
Gynaecomastia reduction, also called male breast reduction, is a surgical procedure that removes excess tissue to create a flatter and more contoured chest.
Gynaecomastia is the benign enlargement of breast tissue in men. This can occur on one or both sides and may present as fullness, firmness behind the nipple or a more rounded breast shape. The condition can be influenced by hormonal changes during puberty, ageing, genetics, weight gain or certain medical treatments.
For some men, gynaecomastia resolves naturally over time. For others, the tissue becomes long standing and resistant to diet or exercise. In these cases, gynaecomastia reduction offers a predictable and effective solution.
Gynaecomastia is not the same as excess chest fat. True gynaecomastia involves glandular tissue beneath the nipple, which often requires surgical removal for permanent correction. Your consultant will determine the underlying cause and composition during your assessment.


Gynaecomastia reduction, also called male breast reduction, is a surgical procedure that removes excess tissue to create a flatter and more contoured chest. Depending on the composition of the breast tissue, the procedure may involve:
At 101 Harley Street, your surgeon will use a refined approach designed to create a smooth, natural contour while placing incisions in discreet areas.
The aim is not only to reduce volume but to achieve a masculine shape that aligns with your overall physique.

At 101 Harley Street, patient satisfaction is at the heart of everything we do. Our reviews reflect the expertise of our consultants, the quality of our care, and the exceptional results our patients experience. From your first consultation to full recovery, our team is dedicated to providing a seamless, supportive and reassuring journey, something our patients consistently highlight in their feedback. Below you can see our verified google reviews. You can also see more reviews on Doctify.
Doctor Dan Wright is not only one of the kindest and nicest human beings you could ever meet he’s one of the most professional. At every stage of my procedure I felt reassured and in very safe hands. I would not normally post a review of anything that isn’t a restaurant or a barber but I felt compelled to here because my experience was so wonderful. Fantastic stuff. Brilliant.
I recently had surgery at 101 Harley Street and was impressed by the level of care and professionalism displayed by the entire team. I was greeted with friendly staff which immediately made me feel comforted, and this genuine care continued throughout the entire journey. I highly recommend this clinic to anyone seeking quality medical care.
Dr Dan and his team at 101 are exceptional. I was made to feel so comfortable and relaxed during my procedure and everything is done with the highest level of professionalism. Can’t recommend them enough!
Staff were all extremely kind and thoughtful all through the process. I always come away feeling like I’ve had the best chat with good friends over a delicious coffee in a gorgeous spot. And all the while… also leaving with healthier skin. I’ve loved working with Emma and Duncan and everyone else at 101!
I had a procedure recently at 101 and I’m so happy with how it went! The staff and the consultant were super friendly and made me feel safe and welcome. The results of my procedure are fantastic and I will recommend to all of my friends and family.
Gynaecomastia reduction may be appropriate for men who:
Gynaecomastia reduction is suitable for adults with stable breast development. Your consultant will ensure that there are no underlying medical causes that require treatment before surgery.
Gynaecomastia reduction can provide:
| Benefits of Gynaecomastia Reduction |
|---|
A flatter and firmer chest contour |
Improved confidence in fitted clothing and swimwear |
Enhanced physical comfort during exercise |
Reduction in nipple protrusion or puffiness |
Improved symmetry |
Long lasting and predictable results |
It is common to have questions about a surgical procedure. Some key questions here that we receive from patients considering a Gynaecomastia reduction.
If you are looking for more general information about what happens from your first consultation to aftercare visit our Your Journey page to understand how we guide each patient through the consultation, surgery, and recovery process within our Harley Street surgical centre.
Gynaecomastia reduction is usually well tolerated. Mild discomfort or tightness is common for a few days but is managed easily with pain relief.
Most patients return to work within a week of gynaecomastia reduction. Full recovery and return to intense exercise typically take 4 to 6 weeks.
Yes. If glandular tissue is present, it is removed surgically during gynaecomastia reduction to achieve a flatter and more defined chest.
Results are long lasting. However, weight gain, hormonal changes or medication use can influence future chest shape.
Scars are typically minimal and placed discreetly along the areola border or chest crease. They fade gradually over time.
Yes. Puffy nipples are often caused by glandular tissue beneath the nipple. Gynaecomastia reduction can correct this and restore a smoother contour.
Light activity can resume early, but weight training and cardio should be avoided for several weeks. Your consultant will advise based on your progress.
Men with persistent breast enlargement that has not responded to lifestyle changes are good candidates for gynaecomastia reduction. Stable weight and good general health are also important.
Our generously proportioned theatre can accommodate cases performed under general anaesthetic, intravenous sedation and local anaesthetic. We also have two treatment/consultation rooms where consultations and other minor operative procedures can be performed.
Our spacious, newly modernised operating theatre has been designed and equipped to provide surgeons and anaesthetists with an optimised environment to perform ambulatory day case surgical procedures. It is a very flexible space and can accommodate a wide range of non-infectious cases performed with local anaesthesia, IV sedation or full TIVA general anaesthesia (ASA Grade 1 and 2 only).
To learn more about what is involved before, during and after surgery, visit our journey page below.
If the enlargement is mainly fatty tissue, liposuction may be sufficient. Through small incisions placed discreetly at the side of the chest, a cannula is used to remove excess fat and sculpt a natural contour
Firm glandular tissue beneath the nipple often requires direct removal. A small incision is typically made around the lower edge of the areola to access and excise the gland.
Most patients benefit from a combination of liposuction and excision. This ensures both volume reduction and smooth contouring across the chest.
Fine sutures are used to close incisions, and a supportive compression garment is applied to minimise swelling and assist with shaping during early recovery.
Each member of our team of friendly, welcoming and highly skilled nurses and administrative staff has been individually chosen for their compassion, enthusiasm and dedication to providing our patients and medical staff with an unparalleled level of care.

