and was causing persistent self-consciousness despite maintaining a healthy lifestyle. Clinically assessed as Grade II gynecomastia with a mixed glandular and fatty component, the condition had not responded to any conservative measure. Dr. Harikiran Chekuri at Redefine Clinic performed liposuction contouring combined with direct gland excision under general anaesthesia. The procedure was completed in 40 minutes, the patient recovered from anaesthesia immediately, and a well-contoured masculine chest was achieved.

The breast tissue had been present for as long as he could remember. He was not significantly overweight and had maintained a reasonable fitness routine, which made the chest fullness harder to rationalise and harder to dismiss. The gland sat firmly behind the nipple on both sides. No matter how much he trained or how lean he became, the mound remained. Fitted shirts showed it. Photographs showed it. He had become selective about the clothing he wore and the situations he put himself in.

He had tried weight training, targeted chest exercises, and dietary changes over several years. None of it moved the underlying tissue. A dermatologist had confirmed the glandular component early on and advised that no medication or topical intervention would address it. The path forward was surgical and he had known that for some time before he acted on it.

He looked into gynecomastia surgery in Hyderabad and came to Redefine for a consultation. He wanted a flat, natural chest that matched his level of fitness and a recovery that would not keep him away from work for more than a few days. He also wanted to understand the role of a plastic surgeon in achieving the contouring result he was looking for, beyond just the gland removal.

WHAT WAS ASSESSED DURING THE CONSULTATION

A thorough clinical and investigative assessment was conducted before any surgical recommendation was made:

• Physical examination: bilateral Grade II gynecomastia confirmed. Firm glandular disc palpable beneath both nipple-areola complexes. Moderate periareolar fatty component contributing to the overall breast mound. No significant skin excess. No ptosis.
• Grade assessment: Grade II confirmed bilaterally. Skin elasticity adequate for full retraction after liposuction and gland removal without any additional skin reduction procedure.
• Hormonal workup reviewed: testosterone, LH, FSH, estradiol, prolactin, and thyroid function all within normal range. No pathological cause identified.
• Anaesthetist assessment: patient reviewed and cleared for general anaesthesia prior to scheduling.
• Surgical markings documented: midline reference, periareolar gland excision zones, and liposuction contouring zones marked bilaterally in pink and black. Liposuction zones encompassed the breast mound and chest wall to enable full contouring, not just volume reduction.
• Patient goals confirmed: flat, defined chest contour, no visible nipple puffiness, natural result consistent with his fitness level, quick return to desk work.
• Follow-up schedule discussed: day 3 review, one-week review, and 6-week compression garment compliance confirmed.

WHY LIPOSUCTION CONTOURING WITH GLAND EXCISION WAS CHOSEN

• Grade II gynecomastia with a mixed glandular and fatty component requires both liposuction and gland excision. Neither technique alone achieves the complete result.
• Liposuction contouring was chosen over simple liposuction to sculpt the entire chest wall including the pectoral border and lateral chest, not just reduce the mound volume. This approach produces a more defined, masculine result consistent with the patient’s fitness level.
• Direct gland excision through the periareolar access removes the firm central disc that liposuction cannot aspirate, eliminating the residual puffiness that persists with liposuction-only approaches.
• No skin excision required at Grade II. Skin elasticity at this grade is sufficient for full retraction over the 6-week compression garment period.
• Procedure completed in a single 40-minute session under general anaesthesia, allowing same-day discharge and early return to work.

Pre-operative photographs and surgical markings documented the bilateral breast mound enlargement and planned liposuction contouring and gland excision zones. Pink markings indicate the liposuction contouring zones. Black markings outline the gland excision targets bilaterally.

• Patient positioned supine under general anaesthesia. Surgical markings reviewed and confirmed by Dr. Harikiran Chekuri before incision.
• Tumescent solution infiltrated bilaterally into the breast mound, chest wall, and periareolar fat to reduce bleeding and facilitate precise liposuction contouring.
• Liposuction contouring performed through 3mm access ports targeting the breast mound and full chest wall bilaterally. Fat aspirated in a sculpting pattern to define the pectoral border and create a masculine chest contour, not simply reduce volume.
• Periareolar incision made at the inferior areolar border bilaterally. Glandular disc dissected and excised completely as a single specimen through the periareolar access on each side.
• Complete gland removal confirmed by palpation on both sides. No residual firmness detected.
• Wounds closed in layers with absorbable deep sutures and fine subcuticular absorbable suture at skin level within the periareolar border on each side.
• Compression garment applied in theatre immediately following wound closure.
• Total operative time 40 minutes. This body contouring procedure was completed without complication. Patient recovered from general anaesthesia immediately and was discharged the same day.

Recovery was smooth and the result was visible immediately following surgery. Even with the early post-operative swelling, the chest was noticeably flatter and the breast mound had been eliminated. At the day 3 follow-up, wound healing was clean on both sides and the patient reported minimal discomfort, managed with the prescribed analgesics for only the first two days. At the one-week review, swelling was reducing well and the periareolar wounds were healing cleanly within the areolar border. The patient had returned to desk work by day four. At the six-week review the chest contour was flat and well-defined, the periareolar scars were imperceptible within the areolar skin texture, and the pectoral definition visible from the contouring was evident. The patient confirmed the result fully matched his expectations.

Feedback recorded at the 6-week follow-up visit at Redefine, Hyderabad.

Google Review

★ ★ ★ ★ ★  5.0

Verified Patient (Name withheld for privacy)

“I had known for years that surgery was the only answer. I had tried everything else and nothing touched the gland tissue. What I appreciated about the consultation at Redefine was that Dr. Harikiran took the time to explain the difference between simply removing the gland and actually contouring the chest. The 40-minute procedure was nothing like what I had imagined. I was home the same evening and back at my desk by day four. Six weeks in and the result is better than I expected. The chest is flat, the definition is there, and the scars are already invisible. I spent years overthinking this decision. I wish I had done it sooner.”

Profile: Male, 30 years, Hyderabad

Procedure: Grade II Gynecomastia Surgery with Liposuction Contouring, Redefine Gachibowli, July 2026

Doctor: Dr. Harikiran Chekuri, Redefine

Note: Due to privacy regulations, the patient’s name is not displayed. This review has been shared with the patient’s written consent.

• Wear compression garment continuously for 6 weeks, preferably 24 hours a day as instructed at discharge.
• Take prescribed analgesics for discomfort in the first 3 days as directed. Do not exceed the stated dose.
• Apply antiseptic ointment to the periareolar incision sites as instructed until the one-week review.
• Take prescribed multivitamin daily throughout the recovery period to support wound healing and tissue repair.
• Maintain a high protein diet throughout recovery. Adequate protein intake supports wound healing and skin retraction after liposuction.
• Keep surgical sites dry for 7 days. No bathing, swimming, or direct water contact on incisions before the one-week review.
• No lifting, pushing, or upper body exercise for 4 weeks.
• Light walking permitted from day 2 onwards. Return to desk work from day 4. Normal daily activity from week 2.
• First follow-up at day 3. Second follow-up at one week. Further reviews as advised.

DISCLAIMER

This case study is for informational purposes only and does not constitute medical advice. Individual results may vary based on the grade of gynecomastia, body composition, skin elasticity, and individual healing response. A thorough hormonal workup and anaesthetic assessment are required before any gynecomastia surgery is undertaken. Consult a qualified plastic surgeon to assess your specific condition and understand what outcome is realistic for your presentation. Patient identity withheld per confidentiality guidelines. Feedback published with written consent.