Gynecomastia surgery is the most effective treatment for enlarged male breasts, providing a more defined and masculine chest contour. This condition, which affects many men, can cause both physical discomfort and self-consciousness, often persisting despite diet and exercise.
At City Dermatology Clinic, Mr Reza Alamouti and Mr Marcus Davis specialise in combination liposuction and excision, the most advanced and precise technique for gynecomastia correction. This approach removes excess fat and glandular tissue while reshaping the chest for natural, long-lasting results.
For those considering surgery, before and after photos provide a realistic expectation of what can be achieved. This article explores how gynecomastia surgery works, what recovery involves, and real patient outcomes from two of London’s leading plastic surgeons.
Before and After Results & Pictures
For men considering gynecomastia surgery, before and after photos provide the best insight into what can be achieved. Below are real patient results from Mr Reza Alamouti and Mr Marcus Davis, showcasing their expertise in achieving a smooth, masculine chest contour.
Before and After Photos from Mr Reza Alamouti
- Results: Noticeable reduction in excess glandular tissue and fat, with a flat, contoured chest appearance.
- Scarring: Minimal and well-hidden, typically around the areola.
- Symmetry: Improved overall chest balance, creating a more natural definition.
Before and After Photos from Mr Marcus Davis
- Results: Significant improvement in chest shape and contour, with a firmer and more masculine definition.
- Healing: Post-surgical swelling reduced over time, revealing smooth, natural-looking results.
- Long-Term Outcome: Permanent removal of excess breast tissue, enhancing confidence and body proportions.
While individual results may vary, both Mr Alamouti and Mr Marcus Davis use a refined surgical technique to ensure consistent, long-lasting improvements with a natural finish.
How It Works and What to Expect
The most effective method for male breast reduction combines liposuction and excision, removing both excess fat and glandular tissue. This approach ensures a smooth chest contour while minimising scarring.
Step-by-Step Breakdown of the Procedure
- Consultation & Assessment – A full evaluation is conducted to determine the best surgical approach.
- Anaesthesia – The procedure is performed under local or general anaesthetic, depending on the case.
- Liposuction – A small incision is made, and excess fat is removed to sculpt the chest.
- Glandular Tissue Excision – If necessary, dense breast tissue is surgically excised through a small incision near the areola.
- Skin Tightening & Closure – The incisions are carefully closed to ensure minimal visible scarring.
Recovery and Final Results
Gynecomastia surgery is a straightforward procedure with a relatively quick recovery, but following post-operative care guidelines is essential to achieving the best results. While most patients experience minimal discomfort, the healing process occurs in stages, with the final outcome visible within a few months.
Recovery Timeline After Gynecomastia Surgery
| Recovery Stage | What to Expect | Care Instructions |
|---|---|---|
| First 24-48 Hours | Mild swelling, bruising, and tightness in the chest. Patients may feel slight discomfort, but pain is manageable with prescribed medication. | Rest, avoid sudden movements, and wear a compression garment at all times. Avoid sleeping on the chest. |
| Week 1 | Swelling and bruising persist but begin to improve. Most patients can return to non-strenuous work after a few days. | Continue wearing the compression garment 24/7 to reduce swelling and support healing. Avoid heavy lifting or any chest strain. |
| Weeks 2-3 | Bruising starts to fade, and mild swelling continues to subside. Skin begins to retract and settle over the new chest contour. | Compression garment is still required but can be removed for short periods when advised. Gentle walking is encouraged, but avoid intense exercise. |
| Weeks 4-6 | Most swelling has resolved, and incision sites start to fade. The chest shape looks more defined, but mild firmness may still be present. | Compression garment may only need to be worn at night. Light cardio may be resumed, but weight training and chest exercises should still be avoided. |
| Months 2-3 | The chest takes on its final shape, and scars begin to soften and lighten. Any lingering tightness continues to improve. | Scar management treatments, such as silicone gel or sheets, may be recommended. Sun protection is essential to prevent darkening of scars. |
| Months 4-6 | Final results become apparent, with skin adjusting fully to the new contour. Scars continue to fade, and any residual swelling has mostly disappeared. | Patients can resume all types of physical activity, including weightlifting and chest exercises. Compression garments are no longer needed. |
Factors That Influence Recovery
- Wearing a compression garment is crucial in the first 4-6 weeks, as it helps reduce swelling, prevent fluid build-up, and support proper skin retraction.
- Following scar management techniques, such as using silicone-based treatments, can significantly improve scar appearance over time.
- Maintaining a stable weight helps preserve the final results, as weight gain can lead to fat accumulation in the chest area.
- Avoiding alcohol and smoking during recovery helps promote better healing and reduces the risk of complications.
Most patients notice significant improvements within the first few weeks, but full healing takes several months. Once recovery is complete, the results are long-lasting, with a permanently flatter, firmer chest contour.
