Gynecomastia (Male breast surgery) in Thailand is your good choice

• 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 :

1. Antibiotics
2. Heart medicines
3. Anti-anxiety drugs
4. AIDS treatments
5. Tricyclic antidepressants
6. Chemotherapy
7. Drugs that treat heartburn

• Other substances like :

1. Marijuana
2. Heroin
3. Amphetamines
4. Anabolic steroids for body building
5. Alcohol

Medical conditions – there are certain medical conditions that may also cause Gynecomastia including :

1. Hyperthyroidism
2. Klinefelter syndrome
3. Kidney disease
4. Malnutrition
5. 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 :

1. Flax and sesame seeds
2. Soy milk and tofu
3. Cereals and dread containing flax seeds
4. Process foods
5. Legumes
6. Dried fruits

Before and After Gynecomastia

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

• Liposuction and Breast tissue removal – 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 entire male breast tissue, the small curved incision is around the areola. New nipple will be created using nipple graft. This is for severe case of gynecomastia, or grading above three or more for better contour. 

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.

Like other major cities, Bangkok has a wide variety of healthcare providers, some with high standards and others without… There are, however, three notable accreditation systems in place to be made aware of before you proceed to book:

1. Hospital Accreditation (HA)
2. Joint Commission International (JCI)
3. American Accreditation Commission International (AACI)

When searching for a reputable healthcare provider here in Bangkok, Thailand, be sure to seek out those with one or all of the above accreditations. Failing to do so will only result in unreliable services and potentially unsafe practices.

Low standards that you want to avoid at all costs include the recycling of medical supplies, the hiring of unqualified staff, and/or procedures performed by illegal doctors. If the liposuction procedure is offered at an unusually cheap price, it’s likely too good to be true and should be avoided.

• 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.