• Male Chest Gynecomastia

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Gynecomastia Surgery Thailand

Gynecomastia or “man boobs” is a common condition that affects newborn males, teenage boys, and older men. The breasts swell and become abnormally large.

Although gynecomastia is not a serious problem, it can be psychologically difficult to cope. It can affect one’s self-confidence and cause embarrassment and pain in the breasts for some people.

Gynecomastia is not related to breast cancer, but you must see your doctor for a better diagnosis.

Signs and symptoms

You’ll know you have gynecomastia if you have the following signs and symptoms; tenderness in the breast, swollen breast gland tissues, and the diameter of the areola may increase.

Causes of Gynecomastia

Gynecomastia has several causes.  The cause is an extra breast tissue and not fat accumulation. The common causes include hormonal imbalance due to a relative excess of estrogens compared to androgens.

Certain medical conditions e.g. liver cirrhosis, kidney failure, and hyperthyroidism. Substance abuse, some medications like antibiotics, and infections in the testicles are also causative factors.

Treatment Options

If you discover you have gynecomastia, your doctor can either suggest surgery to remove the excessive tissue or medication to adjust a hormonal imbalance. Change of lifestyle or withdrawal from some medications is essential in combating the problem.

Male breast reduction candidacy

If you have sagging boobs and are 18+ years, don’t allow gynecomastia keep you from feeling confident. You can restore a naturally masculine chest appearance with the help of a skilled and qualified cosmetic surgeon.

3. Suction Assisted Lipectomy and Full Lipectomy

This procedure involves a combination of the full lipectomy operation as well as the suction assisted lipectomy. The procedure can, however, be done with a full lipectomy or a mini lipectomy.

The doctor conducts a liposuction in the lateral abdomen area of the body before stitching off the wound. This kind of operation does not cause additional incision because liposuction can be achieved in the same area where the incision of the lipectomy occurs.

Non-Operation techniques

You can treat gynecomastia using non-operation procedures. Start by establishing the cause of the problem and avoid it e.g. quit the medication. Exercise can also strengthen the secretory glands.


The doctor will ask questions concerning symptoms, medical and drug history, and family history.

  • Check your weight
  • Discover the real cause of the problem
  • Don’t smoke before surgery
  • Don’t swallow aspirin, some herbal medicines, and some anti-inflammatory drugs
  • Drink lots of water
  • Come with someone on the day of operation
  • Shave your armpit
  • Wear comfortable top
  • Don’t eat for at least six hours to the operation
The Procedure

Male breast reduction procedure is a straightforward affair once you get the right cosmetic surgeon. You can choose any of the following conventional techniques.

1. Liposuction using local anesthesia with sedation or general anesthesia.

2. Tissue excision to remove stretched and sagging skin around the breast.

– Extended Subareolar

– Extended Semicircular

– Inframammary

– Circular

– Transverse

– Nipple Graft

3. A combination of liposuction and excision.

Post Operation

After the surgery, you’ll notice an immediate improvement in the shape and appearance of your chest. You may feel some minimal pain for a few days. However, take note of the following.

  • Wear compressive garment to decrease swelling
  • Don’t fit your arm more than 45 degrees for at least one week
  • Avoid excessive workouts
  • Get enough rest
  • Follow your doctor’s prescription/instructions
  • Don’t soak incision at least for a week
  • Remove stitches on day 7
  • Don’t lift heavy loads for three weeks
  • Don’t sunbathe
  • Avoid sex for two weeks
Risk Factors

Post-operation procedures may cause the patient to have the following risk factors; infections, reaction to anesthesia, excessive bleeding, prolonged or delayed recovery, loss of sensation in the nipple, and unsatisfactory results.