What is gynaecomastia surgery?

Breast reduction surgery for males (also known as gynaecomastia surgery) is a procedure to remove excess breast tissue. It can significantly improve the appearance of your chest - and help to increase your self-confidence through chest fat removal.

We guide you through the process, with our specialist team available to answer any questions or concerns you may have.

How much is a breast reduction?

You can access male breast reduction surgery at Benenden Hospital as a self-paying patient.

Our guide price is from £4,350 (sub-areolar) and from £6,550 (full reduction).

I have a question about gynaecomastia surgery

What are the benefits of male breast reduction surgery?

Gynaecomastia surgery can help men both physically and psychologically.

Having excess skin removed can stop chafing and rashes, as well as reducing the size of your nipples (if needed). It can also boost your confidence by giving you a more masculine-looking chest.

What does gynaecomastia surgery involve?

We offer two types of male breast reduction surgery: sub-areolar button removal and full open correction.

The surgery takes between an hour and two and a half hours, depending upon which procedure, or combination of procedures you need.

Gynaecomastia surgery is usually performed under a general anaesthetic, so you’ll be asleep during the operation. However, for smaller cases of gynaecomastia (a sub-areolar button), it can also be performed under local anaesthetic.

What are the risks of male breast reduction surgery?

Every operation carries some risk, which your Consultant or Breast Care Nurse will discuss with you. Here are some that could occur during gynaecomastia surgery:

  • The wound may become infected or break down.
  • Bleeding or haematoma (a collection of blood in the wound) that would mean that you’d need to be taken back to theatre to stop the bleeding.
  • Lumpy scarring (hypertrophic or keloid scarring) which can be difficult to treat.
  • Change in nipple sensation (usually less sensitive, but occasionally more).
  • Complete or partial loss of your nipple (a rare, but important, complication).
  • Fat necrosis (dying of some areas of fat within the breast). This either shows as an oily discharge from the wound or as the formation of lumps within the breast. It may mean you need to go back to the operating theatre, but can usually be treated as an outpatient with dressings (if the wound has opened) or with massage of any lumps.
  • Asymmetry – no chest is perfectly symmetrical. Although we strive to make both sides as equal as possible, there will be differences between them.
  • Deep vein thrombosis (DVT) and pulmonary embolus (PE) – these are blood clots that may occur in the leg (DVT) and travel to the lung (PE) which may be very serious – fortunately they are rare in gynaecomastia surgery.
  • Further surgery may be needed to adjust for imperfections or significant differences between the two sides (rates may be up to 15%).

What can I expect after male breast reduction surgery?

You’ll need to stay in hospital overnight. After a day or two you should be allowed home. We’ll give you painkillers to take with you, as your breasts may be sore and swollen following surgery.

After surgery, the wounds will be dressed in medical tape. This is splash-proof and shower-proof (but not bath-proof). You’ll be able to shower from the day after surgery, and dab the tape dry with a clean towel, kitchen towel or a hairdryer on a cold setting to dry the tapes.

Our ward staff will call you after a couple of days, to make sure you're recovering well. You'll have a telephone consultation with our Breast Care Nurse about a week after surgery. Two weeks after surgery, we'll invite you for a wound check to remove any dressings.

At four to six weeks, you'll see the Consultant and we'll give you a number to call if you have any issues.

Six months after your surgery, we'll contact you again to see how you're getting on.

Will I need to wear anything after gynaecomastia surgery?

You'll need to wear a firm-fitting compression garment or running top the following day. This will need to be worn day and night for six weeks.

When can I get back to my normal activities?

It's important you take your time to recover, as the final shape of your breasts may take months to settle. We advise everybody not to do any strenuous lifting for six weeks post-surgery, but you may be able to drive after two to four weeks if you can safely do an emergency stop. Please check with your insurance company.

Ali Holden-Smith

What are the benefits of gynaecomastia surgery?

How can breast reduction surgery boost your confidence by improving the appearance of your chest? Breast Care and Tissue Viability Nurse Specialist, Ali Holden-Smith, discusses the benefits of our self-pay breast reduction surgery.

Contact us about gynaecomastia surgery

It's easy to find out more about treatment by giving us a call or completing our enquiry form.