Male breast reduction

Male breast reduction treats gynaecomastia — enlargement of the male chest from excess glandular tissue, fat, or both — to create a flatter, firmer and more masculine contour. It may affect one or both sides and can occur at any age.

Anaesthetic: General
Hospital stay: Often day case
Time off work: 1–2 weeks
Final result: Refines over several months

A general guide only — your own timeline is confirmed at consultation.

What it involves

Depending on the cause, treatment may use liposuction for fatty fullness, direct excision of firm glandular tissue through an incision along the lower border of the areola, or a combination; significant loose skin may need additional removal. It is usually performed under general anaesthetic and takes about one to two hours.

Who it may suit

May suit men whose chest fullness has persisted despite weight loss or exercise — glandular tissue in particular rarely responds to diet alone — who are at a reasonably stable weight, medically fit, and troubled by discomfort, tenderness or the appearance of the chest. Recent, markedly asymmetrical or otherwise concerning enlargement may need further assessment first.

Recovery

Many cases are day surgery, with a compression garment worn afterwards. Most patients return to light work within one to two weeks, increase normal activity by three to four weeks, and return to gym and chest training around four to six weeks once cleared. The chest continues to refine over several months, and scars mature over 12–18 months.

This page is a general guide. Every procedure is planned individually — the details, risks and recovery relevant to you are discussed at consultation.

Patient information leaflet Download the full male breast reduction leaflet (PDF)

Common questions

Will it come back?

The tissue removed does not normally grow back, so the result is usually lasting. Significant weight gain, certain medications or anabolic steroids, hormonal changes and ageing can still affect the chest over time.

Will the scar be noticeable?

For gland excision the scar is placed along the border of the areola, where it is less visible; liposuction needs only tiny access incisions. Scars are firmer and more visible at first, then soften over 12–18 months.