Gynecomastia — enlargement of male breast tissue — is extremely common and affects men of all ages. It can be caused by hormones, genetics, weight fluctuations, medication, lifestyle factors, or unknown reasons. For many men, it creates embarrassment, self-consciousness, and difficulty wearing fitted shirts or going shirtless.
Gynecomastia surgery is the most effective way to permanently remove excess glandular tissue and fat, restoring a flat, masculine chest. When performed by a specialist, results look natural, athletic, and proportional.
Bangkok is a major destination for male gynecomastia surgery due to experienced surgeons, modern techniques, and consistently strong aesthetic outcomes.
This guide explains what gynecomastia is, how treatment works, who qualifies, and what men can expect during recovery.
What Is Gynecomastia?
Gynecomastia is the enlargement of glandular breast tissue in men. It differs from chest fat (pseudogynecomastia) because gland tissue cannot be reduced through diet or exercise.
Common causes include:
Hormonal imbalance (testosterone vs estrogen)
Puberty-related growth
Weight gain or obesity
Steroid or supplement use
Certain medications
Liver disease
Genetics
Aging
In many cases, the cause is not identifiable — but surgery remains effective regardless.
Types of Male Breast Enlargement
1. True Gynecomastia
Firm glandular tissue under the nipple.
2. Pseudogynecomastia
Fat accumulation, common in overweight men.
3. Mixed Gynecomastia
Both gland and fat — the most common type.
Your treatment plan depends on which type you have.
Who Is a Good Candidate for Gynecomastia Surgery?
You may benefit from surgery if you have:
Puffy nipples
Enlarged, feminine-looking chest contour
Firm gland beneath the areola
Uneven chest appearance
Chest fat that does not shrink with weight loss
Discomfort removing your shirt
Difficulty exercising due to chest shape
Good candidates are:
In stable health
Non-smokers or willing to quit temporarily
At a stable weight
Realistic about expected results
Benefits of Gynecomastia Surgery
1. Permanent Removal of Gland Tissue
The only way to eliminate true gynecomastia.
2. Flatter, More Masculine Chest
Improves appearance in clothing and shirtless.
3. Improved Confidence
Many men describe life-changing improvements in body image.
4. Better Symmetry
Corrects uneven chest tissue.
5. Safe and Predictable Outcomes
Especially with modern liposuction and gland excision.
The Gynecomastia Surgery Procedure
1. Consultation and Evaluation
Chest examination
Assessment of gland vs fat
Hormonal and medical history review
Surgical plan discussion
2. Surgery (1–2 hours)
Performed under general or local anesthesia with sedation.
Procedure steps:
Liposuction (for fat reduction)
Small incisions near the chest
Cannula removes excess fat
Improves contour and definition
Gland Excision (for glandular tissue)
Small incision at the lower areola border
Firm glandular tissue removed
Ensures a flat result
Combination Technique
Most men need both liposuction + gland removal for best outcomes.
3. Aftercare
Compression vest worn for 3–4 weeks
Avoid exercise during first 2–3 weeks
Massage may be recommended after healing
Recovery Timeline
Day 1–3:
Swelling and tenderness
Compression vest required
Week 1:
Return to light activities
Bruising begins to fade
Week 3–4:
Resume light exercise
Contours begin to define
6 weeks:
Most swelling resolved
Natural chest shape visible
3 months:
Final sculpted result
Expected Results
Men typically achieve:
Flatter, masculine chest
Reduced nipple puffiness
Enhanced athletic appearance
Natural and balanced symmetry
Long-lasting confidence boost
Results are permanent as long as weight and hormone levels remain stable.
Risks and Safety Considerations
Possible risks include:
Bruising or swelling
Seroma (fluid buildup)
Temporary numbness
Asymmetry
Scarring (minimal around areola)
Rare gland recurrence
Selecting a surgeon experienced in male chest surgery minimizes complications.
Why Men Choose Bangkok for Gynecomastia Surgery
Surgeons experienced with male chest aesthetics
Advanced liposuction technology (VASER, PAL, etc.)
Natural, masculine contouring
Lower cost than Western countries
Quick recovery suitable for working professionals
Private and discreet environment
Frequently Asked Questions (FAQ)
Can I get rid of gynecomastia naturally?
True gland tissue cannot be reduced without surgery.
Is the surgery painful?
Discomfort is mild and manageable.
Will I have scars?
Usually hidden along the areola border.
When can I work out again?
Light exercise at 3–4 weeks; chest workouts at 6 weeks.
Will gynecomastia come back?
Rare — unless caused by hormones, steroids, or weight gain.
Key Takeaways
Gynecomastia surgery permanently removes gland and fat.
Creates a flatter, masculine chest.
Surgery is short, safe, and highly effective.
Bangkok offers expert surgeons with strong results.
Menscape provides personalized evaluation and discreet follow-up.
📩 Interested in gynecomastia surgery? Book a private consultation at Menscape Bangkok to explore treatment options.
