Amicus Clinic
A brief overview for men considering treatment. For the full detail, see our Gynecomastia page.
If you've already written to us about cost, everything you asked is here.
What it is?
Gynecomastia is enlarged breast tissue in men — usually firm glandular tissue behind the nipple, often with some excess fat, and commonly a mix of both. It is common, it is benign, and it is not something you caused. Many of the men we see have lived with it since their teens.
Why exercise and weight loss don't resolve it?
The gland is not fat. Losing weight can reduce the fatty part, but the firm disc of glandular tissue behind the nipple remains. This is why men who are otherwise lean can still have a chest that will not flatten. The gland has to be removed.
How we do it?
Gynecomastia surgery, as we practise it, has two parts: removal of the gland, and liposuction. We excise the gland in every case, because even a lean chest carries glandular tissue that has to be removed for a flat, lasting result.
In most cases the operation also requires tumescence and liposuction, which handle the fatty component and the contouring. The two go together; this is standard, well-established practice.
About laser liposuction
You will see clinics advertise laser liposuction for gynecomastia.
What we tell our patients is the following.
Surgeons who treat gynecomastia properly remove the gland and perform liposuction; that part is common to good practice. The only thing the laser adds is thermal energy on top of the liposuction. Its claimed benefit, a degree of skin tightening, is modest and matters only in selected cases, while it brings added cost and a real risk of heat injury.
Our view is that conventional liposuction achieves what gynecomastia surgery needs without introducing that risk. The question worth asking a clinic is not whether they own a laser, but what changes your chest.
Anaesthesia and safety
We usually operate under local anaesthesia with sedation.
The main reason is safety: local anaesthesia avoids the risks that come with general anaesthesia. It also avoids post-operative nausea and allows a quicker recovery.
We still ask you to fast before surgery. In the uncommon event that we need to move to general anaesthesia, fasting means we can do so at once rather than postponing your operation. Preparing for the unlikely is part of keeping you safe.
Recovery — what to expect
- Days 1–3: lots of rest. at home. Some soreness around the chest, which is normal.
- Day 7: most patients return to office work or college.
- Day 14: driving.
- 1 month: back to gym and sport, with no restrictions.
You will wear a compression garment through recovery, which reduces swelling and helps healing. We guide you through each stage at your follow-up visits.
Will it come back?
In adults, once the gland is removed, it does not grow back. We generally advise surgery after the age of 18, once the hormonal changes of puberty have settled. Two things to keep in mind. If a medication or hormone problem is the underlying cause, we identify and address it before surgery — which is why a proper assessment matters. And a significant weight gain afterwards can add fat, though not gland, to the chest; keeping your weight steady maintains the result. For a patient who has been properly assessed and keeps his weight stable, recurrence is not a concern.
What it costs?
- Liposuction with sedation (local anaesthesia): ₹80,000
- Liposuction with general anaesthesia: ₹100,000
- Uncommon cases needing skin removal: ₹1,40,000
Skin removal is seldom required — only when there is more loose skin than liposuction alone can address. EMI is available. We confirm the option that suits you at your consultation.
Seeing us
We are in Pattom, Trivandrum. A consultation is ₹500, and a straightforward clinical examination is usually enough to confirm the diagnosis and tell you what suits you — including telling you if surgery is not right for you.
Call or WhatsApp 8606029728.
