Gynecomastia Surgery in Thailand (Male Breast Reduction)

Enlarged male breast tissue is more common than most men realise, yet it can feel deeply isolating. Whether caused by hormones, genetics, or medication, gynecomastia affects your confidence in ways that go far beyond appearance. Surgery removes the excess tissue permanently, restoring a flat, masculine chest contour and the freedom to take your shirt off without hesitation.

Procedure 1.5–2.5 hours

Hospital Stay Day case or 1 night

Recovery 2–4 weeks

Minimum Stay 7–10 days

What Is Gynecomastia Surgery?

Male breast enlargement is caused by hormonal imbalances, genetics, certain medications, or weight fluctuations. This condition can affect one or both sides and ranges from mild puffiness around the nipple to significant tissue enlargement.

Surgery removes the excess glandular tissue and fat to create a flatter, firmer chest. The approach is tailored to the severity of your condition, from minimally invasive liposuction to direct excision with skin reduction.

Common Concerns Gynecomastia Surgery Can Address

Enlarged breast tissue causing embarrassment and emotional distress
Puffy or protruding nipples that show through clothing
Avoiding situations that require removing your shirt
Excess chest tissue that persists despite diet and exercise

Are You a Good Candidate?

Men with persistent breast enlargement unresponsive to lifestyle changes
Non-smoker or willing to stop at least 4 weeks before and after surgery
In good general health with realistic expectations and a stable weight

Techniques & Options

Gynecomastia varies widely in severity, from mild fatty deposits to significant glandular enlargement with excess skin. Your surgeon will assess the composition of your breast tissue, the degree of skin laxity, and whether one or both sides are affected. The grade of gynecomastia determines which technique will deliver the best result, ranging from minimally invasive liposuction through to full excision with skin reduction.

There are three main techniques:

Liposuction Only

Best suited for mild gynecomastia (Grade I) where the enlargement is primarily fatty tissue with minimal glandular involvement. Small cannulas remove the excess fat through tiny incisions, with no visible scarring.

Minimally invasive with incisions of just 3–5mm
Ideal for fatty gynecomastia with good skin elasticity
Fastest recovery with minimal downtime

Excision with Liposuction

The most common approach for moderate gynecomastia (Grade II) involving both glandular tissue and fat. Liposuction reduces the fatty component whilst direct excision through a periareolar incision removes the firm glandular tissue that liposuction cannot address.

Removes both fatty and glandular tissue for comprehensive correction
Periareolar incision heals discreetly along the areola border
Addresses puffy or protruding nipples effectively
Suitable for the majority of gynecomastia cases

Excision with Skin Reduction

Required for severe gynecomastia (Grade III–IV) with significant tissue volume and excess skin. After removing glandular tissue and fat, excess skin is excised and the chest is reshaped to create a flat, masculine contour.

Addresses severe enlargement with significant skin excess
Repositions the nipple-areola complex if needed
Creates a flat, masculine chest contour even in advanced cases
May involve more visible scarring, placed to be as discreet as possible

Recovery Timeline

Days 1–3

Swelling, bruising, and tightness across the chest are normal and expected. You'll wear a compression vest continuously to support healing and reduce fluid build-up. Your care coordinator will check in daily to monitor your progress.

Week 1–2

Swelling begins to subside and bruising fades noticeably. Most patients feel well enough for light daily activities and desk work within 7–10 days. You'll attend a follow-up appointment before flying home.

Weeks 3–6

Visible improvements become apparent as swelling continues reducing. You can gradually resume exercise, starting with light cardio. Avoid chest-specific workouts and heavy lifting until cleared by your surgeon.

Months 3–6

Final chest contour emerges as residual swelling resolves and scars mature to thinner, paler lines. Most patients see their definitive result by 3–6 months and enjoy renewed confidence.

What to Expect

Flat, Masculine Chest Natural-looking contour

Permanent Correction Glandular tissue does not return

Restored Confidence Freedom without self-consciousness

Safety & Risks

Gynecomastia surgery is a safe procedure when performed by an experienced surgeon, but like all surgeries, it carries some risks.

Contour irregularities or asymmetry
Haematoma or seroma
Temporary numbness or altered nipple sensation

Infection at incision sites
Scarring (varies by technique)
Under-correction requiring revision (uncommon)

The approach to male breast reduction varies significantly by grade, and nipple sensation changes are a key consideration. Your surgeon will classify the severity of your condition, explain which technique best addresses your specific tissue composition, and discuss how scar placement differs between liposuction-only and excision-based approaches.

How Much Does Gynecomastia Surgery Cost in Thailand?

Our pricing is transparent and all-inclusive — your quote covers everything from surgeon fees to hospital stay.

Gynecomastia Surgery

All-inclusive surgical package

From $2,500

Board-certified surgeon fee
Anaesthesia & operating theatre
Hospital stay & nursing care

Post-operative medications
Follow-up appointments
Dedicated care coordinator

Add Recovery Package

Hotel, breakfast, airport transfers & 24/7 support

From $89 / night

Affordable suites on Sukhumvit Soi 23, a short ride from Bumrungrad Hospital. Rooms include a kitchenette, daily breakfast, and access to the pool and fitness centre — a comfortable, budget-friendly base for your recovery.

A well-appointed serviced residence in the heart of Sukhumvit with full kitchen, washer-dryer, pool and gym. Ideal for patients who want a home-away-from-home feel with hotel-level service during recovery.

A luxury hotel close to the hospital district, known for impeccable Japanese-standard service. Spacious rooms, an acclaimed spa, and 24-hour room service — the premium choice for a first-class recovery.

Common Questions About Gynecomastia Surgery

Everything you need to know before your procedure

A minimum stay of 7–10 days is recommended. This allows time for your consultation, procedure, initial recovery, and a follow-up appointment before travelling home.

Gynecomastia is caused by an imbalance between oestrogen and testosterone. Common triggers include puberty, ageing, certain medications, anabolic steroids, and underlying health conditions. In many cases, the exact cause is unknown.

Gynecomastia that develops during puberty sometimes resolves naturally. However, persistent breast enlargement in adults rarely improves without surgical intervention, particularly when firm glandular tissue is present.

Your surgeon will assess the composition and volume of your breast tissue, skin elasticity, and overall chest shape during consultation. Mild cases with primarily fatty tissue may only need liposuction, whilst more severe cases require excision with or without skin reduction.

Liposuction-only cases leave barely visible 3–5mm marks. Excision techniques use periareolar incisions that heal discreetly along the areola border. More extensive skin reduction may leave additional scars, but these are placed as discreetly as possible.

Glandular tissue removed during surgery does not regrow. However, significant weight gain, anabolic steroid use, or certain medications could cause new fat deposition in the chest area. Maintaining a healthy lifestyle preserves your results.

Most patients describe moderate tightness and soreness rather than severe pain. Discomfort is well-managed with prescribed medication, and most men transition to over-the-counter pain relief within a few days.

Light walking is encouraged from day one. Gentle lower-body exercise can resume after 2–3 weeks. Chest exercises and heavy lifting should wait until 6 weeks post-surgery with your surgeon's approval.

You'll notice a flatter chest immediately, though swelling obscures the full effect. Significant improvement is visible by 6 weeks, with the final contour emerging by 3–6 months.

If you use anabolic steroids or testosterone supplements, discuss these with your surgeon well in advance, as they may need to be discontinued before the procedure. Stop smoking at least four weeks prior and avoid blood-thinning medications for two weeks. Purchase a compression vest in advance, as you'll wear it continuously for several weeks post-surgery. Arrange loose, dark-coloured shirts that zip or button at the front for the recovery period.

Dr. Pichaya Suwanprasert

MEDICALLY REVIEWED

Dr. Pichaya Suwanprasert

MEDICALLY REVIEWED

Plastic Surgeon · Bangkok

Last reviewed: February 18, 2026

Medical References

Medical disclaimer: This information is for educational purposes only and does not replace professional medical advice. Individual results, recovery times, and suitability vary. Always consult a qualified surgeon before making decisions about treatment.

What's Included

Board-certified surgeon fee
Anaesthesia & operating theatre
Hospital stay & nursing care
Post-operative medications
Follow-up appointments
Dedicated care coordinator

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Gynecomastia Surgery in Thailand

What Is Gynecomastia Surgery?