Gynaecomastia Treatment
(Male Chest Reduction)
VASER Liposuction with Gland Excision for a flatter, more defined chest
Gynaecomastia treatment is an advanced male chest contouring procedure designed to reduce excess breast tissue and restore a flatter, more masculine chest appearance.
Using a combination of VASER (ultrasound-assisted) liposuction and gland excision, this approach addresses both fatty and glandular components of gynaecomastia, allowing for a comprehensive and precise result.
What is Gynaecomastia?
Gynaecomastia is a common condition characterised by enlargement of male breast tissue. It may be caused by:
- Hormonal imbalance
- Genetics
- Weight changes
- Certain medications or supplements
In many cases, the chest fullness is due to a combination of fat and firm glandular tissue.
What does the procedure involve?
This treatment combines two key techniques:
VASER Liposuction
VASER technology uses ultrasound energy to break down fat cells before removal. This allows for:
- Precise fat reduction
- Smoother contouring of the chest
- Reduced trauma to surrounding tissues
Gland Excision
Firm glandular tissue located beneath the nipple is surgically removed through a small, carefully placed incision (typically at the edge of the areola).
This step is essential to:
- Fully flatten the chest
- Prevent residual fullness or prominence
- Achieve a natural, masculine contour
The combination of both techniques ensures a comprehensive and definitive treatment.
Who is an ideal candidate?
Gynaecomastia surgery is most suitable for patients who:
- Have persistent chest fullness despite exercise or weight loss
- Notice firm tissue beneath the nipple area
- Feel self-conscious about chest appearance
- Are close to their ideal body weight
- Have good skin elasticity
- Have realistic expectations regarding achievable results
This procedure is intended to improve chest contour and proportion, rather than serve as a substitute for weight loss.
The Procedure
The procedure is performed through small, discreet incisions:
- VASER liposuction is first used to contour and remove excess fat
- Targeted gland excision is then carried out to remove dense breast tissue
This combined approach allows for:
- Smooth, even chest contouring
- Reduction of both soft and firm tissue
- Preservation of natural chest shape and definition
The procedure is typically performed under local anaesthesia with sedation or general anaesthesia, depending on the individual case.
Benefits of Gynaecomastia Surgery
- Flatter, more masculine chest appearance
- Removal of both fat and glandular tissue
- Improved chest definition and contour
- Enhanced confidence in clothing and without a shirt
- Low-profile, discreet scarring
- Long-lasting results
Recovery and downtime
Recovery generally progresses as follows:
- Day 1–3: Mild to moderate discomfort, swelling, and bruising
- Day 4–5: Significant improvement; most patients are able to return to work by day 5
- Week 2: Bruising largely resolves; light activity can be resumed
- Weeks 3–4: Noticeable improvement in chest contour
- 4–6 weeks: Gradual return to gym and upper body exercise
- 6–12 weeks: Continued refinement of final results
A compression garment should be worn for 4–6 weeks to support healing and optimise contour.
Temporary swelling, firmness, or mild numbness in the chest area is common and resolves over time.
Results and longevity
Both fat and glandular tissue removed during the procedure are permanently eliminated. Results are long-lasting, provided that patients maintain:
- A stable weight
- A healthy lifestyle
Hormonal factors or certain medications may influence long-term outcomes, which will be discussed during consultation.
Why combine VASER liposuction with gland excision?
A combined approach is considered the gold standard for gynaecomastia treatment because:
01
Liposuction alone cannot remove firm glandular tissue
02
Gland excision alone may not achieve smooth contouring
03
The combination ensures a flat, natural, and well-defined result
Arrange a Consultation
Your consultation is a detailed clinical assessment to ensure suitability and optimal outcomes. This includes:
- Evaluation of chest tissue (fat vs glandular components)
- Assessment of skin quality and chest anatomy
- Discussion of your goals and expectations
- Explanation of the procedure, risks, and recovery
- A personalised treatment plan
All treatments are delivered with a focus on clinical excellence, discretion, and natural, masculine results.
Gynaecomastia Grading System
A structured clinical framework for accurate diagnosis and treatment planning
Gynaecomastia is classified into grades based on the extent of tissue enlargement and the presence of skin excess. This standardised system allows for precise assessment and helps guide the most appropriate surgical approach.
Grade 1 – Mild Gynaecomastia
- Small, localised enlargement beneath the nipple
- No excess skin
- Chest contour remains flat
Treatment approach:
VASER liposuction, often combined with targeted gland excision if dense tissue is present.
Grade 2 – Moderate Gynaecomastia (no skin excess)
- Enlargement extends beyond the areola
- No significant skin laxity
- Chest appears fuller but maintains firmness
Treatment approach:
Combination of VASER liposuction and gland excision to achieve a smooth, flat contour.
Grade 3 – Moderate Gynaecomastia (with skin laxity)
- Increased tissue volume
- Mild to moderate excess skin
- Early descent of the chest contour
Treatment approach:
VASER liposuction with gland excision.
In selected cases, adjunctive skin tightening may be beneficial.
Grade 4 – Severe Gynaecomastia
- Significant enlargement with excess skin
- Noticeable drooping of the chest
- Feminised chest appearance
Treatment approach:
Comprehensive correction including:
- VASER liposuction
- Gland excision
- Skin reduction surgery where required
Contact Us
We’d love to hear from you! Feel free to leave us a message.
Contact Info
+44 7777 370723
hello@liporefine.co.uk
82 Harley Street, London, W1G 7HN
London Private Hospital, 94 Windmill Road, Brentford, Greater London, TW8 9NA