Treatment breast
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Male breast reduction, or gynaecomastia surgery, is a procedure designed to reduce excess breast tissue in men, creating a flatter, more defined masculine chest contour.
Gynaecomastia, a condition caused by hormonal imbalances, weight gain, genetics, or medication side effects, results in enlarged male breasts that can affect self-confidence and physical comfort. This surgery addresses both glandular tissue and excess fat, delivering a sculpted and proportional appearance.
Results
About
Paul Wilson is a leading specialist in male breast reduction, offering personalised care to help male patients achieve their desired result. With years of experience in body contouring procedures, Mr Wilson uses advanced techniques such as liposuction and excision to ensure precise, natural-looking outcomes. He tailors each treatment plan to your unique anatomy and goals, addressing individual concerns with expertise and care.
Patients come to Mr Wilson as he’s known for his commitment to excellence, meticulous attention to detail, and emphasis on patient safety. His supportive patient-focused approach ensures a smooth surgical experience and long-lasting results. If you’re seeking to restore confidence and achieve a more defined chest, Mr Wilson’s expertise in gynaecomastia surgery makes him the ideal choice for your transformation.
Gynaecomastia can affect one or both sides of the chest. Mr Wilson customises every male breast reduction procedure to address your specific needs and achieve natural-looking results. Surgery involves one or a combination of techniques.
Liposuction may be used for patients with excess fatty tissue and good skin elasticity and is often an effective way to sculpt the chest. With this technique, small incisions are made, typically around the areola (the area of darkened skin that surrounds the nipple) or along the chest crease, through which a thin cannula is inserted. Using a vacuum device, excess fat is removed, creating a smoother, more defined chest area. If glandular tissue and excess skin are present, excision techniques are used. This involves making an incision, often around the areola or in a discreet location, to remove the glandular tissue. In cases where significant sagging is present, additional skin removal may be necessary for optimal results.
Many patients benefit from a combination of techniques to address both fat and glandular tissue. This approach allows for precise contouring and a more harmonious chest appearance.
Mr Wilson takes great care to minimise visible scarring by placing incisions in natural folds or along the edge of the areola. After removing excess tissue, the incisions are closed with fine sutures, and a compression garment is applied to support healing.
Mr Wilson recognises that your chest anatomy and gynaecomastia severity are unique to you. During the consultation he carefully evaluates factors such as composition of excess tissue (fat vs. glandular), skin elasticity, and your expected outcome. This personalised approach ensures that your male breast reduction surgery is specifically designed to achieve the best possible outcome. Whether the goal is to eliminate excess fat or address significant enlargement with skin laxity, Mr Wilson tailors the surgical plan accordingly.
benefits
Male breast reduction offers a range of physical, emotional, and psychological benefits, including:
Recovery
The recovery process after male breast reduction surgery is straightforward, with most patients experiencing manageable discomfort and quick healing. Immediately after the procedure you will be fitted with a compression garment to reduce swelling and support the chest as it heals. Mild soreness and bruising are to be expected and is managed with pain relieving medication. Mr Wilson will provide instructions on caring for the incisions to promote healing and minimise scarring.
You may be able to resume light activities 2 weeks following surgery, including returning to work if it doesn’t involve strenuous physical exertion. Swelling and bruising will continue to improve, and a follow-up appointment with Mr Wilson will ensure proper healing. By 4-6 weeks post-surgery, most swelling has subsided, and you may find you can resume more rigorous activities, including exercise. The chest begins to take on its final contour, with results becoming more apparent. The final outcome is usually fully visible around 3-6 months after the procedure, as swelling resolves, scars fade, and the chest achieves its final shape. At this point you may confidently enjoy a more masculine, sculpted appearance.
Fees
PRICES STRAT FROM
£8600
The cost of each male breast reduction is tailored to the individual procedure.
Surgeon
Mr Paul Wilson is a Consultant Plastic Surgeon with more than 35 years of surgical experience and over 16 years as a Consultant Plastic Surgeon. He specialises in facial, breast and body aesthetic surgery, with a particular interest in rhinoplasty, facial rejuvenation and complex revision surgery.
In both his NHS and private practice, Mr Wilson is known for his patient-focused approach, careful surgical planning, and commitment to achieving balanced, natural-looking results tailored to each individual.
FAQ
Male breast reduction surgery is generally safe when performed by a qualified and experienced plastic surgeon like Mr Paul Wilson. As with any surgical procedure, there are risks, such as infection, adverse scarring, or changes in sensation. However, Mr Wilson uses current techniques and prioritises patient safety to minimise these risks. A thorough consultation and pre-operative assessment ensure you’re an appropriate candidate for the procedure. By following Mr Wilson’s aftercare instructions and attending follow-up appointments, you can expect a safe, smooth recovery and excellent long-term results.
After male breast reduction surgery, you’ll need to follow specific aftercare instructions to ensure proper healing. This includes wearing a compression garment to minimise swelling, avoid strenuous activities for 4-6 weeks, and caring for incisions to prevent infection. Mr Wilson will provide detailed guidance on scar care, including keeping incisions clean and dry and using recommended creams or treatments to minimise scarring. Regular follow-up appointments with Mr Wilson ensure your recovery is progressing smoothly, and any concerns are addressed promptly, ensuring optimal results.
Most patients can resume driving about 1-2 weeks after male breast reduction surgery. You should wait until you’re no longer taking prescription pain medications and can move your arms and chest comfortably without restriction. Mr Wilson will evaluate your progress during follow-up appointments and give you personalised guidance on when it’s safe to return to driving. Before getting behind the wheel, ensure you can perform necessary movements, like turning the steering wheel and checking blind spots, without discomfort or strain.
A compression garment is typically worn for around 4-6 weeks after male breast reduction surgery. This garment helps reduce swelling, supports the healing tissues, and encourages the chest to settle into its new contour. Mr Wilson will provide specific instructions on when and how long to wear the garment each day. Consistent use during the initial recovery period is essential for achieving optimal results. As healing progresses, you may gradually reduce the time spent wearing the garment, based on Mr Wilson’s recommendations.
Common side effects of male breast reduction surgery include swelling, bruising, mild discomfort, and temporary changes in chest sensation. These typically subside within a few weeks as you heal. Scarring is a possibility, but Mr Wilson uses advanced techniques to minimise visible scars and provides guidance on scar care. Rare complications may include infection, asymmetry, or fluid buildup, but these are minimised through Mr Wilson’s meticulous surgical methods and comprehensive aftercare instructions. Regular follow-ups ensure any concerns are addressed promptly, allowing you to enjoy long-lasting, confident results.
Schedule your consultation
Patients choose Paul Wilson Aesthetics not only for the team’s surgical expertise, but also for their thoughtful, honest and patient-centred approach to aesthetic care. To get started, book a consultation where our team will discuss your concerns, outline your goals and determine if male breast reduction surgery is the right option for you.
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Open Preservation Rhinoplasty | Before & After
This patient presented for a consultation with both functional and aesthetic concerns.
She had experienced several previous nasal injuries, including a horse-riding accident, a netball incident, and a facial injury. Although she had undergone a septoplasty in 2022, she was still experiencing intermittent breathing difficulties, shifting between the right and left sides.
Aesthetically, her primary concerns were a dorsal hump and the droopiness of her nasal tip.
On assessment, her nose was reasonably straight, with a dorsal hump created by a combination of prominent nasal bones and increased septal height. There was also slight nostril asymmetry and some external valve collapse on the right side, meaning the outer wall of the nostril could collapse slightly during sharp, deep breathing.
A CT scan revealed a relatively straight septum, with only a small posterior deviation, clear sinuses, and normal-sized turbinates.
An open preservation rhinoplasty was performed.
The plan was to refine the dorsal hump, create a gentle curve to the nose, improve the tip position, and achieve as much symmetry as possible while respecting the patient`s existing anatomy.
Rhinoplasty planning is never about chasing perfection. The aim is to make a considered improvement that looks balanced, functions well, and remains in keeping with the rest of the face.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A rhinoplasty consultation is not just about examining the nose.
It is about understanding the patient, their anatomy, their breathing, and their reasons for considering surgery.
In this video, Mr Wilson explains what happens during a rhinoplasty consultation at Paul Wilson Aesthetics.
Patients are seen personally by Mr Wilson at Northwood Hospital in Bristol. The consultation includes a full medical history, a discussion about aesthetic concerns, breathing and functional symptoms, previous injuries or surgery, and the support available at home after the procedure.
The nose is then carefully assessed, as rhinoplasty always addresses both form and function.
Two-dimensional photographs are taken for medical records, and 3D Vectra imaging may also be used to aid in planning the procedure. This allows Mr Wilson and the patient to visually discuss possible changes and ensure expectations are aligned before surgery.
The aim is not to promise a precise, screen-generated result.
It is to understand what the patient hopes to achieve, what is surgically attainable, and how to meticulously plan the operation.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Open Septorhinoplasty | Before & After
This patient had previously undergone rhinoplasty and otoplasty at the age of 23, which included the reduction of a dorsal hump.
Over time, he began to notice increasing droopiness of the nasal tip. He had also broken his nose as a child during gymnastics, although his breathing was otherwise good.
On assessment, he presented with a long, straight nose and a dependent, droopy, and slightly asymmetric tip. There was a mild deviation of the nose to the left, but no remaining bony hump. The septum appeared straight.
One of the key findings was the acute angle between the base of the nose and the upper lip. Simply lifting the tip helped to improve the appearance of the nose and also made it appear straighter.
In this case, an open septorhinoplasty was performed under general anaesthetic.
Revision rhinoplasty requires careful planning, particularly when the nose has been previously operated on. The existing structure, scar tissue, tip support, and previous surgical changes all need to be considered before any further refinement is made.
The aim was to improve tip position and support, address the asymmetry, and create a more balanced nasal profile while working with the patient`s existing anatomy.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A bump on the bridge of the nose can change the entire facial profile.
For many patients, a dorsal hump is the feature they notice most in side-profile photos or from certain angles. It may be part of the natural nasal structure, or it may appear more pronounced after trauma or injury.
However, a dorsal hump is never treated as just a "bump".
The bridge, tip, septum, nasal bones, and facial proportions all need to be assessed together before any surgical plan is made.
At Paul Wilson Aesthetics, rhinoplasty planning focuses on refining the nasal profile in a way that remains balanced with the individual face.
Depending on the anatomy, this may involve preservation rhinoplasty or structural rhinoplasty.
The aim is not a perfect nose.
It is a considered, proportionate result that suits the patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalhump #rhinoplastybristol #preservationrhinoplasty #northwoodhospital
When rhinoplasty does not go as expected, subsequent operations are rarely simple.
Revision rhinoplasty often involves navigating scar tissue, altered anatomy, reduced cartilage support, and the outcomes of previous surgery.
In this reel, Mr Wilson explains why patients seek him out for revision rhinoplasty and why this type of surgery demands meticulous planning, extensive experience, and candid discussions.
Additional support may sometimes be required, utilising cartilage from the ear or rib, fascia, or fat grafting.
This also underscores the importance of aftercare. Should concerns arise post-surgery, patients need assurance that they will receive proper review, support, and care.
Revision rhinoplasty is not merely about re-shaping the nose.
It involves comprehending previous interventions, assessing current possibilities, and meticulously planning the subsequent stage.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #rhinoplastysurgery #bristolplasticsurgeon #northwoodhospital
A blocked nose is not always "just congestion".
A deviated septum can make one side of the nose feel constantly blocked, affect airflow, and make breathing feel uneven.
The septum is the internal wall of bone and cartilage that separates the two nasal passages. When it sits off-centre, one side may become narrower, which can make breathing more difficult.
It is not always visible from the outside.
This is why assessment matters. The nose needs to be examined for both structure and function, especially when symptoms are linked with previous injury, nasal asymmetry, or ongoing obstruction.
Treatment may involve septoplasty to improve airflow, or septorhinoplasty when breathing concerns and external nasal shape need to be addressed together.
The aim is to understand what is causing the obstruction and choose the most suitable approach for the individual patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Dorsal Preservation Rhinoplasty | Before & After
This young patient desired refinement of her nasal profile and tip, aiming for a result that remained balanced with her facial features.
Her primary concerns included a prominent dorsum and a bulbous nasal tip.
In this case, an open tip rhinoplasty was performed, utilising piezo-electric surgery for surface reduction of the dorsum. A septal projection graft was also employed to support and define the nasal tip.
Piezo-electric surgery facilitates highly precise work on the nasal bones. This is particularly beneficial when reshaping the bridge of the nose, as it permits controlled refinement while preserving crucial surrounding structures.
The tip also necessitated meticulous planning. A bulbous tip is not merely reduced; it requires reshaping and support to ensure the final result remains stable as the nose heals.
This is where dorsal preservation rhinoplasty and tip definition must work in conjunction. The objective is not to create an entirely different nose, but to refine the existing structure in a manner that complements the individual`s face.
The result displayed here represents an stage of that process, with healing progressing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalpreservationrhinoplasty #rhinoplastybristol #piezoelectricsurgery #northwoodhospital
Rhinoplasty is not a single technique.
It is a series of decisions.
In this reel, Mr Wilson explains the difference between structural rhinoplasty and preservation rhinoplasty, and why preservation techniques have become such a valuable option in suitable primary cases.
The principle is simple: where possible, preserve the natural bridge of the nose rather than dismantling and rebuilding it.
For the right patient, this can allow refinement of the nasal profile while maintaining more of the existing nasal structure.
However, suitability is crucial.
If the nose is very crooked, has been previously broken, or the patient is concerned about the frontal view, a structural or hybrid approach may be more appropriate.
That is why consultation and assessment are so important.
The technique should fit the patient, not the other way around.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A second rhinoplasty is not simply a repeat of the first.
Revision rhinoplasty often means working with a nose that has already healed, scarred, and changed after previous surgery.
Sometimes the concern is visible; sometimes it is functional; often, it is both.
The nose may need more support, better definition, improved symmetry, or correction of breathing issues.
In some cases, grafting may be required to rebuild or strengthen areas that no longer have adequate support.
This is why secondary rhinoplasty needs time, experience, and a very clear plan.
The goal is not to chase perfection.
It is to make the next operation as careful, realistic, and considered as possible.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #secondaryrhinoplasty #rhinoplastysurgery #northwoodhospital
Preservation Rhinoplasty with Septoplasty | Before & After
This patient presented with a previously fractured septum, leading to breathing difficulties, a dorsal hump, and a bulbous nasal tip.
In such cases, rhinoplasty extends beyond merely altering the external appearance of the nose; the internal structure is equally crucial.
The procedure performed was a preservation rhinoplasty with septoplasty. The objective was to enhance the shape of the nose while simultaneously addressing the septum, which had been impacting her breathing.
A preservation approach involves meticulously working with the existing nasal structure rather than simply excising tissue. The bridge, tip, septum, and overall support of the nose all require integrated consideration.
What has been particularly gratifying in this case is the post-operative feedback from the patient. She expressed continued satisfaction with her result, consistently recommends Mr Wilson, and feels the surgery made a significant difference to her. She also noted that while she occasionally experiences some breathing difficulty, she was informed that her nose had been considerably improved from its initial state.
Such feedback is always valued, as rhinoplasty is a protracted process. The outcome encompasses not only the day of surgery but also the planning, healing, trust, and long-term results.
Patient images and feedback shared with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #preservationrhinoplasty #septoplasty #rhinoplastybristol #northwoodhospital
Mommy Makeover | Mastopexy + Full Abdominoplasty
After two pregnancies, this patient was left with skin laxity and a change in shape to both her breasts and tummy — despite returning to a stable, healthy weight. She was happy with her breast volume but troubled by the drooping and excess skin, and by the loose skin and stretch marks across her abdomen.
We planned a combined approach:
🔹 Mastopexy (breast uplift) — excess skin removed and the nipple repositioned higher to lift and reshape the breast, while keeping her own natural volume, exactly as she wanted. This uses an “anchor” pattern scar.
🔹 Full abdominoplasty (tummy tuck) — removal of the loose skin and stretch marks below the belly button, with repair of the separated tummy muscles (diastasis recti) that so commonly follow pregnancy.
Because she’s naturally slim and athletic, no liposuction was needed — tightening the muscle separation and removing the skin overhang simply revealed the toned, defined abdomen that was already there. She’s especially delighted with her new core definition. 💪
Every patient and every result is individual. Surgery carries risks, and a full consultation is essential to understand whether a procedure is right for you.
📍 Surgery by Paul Wilson @ Northwood Hospital, Bristol Consultations via the link in bio.
#MommyMakeover #Abdominoplasty #TummyTuck #Mastopexy #BreastUplift PlasticSurgery CosmeticSurgery BristolSurgeon PaulWilsonAesthetics NorthwoodHospital PostPregnancyBody DiastasisRecti
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. It’s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient’s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
