Gynaecomastia Surgery UK

Gynaecomastia Surgery UK: Will My Man Boobs Return?

Gynaecomastia, also known as “man boobs,” is a condition marked by the enlargement of male breast tissue, often leading to significant psychological distress in boys and men.

While gynaecomastia surgery UK offers a promising solution, if you’re contemplating the procedure, you may be understandably concerned about the potential recurrence of your man boobs post-surgery.

In this article, we’ll explore the details of gynaecomastia surgery and delve into the factors that influence the likelihood of recurrence.

Understanding Gynaecomastia: Causes and Symptoms

Gynaecomastia is often caused by an imbalance between oestrogen and testosterone levels in men. Factors such as obesity, hormonal changes, certain medications, and underlying health conditions can contribute to this imbalance.

The most common symptoms typically include swollen breast gland tissue and breast tenderness. It’s crucial to distinguish between true gynaecomastia and pseudo-gynaecomastia, which is fat deposition without glandular proliferation.

The Male Breast Reduction Surgery Procedure

Gynaecomastia surgery, also known as male breast reduction, involves the removal of excess breast tissue and fat. This plastic surgery procedure typically combines liposuction and excision techniques to achieve a flatter, more masculine chest contour.

Gynaecomastia Surgery UK

Performed under general anaesthesia, the operation usually lasts between 1 to 3 hours, depending on the extent of the correction needed.

There is a short recovery time in the clinic or hospital where you will remain under observation, then you’ll be discharged and allowed to go home.

Gynaecomastia Surgical Procedure Involves the Following:

"Man boobs" surgery

1. Liposuction

Liposuction is used to remove excess fatty tissue. A small incision is made, and a thin tube (cannula) is inserted to suction out the fat. This method is effective for cases where the main issue is excess fatty tissue rather than glandular tissue.

2. Excision

Excision techniques are used when glandular breast tissue or excess skin must be removed. This cosmetic surgery method is necessary in more severe cases of gynaecomastia.

The plastic surgeon makes an incision around the nipple or in the natural creases of the chest to remove the glandular tissue and sculpt a natural chest contour.

Recovery and Results: What to Expect

Post-surgery, you can expect some swelling, bruising, and discomfort, which typically subside within a few weeks. Wearing a compression garment is recommended to support the healing process and minimise swelling. You will be prescribed pain relief as needed for the first couple of days.

Most patients can return to normal activities within a week, although strenuous exercise should be avoided for at least 4-6 weeks.

The results of gynaecomastia surgery are generally long-lasting, providing a significant boost to your self-confidence and body image. You’ll be able to wear fitted clothes again without feeling self-conscious. It is essential to maintain a stable weight, however, and avoid factors that can cause your man boobs to come back.

Will My Man Boobs Return? Factors Influencing Recurrence

A critical question for you may be whether gynaecomastia can recur after surgery. While male breast reduction is typically permanent, effectively removing excess tissue, certain factors can influence recurrence:

Weight Fluctuations:

Significant weight gain can result in fat deposition in the chest area, mimicking the appearance of gynaecomastia. Conversely, extreme weight loss can lead to sagging skin and a return of prominence in the breast area.

Hormonal Imbalances:

Conditions such as hypogonadism, hyperthyroidism, or the use of anabolic steroids can disrupt hormone levels and contribute to gynaecomastia recurrence.

Medication Usage:

Some medications, including anti-androgens, anabolic steroids, and certain anti-depressants, can cause gynaecomastia. It’s essential to review and possibly adjust medications under medical guidance.

Substance Abuse:

The use of substances like alcohol and marijuana can also disrupt hormone levels and contribute to the development or recurrence of large breasts due to gynaecomastia.


Genetic predisposition can play a role in gynaecomastia recurrence. Individuals with a family history of the condition may be more prone to recurrence of the condition.


As men age, hormonal fluctuations and changes in metabolism can affect breast tissue. While gynaecomastia surgery is effective, aging can lead to changes that may influence recurrence over time.

To minimise the risk of complications and recurrence, it is crucial to maintain a healthy lifestyle, including a balanced diet and regular exercise, and to follow up with your aesthetic plastic surgeon or other healthcare provider to monitor hormone levels and overall health.

In summary, gynaecomastia surgery offers a permanent solution for many men struggling with enlarged breast tissue, greatly enhancing self-confidence and quality of life. While the risk of recurrence exists, understanding the factors influencing recurrence can help you make informed decisions and take proactive steps to maintain the results.

Dr. Riaz at the Harley Clinic is a board certified plastic surgeon with expertise in male chest reduction. We invite you to book an appointment for a consultation at our private clinic to learn if gynecomastia surgery UK is right for you.

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