Gynecomastia – Male Breast Reduction

Gynecomastia ( Man Boobs), is very common but is infrequently discussed. If you feel ashamed or insecure about taking off your shirt at the beach or the gym, you are not alone. Deposits of excess fat and breast tissue affect 40%-60% of men, and whether mild or severe, they can be the source of considerable embarrassment and self-consciousness. Gynecomastia correction, or male breast reduction, is frequently performed to reduce the size and shape of the enlarged breast tissue. While gynecomastia can contribute to physical pain in the chest area, for most men it is the discomfort they feel with their shirts off. Although weight loss can help reduce gynecomastia, for most it will not eliminate it. In most cases, gynecomastia correction, or male breast reduction, surgery proves to be the only solution.

It usually begins in adolescence and can contribute to psychological problems in both teenage and adult males. There are many possible causes including puberty, obesity, Klinefelter’s Syndrome, Gilbert’s Syndrome, Aging, problems with testicular hormone production, prescription medications, anabolic steroids and impaired liver function. Many men and boys who suffer from Gynecomastia find male breast reduction surgery to be the perfect solution to the problem. Many of our surgeon in Phuket have expertise in all surgeries of the male and female breast(s) enables them to achieve results that are aesthetically pleasing and natural looking. This is accomplished by masterfully combining the principal elements of art and medical science.

Gynecomastia is characterized by:

  • Excess localized fat
  • Excess glandular tissue development
  • A combination of both excess fat and glandular tissue
  • Gynecomastia may be present in one or both breasts

Gynecomastia Causes

Sometimes, gynecomastia is caused by medications. These include:

  1. Steroids
  2. Ulcer medications
  3. Epilepsy medications
  4. Digitalis and other heart medications
  5. Chemotherapy drugs
  6. Antiandrogen medications
  7. Antianxiety and antidepressant medications
  8. Products containing tea tree oil or lavender oil


Many men ask themselves if they are candidates for various plastic surgeries, particularly gynecomastia (male breast reduction). You need to consider this question yourself, as only you understand exactly how your chest makes you feel. Having the option to travel to Thailand for surgery away from family and friends appeals to many males considering surgery.

Gynecomastia surgery candidates include:

  • Men whose condition cannot be corrected through alternative medical treatments
  • Healthy individuals who do not have a life-threatening illness or medical conditions that can impair healing
  • Non-smokers and non-drug users
  • Men with a positive outlook and specific goals in mind for improving the physical symptoms of gynecomastia
  • Men who are physically healthy and of relatively normal weight
  • Men who have realistic expectations
  • Men whose breast development has stabilized
  • Men who are bothered by the feeling that their breasts are too large

Adolescents may benefit from surgery, although secondary procedures may be needed in the future should breast development continue.

A good gynecomastia candidate can quite simply be any man who feels self-conscious about his breasts. Now having said that, there are certain situations, which can rule you out as a candidate.  Some of them include:

  • prior medical history, which might put you at risk during surgery
  • inability to quit smoking
  • unable to stop taking certain medications
  • unrealistic expectations
  • psychological issues

The most common type of gynecomastia is called classic gynecomastia,.when the enlarged breast is caused by a combination of excess breast tissue and an excess of fatty tissue. If you have classic Male Breast Enlargement, you will notice how the enlarged breast rounds out at the bottom. The roundness is caused by the presence of excess breast tissue, which prevents the underlying pectoralis major muscle to show through. The pectoralis major muscle is what creates this horizontal line. The excess breast tissue hangs downward, or sags, in a more round or teardrop appearance.

It is important to understand that EVERY man has some breast tissue located under the nipple. Only if you feel you have an excess of this tissue, and the appearance of your chest has changed, should you consider surgical options.

Puffy Nipples is another common type of gynecomastia. It differs from Classic Gynecomastia in that the nipple and areola are cone shaped causing the areola to protrude and look almost “puffy.”  On an ideal chest, the areola lays flat with the surrounding breast skin. When there is a case of “Puffy Nipples”, the areola projects outward.  Many men complain that their protruding nipples become worse in warm and  hot temperatures. Often men are unable to wear lighter shirts because the puffy nipples show through causing them embarrassment and humiliation. Puffy Nipples are commonly caused by an excess amount of breast tissue underneath the nipple and areola. This breast tissue pushes the nipple outward and makes it overly visible, especially in thin shirts. It also pushes the areola outward causing it to no longer be flush with the surrounding skin.  This creates a “puffy” appearance.

Fatty Gynecomastia / Enlarged Male Breasts

The definition for Male Breast Enlargement that is primarily caused by excess fat is called Pseudo-Gynecomastia. Weight loss is typically recommended as the best solution for this type of gynecomastia, however in some cases diet and exercise is not enough. This is frequently the case when men have “love handles,” as well as gynecomastia or pseudo gynecomastia because the combination of these two areas does not respond well to weight loss. Even when a man is at an ideal body weight, the body can still accumulate excess fat in these areas. Weight loss is still the recommended first option prior to pursuing surgical options.

The most common causes of gynecomastia that our surgeons in Thailand treat are:

  1. Excess body fat – Increased body fat in men often lies within the breast tissue. This excess body fat causes estrogen (a female hormone) to increase in the blood, which causes breast tissue to grow.
  2. Anabolic steroid use – Gynecomastia is a common side effect of continued steroid use. Men naturally produce small amounts of estrogen, however when steroids are used estrogen levels rise, which can result in breast enlargement.
  3. Medications – Avadart, Propecia,and many prohormones taken to increase muscle mass or for therapy treatments are also known to cause hormonal imbalances resulting in increased breast enlargement.
  4. Natural hormone imbalances – In some situations a man naturally produces too much estrogen or has other hormone ratios which are not where they should be.
In male breasts due to excess adipose tissue, liposuction alone may be performed to obtain the desired results. The type of liposuction that is best for the patient will depend on the amount of fibrous tissue and glandular tissue present. Frequently, there is a firm, tender mound of breast tissue under the areola that will need to be excised. In these cases, an incision along the border

If your gynecomastia is the result of a glandular disorder, liposuction alone is not likely to be adequate. Traditional surgical excision may be a better option. The excision may be performed alone or in conjunction with liposuction. Typically, the incision is placed on the edge of the areola (colored area of the nipple) or in the underarm area. Your surgeon will work through these incisions to cut away the excess glandular tissue, fat and skin from the breast.

Following your breast reduction surgery, you can enjoy a more pleasing shape and enhanced self-confidence.

During the Male Breast Reduction procedure, a few tiny incisions are made near the target area. These are just long enough to allow the cannula through, usually a few millimeters or so. Next, your surgeon will use one of several methods to break up and loosen the fat cells for easier removal:

  • Tumescent Liposuction uses a special fluid mixture of saline, local anesthetic and a blood vessel constrictor to saturate the area, then a gentle back and forth motion is used to break apart fat cells before they’re removed with gentle suction.
  • Power Liposuction is similar to tumescent liposuction, except that your surgeon will use a special vibrating cannula that moves back and forth much more rapidly. This allows for a greater volume of fat cell removal, and also means less vigorous motions are used throughout the procedure so patients feel less bruised during the recovery process.
  • Ultrasonic Liposuction uses a special ultrasonic probe that targets only fat cells, leaving the surrounding muscles and other tissues unharmed. Surgeons often prefer UAL for delivering superior results in more fibrous (muscular) areas of the body with a more comfortable recovery.
  • Laser Liposuction is ideal for very precise results and improving the appearance of loose skin. Laser lipo ruptures fat cells for quick removal while minimizing bleeding during the procedure, and stimulating collagen production that tightens the skin’s surface.

After the fat cells have been removed, your surgeon will have you wear a special compression garment. This helps expel any remaining tumescent fluid, as well as encourages your upper chest to conform to its new contours. Incisions are usually left open following chest liposuction to promote faster elimination of any remaining tumescent fluid, which in turn reduces swelling and bruising more quickly.

Patients can expect to see results within a few weeks, with improvements continuing on for the next few months after their surgery. Most patients take it easy for the first week or so following their procedure, and are back to their normal daily routine within a week or two.

Chest liposuction will give men a more sculpted, toned look in their upper torso, creating a healthier, slimmer profile that looks more masculine and muscular


Temporary bruising, swelling and numbness are common the first night after surgery.  You may need to go to the bathroom frequently during the night because of the IV fluids you were given during your surgery. Drink a lot of fluids in order to keep up with this fluid loss. As your body begins to balance itself out, it will rid itself of this extra “water weight and everything will return to normal. You should leave all of your bandages intact overnight.


The next morning following your surgery, your surgeon will do your first post-operative visit prior to your discharge. Prior to your discharge, your dressings will be changed, and your operative sites will be evaluated. After your examination, you will be placed back into your chest compression garment, and you will be allowed to return to your hotel. All of your questions will be answered, and you will be given instructions for the following week that will include the following:

You may feel tired and sore for several days following the surgery.  Your chest will be swollen and tender. Patients may shower the next day after surgery with care taken to not soak the sticky tapes over the incisions. Strenuous activity, particularly utilising the chest and arms, will be restricted for the first week after surgery. Impact Cardio exercise should be avoided for one to two weeks post-operatively. Weight lifting should be avoided for 3-4 weeks post-operatively and chest exercise should not begin until 4 weeks postoperatively. The resumption of and amount of physical /athletic activity should be guided by the level of patient discomfort with “pain” being the ultimate guide.


You will have a follow-up appointment with your surgeon 7 days after surgery, this will be arranged prior to your discharge from hospital.The results of your surgery will typically be obscured by swelling and bruising at one week after surgery.  In regards to an exercise program, use common sense and use pain as your guide; if it hurts, simply don’t do it!  The majority of patients are allowed to return to light, low-impact cardiovascular exercise after the first week of recovery.

During this period, there may be some moderate pain, but it can typically be treated with your prescription pain medications. You may continue to experience some mild, periodic discomfort during this time, but such feelings are normal. Heavy lifting or straining should be avoided after surgery. You can typically return to work within a week and to full activity within a few weeks.


Depending on the amount of physical exertion required to perform your expected duties, you should already be back into your regular rhythm at work. Exercise and workout routines may begin at this point in your recovery process. When you return to the activity, start at half speed and increase to your regular routine as long as you do not feel any pain during and the day after your workout.  Although exercising will not adversely affect your result, it may temporarily cause more swelling immediately after the exercise that will subside over the next few hours. The majority of  patients are back to their regular workout routine within a couple of weeks after their surgery.

All patients vary in their ability and speed to recovery after surgery, but most commonly you can expect the final result from surgery to be evident at six months after surgery. During this period, the chest will become less swollen and tender, and the small scars near the areolas will typically begin to fade away to thin white lines.

Is There Surgery After Care Service in Thailand?
Yes. There is a continuing commitment by Meditravel to you which doesn’t stop once you have had your Male Breast Reduction surgery. Your long-term health and well-being are important  to Meditravel, PIAC Hospital, and your surgeon. Your surgeon will monitor and  check on your progress during your stay in Phuket. This means you will have a  follow-up visit to ensure that your recovery is progressing how it should prior to your departure home. Providing you with any further instruction or guidelines to following during you recovery period.

Your Male Breast Reduction Surgery  aftercare is included in the Surgery Package and is not additional cost It does include 24 hour access to your surgeon and his team while you are in Phuket and when you return home, which is vital if something unforeseen happens or you have any follow-up questions or concerns.

The cost of Male Breast Reduction Gynecomastia in Thailand and Gynecomastia in Sydney can vary depending on if you require Liposuction alone or a combination of techniques to achieve your results.

Our advice to get a clear picture of what is going to work to achieve your results is to submit your images and patient information so our Thailand Surgeons can provide you with recommendations. These recommendations will  include what surgery will achieve your results, confirmation of price and duration you require for recovery in Phuket or Sydney

The pricing below is for standard Male Breast Reduction cost in Phuket and should be used a  guide only without having surgical recommendations provided.

 (Gynecomastia)  THB  AUD  THB  AUD
Male Breast Reduction Breast Glandular Excision  110,000  $4,100 120,000  $4,400
Male Breast Reduction Breast Glandular Excision + Vaser 160,000  $5,900  180,000  $6,700
Male Breast Reduction Horizontal Breast Reduction + Liposuction  POA  POA 220,0000  $8,100
 Male Breast Reduction  Vaser Liposuction Only  85,000  $3,200  90,000  $3,300
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We understand that you will not always be sure about what surgery will be needed and that you will need to know that you are, in fact, a candidate for your Male Breast Reduction surgery. To address this, you have the opportunity to have one of our highly qualified surgeons from Phuket Plastic Surgery Institue provide you with their personal recommendations at no cost or commitment to you to proceed with surgery.

Step 1: Take photos as required

Step 2: Complete the Patient Registration and upload images taken

Step 3: Receive personalised  Recommendations, exact cost and duration required to stayin Phuket for recovery, from a surgeon specialised in your chosen procedure.


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