Yes, gynecomastia surgery can be done even if the patient has schizophrenia provided the illness is stable.
Key points:
• First, confirm true gynecomastia (hormonal tests, ultrasound).
• Review current antipsychotic medicines—some (e.g., risperidone) can worsen gynecomastia.
• Ensure psychiatric stability and fitness for surgery (psychiatrist clearance).
• Coordinate between psychiatrist, endocrinologist, and plastic surgeon.
• Surgery is reasonable if gynecomastia is long-standing, symptomatic, or distressing.
Bottom line: Stable schizophrenia is not a contraindication for gynecomastia surgery, but multidisciplinary clearance is essential.
Answered2026-02-09 17:07:28
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