Gynecomastia Surgery

Gynecomastia, also known as a male breast reduction, refers to the enlargement of glandular breast tissue in males – not to be confused with fat alone.

It’s a very common condition, often triggered by hormonal imbalances, medications, or weight fluctuations. It’s not dangerous, but it can have a real psychological impact.

Gynecomastia surgery involves removing excess glandular tissue, fat, or both to reduce the size of the male chest.

If the enlargement is primarily due to fatty tissue, liposuction may be performed using a small incision to remove the fat.

When glandular tissue is present, a surgical excision is usually required through a small incision, commonly around the edge of the areola. In many cases, both techniques are used to achieve a more balanced chest contour.

The procedure is typically performed under general anaesthetic and takes approximately 1–2 hours. Most patients are discharged on the same day. Scarring will vary depending on the surgical approach and individual healing.

Dr Bangash will discuss the risks, benefits, and suitability of the procedure during your consultation.

The best approach depends on the type of tissue causing the chest enlargement.

If the excess volume is mainly soft and fatty, liposuction alone may be appropriate.

However, if there is firm, dense tissue beneath the nipple (often described as a rubbery or disc-like lump), surgical excision of the gland is usually recommended – sometimes in combination with liposuction for contouring.

A consultation with your surgeon is necessary to assess the type of tissue involved and determine the most suitable technique based on your anatomy and goals. Clinical examination and, in some cases, imaging may assist in making this decision.

Good question. True gynecomastia involves gland tissue, not just fat. If your chest feels rubbery or firm under the nipple, especially if it’s tender, you’re likely dealing with actual breast tissue – not just weight gain.

In most cases, it’s a hormonal imbalance – too much oestrogen or not enough testosterone. It can also be caused by steroids, certain medications, recreational drugs, or underlying health conditions like liver disease. Sometimes it’s a by-product of significant weight loss.

Recovery following gynecomastia surgery varies between individuals and depends on the extent of the procedure.

Most patients require rest for the first few days and are advised to avoid strenuous activity, particularly upper body exercise, for several weeks. A compression garment is usually recommended during the initial recovery period to support healing and help manage swelling.

Bruising, swelling, and mild discomfort are common in the first 1–2 weeks. Many patients return to light daily activities within 7–10 days, but your specialist will advise when it is appropriate to resume more vigorous physical activity.

It is important to follow all post-operative instructions provided by your surgeon to support optimal healing and reduce the risk of complications. Individual results and recovery times will vary.

Yes. The surgery is done under general anaesthetic, usually taking 1–2 hours. Most patients go home the same day with a compression garment and post-op instructions in hand.

All surgery leaves scars. That said, incisions are kept as minimal and discreet as possible—usually hidden around the nipple. With good care, they fade nicely over time.

Not usually. Once gland tissue is removed, it doesn’t regenerate. However, large hormonal shifts or significant weight gain can cause recurrence—so maintaining a healthy lifestyle matters.

If you’re healthy, at a stable weight, and bothered by the look of your chest – you’re likely a candidate for gynecomastia surgery. We’ll assess skin quality, medical history, and your goals before moving ahead.

The cost of gynecomastia surgery varies based on the type of procedure and individual patient needs.

• Liposuction Only: For cases involving excess fatty tissue without significant glandular enlargement, liposuction alone may suffice. Costs for this procedure typically range from $3,000 to $5,000, depending on the complexity and the number of areas treated. 
• Surgical Excision or Combination Procedures: In instances where glandular tissue removal is necessary, or when liposuction is combined with surgical excision, the costs can range from $6,000 to $8,000 or more, based on the specific procedures involved and the extent of correction required.

It’s important to note that these are general estimates. A personalized consultation with Dr. Bangash will provide a more accurate quote tailored to your individual needs and goals. During this assessment, factors such as the severity of gynecomastia, skin elasticity, and overall health will be considered to determine the most appropriate approach for you.

For more detailed information or to schedule a consultation, please contact our clinic directly.

All surgeries carry risk. Possible complications include infection, contour irregularities, changes in nipple sensation, or scarring. Rarely, some patients develop firm nodules (fat necrosis) or need revision.

While these risks are relatively rare, it’s important to be aware of them and discuss any concerns with your surgeon.

Dr Assad Bangash is a UK-trained plastic, aesthetic, and reconstructive surgeon with over 25 years of experience. He specialises in male chest contouring and complex body surgery—delivering not just cosmetic enhancements, but functional, precision-driven results.