London Medical and Aesthetic Clinic is one of the UK’s most established centres for Smartlipo laser liposuction and a pioneer in advanced chest contouring for men. Under the direction of world-renowned surgeon Mr Ayham Al-Ayoubi, who first introduced Smartlipo to the UK in 2006, the clinic provides a precise and minimally invasive approach to treating gynaecomastia.
Gynaecomastia, commonly known as enlarged male breasts, can occur due to hormonal imbalance, genetics, or excess fatty tissue. For many men, this condition can affect confidence and body image, even with regular exercise and a healthy lifestyle. Smartlipo offers an effective solution, removing unwanted fat and tightening the skin to create a flatter, firmer, and more masculine chest profile without the need for extensive surgery or lengthy downtime.
What Is Gynaecomastia?
Gynaecomastia is a benign enlargement of the male breast area caused by an overgrowth of fatty or glandular tissue beneath the nipple. It is estimated that up to 60% of men experience some degree of this condition at some point in their lives. While often harmless, gynaecomastia can lead to psychological distress and self-consciousness, particularly when wearing fitted clothing or going shirtless.
Traditional surgical correction involves excision or full liposuction, which can leave scars and require longer recovery. Smartlipo, however, represents a modern, minimally invasive alternative. It uses laser technology to melt fat, shrink excess tissue, and tighten the overlying skin – offering both cosmetic improvement and confidence restoration with minimal discomfort or downtime.
Why Choose Smartlipo for Gynaecomastia?
Smartlipo has become the gold standard in male chest contouring because it targets both the fat and skin laxity associated with gynaecomastia. The laser fibre precisely melts the unwanted fat, while the thermal energy stimulates collagen production for natural skin tightening. This dual effect produces a smoother and more even result compared to traditional methods.
Another key advantage is that Smartlipo can be performed under local anaesthetic, avoiding the need for general anaesthesia and overnight hospital stay. Most patients return home the same day and resume light activities within a few days. The treatment is ideal for men seeking subtle, natural definition rather than the flat, over-corrected look that can result from aggressive surgical reduction.
Before and After Smartlipo photo gallery
Photos – Smartlipo for Men
Smartlipo Procedure for Gynaecomastia
The Smartlipo chest reduction procedure is carried out in a sterile operating theatre at London Medical and Aesthetic Clinic, ensuring the highest level of safety and clinical precision. Once the treatment areas are marked, a local anaesthetic is administered to keep the patient comfortable throughout the procedure. A tiny incision of 1–2 mm is made to allow the insertion of a fine laser fibre through a slim cannula beneath the skin.
Under the direction of Mr Ayham Al-Ayoubi, who has performed thousands of Smartlipo procedures and is internationally recognised for his expertise in laser-assisted surgery, the laser fibre is guided carefully through the tissue to deliver controlled energy to the targeted area. This energy melts unwanted fat and softens mild glandular components while simultaneously coagulating small blood vessels, significantly reducing bruising and swelling compared with traditional liposuction. The thermal effect of the laser also stimulates collagen production, allowing the chest to achieve a firmer, more defined contour as it heals.
The laser is manoeuvred methodically along the pre-marked lines to ensure an even and symmetrical reduction on both sides of the chest. Once the fat has been liquefied, it is either gently suctioned or left to be naturally metabolised by the body, depending on the density and volume of the tissue. Because the entry points are extremely small, stitches are not usually necessary, and the incisions heal quickly within a few days.
A typical Smartlipo treatment for gynaecomastia takes between one and two hours, depending on the amount of tissue to be treated. Patients return home the same day and usually experience only mild discomfort or swelling during the initial recovery period. Compared with conventional surgical chest reduction, Smartlipo offers a smoother, less invasive experience with faster recovery and a natural, masculine result.
Smartlipo Safety
Smartlipo is one of the safest and most established laser-assisted liposuction techniques in the world. It is fully approved by both the FDA in the United States and the MHRA in the United Kingdom and has been performed successfully on thousands of patients worldwide. At London Medical and Aesthetic Clinic, every Smartlipo chest reduction is carried out using the latest Smartlipo MPX and Triplex systems — the most advanced laser platforms available today.

During the procedure, a fine laser fibre is inserted through a tiny incision beneath the skin, targeting only the fat cells while leaving surrounding tissues, nerves, and blood vessels intact. The laser energy liquefies fat and simultaneously coagulates small blood vessels, greatly reducing bleeding, bruising, and swelling compared to traditional liposuction. The precision of the technology ensures that only the unwanted fat is affected, while the thermal energy stimulates collagen production to tighten the skin naturally.

The Smartlipo MPX and Triplex systems are equipped with two intelligent safety features: SmartSense and ThermaGuide. The SmartSense system uses a built-in motion sensor to regulate the laser’s power output in real time, adjusting energy delivery according to the surgeon’s hand movements. The ThermaGuide sensor continuously monitors tissue temperature beneath the skin, automatically modulating the energy level to prevent overheating. These advanced safeguards allow for controlled, uniform heating and consistent results with exceptional safety.

Although Smartlipo is a laser surgical procedure and, like all medical treatments, carries minimal risks such as temporary swelling, mild bruising, or temporary numbness, complications are extremely rare when performed by an experienced surgeon. Under the care of Mr Ayham Al-Ayoubi, these risks are further minimised through meticulous planning, refined technique, and state-of-the-art monitoring. The result is a smooth, even chest contour achieved through a procedure designed for safety, precision, and long-term stability.
Recovery and Results
Recovery following Smartlipo for gynaecomastia is typically quick and straightforward. Most patients return to normal activities within two to three days, with only mild tenderness or swelling that subsides naturally. A compression garment is usually worn for a short period to support the healing process and help the skin adapt to its new shape.
Visible improvements are often seen within the first few weeks, with continued enhancement over the following months as collagen production increases and the skin tightens further. The result is a flatter, firmer chest with improved contour and natural masculine definition. Because the fat cells removed by Smartlipo do not return, the results are long-lasting when combined with a stable weight and healthy lifestyle.
Advantages of Smartlipo for Gynaecomastia
- Minimally invasive and performed under local anaesthetic
- No need for hospital stay or general anaesthesia
- Minimal scarring and very short recovery time
- Simultaneous fat removal and skin tightening
- Effective for mild to moderate gynaecomastia
- Natural, balanced, and symmetrical results
Smartlipo achieves a smooth, sculpted chest contour without the downtime or discomfort of traditional surgery. It’s an ideal choice for men seeking a discreet, efficient, and lasting solution to enlarged chest tissue.
Who Is Suitable for Smartlipo Chest Reduction?
The best candidates are men with mild to moderate gynaecomastia where excess fat, rather than dense glandular tissue, is the primary cause. Patients should be close to their ideal body weight and in good general health. A consultation with Mr Ayham Al-Ayoubi will determine whether Smartlipo is suitable or if a combination with glandular excision may be required for optimal results.
It’s important to have realistic expectations. Smartlipo can significantly reduce the size and projection of the chest, improving contour and symmetry, but it is not intended for severe or hormone-related cases. During your consultation, all aspects of your condition, treatment options, and recovery expectations will be discussed in detail.
Smartlipo for Gynaecomastia at Our Clinic
At London Medical and Aesthetic Clinic, all Smartlipo procedures are performed by Mr Ayham Al-Ayoubi, internationally recognised as a leader in laser body contouring and known as the “King of Smartlipo”. His pioneering work in laser liposuction and body sculpting has established the clinic as one of the most advanced centres for male chest reduction in the UK and Europe.
Patients benefit from Mr Al-Ayoubi’s extensive surgical experience and his dedication to delivering natural, balanced outcomes. Every procedure is tailored to the individual’s anatomy and aesthetic goals, ensuring precise correction and smooth, symmetrical contours. Men travel from around the world to undergo Smartlipo chest reduction at the clinic due to its reputation for safety, excellence, and artistry.
Smartlipo FAQ
Is Smartlipo effective for all types of gynaecomastia?
Smartlipo is particularly effective for treating fat-dominant gynaecomastia and mild glandular enlargement, where the excess tissue is primarily fatty rather than fibrous. The laser energy melts the fat, tightens the surrounding skin, and improves the overall contour of the chest. In cases with denser glandular tissue, Smartlipo can be safely combined with a small surgical excision to achieve a smoother, flatter result. During your consultation, Mr Ayham Al-Ayoubi will assess your individual anatomy and determine the most suitable approach to deliver optimal and natural-looking outcomes.
How long does the procedure take?
A Smartlipo chest reduction typically lasts between one and two hours, depending on the size of the area and the amount of tissue to be treated. The procedure is performed under local anaesthetic, so you remain comfortable throughout and can return home the same day. Because Smartlipo is minimally invasive, there is no need for general anaesthesia or hospitalisation. Most patients find the treatment well tolerated, and the recovery process is straightforward, with minimal discomfort and only mild swelling or tenderness in the days following.
Will there be visible scars?
Smartlipo involves only very small incisions, usually 1–2 mm in length, through which the laser fibre is inserted. These tiny entry points are strategically placed in inconspicuous areas such as the natural creases of the chest, allowing them to heal quickly and blend seamlessly with the surrounding skin. Stitches are rarely required, and the incisions typically fade to near invisibility within a few weeks. This makes Smartlipo an ideal choice for men who want to achieve a sculpted, masculine chest without any tell-tale signs of surgery.
When will I see results?
Patients often notice an improvement in chest shape and firmness within the first few weeks following treatment, with results continuing to develop as swelling subsides. Over the next two to three months, collagen production increases, leading to further skin tightening and refinement of the chest contour. The outcome is a smoother, flatter, and better-defined appearance that looks completely natural. As healing progresses, the chest continues to improve in tone and texture, giving lasting results that can significantly enhance confidence and comfort in clothing.
Are the results permanent?
Yes, the fat cells removed during Smartlipo are permanently destroyed and do not return. The skin tightening effect also continues to improve for several months after treatment due to ongoing collagen stimulation. To maintain long-term results, it is recommended to keep a stable weight and follow a balanced, healthy lifestyle. Regular exercise and good nutrition will help preserve the new chest contour, ensuring the results remain consistent for years. When performed by an experienced surgeon, Smartlipo provides lasting correction with natural, symmetrical definition.




