Gynecomastia surgery results in a 36-year-old bodybuilder – before and after
24
Feb

Case Study: Gynecomastia Surgery in a 36-Year-Old Bodybuilder

Patient Profile

  • Age: 36 years
  • Occupation: Professional bodybuilder
  • Concern: Development of gynecomastia after prolonged anabolic steroid use

Challenges Faced:

  • Excess glandular breast tissue resistant to fat loss and exercise
  • Psychological distress and self-consciousness due to an enlarged chest appearance
  • Dense, fibrous glandular tissue requiring precise excision rather than simple liposuction
  • Need to preserve chest muscle definition while eliminating excess tissue

The Surgical Challenge

Gynecomastia in bodybuilders is typically caused by anabolic steroid use, which increases estrogen levels, leading to glandular breast tissue growth. Unlike general cases of gynecomastia, where fat deposits can be managed with liposuction, bodybuilders often have dense, fibrous glandular tissue requiring direct excision. The challenge was to achieve a masculine, sculpted chest while avoiding contour irregularities.

Surgical Plan & Execution

1. Glandular Tissue Excision:

  • A small, well-hidden incision was placed along the lower areolar border (periareolar incision)
  • Direct excision of the fibrous glandular tissue was performed to remove the core of the gynecomastia
  • Careful sculpting ensured a natural, masculine chest contour

2. Liposuction for Additional Contouring:

  • Power-assisted liposuction was used to remove any residual fat, ensuring a smooth transition
  • Helped refine pectoral definition and prevent post-op contour deformities

3. Skin and Nipple Preservation:

  • Since the patient had good skin elasticity, no additional skin excision was required
  • Nipple-areola complex was preserved in its natural position, with no need for repositioning

Postoperative Results & Transformation

Before Surgery:

  • Enlarged glandular breast tissue causing a rounded, feminized chest appearance
  • Psychological distress due to body image concerns, despite an otherwise muscular physique
  • Resistant tissue that did not improve with fat loss or chest training

After Surgery:

  • A flat, sculpted, masculine chest with well-defined pectoral muscles
  • Complete removal of glandular tissue, preventing future recurrence
  • Minimal scarring due to strategically placed incisions around the areola
  • Restored confidence and improved body image, aligning with the patient’s fitness goals

ALSO READ: Case Study – Gynecomastia Grade-II Surgery in Gurgaon


See the transformation images below for visual comparison.

Recovery & Functional Improvement

  • First 2 Weeks: Swelling and mild discomfort managed with pain relief and compression garments
  • By 4 Weeks: Significant reduction in swelling, and the patient resumed light workouts (avoiding chest exercises)
  • At 8 Weeks: Full return to weightlifting, with enhanced chest definition and no restrictions
  • Long-Term: Permanent removal of gynecomastia, resulting in a natural, contoured chest appearance

Key Takeaways

✅ Gynecomastia in bodybuilders requires precise glandular excision, as liposuction alone is ineffective.
✅ Strategic surgical planning ensures natural contours and minimal scarring.
✅ Proper post-op care and gradual return to training are crucial for optimal results.
✅ The patient successfully regained confidence and achieved a more sculpted, masculine chest.

Gynecomastia can be a significant concern for bodybuilders, impacting both physique and self-esteem. If you’re experiencing similar concerns, schedule a consultation with Dr. Anmol Chugh today!