Treatment breast
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Men typically seek gynecomastia surgery to address concerns such as visible breast enlargement, discomfort and difficulty finding well-fitting clothing. By reshaping the chest, the procedure can significantly improve comfort, confidence and overall quality of life.
With years of experience in gynaecomastia surgery, our skilled team at Paul Wilson Aesthetics can help you achieve your desired result. We utilise advanced techniques such as liposuction and excision to deliver precise contouring and natural-looking results.
Results
About
Gynecomastia surgery, also known as male breast reduction, is a procedure designed to remove excess glandular tissue and fat to create a flatter, firmer and more masculine chest contour. It is the most effective treatment for reducing enlarged male breast tissue that does not respond to diet, exercise or weight loss.
During the procedure, excess tissue is removed through excision, liposuction or a combination of both. If required, the nipple–areola complex can be reshaped or reduced and its position adjusted to achieve a more natural and balanced chest appearance. This helps improve chest shape, restore confidence and relieve discomfort sometimes associated with enlarged breast tissue.
benefits
Gynecomastia surgery offers both physical and psychological benefits by reducing excess chest tissue and creating a flatter, firmer and more masculine contour. Benefits may include:
candidates
Gynecomastia surgery may be suitable for individuals who:
What to expect
Your surgeon will begin with a detailed consultation to ensure you feel fully informed and confident before proceeding. This appointment involves discussing concerns about excess chest tissue, including size, firmness, shape, asymmetry, skin quality and any physical discomfort or self-consciousness you may be experiencing.
Your chest anatomy, skin elasticity and overall health will be assessed to determine the best surgical technique. You will also have the opportunity to ask questions about expected results, incision placement, recovery, scarring and whether liposuction, excision or a combination approach is right for you.
Gynecomastia surgery is performed under general anaesthesia. The duration varies depending on the amount of glandular tissue, fat and skin that need to be removed and whether liposuction is used alongside excision.
Incision placement depends on the type and extent of correction required. For cases involving mostly fatty tissue, only very small incisions near the armpit or along the lower chest for liposuction may be needed.
If firm glandular tissue needs to be removed, an incision is typically made along the lower border of the areola to allow precise excision. Where there’s significant excess skin or drooping, additional incisions may be required to reshape and tighten the chest. Your surgeon will recommend the most appropriate incision pattern for your anatomy while ensuring that scars remain as discreet as possible.
Gynecomastia surgery may involve liposuction, glandular excision or a combination of both techniques. Liposuction removes excess fat and smooths the chest contour, particularly around the sides and under the armpits.
Firm glandular tissue, which cannot be treated with liposuction alone, is removed through a small incision to flatten and refine the chest shape. Loose or stretched skin can also be tightened if needed, and enlarged areolas can be reduced to create a more proportionate appearance.
The overall aim is to produce a flatter, firmer and naturally contoured chest that aligns with your body proportions.
After the chest has been reshaped, the incisions are closed with sutures and covered with dressings. A compression garment is usually applied at the end of surgery to minimise swelling, provide support and help the chest settle into its new contour during the early healing phase.
Your surgeon will provide tailored advice on caring for your scars once the incisions have healed. This may include silicone gel or silicone tape, along with gentle massage, to support optimal scar maturation. Scars will gradually fade, soften and improve over the first 12 to 18 months.
Recovery
Recovery varies between individuals and depends on the extent of tissue removal, whether liposuction was used and your body’s natural healing response. While each patient heals at their own pace, most men can return home the day after surgery.
In the early stages, it is normal to experience swelling, bruising, tightness and tenderness across the chest. These symptoms gradually improve over the first few weeks and can be managed with prescribed or over-the-counter pain relief.
A compression garment will be provided and should be worn day and night for several weeks to help reduce swelling, support the healing tissues and encourage a smooth, flatter chest contour.
A well-fitted compression vest is required for several weeks after surgery. This helps minimise swelling, supports the chest as it heals and assists the skin in retracting smoothly over the newly contoured tissue.
Most patients can resume driving within about one week, depending on comfort and upper-body mobility. Many return to work within two weeks, though this varies depending on the role’s physical demands.
Light exercise can usually begin after one month. Strenuous activity, chest workouts, heavy lifting and contact sports should be avoided for at least six weeks to protect the healing tissues and maintain the surgical result.
Improvements in chest shape and comfort are often noticeable early, with results continuing to refine as swelling subsides. Incisions gradually soften and fade over 12–18 months, becoming less visible with time. Final contouring continues to improve as the skin tightens and the tissues settle into their new position.
Scars are typically placed in a peri-areolar fashion (around the nipple areolar complex). This reduces the overall size of an enlarged and puffy nipple areolar complex.
You will receive detailed aftercare instructions tailored to your procedure, including guidance on caring for incisions, managing discomfort and recognising any signs that may require attention. You will also attend scheduled follow-up appointments so your surgeon can monitor your healing and ensure optimal long-term results.
Risks & complications
As with any surgical procedure, gynecomastia surgery carries certain risks. While complications are uncommon, it is important to understand potential risks, which may include:
Your surgeon will discuss all potential risks during your consultation, ensuring you are fully informed before deciding to proceed.
Fees
The cost of gynecomastia surgery in the UK varies depending on several factors, including the amount and type of tissue to be removed, whether liposuction, glandular excision or both are needed and the overall complexity of the procedure. Additional factors such as surgeon fees, hospital or facility charges and the use of anaesthesia may also influence the final price.
A personalised quote will be provided after your consultation and full clinical assessment, once your surgeon has determined the most appropriate treatment plan for your needs and desired outcome.
FAQ
Non-surgical options may help in cases caused by hormonal imbalance, medication use, weight gain or puberty. These include weight loss, resistance training, stopping medications known to cause breast enlargement (under medical supervision) and treating underlying hormonal conditions. However, gynecomastia caused by excess glandular tissue cannot be corrected solely through diet or exercise.
Swelling is most noticeable in the first two to three weeks after surgery and gradually decreases over several months. Most patients see significant improvement by six weeks, with final contour refinement continuing for up to three to six months as the tissues settle.
Recurrence is uncommon when the underlying cause has been addressed. However, gynecomastia can return if hormonal imbalance, significant weight gain, steroid use or certain medications trigger new breast tissue growth. Maintaining a stable weight and avoiding substances linked to gynecomastia can help preserve long-term results.
The procedure typically takes between one and two hours, depending on the amount of glandular tissue, fat and skin being removed and whether liposuction is combined with excision. More complex cases may take longer.
In the early stages, chest shaping comes from proper healing, wearing your compression garment as directed and avoiding strenuous activity until cleared by your surgeon. Once healed, gradual strength training, particularly chest, shoulders and upper-body exercises, can enhance muscle definition and improve overall chest contour.
This is a condition where the male chest appears enlarged due to an accumulation of excess fat rather than the growth of actual glandular breast tissue. This is treated with Vaser Liposuction followed by a compression vest for six weeks.
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 gynecomastia surgery is the right option for you.
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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
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 silicone 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
Happy Friday! Cycle to work day! #paulwilsonaesthetics #northwoodhospital #cycletowork #happyfriday #starbucks
Dorsal Preservation Rhinoplasty: What’s the Hype?
Traditional rhinoplasty shaves the hump off the top of your bridge, then rebuilds the roof. DPR lowers the bridge from underneath — keeping your natural dorsum fully intact. 👃
Why people love it 💕
✅ More natural front view (no widening!)
✅ Preserves your dorsal aesthetic lines
✅ Fewer grafts needed
✅ Quicker recovery & less bruising 🤍
✅ Smoother long-term results
The fine print 📝
⚠️ Hump recurrence is the #1 risk
⚠️ Best for straight noses with small/medium humps
⚠️ Technically harder — surgeon experience is everything
⚠️ Rare risks: saddle nose, radix step-off, asymmetry
The hype is real — if you’re a candidate. Always consult a surgeon fluent in BOTH techniques, not just the trendy one. 🤍
#rhinoplasty #dorsalpreservation #nosejob #facialplasticsurgery rhinoplastyjourney noseaesthetics
🦋From tension to transformation! This patient came to Mr Paul Wilson at Northwood Hospital with a classic tension nose — high radix, dorsal hump, an over-projected tip and a hanging columella. ✂️ The result? A natural dorsum, lowered radix, elevated tip and a normalised columella-labial angle.
Why choose Mr Paul Wilson at Northwood Hospital, Bristol? 👇
✅ Accredited BAAPS Plastic Surgeon
✅ Dual-qualified
✅ Preservation rhinoplasty specialist — less disruption, more natural outcomes
✅ Brand new, state-of-the-art CQC registered hospital
✅ Perfectly located in Bristol — easy reach from London & the South-West
Nature, meet refinement. 🏥✨
#Rhinoplasty #NoseJob #paulwilsonaesthetics #NorthwoodHospital #BAAPS #preservationrhinoplasty #aestheticsurgery #BeforeAndAfter #BeforeAndAfterRhinoplasty #FacialHarmony
Your nose is the focal point of your face — and even the subtlest refinement can bring everything into harmony. At Paul Wilson Aesthetics, our rhinoplasty procedures are tailored to your unique anatomy, enhancing your natural beauty rather than erasing it.
Performed under general anaesthetic at Northwood Hospital, each procedure typically takes 2–4 hours, with most patients returning to everyday life within 2–3 weeks. Final results continue to refine beautifully over the following months.
Whether you`re looking to refine a bump, reshape the tip, or improve overall facial proportion, Mr Paul Wilson brings a meticulous, artistic eye to every consultation and procedure.
BOOK A CONSULTATION ↗
#Rhinoplasty #NoseJob #RhinoplastyUK #FacialAesthetics #PlasticSurgery #NoseReshaping #CosmeticSurgery #PaulWilsonAesthetics #NorthwoodHospital #FacialSurgery #NaturalResults #SurgicalAesthetics #FacialHarmony #BristolSurgeon #Rhinoplasty2026 #BeforeAndAfter #ConfidenceRestored #AestheticSurgery #FacialRefinement #CosmeticSurgeonUK
Precision in motion. 🦴✨
Meet Paul Wilson — one of the rare surgeons holding dual qualifications in both dentistry and plastic surgery. That unique combination is on full display here, as Paul interprets dental imaging in real time while placing mandibular angle and chin implants.
Facial implant surgery is as much about artistry as it is anatomy. Having a deep understanding of the underlying bony architecture — the kind of knowledge that comes from a background in dentistry — allows for implant placement that’s tailored, precise, and harmonious with each patient’s natural facial structure.
From reading the CBCT scan on screen to refining the jawline and chin projection in the OR, every detail is considered. This is what dual expertise looks like in practice. 💙
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Facial implants for jawline and chin enhancement should always be performed by a qualified surgeon following a thorough consultation. Individual results vary.
#FacialImplants #JawlineSurgery #ChinImplant #PlasticSurgery #FacialAesthetics MandibularAngleImplant SurgicalPrecision PaulWilson AestheticSurgery FacialContouring. Ready to take the first step?
📞 Call us today to book your private consultation
💬 Or send us a DM — we’re happy to answer your questions
🔗 Tap the link in our bio to learn more and enquire
VASER 3D Liposuction @northwood_hospital goes beyond fat removal — it’s full-body sculpting. By targeting fat layer by layer, the technique works with your natural muscle structure to reveal definition, contour, and shape that looks athletic, not just slimmer.
Total definition. Considered from every angle.
Performed by Paul Wilson Aesthetics, every procedure begins with a detailed consultation to map your anatomy, understand your goals, and design a result that suits your body.
✔️ 3D high-definition contouring
✔️ Sculpting that follows your natural lines
✔️ Consultant-led, fully personalised
VASER is a surgical procedure. Results vary between individuals and a consultation is required to assess suitability.
📍 Northwood Hospital
📩 DM us or book your consultation via the link in bio
#vaser #HighDefinitionLipo #BodyContouring #PaulWilsonAesthetics #NorthwoodHospital
It was a great honour to present my experience on #hairlinelowering at the Royal College of Surgeons of England at the British Aesthetic Meeting, among esteemed colleagues. #northwoodhospital #plasticsurgery #hair #brow
⭐Patient Testimony⭐ #deepplanefacelift #cheekimplants #necklift #blepharoplasty #northwoodhospital
Gynaecomastia | Before & After
This procedure addresses excess fullness in the male chest caused by gland, fat, or a combination of both.
The aim is not simply to remove tissue, but to improve the overall chest shape for a balanced and natural appearance. As with any operation, success depends on choosing the right technique for the individual`s anatomy and careful surgical planning from the outset.
The initial result is just one stage of the process. Swelling gradually subsides, and the chest continues to refine as healing progresses.
Please take a moment to view the outcome.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A neck lift is designed to address laxity beneath the chin and along the jawline.
Some patients are less concerned with their face itself, and more with the way their neck has changed over time. Loss of definition, heavier tissue, or loose skin in this area can affect overall facial balance.
A neck lift focuses on restoring a more defined contour through careful surgical planning, with the aim of achieving a result that looks natural for the individual.
As with any procedure, suitability depends on anatomy, skin quality, and the changes being treated.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
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