Body Surgery

Gynaecomastia

Gynaecomastia surgery creates a flatter, firmer, masculine chest by removing excess glandular tissue and fat, combining liposuction and precise excision for natural definition that suits your physique

Procedure Time

1-2 hours

Results Last

Long-lasting; glandular tissue does not return

Hospital Stay

Day case; local anaesthetic possible for minor cases

Recovery Time

4-6 weeks

Time Off Work

1 week

Anaesthesia

General Anaesthetic

Exercise

4-6 weeks

Price

From £9,500

Procedure

What is Gynaecomastia Surgery?

Gynaecomastia surgery is a surgical procedure designed to restore a flatter, firmer and more masculine chest by removing excess glandular tissue, localised fat and, where necessary, excess skin. Gynaecomastia-the enlargement of male breast tissue-can develop due to hormonal fluctuations, puberty, ageing, weight changes, genetics or certain medications. Despite maintaining a healthy lifestyle, many men find that dense glandular tissue beneath the nipple cannot be reduced through exercise or diet alone. At 111 Harley St., every procedure is individually planned by Dr Yannis Alexandrides. Rather than simply reducing breast volume, he carefully sculpts the entire chest to create natural definition that complements your body proportions and musculature, using liposuction, glandular excision or a combination of both depending on the underlying cause.

Expected Effects & Benefits

Flatter, firmer and more masculine chest contour
Removal of excess glandular tissue and localised fat
Improved chest definition and proportion
Renewed confidence in clothing and everyday activities

Your Journey

The 360° Approach

Your journey begins with a comprehensive consultation with Dr Yannis Alexandrides. He will assess the amount of glandular tissue present, fat distribution, skin quality and elasticity, chest muscle development, nipple position, chest symmetry and your overall health and lifestyle.

Not every enlarged male chest is caused by true gynaecomastia. Understanding whether the concern is primarily glandular tissue, excess fat or a combination allows Dr Yannis Alexandrides to determine the most appropriate surgical approach for your individual anatomy and desired result.

Ahead of surgery, you will have a comprehensive pre-operative assessment with our nursing team. This includes a review of your medical history, current medications, lifestyle and overall health, alongside any physical assessment or clinical tests required for your individual surgical plan.

Our team will explain what to expect before and after surgery, answer any questions and ensure you are appropriately prepared for your procedure and recovery.

Good nutrition, hydration and healthy lifestyle habits can help prepare your body for surgery and support the healing process. You will receive personalised guidance on diet, medications, exercise, smoking cessation where appropriate, and the practical steps to take before your procedure.

Where appropriate, your plan may also include selected nutritional support, including 111SKIN Beauty Dose Supplements. Recommendations are tailored to your individual health, lifestyle and surgical plan.

During your pre-operative assessment, our nurse will discuss whether treatments such as Endermologie® LPG and ElixirMD Light Therapy may be beneficial as part of your preparation for surgery.

Where appropriate, Endermologie® LPG can support lymphatic drainage, reduce fluid retention and improve tissue mobility, while ElixirMD Light Therapy can support overall skin health and condition. Your programme may also incorporate 111SKIN skincare and Dr Yannis Alexandrides’ Dramatic Healing Serum. Optimising the skin and tissues before surgery helps create a healthier environment for healing and supports your recovery.

Our care continues well beyond your procedure. Following surgery, our clinical team will monitor your healing through scheduled reviews and adapt your post-operative protocol according to your individual recovery.

Where appropriate, your aftercare may include Endermologie® LPG, ElixirMD Light Therapy, IV Vitafusion, Dr Yannis Alexandrides’ Dramatic Healing Serum and personalised skincare to support your recovery and skin health.

As your recovery progresses, Dr Yannis Alexandrides and our clinical team will review your chest contour, skin quality and scars at scheduled follow-up appointments.

Where appropriate, your long-term plan may include medical-grade silicone therapy, ElixirMD Light Therapy, personalised skincare and other scar optimisation or non-surgical treatments to support scar maturation, long-term skin health and the quality of your result.

Procedure

How does Gynaecomastia Surgery work?

Gynaecomastia surgery is tailored to the underlying cause of chest enlargement in each individual patient. The procedure is most commonly performed under general anaesthetic as a day-case operation. Before surgery, Dr Yannis Alexandrides carefully marks the chest to guide tissue removal and contour refinement. Incisions are positioned discreetly around the lower border of the areola, allowing excellent access while keeping scars as inconspicuous as possible. If excess fatty tissue is present, advanced liposuction is first used to sculpt the surrounding chest and improve definition. Where glandular tissue is present beneath the nipple, Dr Yannis Alexandrides carefully excises it through the same discreet incision. For many patients, combining both techniques produces the most natural and balanced result. Once the desired contour is achieved, incisions are closed using fine sutures and compression garments are fitted.

THE THREE SURGICAL APPROACHES:

Liposuction alone: suitable for predominantly fatty enlargement (pseudogynaecomastia).
Glandular excision: required for dense breast tissue beneath the nipple that cannot be removed by suction.
Combined technique: liposuction sculpts surrounding tissue while excision addresses the gland for the most natural result.

WHY EXERCISE CANNOT CORRECT TRUE GYNAECOMASTIA:

Dense glandular breast tissue cannot be reduced through diet or training.
Exercise strengthens pectoral muscles but does not remove the gland.
Surgery provides a definitive, long-lasting solution where lifestyle measures have reached their limit.

Procedure

Surgical Techniques & Technology

Glandular Tissue Excision

Precise surgical removal of dense breast tissue through a discreet areola-border incision; the defining technique for true gynaecomastia.

Liposuction

Removes excess fatty tissue and sculpts the surrounding chest for improved definition; used alone for pseudogynaecomastia.

Combined Technique

Liposuction and glandular excision combined for smoother contours and a more naturally masculine chest than either method alone.

VASER? Liposuction

Advanced ultrasound liposuction for greater precision in chest sculpting and improved skin retraction where appropriate.

Scar Optimisation

Incisions placed at the areola border; comprehensive scar management through the 360° Complete Care Plan.

Combination Body Contouring

Gynaecomastia combined with abdominal, flank or 360° Liposuction for a more balanced and comprehensive physique result.

Your Journey

The 5-Step Process

Consultation

A comprehensive chest assessment with Dr Yannis Alexandrides to identify the underlying cause and create a personalised surgical plan.

1

Preparation

Pre-operative health assessment, medication review and personalised guidance on nutrition, lifestyle, skin and tissue preparation.

2

Surgery

Glandular excision, liposuction or a combined technique performed under TIVA Anaesthesia according to your individual anatomy.

3

Recovery

Compression support, swelling management and structured aftercare with regular clinical reviews.

4

Long Term Care

Personalised scar care, skin support and selected treatments where appropriate to support long-term skin health and the quality of your result.

5

Your Journey

Recovery Timeline

1–2 Weeks

Initial swelling, bruising and tenderness progressively subside. Your compression garment is worn as advised to support the chest during the early healing period.

2–6 Weeks:

Swelling continues to reduce and the chest contour becomes increasingly defined. Exercise can be gradually reintroduced from four weeks, with strenuous activity resumed once approved by your surgical team.

6 Weeks–6 Months

The tissues continue to settle and the chest contour becomes more refined and natural. Scars gradually soften and mature, although subtle changes can continue throughout this period.

6–12 Months

The final chest contour becomes increasingly established as the tissues fully settle. Scars continue to mature and generally become softer and less noticeable over time.

Long-Term Care

Maintaining a stable weight and healthy lifestyle can help support the longevity of your result. Where appropriate, personalised scar care, skincare and selected treatments may also be recommended to support long-term skin quality and scar maturation.

Your Journey

Post surgery activity guidelines

Shower

48-72 HOURS

Keep incisions dry and compression garment in place unless advised otherwise by your surgical team.

Driving

1 WEEK

Resume only when comfortable, alert and no longer taking strong pain relief.

Work

1 WEEK

Most patients return to office-based work within approximately one week.

Exercise

4-6 WEEKS

Avoid strenuous upper-body exercise and weight training until cleared by your surgeon.

Suitability & Safety

Am I suitable for Gynaecomastia Surgery?

Ideal Candidate Profile

Gynaecomastia surgery may be suitable for men who: – Have enlarged male breast tissue or fullness beneath the nipples – Feel self-conscious removing their shirt or wearing fitted clothing – Have persistent chest enlargement despite exercise and healthy weight – Experience discomfort from enlarged glandular tissue – Maintain a stable body weight and are in good general health – Have realistic expectations of surgery Suitability is confirmed during consultation with Dr Yannis.

Risks & Complications

Possible risks include bleeding, infection, bruising, swelling, temporary numbness or altered nipple sensation, contour irregularities, asymmetry, seroma, haematoma, delayed wound healing, hypertrophic scarring, residual glandular tissue, over- or under-correction and anaesthetic complications. Careful surgical planning, meticulous technique and comprehensive aftercare all contribute to minimising these risks. All potential complications are discussed thoroughly during your consultation.

Your Surgeon

Dr Yannis Alexandrides

Dr Yannis Alexandrides is the Founder and Medical Director of 111 Harley St. and is highly regarded for his work in aesthetic and reconstructive surgery. His approach to gynaecomastia surgery combines detailed anatomical assessment with meticulous surgical precision and a commitment to natural-looking outcomes. Rather than following a standardised approach, each procedure is tailored to the composition of the patient’s chest, their skin quality and overall body proportions.

Pricing

Overview

Every patient and procedure at 111 Harley St. is unique, which is why surgical pricing is tailored to your individual case rather than based on a one-size-fits-all approach.

The cost of your procedure will depend on factors such as your anatomy, the complexity of surgery, the technique required and your personalised treatment plan.

Following your consultation and assessment, our team will provide a clear, individualised quotation based on the surgery recommended for you.

Finance Calculator

Loan Amount: £5,000

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Term: 12 months

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First Payment

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*Interest rates are subject to status and individual credit score.

Resources

Reviews

     
 
 
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   Ellie Hook 
 3 September 2026
 
 
  I came to the 111 Harley Street for UltraClear laser treatment with Claudia Brand. She was absolutely incredible, talking me through the process and made me feel very safe. She was also brilliant throughout the process. I cannot wait to see my result! Thank you Claudia!
  
 
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   Jenna Nicholls 
 2 September 2026
 
 
  Really lovely team - thank you Anna and Jamy for looking after me during treatment! Can’t wait for the results 🥰
  
 
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   Edward Smith 
 31 August 2026
 
 
  Very Impressed With My Rhinoplasty I had been unhappy with the shape of my nose for years and finally decided to look into rhinoplasty. Choosing the right surgeon and clinic was extremely important to me, so I spent a lot of time researching before booking my consultation at 111 Harley St. The consultation was detailed and reassuring, and I appreciated the focus on achieving a result that suited my face rather than simply changing my nose. The whole process was handled professionally, from the initial consultation through to the follow-up appointments. My nose now looks much more balanced with the rest of my face, and the improvement is significant without looking artificial.
  
 
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   Louise F 
 28 August 2026
 
 
  I had my consultation with Anna and honestly couldn’t have been happier with the experience. She took the time to really listen to all of my concerns and went through everything with me in so much detail, including the different treatment options. I really appreciated how thorough and attentive she was, and the whole consultation felt very personal and tailored specifically to me rather than a one-size-fits-all approach. I felt really comfortable and well looked after. I’m really happy with the experience and will definitely be coming back for my treatment. Thank you so much, Anna!
  
 
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   Mily Barnett 
 27 August 2026
 
 
  Spoke to Anna about all my skin concerns over a consultation - she was super helpful, knowledgeable and can’t wait to start my journey with 111 Skin. Thank you Anna.
  
 
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   Mia Raggett 
 25 August 2026
 
 
  Had a lovely consultation with Anna, helped me so much with my questions and was very friendly. Thanks!
  
 
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   Yasmine Rabah 
 20 August 2026
 
 
  Just did the thermale treatment and the whole experience with the staff and the treatment and care has been superb. I highly recommend. Will let you know how it goes with the other treatments that I will do:)
  
 
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   Kat M 
 19 August 2026
 
 
  Fantastic facial with Jamy and consultation with Anna. Would 100% recommend!
  
 
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   Rosie Walker 
 17 August 2026
 
 
  A Wonderful Experience I decided to explore a Y Facelift after becoming increasingly unhappy with the loss of definition around my lower face. I was initially quite nervous about having facial surgery, so having a detailed consultation was really important to me. Everything was explained clearly and I felt comfortable asking lots of questions. I’m so pleased with the outcome my face looks fresher and more defined, but it still looks completely like me.
  
 
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   Anna 
 10 August 2026
 
 
  Amazing experience with Claudia. I was really nervous but she put me at ease and explained the process to me. I would definitely recommend coming here for all aesthetic treatments!
  
 
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   Altay Ali 
 7 August 2026
 
 
  Claudia Is always amazing, and I would highly recommend her services.
  
 
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   Robert White 
 4 August 2026
 
 
  Claudia was amazing! Really friendly, polite and professional. Will 100% be coming back.
  
 
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   Jessica Thomas 
 4 August 2026
 
 
  The Best Decision I Made I had a facelift at 111 Harley Street. From my very first consultation, I felt completely comfortable and confident that I was in safe hands. The surgeon took the time to understand what I wanted to achieve and explained every stage of the process clearly, from the operation itself to the recovery and expected results. The care I received was outstanding from start to finish. Every member of the team was kind, professional, and incredibly supportive. They were always available to answer any questions, and I felt genuinely looked after throughout my entire journey. Now that I've fully recovered, I am absolutely delighted with the results. I look refreshed, younger, and far more confident, while still looking completely natural. The best compliment I've received is that people keep telling me I look really well without realising I've had surgery. It's exactly the subtle, natural result I was hoping for. Choosing 111 Harley Street was one of the best decisions I've made. The expertise, attention to detail, and exceptional aftercare exceeded all of my expectations. I would wholeheartedly recommend them to anyone considering a facelift.
  
 
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   Hannah Lucy 
 31 July 2026
 
 
  I had a consultation with Anna who was so knowledgeable and extremely friendly. The team were welcoming and I look forward to starting treatment.
  
 
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   Aashika Balaji 
 31 July 2026
 
 
  Claudia is excellent and incredibly intuitive
  
 
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   William Julian Taranu-Lee 
 29 July 2026
 
 
  Had such a lovely consultation at 111 Harley St. I felt so welcomed and comfortable in their hands, and really appreciated their honest cosmetic advice. Would absolutely recommend having a consultation at 111 Harley St. You won’t regret it :)
  
 
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   Bilgi P 
 28 July 2026
 
 
  +0
I had plastic surgery from doctor Ashvani in 2019 and he messed up my tummy completely. I lost all my sensation in my tummy area and after 7 years, I still regret of having tummy tuck with him. He stitched my whole tummy tuck area without leaving drainage after the operation. I ended up having this massive hole in my tummy area. I have the most horrible scars and I don’t wear bikini for not showing my belly button. You can see how bad his stitches are from the photo. Please do your research before you trust him so you don’t regret like I did. My friend had similar operation in Turkey and you would not even notice she had plastic surgery.my advice is  go to Turkey to have proper plastic surgery with surgeons who knows how do operate.
  
 
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   Georgia Westley 
 28 July 2026
 
 
  Had a consultation with Anna who helped with my skin concerns, she helped advice on treatments and products to support on my hyper pigmentation and dryness. Would highly recommend
  
 
     Posted on Google  
   
   Chloe L 
 27 July 2026
 
 
  Really pleased with my consultation with Anna. She explained everything clearly, and the skin scanning was very insightful. Everyone was warm and friendly – I’d highly recommend.
  
 
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   Zara Walsh 
 27 July 2026
 
 
  Thank you so much, great experience!
  
 
 
  
 
 
   Trustindex rating score: 4.9 of 5, based on 856 reviews,showing our latest reviews

Resources

Frequently Asked Questions

Will my chest look natural after gynaecomastia surgery?

Creating natural-looking definition is one of the main objectives of gynaecomastia surgery at 111 Harley St. Rather than simply removing as much tissue as possible, Dr Yannis carefully sculpts the chest to preserve natural masculine contours, preventing an over-operated appearance while maintaining smooth transitions between the pectoral muscles and surrounding tissues. The result is designed to look athletic, proportionate and entirely in keeping with your physique.

Will gynaecomastia come back after surgery?

The glandular tissue removed during surgery does not normally regenerate. Likewise, fat cells removed through liposuction are permanently eliminated from the treated areas. However, future hormonal changes, certain medications, anabolic steroid use or significant weight gain may contribute to changes in the appearance of the chest over time. Maintaining a healthy lifestyle and stable body weight helps preserve your results long-term.

Can exercise treat gynaecomastia?

Exercise can strengthen the pectoral muscles and reduce overall body fat, but it cannot remove true glandular breast tissue once it has formed. Many patients seek surgery after years of training without achieving the flatter chest they desire. If your enlargement is primarily caused by fatty tissue rather than glandular tissue, weight loss may improve the appearance. During your consultation, Dr Yannis will determine the underlying cause and recommend the most appropriate treatment.

When can I return to the gym after gynaecomastia surgery?

Light walking is encouraged shortly after surgery to promote healthy circulation. Most patients return to everyday activities within one to two weeks. More strenuous upper-body exercise and weight training are usually resumed after approximately four to six weeks, depending on your individual recovery. Dr Yannis Alexandrides will advise you on the appropriate timing for gradually returning to your normal exercise routine.

Will I need to wear a compression garment?

Yes. A specialist compression garment forms an important part of your recovery, helping to reduce swelling, support the newly contoured tissues and encourage the skin to adapt smoothly to its new shape. You will receive detailed guidance regarding how long the garment should be worn and how to care for it during your recovery. Following this guidance closely helps optimise your healing and your final result.

What is the difference between gynaecomastia and pseudogynaecomastia?

True gynaecomastia involves the growth of dense glandular breast tissue beneath the nipple, which cannot be reduced through exercise or weight loss alone and requires surgical excision. Pseudogynaecomastia refers to chest enlargement caused predominantly by fatty tissue rather than glandular growth. This condition may respond to weight loss and, where surgery is required, can often be treated using liposuction alone without the need for glandular excision. Dr Yannis will determine which condition is present during your consultation.

How long is recovery after gynaecomastia surgery?

Recovery following gynaecomastia surgery is generally straightforward. Most patients return to office-based work within approximately one week, with strenuous upper-body exercise avoided for around four to six weeks. Bruising and swelling typically improve significantly during the first two to three weeks. Final chest contour becomes apparent between three and six months as healing completes and residual swelling fully resolves.

Will there be visible scarring?

Any surgical incision will leave a scar, but minimising their visibility is a key priority during gynaecomastia surgery. Wherever possible, Dr Yannis positions incisions around the natural border of the areola, where the colour transition between the nipple and surrounding skin helps camouflage the scar once healed. Liposuction entry points are extremely small-typically only a few millimetres. Scars initially appear pink or slightly raised but gradually soften, flatten and fade over the months following surgery.

Am I suitable if I've lost a significant amount of weight?

Many men who have achieved substantial weight loss are excellent candidates for gynaecomastia surgery. However, significant weight loss can sometimes leave excess skin in addition to enlarged glandular tissue. In these situations, your surgical plan may be adapted to address both concerns and achieve the best possible chest contour. This will be discussed fully and personalised to your anatomy during your consultation with Dr Yannis.

What are the risks of gynaecomastia surgery?

Possible risks include bleeding, infection, bruising, swelling, temporary numbness or altered nipple sensation, contour irregularities, asymmetry, seroma, haematoma, delayed wound healing, hypertrophic or widened scarring, residual glandular tissue, over- or under-correction and anaesthetic complications. At 111 Harley St., every procedure is individually planned with meticulous technique and comprehensive aftercare to minimise these risks. Dr Yannis will discuss your individual risk profile in detail during consultation.

Can gynaecomastia surgery be combined with other procedures?

Yes. Because body contouring is about overall proportions rather than isolated areas, gynaecomastia surgery can often be combined with additional procedures to further enhance the physique. Depending on your goals, your plan may include abdominal liposuction, flank contouring, 360° Liposuction or VASER? Liposuction. Combining procedures allows multiple areas to be treated during a single operation, creating a more balanced overall result while avoiding separate recovery periods.

How can I book a consultation at 111 Harley St.?

You can arrange a consultation with Dr Yannis Alexandrides at 111 Harley St. through the clinic’s online booking system or by contacting the team directly. A dedicated coordinator will guide you through the next steps, explain what to expect at your consultation and ensure you are booked with the most appropriate practitioner for your concerns.