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Gynaecomastia removal under local anaesthesia

At Venus Medical, we have been performing male breast reduction surgery for over 15 years. Male breasts, often referred to as man boobs or moobs, are bothersome to a large number of men because the breast enlargement becomes visible through T-shirts and shirts.  This is a cause of significant distress for many men who look for definitive treatment options. The term gynaecomastia or gynecomastia means enlarged male breast tissue that look like female breasts. It can affect one or both breasts and may be asymmetric. Even men who exercise regularly and have low body fat develop gynecomastia.  Unfortunately this tissue is resistant to diet and exercise.  In our 16 years’ experience treating gynaecomastia, we have treated hundreds of men, many who have been thinking about it for years but never sought help or didn’t know where to go.  Most are surprised at how easy, straightforward and effective treatment is. 

How we remove gynaecomastia permanently

Local anaesthesia

We provide relaxing tablets and perform the procedure while you are awake, so you can go home afterwards

Minimal access

Tiny 4mm incisions to access the fat and gland of the chest


Advanced ultrasound probes gently “melt” fat and glandular tissue for a smooth result and to blend with surrounding areas

Gland excision

Any residual gland is removed painlessly through a small incision in the areola that Any residual gland is removed painlessly through a small incision in the areola that fades and becomes invisible.


A garment or binder will be applied immediately afterwards to help reduce swelling, tighten skin, and keep the contours smooth and defined looking

Rapid recovery, maximum results

Return to work in 3-4 days and see results immediately.

Dublin, IE

“I had a consultation with Mr Shadab Ahmad in early October, he was extremely professional, friendly and understanding to my situation. A few weeks later I went in for the procedure. Seeing the before and after is like night and day. I would highly recommend anyone thinking of having this procedure to go here. My pictures will be available to see during your consultation and the result speaks for itself.”


  • Boosts confidence by removing gynaecomastia for good. External machines that heat or freeze do not work*
  • Permanent removal of gynaecomastia in 90 minutes
  • Avoids risks and recovery from general anaesthesia
  • Fat and gland removal as well as skin tightening in one procedure
  • VASER has superior skin tightening effects compared to traditional liposuction
  • Avoids defects or uneven results common if gland alone is removed without VASER liposuction (We’ve corrected many of them!)

*Based on our 16 years’ experience speaking with thousands of men with gynaecomastia

Stephen Kelly

“I had the gynecomastia procedure done at Venus Medical, I couldn’t have asked for a better experience. The whole process was seamless, the entire team are very helpful and the results I got have changed my life for the better. The procedure was short and painless and the recovery was super fast I’d recommend anyone dealing with Gynecomastia to consider Venus Medical”

Why gynaecomastia removal at Venus Medical?​

Our surgeons have over 16 years’ experience treating men with gynaecomastia.  We understand the psychological effects this condition has on men and how it affects confidence.  We’re here to listen and deliver the best results possible safely so you can do whatever you want without thinking about your chest anymore.

  • First in Ireland to use VASER liposuction for gynaecomastia
  • Personalised technique: our specialist plastic surgeon combines VASER with gland excision and BodyTite where appropriate for best results
  • Advanced aftercare protocols: we have extracorporeal shockwave therapy and vascular lasers to treat healing tissue and scars
  • 16 years’ experience using tumescent local anaesthesia for walk-in walk-out experience and rapid recovery
  • 24 hour access to your surgeon by phone during postoperative period or in-app texting and photo uploads on MeTime app

Book your gynaecomastia removal consult with our experts at Venus Medical

Frequently asked questions

Boys hormone levels vary and in teenage boys there is frequently a hormone imbalance or change that leads to breast growth, breast pain and swollen breast tissue or puffy nipples. The breasts may be tender.  This so-called physiological gynaecomastia usually does not last, and the breast tissue goes away or flattens on its own as the hormone imbalance rights itself. The breast pain caused by the male breast tissue usually fades away too as the enlarged breasts get smaller. In up to one third, though, there is some residual breast gland that causes embarrassment in later years.

Any medical condition that reduces testosterone production or raises the female hormone oestrogen can cause breast swelling in men and cause gynecomastia.  These include prostate cancer, kidney failure, liver failure, or the rare genetic disorder like aromatase excess syndrome and androgen insensitivity syndromes.  Although rare, testicular tumours can also upset hormone balance and lead to breast tissue enlargement.  In addition, some brain tumours affecting the pituitary gland, or tumours of the adrenal glands can alter hormone levels. We do not treat underlying conditions that cause gynecomastia. Although rare, if you have breast enlargement caused by liver disease, a rare genetic disorder, or other conditions, your specialist will manage your care.

Anabolic steroids and cannabis can cause breast development in men. We have treated many bodybuilders who used steroids at some stage in their lives. These induce breast tissue growth.  There are also many prescription medications such as aromatase inhibitors that can cause hormone changes and contribute to the development of gynaecomastia.  Patients taking spironolactone produce less testosterone; heart medications such as calcium channel blockers can increase prolactin and stimulate breast tissue; androgen deprivation therapy and hormone therapy for other conditions can all cause gynaecomastia.

Usually gynaecomastia occurs in pubertal boys when they are teenagers. However, in later years, male breast enlargement is common when the male hormone testosterone naturally drops and oestrogen levels are relatively higher. Men of all ages can build up fatty tissue in the chest due to weight gain—this is not true gynecomastia, but referred to as pseudogynecomastia. Of course overweight men also develop gynecomastia and when they do, the excess breast tissue growth  together with the fat or adipose tissue is termed mixed gynaecomastia. 

The normal male breast area consists of skin, a thin layer of fat, a small disc of glandular tissue, loose connective tissue and muscle.  When the gland enlarges, the area behind the nipple and areola feels firm.  In men with more body fat who have gynaecomastia, the area might be feel softer but still protrude.

Most men already know they have gynecomastia and contact us looking for help with gyno.  During the consultation, our surgeon will take a history before examining you. This includes a conversation about risk factors for developing the condition as well as those related to fixing gynecomastia for you.  Breast examination includes an evaluation of the surface of your chest, presence of body hair, appearance of the nipples and contour of your chest and breasts.  Clinical features of gynecomastia range from puffy nipples only to large breasts that droop.  An assessment of breast asymmetry and overall body fat and body mass index is made, including an examination of fat that extends towards the armpits which is very common.

Male breast cancer is rare, accounting for only 1% of diagnosed breast cancers. The risk of breast cancer in men is higher in men who have significant hormone imbalances, and may be higher in men who have an altered male hormone to female hormone ratio; however, male breast enlargement when it is deemed gynaecomastia after clinical evaluation is not dangerous.  Gynecomastia is a benign condition and is extremely common.  Although gynaecomastia can affect one or both breasts, when there is enlarged male breast tissue  that is recent, on one side, or forming a lump, you may be sent for imaging and any breast tissue that is removed will be examined in the lab. Long standing swelling of both breasts in men is not a feature of breast cancer.

Breast tissue growth during puberty often goes away on its own.  However, in one in three men, some degree of persistent breast tissue remains.  If this persists for a year or two, it is very unlikely to shrink and disappear without intervention.  For men with an underlying medical condition, hormone therapy or other medical treatment may halt the growth of breast glandular tissue.  For men with unchanging male breasts that are bothersome, surgical treatment is usually the only definitive treatment that completely resolves the issue.

If you are bothered by the appearance of your chest and want to treat gynecomastia, we are here to help you remove this problem safely and efficiently.  Lots of men develop gynecomastia and it is not something to be ashamed or worried about.  In our experience of over 16 years in male breast reduction, we have hundreds of guys who only wish they had addressed it sooner.  We use VASER liposuction and frequently combine this with gland excision or surgical removal, all under local anaesthesia. This delivers best results for a flatter, more contoured chest.

VASER is a form of ultrasound-assisted liposuction that was pioneered in Ireland at Venus Medical. Using VASER, our surgeons are able to remove fat cells and destroy glandular tissue that causes gyno. Special probes are used through tiny incisions that not only liquefy the unwanted tissue, but also help skin tightening.  VASER allows a smooth, natural-looking result in expert hands and also deals with fat in the upper chest and toward the armpit.  Of all cases of gynecomastia diagnosed at our clinic, we use a combination approach of gland excision in about 80% of cases.  This means that whatever small but stubborn lump of gland remains after liposuction, we also remove.  This type of gynecomastia surgery, combining VASER lipo with subcutaneous mastectomy through a small hidden incision around the nipple gives best results.

We have extensive experience and expertise performing male breast reduction under local anaesthesia.  Before surgery you will receive relaxing tablets so you are comfortable.  You must be collected by a friend or family member.  The procedure itself takes only about 90 minutes and you can return home straight away.  Because there is no recovery from general anaesthesia, most men feel very good with minimal discomfort over the first few days. You will be given a binder to wear, some instructions and antibiotics for the first week.  You will see instant results that continue to get even better as swelling subsides. 

If there is a very large overhang of tissue and skin, you will be advised of options such as formal breast reduction surgery.  However, in nearly all cases, we can deliver excellent skin retraction and tightening using VASER.  If skin is loose, we also employ BodyTite, an internal radiofrequency device that heats underneath the dermis in a controlled way, further tightening skin.  This can be performed during the same procedure.

No.  We remove the male breast tissue which does not regenerate.  Fat cells also do not return after definitive liposuction.  Therefore, our technique treating gynaecomastia under local anaesthesia is the best way to ensure a lasting result that does not require further surgery.  A thin layer of fat cells is deliberately left behind to make sure there are no irregularities or asymmetries.  Therefore, maintaining a healthy weight is important so these remaining fat cells do not enlarge.  Only very large fluctuations in weight would make the remaining fat swell significantly. Regular exercise will help overall results by keeping you toned and preventing more body fat accumulation. It’s very important also to avoid the use of anabolic steroids.

The cost of permanent gynecomastia removal at Venus Medical depends on whether we use VASER liposuction alone, VASER combined with gland excision, or also add BodyTite to tighten skin when breast enlargement has caused excessive skin that sags. Please contact us for more information and quotes.  We also partner with Humm for financing options if you wish to pay monthly over time. Excess breast tissue growth in men is very common and we look forward to speaking with you if you are ready to consider this definitive, effective solution.

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