How Painful Is Gynecomastia Surgery? A Realistic Guide to Male Breast Reduction Recovery

Gynecomastia surgery, which reduces enlarged breast tissue in men, is a life-changing solution for those suffering from this condition. But for many, the fear of pain can overshadow the benefits of the procedure. Whether you’re considering or booking the surgery, it’s important to know how to manage the pain. In this blog, we’ll give you an honest look at the pain experienced during and after gynecomastia surgery.

Gynecomastia surgery: What happens?

The procedure consists of two parts:

Liposuction: Removal of excess fat.

Abdominoplasty: Removal of firm breast tissue.

Depending on your condition, liposuction alone may be sufficient or abdominoplasty may also be necessary. The procedure is performed under general anesthesia, so there is no pain during the surgery. Your surgeon will recommend one of the following anesthesia options, depending on your health and stress level:

Local anesthesia + sedation: You will be awake, but not in pain.

General anesthesia: You will be completely asleep.

Will there be pain during surgery?

Thanks to modern anesthetics, there is no pain during surgery. Under general anesthesia, you are completely asleep. With local anesthesia, you may feel a little pressure or movement, but there is no sharp pain. If there is any discomfort, the medication will be adjusted immediately.

Pain after surgery: What does it feel like?

Postoperative pain can range from mild to moderate. It peaks within the first 48 hours. Most people describe it as:

A sharp pain or tightness in the chest.

Tenderness around the incisions.

A stabbing pain if the liposuction is done too much.

Factors that affect pain intensity include:

Type of surgery: A lumpectomy is more painful than liposuction.

Pain tolerance: Everyone is different.

Proper care: Compression garments and medications can help.

One patient compared it to "chest pain after a heavy workout.

First 3 days: How to manage pain?

The first 72 hours after surgery are the most uncomfortable. Let's see what it's like:

Day 1: As the anesthetic wears off, pain appears. Medications prescribed by the doctor (e.g., paracetamol with codeine) can help.

Days 2-3: Swelling peaks. Ice packs and lying elevated can help reduce swelling.

Limited arm movement: Avoid lifting heavy objects or raising your arms.

Most people take simple painkillers (Tylenol) from day 4.

Will the pain ever subside?

Acute pain subsides by the end of the first week, but mild pain may persist for 2-4 weeks. Full recovery occurs in 3-6 months. However, acute pain is rare after the 2nd week.

Unusual pain (severe, stabbing, or increasing after day 5) may indicate infection or hematoma. Contact a doctor immediately.

Pain Management: Tips

Medications:

Prescription pain medications (only for 2-3 days).

NSAIDs (ibuprofen) reduce swelling, but carry a risk of bleeding.

Compression garment:

Wearing it for the first few weeks can help reduce swelling and pain.

Exercise and rest:

Avoid heavy lifting for 4-6 weeks.

Lying down at a 45-degree angle can reduce pressure on the chest.

Ice packs can reduce swelling.

Compared to other surgeries

Gynecomastia surgery is less painful than hernia repair or bone surgery. But it is slightly more painful than non-surgical treatments like CoolSculpting.

According to a 2021 study in Plastic and Reconstructive Surgery, 78% of patients rated their pain as “tolerable” or “mild.”

Psychological relief vs physical pain

For many, the psychological relief outweighs the temporary pain. The benefits of being able to take off your shirt without feeling embarrassed about "man boobs" and the increased self-confidence outweigh the pain. One patient says: "I endured the pain for a week, but now I'm happy to be shirtless in the swimming pool. It's worth all the pain!"

Final thought: Is the pain worth it?

This temporary pain is much less than living with gynecomastia. With proper pain management and realistic expectations, this minor discomfort can provide lifelong self-confidence.

If you are concerned about pain, discuss it with your surgeon. Many offer special plans to control pain during surgery.

Author

Dr. Sireesha Rajesh

Dr. Sireesha Rajesh is a board-certified plastic, cosmetic, and reconstructive surgeon with extensive experience in advanced surgical procedures. She holds an M.B.B.S. and an M.S. in General Surgery, followed by an M.Ch in Plastic and Reconstructive Surgery from KMC, Chennai.

With a deep commitment to precision and patient care, Dr. Sireesha Rajesh specializes in cosmetic, plastic, and reconstructive microvascular surgery, including breast surgery and liposuction. As a life member of prestigious organizations such as BRASA, IAAPS, APSI, and ASI, she stays at the forefront of the latest advancements in aesthetic and reconstructive treatments.

Dr. Sireesha Rajesh leads sr. Aakruthi Plastic Surgery in Nellore, Andhra Pradesh, where she provides world-class care equipped with state-of-the-art technology. Her expertise attracts patients from across India and beyond, ensuring personalized treatments that enhance both confidence and well-being.

For consultations and more information, visit www.aakruthiplasticsurgery.com or contact +91 9885 2626 53 / +91 9885 2686 55.

📍 Location: Railway Track Line, Complex Road, Pogathota, Nellore, Andhra Pradesh - 524001.