Gynecomastia (Male Breast Reduction) | London, UK | Mr. Ivo Gwanmesia Skip to main content

Gynecomastia, What is it?

Gynecomastia (gyno) surgery, more commonly called “male breast reduction,” is a surgical procedure that eliminates enlarged breast tissue in males. This condition is known as gynecomastia and is characterised by localised fat deposits in the chest, excess glandular tissue, and possibly excess breast skin. Male breast reduction surgery permanently eliminates gynecomastia and creates a more attractive chest contour so that men can feel more confident in their bodies.

Improving Your Chest Contours

Male breasts mask a masculine chest contour. Many men with gynecomastia hide their chests under baggy clothing. Gynecomastia surgery removes the excess tissue, flattening the chest to create a more attractive and natural appearance. Improving the appearance of the chest through gynecomastia surgery may help you feel more comfortable wearing a fitted shirt or even no shirt at all.
Excess breast skin can create uncomfortable skin folds that may lead to rashes or irritation. Hygiene can become an issue, and affected individuals may not know how to manage their condition. Male breast reduction eliminates these skin folds and can improve hygiene in this area.
Having excess tissue in the chest area can cause discomfort. Men’s clothing is designed to lie flat against the chest, and if you have excess breast tissue, your chest may feel tight or rub uncomfortably against clothing. Physical activity may feel uncomfortable or even painful for men with gynecomastia. Removing excess breast tissue helps men dress more comfortably, be more mobile, and feel more comfortable during physical exertion.
Gynecomastia can affect not only a man’s appearance but also his self-image and self-confidence. Some men avoid social engagements, retreat into themselves, never take their shirts off, or feel constantly anxious and embarrassed about their appearance. Just as gynecomastia can affect both your appearance and self-confidence, gynecomastia surgery can improve self-confidence along with the appearance of your chest.

Gynecomastia (Gyno) Surgery

  • Comprised of liposuction plus surgical excision
  • Performed on an outpatient basis
  • Performed with the patient under general anaesthesia
  • Mr Gwanmesia makes minor incisions in the creases beneath the breasts
  • Through these small incisions, Mr Gwanmesia performs liposuction to remove excess fat
  • Small incisions are placed along the border of the areolas to remove excess glandular tissue via surgical excision
  • Excess breast skin may also be removed to flatten the chest

Gynecomastia Concerns

Age: 25 – 30 year old male

Description: Photos taken 3 months post op

Procedure: Correction of gynaecomastia by liposuction and liposuction to abdomen and flanks

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Age: 30 – 35 year old male

Description: Photos taken 1 month post op

Procedure: Correction of gynaecomastia

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Age: 25 30 year old male

Description: Photos taken 3 months post op

Procedure: Correction of gynaecomastia

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*Results may vary from patient to patient. There is no guarantee of outcome.

Patient Testimonials


Frequently Asked Questions

Ideal candidates for male breast reduction will meet the following criteria:
  • Overall good health
  • Realistic expectations about the results
  • A healthy body weight
  • Lack of success in eliminating gynecomastia with diet and exercise
  • No steroid abuse
  • No likely known, manageable cause for gynecomastia such as a certain medication, hormonal imbalance, or steroid abuse
  • Non-smoking or willing to quit for a period of time before and after the procedure
Gynecomastia can be caused by hormonal imbalances, steroid abuse, being overweight, or certain medical conditions, or it may even be a side effect of certain medications.
For some males, gynecomastia can resolve on its own with a healthy diet and exercise regimen. Gynecomastia that commonly occurs during adolescence will typically resolve on its own by adulthood. It is important to discuss your situation with a medical professional to determine the potential causes of your gynecomastia before deciding to undergo surgery. Surgery is typically the best solution for men who are bothered by their gynecomastia and who have ruled out other potential causes of their enlarged breasts.
Male breast reduction surgery permanently eliminates any existing gynecomastia. However, if you use steroids, take certain medications, or have a pre-existing medical condition causing your gynecomastia that was not addressed, these may interfere with your results. For this reason, all individuals should rule out all potential causes of gynecomastia before undergoing surgery, as this will lead to the most successful long-term results. It is also important to remember that because future weight gain can contribute to the appearance of gynecomastia, body weight should be carefully maintained.
Learn about Mr Ivo Gwanmesia’s cosmetic surgery experience and professional credentials at his 'about' profile page.

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Dr Ivo Gwanmesia

Dr Ivo Gwanmesia is one of Harley Street’s most experienced and renowned craniofacial plastic surgeons. With over a decade of professional experience, he has transformed the lives of countless patients from all over the UK & abroad.

Due to his vast and hands-on training in the UK and the US, Dr Ivo now specialises in more than a dozen different aesthetic, craniofacial and transgender procedures. Some of them include face, neck, and brow lifts, upper and lower blepharoplasty, breast reduction & breast uplift as well as facial feminisation surgery, to name a few.

Dr Gwanmesia has also conducted pioneering research, which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. He was also part of a study comparing the efficacy of the Sheen Spreader Graft and the Fulcrum Spreader Graft. The study has since been published on PubMed and the Journal of the American Society of Plastic Surgeons.