Gynecomastia

To proceed with booking your surgery, please follow these steps:

1. Plan Your Travel Dates
   • Choose your preferred surgery date
2. Surgery Date Confirmation
   • We will review your request and confirm the available surgery date.
3. Book Your Flights
   • Once your surgery date is confirmed, you may proceed to book your airline tickets.
4. Confirmation of Details
   • We will provide full confirmation of your surgery details, and assist with hotel booking if needed.
5. Flight Itinerary for Airport Pickup
   • To arrange airport pickup, please send us your confirmed flight itinerary in advance.

Preparation for Gynecomastia Surgery

Proper preparation is key to ensure a safe procedure and smooth recovery after gynecomastia, male breast reduction.

Before Surgery:

• Inform your surgeon about any allergies, serious medical conditions, and all medications you are taking (both prescription and non-prescription).
• Stop taking aspirin at least 2 days before surgery.
• Stop using vitamin E oil 1 day before surgery.
• Stop smoking at least 2 days before surgery and continue to avoid for 1 month after surgery.
• Plan to fast (no food or water) from midnight before surgery.
• Wear a shirt with front buttons for comfort during recovery.
• The surgeon will explain the procedure details, surgical technique, location of operation, and realistic outcomes.
• Plan to stay in Bangkok for at least 10 days after surgery.

Prepare comfortable clothing to wear after hospital discharge. A medical gown will be provided before entering the operating theater.

Things to Bring from Home:

• Button-up shirts (large size, easy to put on and take off)
• Loose, elasticated trousers
• Slip-on shoes or slippers
• Phone charger (long cable recommended)
• Wet wipes, moisturizer, and lip balm
• Books or magazines for entertainment
• Travel neck pillow

Tips to Minimize Complications During Recovery:

• Avoid heavy lifting for at least 4 weeks.
• Stay well-hydrated.
• Sleep upright or in a slightly elevated position.
• Follow all instructions provided by PAI's surgeon and medical team.

Male Breast Reduction (Gynecomastia) - Surgical Procedure

Gynecomastia surgery for male breast reduction can be categorized into three main types based on the underlying tissue:

1. Fat tissue only:

   • VASER Liposuction is often an effective option.

2. Breast glandular tissue only:

   • Traditional gynecomastia surgery is usually recommended.

3. Combination of fat and glandular tissue:

   • A combination of liposuction and gynecomastia excision provides the best results.

Consultation Process

To determine the most suitable procedure, our surgeons need to review your current photos, which can be sent via email. Please note that photo review alone may not provide a definitive answer.

A final determination of the best surgical approach requires a direct, in-person consultation with the surgeon to ensure optimal outcomes.

The surgery is performed at an International Standard Hospital (JCI accredited) under General Anesthesia and require one night in hospital.

Postoperative Recovery Gynecomastia (Male Breast Reduction) Surgery

After gynecomastia or male breast reduction surgery, some soreness and discomfort is normal and can be easily managed with prescribed pain medication.

Swelling and Skin Changes

• Swelling and minor skin discoloration around the incision sites typically subside within a few days.
• Temporary loss of sensation in the nipples and surrounding breast skin may occur, but this usually improves over time.

Stitches and Healing

• Sutures/stitches are generally removed 7 days after surgery.
• Scars are most noticeable during the first year but gradually fade over time.
• Since incisions are made around and beneath the nipples, scars are generally not visible, even when wearing low-cut clothing.

Recovery Timeline After Gynecomastia (Male Breast Reduction) Surgery

• Day 0: Arrival in Bangkok
• Day 1: Consultation and preparation for laboratory testing
• Day 2 to 3: Surgery and one night in a private hospital room
• Day 3: Discharge from hospital
• Day 3 to 9: Stay in hotel for recovery and follow-up appointments with the surgeon
• Day 7 to 10: Stitches removal and final check-up
• Day 11: Safe to fly

Guidelines for Local Patients

• Most local patients can resume work within a few days after surgery.
• Avoid heavy lifting, overhead activity, or rapid movements for four weeks after surgery.
• Stitches are typically removed seven days postoperatively.

Guidelines for International Patients

• Plan to stay in Bangkok for at least 11 days to allow for surgery, recovery, and stitch removal.
• Stitches are removed on day 7 after surgery.
• After returning home, patients may resume work within a few days, but should continue to avoid heavy lifting or rapid movements for four weeks after surgery.

Bruising and Swelling

• Any bruising or swelling usually subsides within 2-3 months following male breast reduction surgery.

Timeline Recovery After Gynecomastia Surgery

Proper postoperative care is essential to ensure optimal healing and achieve the best cosmetic results.

Pain and Discomfort

• Mild soreness and discomfort around the chest area are normal and can be managed with prescribed pain medication.

Swelling and Bruising

• Swelling and minor bruising around the surgical site are common and usually improve within 2-3 weeks, though minor residual swelling may persist for 2–3 months.

Stitches and Incision Care

• Sutures are typically removed 7 days after surgery.
• Incisions are made around or beneath the nipples, so resulting scars are usually discreet and not noticeable, even in low-cut clothing.

Activity Guidelines

• Avoid heavy lifting, overhead activities, vigorous exercise, and fast movements for 4 weeks after surgery.
• Normal daily activities can often be resumed within a few days, depending on the patient’s comfort and surgeon’s instructions.

Follow-Up Appointments

• Attend all scheduled follow-up visits to ensure proper healing and monitor for any complications.
• Contact PAI's surgeon immediately if you notice excessive swelling, bleeding, or signs of infection.

Emotional Well-Being

• Feeling tired or mildly low in energy during the recovery period is normal.
• Patients are usually satisfied with their refreshed, flatter chest once healing is complete.