Dr. Dirk Lazarus

Plastic, Reconstructive & Cosmetic Surgeon

MBChB (UCT), FCS (SA) Plast & Recon Surg

Plastic Surgery in Men

MEN make up about 12-15% of my patients and may come to see me for several reasons.

Liposuction is the commonest operation I perform in men. The usual areas I am asked to treat are the tummy, love handles, chest and neck, although other areas may be treated too. The procedure is as for women although I may not use a spinal injection. More on male body procedures here.

Male breast development or gynaecomastia is reasonably common. Typically breast development begins at around puberty and then simply does not go away. It may be associated with the use of anabolic steroids or other drugs and it may run in families. If the breasts are soft, then I treat the problem with a specialised form of liposuction. The alternative to liposuction is open surgery which leaves cuts around the areola and perhaps even extending beyond. Liposuction usually gives an acceptable improvement, but occasionally open surgery is required to remove a hard nubbin of breast tissue which remains. More on male gynaecomastia here.

Protruding ears are commonly corrected with an otoplasty in men.

Male facial rejuvenation is different from female facial rejuvenation. Men have thicker skin and facial hair growth (sideburns, beard). Men have a different pain threshold and level of tolerance from women. Men have a greater risk of bleeding and other complications. Male faces ought to retain their masculinity and not be feminised by facial rejuvenation. More on male facial rejuvenation here.



Hi Anneli, Just have to share this…today I walked through the foyer of our company and an oldish German lady who passed through took my arm, looked at me and said in english :’ So elegant, so chic”. Anneli, it was NOT my clothes or hair or even my eye-lift, it was the confidence I exuded because I felt good about myself for the first time in many years. Kiss Dirk for me and tell him how wonderful it made me feel.