Yes, it is possible to undergo gynecomastia surgery after building muscles at the gym. Gynecomastia surgery, also known as male breast reduction surgery, is a procedure designed to reduce the size of enlarged male breasts. This condition can occur due to various factors, including hormonal imbalances, genetics, certain medications, or weight gain. Even if you have developed muscles through exercise and weightlifting, gynecomastia surgery can still be an option if you're bothered by excess breast tissue or a disproportionate appearance of your chest. However, it's important to note a few key points: 1. Consultation with a plastic surgeon: Before considering gynecomastia surgery, it's essential to consult with a board-certified plastic surgeon experienced in male breast reduction procedures. During your consultation, your plastic surgeon will evaluate your condition, discuss your goals and expectations, and determine whether you're a suitable candidate for surgery. 2. Muscle definition and surgical outcomes: Building muscles at the gym can potentially affect the appearance of your chest and the results of gynecomastia surgery. Your plastic surgeon will take into account factors such as muscle mass, chest contour, and skin elasticity when planning the surgical approach to achieve the best possible outcome. 3. Post-surgery recovery and exercise: Following gynecomastia surgery, you'll need to allow time for proper healing and recovery before returning to strenuous activities, including weightlifting and intense exercise. Your plastic surgeon will provide specific post-operative instructions and guidelines tailored to your individual needs to ensure a safe and successful recovery. 4. Realistic expectations: It's important to have realistic expectations about the results of gynecomastia surgery, especially if you've been actively building muscles at the gym. While surgery can improve the appearance of enlarged male breasts, it may not necessarily alter the underlying muscle structure or definition in your chest. Ultimately, gynecomastia surgery can be an effective option for men who are bothered by excess breast tissue or a disproportionate chest appearance, regardless of their level of muscle development. By consulting with a skilled plastic surgeon and discussing your goals, concerns, and expectations, you can determine whether gynecomastia surgery is the right choice for you.