Gynaecomastia & Male Breast Reduction London
Gynecomastia surgery in London, also known as a male chest reduction with our expert cosmetic surgeons. Gynecomastia or ‘man boobs’ is a condition where the men’s or boy’s breast tissue is swollen which is often caused by an imbalance of hormones and can be experienced at any age throughout a man’s life. Newborns and boys going through puberty often experience gynecomastia, however, some men can experience this in adulthood. While the condition does not cause any other health issues and is not physically painful, it can be detrimental to a man’s self-esteem and mental health.
Male breast reduction surgery is the surgical solution for those who have gynecomastia. Male chest reduction surgery involves liposuction, and can also involve gland or skin removal.
Our London clinic at 106 Crawford Street was recently inspected and rated as good across all 5 domains.
All our gynecomastia surgeons are on the GMC specialist register. An accredited surgeon on the specialist register means you can therefore be assured your surgeon has the qualifications, experience and skills to perform your procedure and manage your aftercare to the very highest standards.
Why choose Centre for Surgery for your male breast reduction procedure?
- Over 15 years experience in all types of gynecomastia surgery – liposuction, gland excision and skin reduction
- We own and manage our own surgical facilities. Properly performed gynecomastia surgery takes time and should not be rushed. Our surgeons perform a maximum of two male breast reduction procedures in a day. We do not cram 5-6 procedures into one day like other providers. You want your surgeon to be well-rested and mentally and physically sharp to perform male chest reduction to get the very best results.
- Our gynecomastia surgeons live and work in London. We don’t work with ‘fly-in, fly-out’ surgeons from Italy. This is very important because whilst your surgeon takes all precautions to minimise complications from gynecomastia surgery, complications can and do occur and our surgeons are readily available to manage any issues if and when they arise.All our surgeons are fully qualified and experienced plastic surgeons with the skill to perform all types of aesthetic breast surgery.
- Our surgeons are full members of:
How to choose your plastic surgeon
Dr Misra, Dr Erel and Dr Tillo both have many years of experience in treating all forms of gynaecomastia. Whether its excess fat, gland or skin – we’ve got you covered. We are one of the few centres in the UK to offer the full range of treatments including complex gynecomastia surgery after major weight loss as well as revision gynecomastia surgery from procedures performed elsewhere, often abroad.
Read our latest testimonials from our amazing patients
Male chest reduction
Gynecomastia, the medical term for “enlarged male breasts” or “man boobs” is a common condition among men. It can develop at various times in life and for a variety of reasons. In infant boys, it’s usually the result of being exposed to excess hormones from the mother during pregnancy or breastfeeding. However, this usually disappears as the infant grows. Teenage boys can develop enlargement of one or both breasts as a result of hormonal changes during puberty. However, this also often disappears after puberty.
Gynecomastia becomes a problem in men when enlarged breasts develop and never go away. Most of the time, this is the result of weight gain and the accumulation of fat in the chest region. However, the enlarged breasts can consist of glandular tissue at times. Sometimes man boobs are the result of changes in hormones with age, but it is rare. Enlarged breasts in men can also be caused by medical conditions, such as tumours, kidney disease, or liver disease. However, the most common reason for the development of man boobs is excessive weight gain. And for this, male breast reduction liposuction is an option.
If you have overdeveloped breasts and feel self-conscious about the appearance of your chest, liposuction treatment with surgical excision can correct the problem. Liposuction with surgical excision is a highly effective treatment for the removal of the localised excess fatty and glandular tissues in the breast region. This creates a leaner, flatter appearance.
Causes of Gynecomastia
- Advanced age – men develop hormonal changes after the age of 55
- Certain medications can cause gynecomastia such as antidepressants, antibiotics, drugs used to treat blood pressure and herbal medicines
- Puberty – excessive enlargement of the male breast can occur during puberty but usually tends to resolve after one or two years
- Obesity – With a gain in weight – excess fat may stimulate oestrogen levels to rise which in turn stimulates male breast growth
- Excessive alcohol intake – the liver can be affected which can subsequently affect oestrogen and testosterone levels with increase in breast tissue growth
- Anabolic steroid usage can cause breast tissue growth
- Genetic predisposition
The difference between gynecomastia and pseudogynecomastia
Pseudogynecomastia most commonly occurs in overweight and obese men, where the chest enlargement is mostly due to excess fatty tissue around of underneath the nipple-areolar complex. In true gynecomastia, there is both excess fat and excess glandular tissue in the breast.
The distinction is important as pseudogynecomastia often responds well to liposuction alone compared with true gynecomastia which often requires a combination of both liposuction and surgical excision of the breast glandular tissue.
Ideal candidates for male breast reduction
A good candidate for male chest reduction will have a positive outlook and realistic expectations of the outcome of the procedure. He will be undergoing male breast reduction for personal reasons, and not to satisfy anyone else.
There is no optimum age for a male breast reduction patient, but he should have skin with enough elasticity so that it will contour well to the chest’s new shape. Older patients have sometimes lost elasticity in their skin, so their results won’t be as satisfactory as in a younger patient.
A good candidate for male chest reduction should be as close to his ideal weight as possible. Being overweight can contribute to gynecomastia, so try to lose the weight with diet and exercise before you pursue surgery. Also, non-smokers are better candidates than smokers because smoking interferes with the healing process. If you smoke, you will need to quit at least six weeks before surgery.
If you are considering having male breast reduction surgery, you may wish to explore the finance options we offer.
Male breast reduction procedure
We use TIVA general anaesthesia for gynecomastia surgery. This enables the surgeon to work in optimal conditions to give you the best possible result. We would not recommend local anaesthesia for this procedure other than in exceptional cases.
Gynecomastia surgery at Centre for Surgery can address the 3 main components of fat, gland and skin. The three techniques for treating gynecomastia are:
- Gland excision
- Skin reduction
Board-certified plastic surgeons, Dr Mitsakos, Dr Tillo, Dr Misra and Dr Erel have between them many years of performing expert liposuction. They have used all the liposuction techniques over the years including LASER lipo, VASER lipo, BodyJet lipo and Tickle Lipo.
All our surgeons agree that PAL lipo is the GOLD standard method of liposuction for gynecomastia with the best long-term overall results.
The most common technique of treating gynecomastia and pseudogynecomastia involves using power-assisted liposuction or PAL with minimal access techniques. Once the liposuction is performed, the surgeon will make a small incision around the lower half of the areola to remove the glandular tissue. Liposuction is ineffective at removing the hard glandular tissue although PAL is still far more effective and much safer than VASER or LASER liposuction. At Centre for Surgery, the liposuction method used for male breast reduction is known as SAFElipo™ using power-assisted liposuction or PAL.
The SAFElipo technique of liposuction coupled with a minimally invasive gland excision technique greatly improves on older techniques by offering:
- Smaller incisions
- Quicker recovery
- Less bleeding
- More pleasing aesthetic appearance
The liposuction procedure involves tiny incisions on the side of the chest. Most men have breast enlargement due to fat and this is, therefore, the ideal technique for removal of fat. The liposuction technique can also be used to remove softer glandular tissue of the breast, using specially designed flattened cannulas specially developed for gynecomastia surgery. Most glands, however, will require surgical gland excision.
Gynecomastia gland excision
The second step of treatment for male breast reduction involves a half moon incision around the lower border of the areola followed by removal of the glandular tissue of the breast using meticulous surgical techniques. The procedure focuses on removal of glandular tissue rather than fat. Liposuction is not suitable as a standalone treatment for those with dense and fibrous glandular component to their gynecomastia. This is particularly the case in young athletic men with minimal body fat.
Skin reduction for gynecomastia
For men with significant degrees of skin laxity, skin reduction may be required to tighten the chest. The procedure involves making a circumferential incision around the areola and reducing the surrounding skin. In some cases, the surgeon may decide to do liposuction and gland excision first and if skin laxity persists, the skin reduction could be done as a second stage procedure under a local anaesthetic. This part of the procedure is very similar to an areola reduction procedure.
When the procedure is completed, absorbent pads and the compression garment will be applied and you will be discharged after a short stay in our recovery unit.
Surgeons at Centre for Surgery are fully trained in all techniques for gynecomastia surgery for the three main components of fat, gland and skin.
Risks of skin laxity after gynecomastia
Male breast reduction is an extremely safe procedure and most patients are extremely satisfied. However, as with all surgical procedures complications sometimes occur.
There will be small (2-3mm) scars which will initially be red. Over a number of weeks, however, these should fade to fine white lines.
Following liposuction, the skin retracts, however in some people – particularly those who are older – it may not retract fully. If this happens, the excess skin may need to be removed at a later date.
There is the possibility of skin irregularities, however, this is minimised by the use of specially designed cannulas.
Prior to undergoing your procedure, it is good to understand the risks involved if you travel abroad for cosmetic surgery.
Recovery after gynecomastia surgery
This procedure is performed as an outpatient surgery, so you can go home once the effects of your anaesthetic have worn off. Most patients leave after about one hour to spend the rest of their recovery at home.
Patients should collect their medication prescription prior to the procedure and to make the painkillers are taken at the prescribed times after surgery. A responsible adult carer should on hand for the first 24-48 hours after your procedure.
Downtime is minimal and you can get back to light activities within a few days.
There will be a degree of bruising and swelling so you should plan to pause rigorous exercise until 6 weeks after the procedure. You can start light exercise after about 2 weeks.
In rare cases during gland excision and as a precaution, the surgeon may elect to place a drain at the site of the surgery. This will be removed 48-72 hours later.
You will be given written post-operative instructions and a follow-up appointment will be arranged for you in six weeks.
You will also be prescribed painkillers and antibiotics after your male breast reduction.
You will need to arrange transport as you will not be able to drive for 24 hours. A responsible adult must be with you for at least 24 hours after the procedure.
You can expect your recovery to be rapid but there will be some swelling and bruising of the treated area. You can help reduce this by wearing a firm support garment for at least 6 weeks to minimise swelling.
The worst of the swelling will subside in the first few weeks, however, it may be as much as two months before the full effect of the male breast reduction surgery is apparent.
It is common to experience some numbness or tingling of the skin soon after your procedure but this should settle rapidly.
It is important not to engage in vigorous activities for the first five days after surgery.
You may return to work and resume most of your normal activities after three weeks and begin to exercise after six weeks.
You will see your surgeon the day after your surgery and at specified intervals during the weeks following your surgery. This is done so that the surgeon can personally monitor your recovery process, and to ensure that you have the best results possible.
Potential Risks and complications of gynecomastia removal
Gynecomastia removal using liposuction or gland excision has been successfully performed for many years at Centre for Surgery with an excellent safety profile. Men should only choose a reputable provider with years of experience in gynecomastia surgery. With a fully certified plastic surgeon at Centre for Surgery, you can be confident in having made the very best choice for male gyno surgery coupled with an outstanding package of aftercare to reduce the risk of complications.
Potential Risks of Surgery
As with any surgical procedure, male breast reduction has potential risks. These include:
- Anaesthetic risks
- Haematoma formation
- Venous thromboembolism
- Surgical site infection
- Delayed wound healing
- Nipples distortion with gland excision
- Potential requirement for revision surgery
Gynecomastia before and after
Bilateral gynecomastia treated with PAL lipo and glandular excision under general anaesthetic. Home the same day and back to light activities 2 days later.
Unilateral right sided glandular enlargement treated with minimally invasive gland excision technique under local anaesthetic.
Pseudogynecomastia (fat enlargement) treated with liposuction.
PAL lipo combined with BodyTite
Primarily glandular enlargement treated with small amount of liposuction and gland excision.
Male breast reduction after massive weight loss
Breast amputation with free nipple grafting for severe gynecomastia
Breast amputation with free nipple grafting for severe gynecomastia
There are a number of factors which will determine the overall cost of the gynecomastia correction procedure and the final quotation will be given after a face to face consultation with one of our expert plastic surgeons.
- Liposuction technique only or combined with surgical excision or skin reduction
- Gynecomastia correction after massive weight loss which often requires a breast amputation with free nipple grafting procedure
- Previous gynecomastia surgery
Why not call 0207 993 4849 and speak to one of our expert patient coordinators who may be able to give you a rough costing prior to your procedure.
Always remember that price should never be the determining factor when it comes to choosing the right provider for gynecomastia correction. We feel that safety and quality of service should be your number one priority and instilling in you the confidence that our team will look after you before, during and after your procedure to the best of their ability.
Spread the cost of your gynecomastia procedure
Centre for Surgery are fully approved to offer gynecomastia finance via our specialist finance partner, Chrysalis Finance.
You no longer need to use your savings to pay for your treatment – you can apply to spread the cost of your procedure with Chrysalis Finance using their simple 1,2,3 application to pay for your procedure.
Don’t wait until you have enough money for your treatment, apply today and (subject to status) pay for your procedure easily in monthly instalments, using one of their payment options.
Chrysalis Finance is the only ethical provider who focus solely in the provision of specialist financing for medical procedures.
Specialist Gynecomastia surgeons in London
If you are interested in gynecomastia correction, we would recommend the next step to book a face to face consultation with one of our expert gynecomastia surgeons at Centre for Surgery. At your consultation, your surgeon will take a thorough medical history including your current medications (which can often be a cause of gynecomastia) and will perform a thorough physical examination. A discussion of your aesthetic goals will be taken into account when formulating your customised treatment plan. The full range of gynecomastia surgical techniques will be explained from a liposuction technique to liposuction combined with gland excision. It may be recommended to combine liposuction and/or gland excision with skin reduction if significant skin laxity is a prominent feature of your chest. 3D computer imaging may also be performed to give you an accurate idea of how you could look after your procedure.
Once you have made your decision to proceed with gynecomastia correction, your designated patient coordinator will work closely with you to make sure you are fully prepared for your consultation for gynecomastia removal.
Further reading on gynecomastia
What is gynecomastia ?Gynecomastia refers to the enlargement of breast tissue in men often caused by an underlying hormonal imbalance involving the hormones oestrogen and testosterone. Gynecomastia can affect one breast or both breasts and if affecting both sides, the level of enlargement can be equal or uneven across both breasts. gynecomastia developing as a neonate is not uncommon and is related to high circulating levels of oestrogen from the mother but this is completely harmless and will resolve in a matter of weeks.
Teenagers are also prone to developing breast enlargement and up to 25% can be affected. During this key stage of growth and development, it can be a source of significant social embarrassment. The good news is that it settles down after 2-3 years without any active treatment. For a small proportion of teenagers, a surgical procedure to remove the excess glandular tissue may be warranted via a small incision made around the darkened area of the nipple called the areola.
Adult men may develop gynecomastia from a number of important causes and full investigation is important prior to undertaking treatment. Men who take anabolic steroids, those with chronic liver disease, or disease of the testicles are at risk of developing male breast enlargement. The greatest risk is in those men who take anabolic steroids as part of their gym routine. As men age, the proportion of body fat increases in the breast tissue and this is known as pseudogynecomastia and can resemble the appearance of a female breast. This type of gynecomastia responds very well to liposuction of the affected area. In many cases, the breast tissue beneath the areola resembles a disc of tissue due to glandular tissue enlargement and this needs to be surgically removed via a Webster’s incision. It does not respond well to liposuction.
What is a male breast reduction?Male breast reduction surgery addresses excess fat, gland and skin to flatten but also contour the male chest to achieve a masculine look.
The surgical options are:
- Gland excision
- Skin reduction
What is gynecomastia?Gynecomastia is also referred to as man boobs. Gynecomastia is a fairly common condition
It is important to differentiate true gynecomastia from pseudogynecomastia when planning treatment. The treatment of pseudogynecomastia entails weight loss through diet and exercise.
Gynecomastia proper can only be addressed with surgical treatment.
Is male breast reduction right for me?If you have large breasts and you are in good health then you may be a good candidate for male breast reduction.
Your weight should be stable.
What should I do before surgery?Smoking should be stopped
Medications which cause bleeding should be stopped prior to the male breast reduction procedure.
How long does male breast reduction take?Male breast reduction takes about 2-3 hours. This will vary depending on the type of procedure you are having and your overall body mass index.
What does the male chest reduction procedure involve?Liposuction - for fat removal
Gland excision - for removal of dense fibrous glands
Skin reduction - for removal of skin laxity
What anaesthetic is used?Gynecomastia surgery will be performed under general anaesthetic. This means you will be comfortable throughout the whole procedure.
How long is the recovery after male breast augmentation?There will be swelling and bruising after the procedure. This may last up to two weeks. You may wish to take pain medication to help with any symptoms, particularly in the first few days.
Swelling may continue and impact you seeing the final results. You may notice the final results after two months.
How long should the compression garment be worn for?The compression garment should be worn for a minimum of 3 weeks continously day and night. Your surgeon may then determine that you can wear the garment at night only for the next 3 weeks but this varies by patient and type of procedure undertaken.
When can I return to work following male chest reduction surgery?We would advise 1 week off but this will vary on the individual patient and the type of work he undertakes.
When can I start exercising?You can start mild exercise after two weeks. You can resume your usual physical activities after six weeks.
Rigorous exercise and heavy lifting should be avoided for the first 6 weeks. The risk of haematoma is increased if you start heavy activity too soon.
What are the risks with male breast reduction?There is a small risk of bleeding, infection and blood clots after the procedure. These are very rare and are minimised by following a meticulous surgical technique.
Compression garments will also help to reduce the risk of developing a haematoma after surgery.
How long do the results last following male reduction surgery?Glandular tissue that has been removed has not been known to grow back.
This also applies to fat removed via liposuction and the best way to prevent fat cells from regrowing is to maintain a healthy diet combined with a regular programme of physical exercise.
What To Expect
When you have a consultation with your surgeon for male breast reduction, a number of measurements are taken of your chest and an assessment will be made of the glandular component of the chest swelling and also the soft tissue quality.
Your surgeon has experience in performing all the techniques of gynecomastia removal including liposuction, gland excision and skin reduction. The most appropriate choice will be made based on your chest wall anatomy. The surgeon will also give information on the location of the incision for liposuction and gland excision and also whether skin tightening can be performed with the BodyTite RF system.
High-resolution photos will be taken and your surgeon may also use computer digital imaging. Your surgeon will take time to discuss the important risks and potential complications of gynecomastia surgery and what you can expect in the postoperative period.
It is useful to keep a list of questions handy to ask the surgeon during the consultation. Examples include whether you are a good candidate for the procedure, what sort of result are you looking to achieve, what you can do to optimise results in the post-op period, how much downtime is involved. You also want to know how soon you can return to work after having male breast reduction surgery.
The surgeon will also take a full medical history which includes previous operations, current list of medicines taken and any potential allergies. This information will be used to decide on your fitness for the male breast reduction procedure. If you are deemed to be a suitable candidate for male breast reduction surgery then we would recommend to spend a period of time to reflect on all the information given. We always recommend a minimum of a 2 week cool off period for to weigh up your options.
All our prospective patients are more than welcome to have as many follow-up consultations after their initial consultation to make sure you are fully empowered with all the information to make an informed decision for proceeding with gynecomastia surgery at Centre for Surgery.