Gynaecomastia — enlarged male breast tissue — is common and can affect confidence at any age. When it persists despite a healthy lifestyle, surgery offers a reliable, lasting correction.
What causes it?
Gynaecomastia results from an excess of glandular breast tissue, fat, or both. It can be linked to hormonal changes, certain medications or health conditions, or have no clear cause. Persistent cases rarely resolve with diet and exercise alone because true glandular tissue does not respond to weight loss.
How it is treated
Surgery is tailored to the cause. Where the issue is mainly fat, liposuction may suffice; where there is firm glandular tissue, this is excised directly, sometimes combined with liposuction for a smooth, flat contour. The approach is chosen at assessment.
Recovery
Most men return to desk work within a week and wear a compression garment to support healing and reduce swelling. Strenuous exercise and heavy lifting are avoided for several weeks. Swelling settles over a couple of months to reveal the final result.
Results
Correction is generally long-lasting, provided weight is stable and any underlying cause is addressed. The change in chest contour and confidence is often significant. Learn more on our men’s procedures page or book a consultation.
Frequently asked questions
Can gynaecomastia go away without surgery?
Gynaecomastia from a temporary hormonal phase can resolve on its own, but persistent glandular tissue does not respond to diet and exercise, so surgery is often the reliable solution.
Is gynaecomastia surgery permanent?
Results are generally long-lasting when weight is stable and any underlying cause is addressed, because the excess glandular tissue is removed.
How long is recovery?
Most men return to desk work within about a week, wear a compression garment, and avoid strenuous exercise for several weeks while swelling settles over a couple of months.
Will there be visible scars?
Incisions are kept small and discreet, often around the areola or hidden for liposuction. Your surgeon will explain the expected scars based on your treatment.
This article is general information and not a substitute for individual medical advice. Results vary between patients and all surgery carries risks. Always discuss your circumstances with a GMC-registered consultant surgeon.
