Gynecomastia (Male Chest) | Risks and Complications of Surgery

In clinical practice, potential complications relate directly to tissue trauma and wound healing. A seroma is treated by aspiration, whereas a haematoma requires a return to the operating theatre. Numbness usually lasts only a few days, though sensation occasionally takes longer to return, and sensation is checked at routine follow-ups. Hypertrophic scars require firm scar massage and silicone sheets or gel. Irregularities like a saucer deformity are prevented by careful dissection and managed conservatively before intervention. Any persistent fullness represents residual tissue rather than true recurrence, which is biologically not possible once excised. Uncontrollable systemic risks include rare anesthesia reactions or deep vein thrombosis.

Gynecomastia surgery utilizes circumferential liposuction combined with sharp periareolar gland excision through a hemi-periareolar incision. This surgical pocket creates an open plane where fluid can accumulate. In Dr. Vishal Purohit's protocol, management differs by collection type: a seroma is treated by clinical aspiration, whereas a hematoma requires a return to the operating theatre for evacuation and hemostasis. Closed suction drains are reserved strictly for grade 4 gynecomastia. For lower grades, surgical dead space is controlled and skin redraping is supported by wearing a custom medical-grade compression vest continuously 24/7 for 4 to 6 weeks.

Dr. Vishal Purohit combines circumferential tumescent liposuction with sharp periareolar gland excision through an inconspicuous hemi-periareolar incision along the lower areolar border. Excised tissue is routinely sent for histopathology, and a custom medical-grade compression vest is worn continuously for 4 to 6 weeks. When an established saucer deformity occurs, Dr. Purohit does not operate for a year, as targeted massage and ongoing skin remodelling correct the indentation over time in most patients. For any persistent hollow, treatment options include liposuction of the whole chest, with subcision and fat grafting indicated if the areola adheres to underlying muscle.

To prevent contour irregularities, Dr. Vishal Purohit utilizes two small entry points on each side along the anterior axillary line at the pectoralis major border. Careful surgical dissection prevents crater deformities. If an established saucer deformity occurs, surgical correction is withheld for a year, as massage and natural remodelling resolve most cases. For persistent irregularities, Dr. Purohit performs whole-chest liposuction, with subcision and fat grafting indicated if the areola adheres to the underlying pectoralis muscle. When minor touch-ups are required, they are scheduled after eight to nine months, and procedures performed under local anaesthesia incur no additional charge.

Surgical site infection occurs if bacteria enter incisions or subcutaneous surgical planes. In gynecomastia correction, dual-modality treatment combines power or VASER liposuction with sharp periareolar gland excision through an inconspicuous hemi-periareolar incision along the lower areolar border. Entry points are placed at the outer edge of the pectoralis major muscle along the anterior axillary line. Drains are placed only in grade 4 gynecomastia. Postoperatively, fluid collections like seromas are managed by aspiration. Patients must call the clinic immediately for any abnormal warning signs, as early intervention in a complication is the most important factor in the outcome. Histopathology is performed on all excised tissue.