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Does nipple hardness without pain mean gynecomastia in male?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am a 38-year-old male, 5.7 feet tall, and my weight is 160 pounds. I have been having puffed-up nipples for a long time and can feel slight hardness under the nipple surface. It is painless, and there is no discharge. I suspect gynecomastia. I can provide you with photographs. Need your advice on treatment.

Thank you.

Hi,

Welcome to icliniq.com.

You have bilateral grade II gynecomastia. Medical treatment, diet, and exercise cannot reverse it. The correction will require liposuction with gland excision. It is a day care procedure. You can get discharged on the same day.

I hope this helps you.

Thank you.

Patient's Query

Thank you doctor,

I have a few queries. How many hours it takes? Do I need to be admitted a day prior to the procedure? Are there any by-standers required? Is the procedure done on general or local anesthesia? Is the procedure a key-hole or regular open surgery? What is the post procedure recovery time for getting back to work? Can I get back to travel and work the next day of the procedure? Are there any restrictions on diet after the procedure? Kindly provide the required details.

Hi,

Welcome back to icliniq.com.

Gynecomastia or male breast correction is one of the most common procedures done at our center. The procedure involves liposuction with or without gland excision, depending on the grade and type of gynecomastia that you have. Preoperative investigations and measurements for the compression garment will be taken before the procedure. The procedure can be done under general anesthesia. It is a day care procedure; if done in the morning, you can be discharged in the evening. If done in the evening, you can be discharged the next morning. Bystander is preferable. First review on the third postoperative day, second review on the 10th postoperative day. Three days' rest is enough. You will be advised to wear a compression garment next 3 to 4 months. Walking and jogging after 15 days, and gym exercise after 30 days. Hope you understand the procedure.

I hope this helps you.

Thank you.

Medically reviewed byiCliniq medical review team

Published At January 25, 2019
Reviewed AtNovember 1, 2025

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vikram Kumar Raja
Dr. Vikram Kumar Raja

plastic surgery-reconstructive and cosmetic surgery

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