Ideal candidates have stable weight, persistent chest enlargement despite lifestyle measures, and realistic goals. We assess for medication or hormonal contributors and confirm suitability at consultation.
Fat-predominant cases often suit liposuction; gland-predominant cases need direct excision via a small periareolar incision. Many patients benefit from a combination; skin tightening may be added if there is laxity.
Typically a short curved incision at the edge of the areola (for gland) and tiny liposuction entry points. In cases with significant excess skin, additional limited skin excision may be required. We plan for discretion and provide scar-care guidance.
Most desk workers return in 5–7 days. A compression vest is worn for ~4–6 weeks. Expect swelling and bruising initially; avoid heavy lifting and chest workouts for ~4–6 weeks or as advised.
Recurrence is uncommon once gland is removed, but weight change or certain medications can affect contour. Some schemes may consider funding when medically indicated; authorisation depends on scheme rules. We provide reports where appropriate.