At Harley Street Clinic Surrey, treatment is planned around the cause and extent of your chest enlargement. Surgery takes place at our CQC-registered clinic in Reigate and is performed by a qualified surgeon following a detailed consultation and clinical assessment.
We understand that gynaecomastia can be difficult to discuss. Our team offers discreet, respectful care and clear medical guidance so that you can make an informed decision without pressure.
From £3,500
1-2 Hours
1-2 Weeks
Local Anaesthesia
Long-Lasting
Gynaecomastia is the enlargement of glandular breast tissue in men. It may affect one or both sides of the chest and can cause swelling, tenderness, a firm area beneath the nipple or a visibly enlarged chest.
Glandular tissue is different from fat. Where an enlarged male chest is caused mainly by excess fat, the condition is known as pseudogynaecomastia or lipomastia. Many men have a combination of glandular tissue and localised fat, so the most appropriate treatment can only be determined after an individual assessment.
Male breast reduction addresses persistent excess glandular breast tissue, localised chest fat and, where required, excess skin to create a flatter, more proportionate chest contour. Suitability is confirmed through an individual surgical assessment.
Weight loss can reduce an enlarged appearance when excess fat is the main cause, but it will not necessarily remove established glandular tissue. Equally, surgery is not a substitute for weight management when an enlarged chest is caused primarily by being overweight.
Your medical history, current medicines, smoking status, weight stability, skin quality and reasons for considering surgery will all form part of the assessment. If there is any concern about an underlying cause, further investigation or a GP referral may be recommended before treatment proceeds.
Gynaecomastia can develop because of changes in the balance between oestrogen and testosterone. It can occur during puberty, later in life or without a clearly identifiable cause.
Other possible contributing factors include certain medicines, anabolic steroid use, some health conditions, weight gain and changes in hormone levels.
Where gynaecomastia is new, unexplained, painful, rapidly changing or associated with other symptoms, further medical assessment may be required before cosmetic surgery is considered.
Removal of excess glandular tissue, fat and, where required, excess skin to create a flatter and more proportionate chest contour
Chest contouring to enhance pectoral definition
Reduction of nipple or areola size where required
Discreet scarring, placed at the areola border to heal almost invisibly
A significant improvement in confidence and self-esteem – in clothing, at the gym, and without a shirt
| Glandular tissue excision | Chest liposuction | Combined treatment |
|---|---|---|
| Used when firm glandular tissue is the main cause of the enlarged chest | Used when localised fat is the main cause and skin quality is suitable | Used when both glandular tissue and fat contribute to the chest shape |
| Removes dense tissue that cannot be treated with liposuction alone | Reduces fatty volume and helps refine the surrounding chest contour | Removes firm tissue while also reducing fat and blending the treated area |
| Usually requires an incision around part of the areola | Usually uses small access incisions for the liposuction cannula | Involves an areola incision together with small liposuction access points |
| Can be combined with skin removal where significant laxity is present | Does not correct a large amount of excess skin or dense glandular tissue | Can be adapted to include skin removal when clinically necessary |
Your consultation is an important part of the surgical process. It allows your chest to be assessed in a clinical setting and gives you time to understand the options, limitations and possible risks.
Gynaecomastia surgery is tailored to the type and amount of tissue present. Some patients require glandular tissue excision, some require liposuction, and many benefit from a combination of the two. Men with significant skin laxity can also require excess skin removal as part of the procedure.
At our Reigate clinic, the procedure is performed under local anaesthetic. Incisions are planned according to the selected technique and the amount of tissue and skin being treated.
Once the chosen anaesthetic has taken effect, where firm glandular tissue is the main component, it is removed through the discreet areolar incision.
Where excess fat contributes to the enlarged appearance, liposuction is used to remove it and refine the overall chest contour. In many patients, the best result comes from combining glandular excision with liposuction.
In selected patients, BodyTite radiofrequency-assisted contouring may be considered alongside fat removal to support skin contraction. It is not a substitute for surgical skin removal where significant excess skin is present.
Swelling, bruising, tightness and tenderness are common during the early stages of healing. Dressings are placed over the incisions, and a compression garment may be recommended to support the chest and help manage swelling.
Harley Street Clinic Surrey provides gynaecomastia surgery within a clinical environment in central Reigate. The clinic is registered with the Care Quality Commission to carry out surgical procedures, and treatment is planned with attention to patient safety, informed consent, confidentiality and appropriate aftercare.
We recognise that seeking treatment for an enlarged male chest can feel personal. You will be treated respectfully and without judgement, with time to discuss what concerns you and what surgery can realistically achieve.
Our approach includes:
All treatments are performed by fully qualified and experienced medical practitioners.
Our clinic is regulated by the Care Quality Commission.
We will follow up with you and take care of any questions you have before or after treatment.
Our doctors are on the General Medical Council's specialist register.
We only use MHRA-approved, market-leading products for all our treatments.
Consultant Plastic, Aesthetic & Reconstructive Surgeon
Aesthetic Surgeon
Consultant Plastic, Aesthetic & Reconstructive Surgeon
Harley Street Clinic Surrey is located in central Reigate, welcoming surgical patients from across Surrey, Sussex, South London and the wider South East.
The clinic is conveniently positioned for patients travelling from areas including Redhill, Epsom, Banstead, Sutton, Croydon, Oxted, Cobham, Leatherhead, Dorking, Guildford, Woking, Crawley, East Grinstead, Horsham, Tunbridge Wells and Sevenoaks.
Use the map below to find the clinic and plan your journey.
Prices for gynaecomastia surgery at Harley Street Clinic Surrey start from £3,500. The final cost depends on the amount and type of tissue present, the surgical technique, the expected operating time and whether liposuction or skin removal is also required.
Yes, treatment can be planned for gynaecomastia affecting one side. The surgeon will assess both sides because natural differences in chest shape and tissue volume need to be considered when planning the result.
Changes in nipple sensation are a recognised risk. Sensation may be reduced, increased or altered temporarily while the area heals. In some cases, a change can be permanent. Your surgeon will discuss this with you before surgery.
Yes, but it is usually preferable for your weight to be stable before surgery. Significant weight loss can leave loose skin as well as residual fat or glandular tissue, so the procedure may need to include skin removal and additional scars.
Gynaecomastia usually involves firm glandular tissue beneath or around the nipple, while pseudogynaecomastia is caused mainly by fat. The two can occur together, and it is not always possible to distinguish them by appearance alone. A clinical examination is needed to assess the tissue and recommend an appropriate treatment.
