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The most frequent male requests
The chest: gynaecomastia
Excess breast volume in men — glandular, fatty or mixed in origin — is a frequent source of embarrassment, particularly in summer or during sport. Gynaecomastia surgery removes the excess gland and/or fat to restore a flat chest, through discreet incisions.
Abdomen and flanks
Fat deposits on the abdomen and flanks (love handles) are typically resistant to exercise. Liposuction removes them and redefines the contours. When excess skin is also present — often after major weight loss — abdominoplasty removes the excess skin and tightens the abdominal wall.
The neck: double chin
Excess fat under the chin can weigh down the lower face, regardless of weight. Neck liposuction, or even a neck lift if there is associated laxity, restores a sharp cervico-mental angle.
Volumes: lipostructure
Lipostructure (autologous fat transfer) reshapes certain volumes by reinjecting fat harvested elsewhere on the body.
After major weight loss
Major weight loss often leaves excess skin that exercise cannot tighten: the abdomen, but also the arms — treated with an arm lift — or the thighs. These procedures are considered once weight has stabilised.
Body hair
Laser hair removal meets a growing male demand: chest, back, shoulders, or a simple reduction in density for a natural result.
Exercise, weight and surgery: what each lever can do
These three levers are not interchangeable:
exercise builds muscle and reduces overall fat mass, but does not target genetically determined localised deposits, and has no effect on a mammary gland or excess skin;
weight loss reduces all the fat compartments, but can worsen excess skin;
surgery corrects precisely what the first two cannot reach: resistant fat deposits, mammary gland, excess skin.
Surgery is therefore neither a substitute for exercise nor a weight-loss method: it gives the best result in a patient whose weight is stable, who is active, and whose request concerns a specific, resistant area.
Non-surgical techniques
For moderate fat deposits or early skin laxity, non-invasive techniques (cryolipolysis, radiofrequency, focused ultrasound) can be discussed. Their results are more gradual and more limited than those of surgery; their indication — alone or as a complement — is established during the consultation, depending on the extent of the excess and the quality of the skin.
An approach designed for men
Scars: incisions are placed in barely visible areas (edge of the areola for gynaecomastia, natural creases) and their progress is monitored regularly.
Natural result: the aim is a flat chest and clean contours, not a frozen look — the result must remain credible, dressed or shirtless.
Recovery: depending on the procedure, surgery is often performed as day surgery; a compression garment is worn for a few weeks, and returning to office work is generally possible within a few days to a week.
Management pathway
Initial consultation: clinical examination of the area concerned, medical history, lifestyle habits (exercise, diet, weight stability) and discussion of expectations. In some cases, particularly gynaecomastia, further tests may be requested to look for a cause.
Personalised plan: choice of one or more procedures, timeline, full information on the benefits, limitations, risks and recovery. A quote and a reflection period precede any surgery.
Follow-up: regular post-operative check-ups, advice on returning to sport and maintaining the result.
Expected results and follow-up
The results become apparent gradually as the swelling subsides: a cleaner silhouette from the first few weeks, and the final result at three to six months depending on the procedure. How long it lasts depends above all on weight stability and keeping up regular physical activity.