male breast surgery

Male Breast Surgery (Gynaecomastia) Manchester & Liverpool

Step confidently into a new chapter of self-assurance with Male Breast Surgery (Gynaecomastia), a transformative procedure offered at our clinics in Manchester, Liverpool, Newton Le Willows, and Bolton. This specialised surgery addresses gynaecomastia—commonly referred to as ‘man boobs’—which many men find diminishes both their confidence and comfort. At the skilled hands of Mr. El Gawad Ahmed Abd EL Gawad, a distinguished plastic surgeon, experience a meticulous approach that not only refines the chest’s appearance but also enhances posture, helping you to embrace a more confident and dynamic lifestyle. Discover the potential for a rejuvenated self-image; contact us today to schedule your free consultation and explore how this procedure can uniquely benefit you.

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Key benefits:

Clients undergoing Male Breast Surgery (Gynaecomastia) with Mr. El Gawad can look forward to increased confidence, an enhanced chest appearance, and improved posture

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What is Male Breast Surgery (Gynaecomastia)?

Male Breast Surgery (Gynaecomastia) is a cosmetic procedure that reduces enlarged male breasts by removing excess tissue and skin, often incorporating liposuction, to create a more masculine chest contour.

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Male Breast Surgery (Gynaecomastia) Case Studies

Transformative Impact With Thigh Lift (Thighplasty)

Patient Profile:

A young man approached our clinic, burdened with a longstanding issue of enlarged breasts that began in puberty. This condition had significantly affected his social life and self-esteem, particularly due to being bullied in school changing rooms. As a result, he developed a reluctance to expose his chest in public places like beaches, which is common among individuals with this condition. Notably, he had no history of drug or steroid use, which are often linked to the development of gynaecomastia.

Clinical Findings:

Upon examination, it was fortunate that the patient did not have any glandular tissue enlargement behind the nipples, commonly referred to as a “disc,” which sometimes necessitates more invasive surgical interventions. His condition was primarily due to excess fatty tissue.

Surgical Procedure:

Opting for a minimally invasive approach, we performed tumescent liposuction under local anesthesia as a day case procedure. This technique allowed for the precise removal of nearly 900ml of fat from each side of his chest, significantly reducing the breast size and enhancing the chest contour.


A few months post-operation, the results were remarkable. The patient experienced a dramatic improvement in the appearance of his chest, which profoundly boosted his confidence. He transformed from avoiding situations where his chest might be exposed to frequently going shirtless at home—a change that humorously led his partner to comment on his newfound confidence and the frequent display of his chest.


This case highlights the efficacy of tumescent liposuction for patients with gynaecomastia primarily caused by excess fatty tissue. The procedure not only provided significant cosmetic and psychological benefits but also demonstrated a high safety profile and a quick recovery, allowing the patient to swiftly return to his daily activities and enjoy a greatly improved quality of life.

breast surgery in process

Wondering what to expect? At a glance, this is what you should typically expect following your breast reduction surgery…

2 – 3

Hours in surgery

0 – 1

Days in hospital

1 – 2

Weeks before driving

2 – 3

Weeks before strenuous exercise

Male Breast Surgery (Gynaecomastia) in Manchester

Visiting our Manchester clinic for Male Breast Surgery (Gynaecomastia) offers numerous benefits for those seeking expert care in a conveniently located and well-equipped facility. Located in the heart of Manchester, the clinic is easily accessible for both local and regional patients. Our Manchester location is renowned for its state-of-the-art equipment and a comfortable setting that ensures privacy and discretion.

Under the expert guidance of Mr. El Gawad, patients can expect a tailored approach that addresses their specific needs with precision. The clinic boasts advanced surgical techniques and a supportive environment where patients are guided through their transformative journey with utmost care and professionalism. Additionally, the central location allows for easy access to follow-up appointments and seamless coordination with patient care services, making the entire process as convenient and stress-free as possible.

Choosing our Manchester clinic for your Male Breast Surgery means entrusting your care to one of the top specialists in the field, while enjoying the benefits of a modern facility that prioritizes patient satisfaction and outstanding cosmetic outcomes.

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Male Breast Surgery (Gynaecomastia) in Liverpool

Choosing our Newton-le-Willows clinic for Male Breast Surgery (Gynaecomastia) offers distinct advantages for individuals seeking specialized and compassionate care in a serene, suburban setting. Conveniently located near Liverpool, this clinic serves as an ideal choice for patients looking for expert treatment outside of the bustling city environment.

The Newton-le-Willows location is equipped with the latest surgical technology in a discreet and comfortable setting, ensuring that each patient receives personalized care tailored to their specific needs. The clinic’s tranquil atmosphere contributes to a calming experience, which is particularly beneficial for patients undergoing transformative procedures.

Under the experienced hands of Mr. El Gawad, the clinic offers a comprehensive approach to male breast reduction, including pre-surgical consultations, advanced surgical techniques, and dedicated post-operative care. This full-service approach ensures that every aspect of the patient’s journey is managed with precision and empathy, from initial consultation through recovery.

Opting for our Newton-le-Willows clinic not only means receiving top-tier medical care but also enjoying the convenience and comfort of a facility designed with the patient’s well-being in mind, all within the peaceful surroundings of Newton-le-Willows.

There is so much to talk about with regard to your breast reduction surgery. This section is all about FAQs, specific risks and other important information.

FAQs Risks Other info

What to expect & FAQs.

Ok, so you now know what can be achieved with male breast reduction cosmetic surgery: But what will happen during the actual surgery itself? Will you be awake during surgery ? Do you get instant results?

All babies, whether male or female, are born with breast glands. They are usually not noticeable in men however because they remain small and underdeveloped. Gynecomastia is a very common condition where the breast tissue swells to a unusually large size that can very often interfere with a man’s confidence and self esteem. It most commonly affect teenage boys and older men although all ages can suffer with the condition. It can also affect babies, although this usually corrects itself without outside interference.

The causes in could be contributed to a number of factors.

  • Hormone imbalances: Estrogen, or oestrogen, is primary known as a female hormone. It is this hormone that causes breast tissue in humans to grow. Whilst all men do produce oestrogen, they also produce higher levels of another hormone called testosterone. The presence of this male hormone usually halts any breast production. For sometimes unknown reasons, the ratios of these hormones within the body changes; in these instances a male can then start to develop larger breasts.
  • Obesity is also another common cause of exceptionally large breasts in males. This is due to the fact that the body produces excess oestrogen in overweight people – which then causes the breast tissue to develop. The excess fatty tissue then makes the problem worse. Although weight loss can help with the issue as the excess fatty cells reduce, it does not completely eliminate the problem in a large percentage of patients.
  • Puberty – Hormone levels can become unstable during this time in a males life. The problem usually settles as the male gets a bit older and his hormone levels balance out.
  • Older age: Excess weight is a problem that males tend to struggle with on a larger scale as they get older. The excess fat can cause raised levels of oestrogen. Coupled with the fact that testosterone levels tend to reduce as men get older – this creates an ideal scenario where a man’s hormones are unstable and hence excess breast tissue can then be produced as a result.
  • In rarer cases, the abnormally sized breasts could come about as a result of a side effect of a medicine that the man is taking.
  • Other uncommon causes could be associated to: the use of illegal drugs, Excess alcohol, an underlying health condition such as liver disease or failing kidneys, Klinefelter syndrome  or a problem that may interfere with testosterone production such as an infection in the testicles.

In a lot of cases the problem may resolve itself on its own, but if there is an underlying reason to why its happening or it doesn’t resolve itself within 2 years, you may need treatment.

If the large male breasts are causing psychological problems such as low confidence and poor self esteem, or are causing physical problems such as pain –  then again you may wish to consider treatment.

Male breast reduction surgery, performed by expert  Mr El Gawad in any of his clinics in Manchester, Liverpool, Newton Le Willows or Bolton,  is usually done under general anaesthesia. This means you will be totally asleep during the operation.

If you are having a general anaesthesia you will be asked to avoid food or anything to drink for several hours before the operation takes place. However, it’s extremely important to follow your anaesthetist’s advice that will be relevant to your unique case.

You should expect to have one or more consultations before the breast reduction operation takes place.  During these consultations, Mr El Gawad will discuss what will happen before, during and after the breast procedure. He will also prepare you for any pain you might experience.

Your breast area will be reassessed on the day of surgery. Photographs will be taken for your medical records. Mr El Gawad will mark the position of the intended surgical cuts on your body with a surgical pen before you go to theatre.

Other considerations may include:

  •  Smoking. If you smoke it is advised that you stop smoking before your breast reduction surgery takes place. This it to maximise healing.
  • It is advisable that you are as close to your ideal weight as possible before surgery takes place.

Male breast reduction surgery usually takes two to three hours. Depending on your individual case, you may have to stay overnight in hospital for up to one night to check everything is ok.

There are several techniques that are used in male breast reduction surgery, but typically the operation involves:

  • your surgeon will make a small cut (incision) around the nipple area
  • A technique called Liposuction may be used to to suck out any excess fatty tissue
  • In the case where there is also a lot of loose saggy skin present (such as after extreme weight loss) your surgeon will extend the cuts, remove the excess skin and then reposition the nipples.

You will be offered pain relief to help with any discomfort you have after your male breast reduction surgery has taken place.

You may need to wear a compression garment after surgery. This is to help reduce swelling and to aid the overall result.

You will not be able to drive after having this type of surgery, therefore someone would need to drive you home.

It’s recommended that you have someone stay with you for the following 24 hours after leaving hospital.

Your stitches will need to be removed after several weeks. Unless your surgeon has used dissolvable stitches for your male breast reduction surgery, in which case they will disappear on their own.

The results of male breast reduction surgery aren’t always visible until the swelling has gone down. It can take up to six months for the area that was treated to settle completely.

Most men have only a small scar around the nipple after having male breast reduction surgery. In cases where there is lots of excess saggy skin and tissue present,  the procedure also result in a larger scar that goes down vertically and horizontally across the breast crease.

Specific risks.

Having male breast surgery is a major decision. Cosmetic surgery can sometimes go wrong and the results may not be what you expected.The following points cover the specific risks associated with this procedure. Click on each point for more information on that specific risk.

This usually happens in the early few hours to few days. This may require a visit back to theatre.

This usually happens in the first few days. This may need a course of antibiotics.

This may need frequent dressings and would leave a stretched scar. The scar could be revised at a later stage.

This should improve on its own in few months time. However, it could be permanent.

This would would show after swelling settles. This might need correction.

This may improve on its own or needs skin graft.

Important information.

The decision to undergo a surgical procedure is life changing. It is not something that should be decided upon lightly and it’s highly important that you feel happy and confident with your choices every step of the way. Before deciding to have any type of Cosmetic Treatment or Surgery we recommend that you read the following attachments to make sure you are fully informed.