✍️ Body Builders’ Gynecomastia

In Bangalore, Bodybuilders with gynecomastia come with a special circumstance, since their gynecomastia is usually small (confined to the area just under the areola) and is a result of self-medicating with hormones and anabolic steroids to bulk up their muscles. They have very low percentages of body fat and are in good physical shape.

These bodybuilders get gynecomastia following usage of self-prescribed (or gym trainer prescribed) medications, which disrupt the delicate hormonal balance.

Some men do not specifically take anabolic steroids. But they may take “protein supplements,” prohormones and other seemingly harmless supplements, available at health food stores or through the internet. The problem is that many of the listed ingredients are not specific and these supplements may indeed have hormone-like qualities. The net effect is that gynecomastia may develop most unexpectedly and sometimes very quickly. And once it has developed, there are no treatments for it other than surgery.

Watch Bodybuilder’s Gynecomastia Video here…

There are other side effects as well. By taking extra hormones, the body senses that it has sufficient amounts of testosterone and therefore decreases its own natural production of testosterone. The testes then begin to under perform, since they are no longer “needed.” There are also other effects on various organs of the body. Tumors may develop.

A study conducted by Blau M and Hazani R. titled ‘Correction of gynecomastia in bodybuilders and patients with good physique’ and published in Plastic and reconstructive surgery in 2015 stress the importance of direct excision of the glandular tissue over any other surgical technique when correcting gynecomastia deformities in bodybuilders. They also advise that novice surgeon is advised to proceed with cases that are less challenging, and leave such cases to experienced surgeons. (Article Link)


Male breast reduction surgery for Bangalore (Bengaluru) bodybuilders is very similar to the standard procedure described elsewhere on this website. There are some significant differences, however.

  • Steroid-induced gynecomastia is solid, white, and hard as compared to pubertal gynecomastia. There is very little peripheral fat in bodybuilders.
  • Liposuction is done more to used to help re-distribute the skin across the chest than to remove the fat. The net effect after healing is that of a very thin and uniform layer of skin and fat which is now draped over the large pec muscle, thereby providing the desired “cut” appearance.
  • Anesthesia for this surgery is provided by a separate anesthesiologist.
  • A compression garment is provided and should be worn 24/7 for several weeks. A return to strenuous exercise should be deferred for several weeks as well, to allow for appropriate healing.


The results of gynecomastia surgery are usually permanent provided that additional illicit drugs are not used in the future. There is always a small amount of breast tissue deliberately left under the areola to prevent a crater deformity. Should additional drugs be taken in the future, it is that residual breast tissue that can possibly re-grow again with hormonal supplements.