Frequently Asked Questions About Gynecomastia Surgery

If you’re considering gynecomastia surgery, it’s important to understand both the benefits and risks of this surgery before making any decisions. In this article, we’ll answer some frequently asked questions about gynecomastia surgery to help you make an informed decision.

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What is Gynecomastia?

Gynecomastia is a condition that occurs when a man’s breast tissue becomes enlarged. It is also commonly referred to as ‘man-boobs’. This condition usually affects both sides of the chest, but can be one-sided. The cause of gynecomastia is commonly an imbalance between the hormones testosterone and estrogen. Testosterone is typically associated with masculine traits, while estrogen is responsible for more feminine characteristics. When there’s an imbalance between these two hormones it can lead to enlarged male breast tissue. Additionally, certain medications, chemicals from environmental sources, recreational drugs, alcohol abuse, liver disease and tumors of the testicles can all contribute to gynecomastia.

Does Gynecomastia Mean I Have Low Testosterone?

While reduced levels of testosterone in relation to estrogen can contribute to gynecomastia, they are not the only cause. The condition can be caused by various other factors, including certain medications, health conditions, and substance use.

What Are the Risk Factors for Gynecomastia?

Medical conditions and lifestyle factors that can contribute to gynecomastia include:

Anabolic steroids use
Illegal drug use (such as marijuana, heroin)
Obesity
Liver disease
Kidney disease
Testicular cancer
Thyroid disorder
Adrenal gland tumors

Can Gynecomastia Go Away On Its Own?

First of all, it’s important to try and understand the nature of the condition. Adult gynecomastia can vary in severity and may have different underlying causes. If your gynecomastia is recent, it might be related to factors such as medication use or weight gain. In such cases, the condition may respond to lifestyle modifications, such as diet and exercise, or changing medications.

If your gynecomastia has been persistent (usually more than a year) and is causing discomfort, pain, or psychological distress, surgical intervention might be a more effective solution. In chronic cases, especially where there is excess fibrous tissue, surgery is often the most reliable way to achieve a significant and lasting improvement.

Is Gynecomastia Surgery Painful?

The surgery is performed under either local or general anesthesia, so you will not feel any pain during the procedure. It is normal for your chest to feel sore after the anesthetic wears off and for a few days afterwards.

Most patients describe this as mild discomfort rather than severe pain and it can be managed with over-the-counter pain medication if needed. Some patients experience moderate tenderness in their chest for up to 2 weeks post-surgery, but most feel back to normal within 4–6 weeks depending on how quickly they heal.

Is Gynecomastia Surgery Safe?

Like any other surgical procedure, gynecomastia surgery carries certain risks, but it is generally a safe procedure when performed by a qualified and experienced plastic surgeon. Though complications are rare with modern surgical techniques and technology, they can occur. It is therefore important to discuss your medical history in detail with the surgeon before deciding if gynecomastia surgery is right for you. Furthermore, following instructions given for postoperative care by your plastic surgeon is key in ensuring a smooth recovery process.

Will I Have a Scar After Surgery?

Gynecomastia surgery, like any surgical procedure, typically results in some form of scarring, but these are usually well hidden. The extent and visibility of scarring also varies based on the surgical technique used.

In the excision technique, the excess breast gland tissue is removed through a small incision made under the areola. The scar lines are concealed by the body’s natural contours and will not be very noticeable once healed.

The liposuction technique uses very small incisions and therefore the extent of scarring will be minimal.

How Long Does It Take to Recover From Gynecomastia Surgery?

Gynecomastia surgery under local anesthesia is an outpatient procedure, so you will be able to go home the same day. You will need to arrange for someone to drive you home after the surgery. If your surgery is performed under general anesthesia, you may need to spend 1-2 nights in hospital for monitoring.

Full recovery typically takes 4-6 weeks. You’ll need to take 1-2 weeks off work and avoid any strenuous activity. Wearing a compression garment is recommended for the first 2-3 weeks to minimize swelling and to help the postoperative recovery. Most people will be able to return to exercise after 4 weeks, although it’s important to listen to your body and only gradually increase the intensity of exercise over time.

Why Choose Thailand for Your Gynecomastia Surgery?

When it comes to gynecomastia surgery, Thailand is an ideal destination for many reasons. Here are several key reasons to choose Thailand for gynecomastia surgery:

Experienced and highly skilled surgeons
Lower costs than in Western countries without compromising on quality
Combining surgery with recovery in vacation setting
English speaking doctors and nurses
Excellent post-operative care
When looking at all these factors together, Thailand is a great choice if you’re considering having gynecomastia surgery abroad.

How Much Is Gynecomastia Surgery in Thailand?

The cost of gynecomastia surgery in Thailand can vary depending on a few different factors, such as whether only liposuction or excision is used, or a combination of both. The choice of anesthesia (local or general) can also impact the cost. Here is a general guide:

Gynecomastia surgery by liposuction: 50,000-80,000 THB (approx. US $1,400-$2,300).
Gynecomastia via incision under areola: 50,000-80,000 THB (approx. US $1,400-$2,300).
Gynecomastia via incision under areola + liposuction: 120,000 THB (approx. US $3,400).
Gynecomastia surgery + excess skin tightening: 180,000 THB (approx. US $5,100).

Prices listed in USD are intended for guidance only, and may fluctuate due to changes in currency

How To Prepare for Gynecomastia Surgery?

Stop taking anti-inflammatory drugs (NSAIDs), such as aspirin, ibuprofen and naproxen, herbal supplements, vitamins, antidepressants and diet pills at least 2 weeks before the surgery.
Avoid sun tanning for the 2 weeks leading up to the procedure.
If you are a smoker, try to quit at least 3-4 weeks prior to the surgery to improve healing and reduce the risk of complications.
Avoid alcoholic beverages for at least 2 weeks prior to the operation.
For pain relief, paracetamol is generally considered safer than NSAIDs and can be taken if necessary.
If your operation is performed under general anesthesia, you will be instructed to not consume any food or drink after midnight on the night before your surgery.
If you’re traveling to Thailand from abroad, plan to stay in Thailand for at least one week after your surgery.

Can Gynecomastia Surgery Be Combined With Other Procedures?

Many of our patients choose to combine their gynecomastia surgery with other procedures to enhance the overall outcome. Procedures that pair well with gynecomastia surgery include:

Liposuction in other areas, such as back, flanks (“love handles”) and arms
Abdominoplasty (“tummy tuck”) to tighten the abdominal area
Other body contouring procedures, such as arm lift or body lift

Contact our expert team today for more information.