Gynecomastia , what is it?
Gynecomastia is enlargement of the breast tissues in boys or men (also known as men boob) , which may cause it to look like a woman’s breast or have pointed nipples. These are physical features that many men may not like, as pointed nipples, especially, can be evident even when wearing a shirt.
Gynecomastia may be embarrassing and can be a source of great insecurity, but surgical interventions can help reduce the appearance of enlarged male breasts.
Gynecomastia Surgery Costs in Thailand
The cost of complete gynecomastia surgery is composed of two procedures: liposuction of the entire chest and breast tissue removal. All cost is around 80,000 – 100,000 Thai Baht depending on whether only liposuction is required (under local anesthesia) or both procedures are required (general anesthesia).
- Gynecomastia in teenagers – Breast tissue growth happens in men during three stages in the life span of an individual and they are infancy, adolescence and old age. When teenagers go through puberty and becomes sexually mature, there are a lot of hormonal changes including estrogen dominance for some time and this can cause development of breast tissue. Not all boys going through puberty will experience this but estimated 50% may develop breast tissue growth. This called pubertal or teenage gynecomastia.
- Gynecomastia in adults – Men who are significantly overweight are very likely to feel some enlargement of their breast tissue. This is partly caused by fat tissue under the skin on the chest wall, and partly by true breast glandular tissue. Fat tissue anywhere in the body encourages formation of estrogen, and thus can lead to gynecomastia.
- Medications – Certain medicines can also cause Gynecomastia, medication like :
- Heart medicines
- Anti-anxiety drugs
- AIDS treatments
- Tricyclic antidepressants
- Drugs that treat heartburn
- Other substances like :
- Anabolic steroids for body building
Medical conditions – there are certain medical conditions that may also cause Gynecomastia including :
- Klinefelter syndrome
- Kidney disease
- Liver disease
Foods – some foods naturally contain high levels of phytoestrogens, chemicals which closely mimic estrogen and can ‘trick’ the breast tissue into growing in response. Some foods contain high levels of phytoestrogens include :
- Flax and sesame seeds
- Soy milk and tofu
- Cereals and dread containing flax seeds
- Process foods
- Dried fruits
Before and After Gynecomastia
- Breast pain or tenderness
- Enlarged areola
- Nipple discharge (occasionally)
- Hard lumps
Grade 1 – Swelling behind the nipple and areola
- Severity : Very mild
Grade 2 – Swelling across chest wall, indistinct edges
- Severity : Mild to high
Grade 3 – More prominent swelling, definite edge
- Severity : High and visible
Grade 4 – Sagging of breast (Feminization)
- Severity : Severe and visibly feminine
Gynecomastia Treatment : Most men don’t need treatment for gynecomastia, if the problem is caused by puberty. As most cases will go away on their own. Early treatment is advice, like weight loss and stopping of medication that might cause the problem. There are also medications that men can try to reduce the swelling of their breast tissue. If early treatment and medication does not work then male breast reduction surgery might be suggested.
Gynecomastia may not be a serious problem, but it can cause emotional discomfort, embarrassment and impair self-confidence. To avoid these situations some men choose to undergo breast reduction surgery to remove the breast tissue. The type of surgery the surgeon will recommend will be based on his evaluation. The surgery is usually carried out by a plastic surgeon and done it in an outpatient visit. Male breast reduction with tissue excision is usually performed using general anesthesia or local anesthesia with sedation as an outpatient.
Proper investigations and evaluation are needed to work out the cause of enlarged breast tissue, these include the following :
- Physical examination
- Blood tests
- Ultrasound scan of the breast tissue
- Other scans like MRI of the breast area
Types of surgery for gynecomastia we offer here at Rattinan Medical Center :
- Liposution – Fat removal surgery, this technique removes only the fatty tissue not the breast glandular tissue. Can be done together with Mastectomy.
- Mastectomy – Surgical removal of breast tissue, the small curved incision is around the areola. Can be done together with liposuction and areola reduction.
For severe case of gynecomastia, the surgeon will consider removing the excess skin along with the glandular tissue.
Gynecomastia Surgery Risks
Gynecomastia surgery is very safe but before deciding to have a surgery, patients need to consider the risks and benefits of having male breast reduction surgery. The day of your surgery you will asked to sign a consent form to make sure that you understand fully the potential risk and complications.
Gynecomastia surgery risks include :
- Pain after gynecomastia surgery
- Infection of the wounds
- Collection of swelling fluid under the skin
- Regrowth of the breast tissue over time
- Poor appearance of the chest
- Poor appearance of the scars
Preparation for surgery
- Lab tests – to check your health status and any pre-existing conditions or risk factors.
- Stop certain medications for 1 week including aspirin, nonsteroidal anti-inflammatory drugs (NSAIDs) and blood thinners, all of which can increase the risk for bleeding. Certain vitamin and herbal medicine like omega-3 fatty acids, gingko biloba and green tea may also increase bleeding risk.
- Stop smoking and drinking alcohol prior to surgery.
- Also avoid caffeine the day of the surgery, the numb medication we use have adrenaline that might increase heart rate. Caffeine might result in an adverse reaction of adrenaline, and heart rate may increase more.
- Fasting of food and water for 6-8 hours on the day of the surgery.
- Wear loose clothing on the day of the surgery for comfort. Because in some case patients have a tube attached to drain the excess blood or fluids and on top of the wound dressing you need to wear a compression garment to reduce the swelling and support the chest contour after surgery.
Thai hospitals in Bangkok are some of the highest quality in the world, meeting or exceeding US standards. With the highest number of JCI accredited hospitals and clinics in Asia. Thai physicians love JCI and everyone is seeking to become JCI accredited. Given Thailand’s reputation for graceful and attentive service, it is not hard to see why Bangkok has quickly become the medical tourism hub of Asia.
Post surgery care instructions
- Dressings or bandages will applied on the incisions and you will wear a compression vest (also called a compression garment) 24 hours for 3 days and 12 hours for 1 month.
- You will be given medications with instructions, to help in healing and reduce potential infections.
- If you develop rash or having allergic reaction to the medication, please call the clinic immediately.
- When bathing make sure to pat the incision area dry. No soaking or swimming for at least 1 month or until the incision is fully healed. To minimize the risk of infections.
- Schedule an appointment for changing the wound dressing if cannot done by yourself.
- Cleaning the incisions at home. Wipe the incision gently with Bethadine and the surrounding skin with alcohol. Do not apply alcohol over the incision directly, then afterwards place the water resistant Band-Aids before shower.
- Schedule follow-up checkup and when to remove the stitches.
- It’s normal to feel burning, soreness on the breast and drainage coming out from the incision line during recovery.
- Bruising and swelling will be expected for a few months and may take some time to go away.
- Liposuction areas need massaged to help break any lumps or bumps; you may use any lotion of your choice. Massaging in a circular motion all around the treated area.
- Exercise and vigorous activity could start after 2 weeks.
- The first month post-surgery most patients may notice a 50% reduction of the area treated. It takes time for the swelling to go away. Takes about 6 months to 1 year to see the final results.
- May start applying scar creams to the incisions after stitch off, if the incision line looks good and there are no open wounds or scabs.
- Sometimes the suture will take time to dissolve and may reach the surface, if this happens you can carefully cut them.
Gynecomastia Surgery FAQ
What Is The Cost Of Gynecomastia In Thailand Compared To Australia Or New Zealand?
I don’t know the exact cost of the Gynecomastia surgery in Australia and New Zealand, but I believe it’s still cheaper even when you combine the cost of surgery with the costs of airfares and accomodation. Thailand used to compete with other countries for medical tourism in term of cost but now its quality and standard are more important.
Cosmetic surgeons in Thailand have far more experience because they treat more patients than surgeons in Australia and New Zealand. Liposuction, for example in our Rattinan Clinic accommodates up to 600 cases per year. It would take an Australian surgeon 4-5 year to reach that level.
- What Are The Risks Of Plastic And Cosmetic Surgery?
The major risk of cosmetic surgery is an unpleasant result and not being able to get another appointment to fix it by the same surgeon because the patient is travelling back home. Our advice is to choose the best surgeon with a good track record in terms of results as well as responsibility for after care. Or choose the treatment that has a high success rate such as liposuction or gynecomastia. Rhinoplasty, eye surgery is complex and follow up procedures are required more often than liposuction.
Mistakes for liposuction such as uneven skin might be a non-urgent issue because the patient can cover it with cloths while enjoying a better body shape. In addition, she can wait to return when she’s ready to fix it. On the other hand, nose and eye surgery are more difficult. Patients are unable to go to work and the requirement to fix any issues is extremely urgent.
- Why Should I Have Gynecomastia Surgery In Thailand?
There are two reasons. The first is that it is likely to cost you less than the same procedure in Australia or New Zealand even if you include travel costs. The second is that cosmetic surgeons in Thailand are highly experienced and Bangkok in particular has some of the highest quality hospitals in the world.
Gynecomastia Before and After
Review Male Breast Surgery at Rattinan Clinic
Gynecomastia Customer Review
Board certified plastic & Reconstructive surgeon
The surgeon who performs the treatment
Dr. Surinnart Charoenchitt
- M.D license no. 33163
- Doctor of medicine (2005)
- Board certified Plastic and Reconstructive surgery , Chulalongkorn University (2013)
- Underwater Medicine Department of Naval Medicine (2015)
- Fellowship at Air force Military Medicine
- Fellowship, Post Bariatric surgery body lifting , Geneva , Switzerland
- Certificate, Buttock augmentation , Paris, France
- Plastic Surgeon
- Plastic and Reconstructive Surgery
- Buttock augmentation
- Body lifting : Tummy tuck, Arm lift , breast lift
1 1⁄2 Hours
Stay in Hospital
1 Week After Surgery
Alert : Common complications that can occur after surgery include: Bleeding, infection Or that inflammation They differ depending on the physical condition of each person. Therefore, caution should be followed strictly.
Atmosphere Rattinan Medical Center
Clean, safe and meet international standards
Class A surgical facility
Along with a team of expert doctors
Established 1999, over 23 years of experience
Accredited by AACI (American Accreditation Commission International) 2021- current