Gynecomastia Surgery (Gyno Surgery) in Singapore: Transform Your Look

What Is Gynecomastia Surgery?

Gynecomastia surgery, often referred to as “man boobs” “male breast reduction surgery”, “reduction mammaplasty”, or “gyno surgery”, is a medical intervention you might contemplate if you’re grappling with overdeveloped or enlarged breasts, often referred to as “man boobs,” as a male. It’s aimed at those seeking to improve their physical health and self-confidence, particularly in cases linked to hormonal imbalances like excess oestrogen or insufficient testosterone. This procedure is common among adolescents and adults looking to address and enhance their chest aesthetics. Let’s explore the workings of gynecomastia surgery. also known as “gyno surgery”.

Gynecomastia Surgery Techniques

Gynecomastia surgery offers various techniques tailored to address the unique aspects of each case, ensuring effective treatment and improved chest aesthetics. Below, we explore the primary methods used in managing this condition.

Tissue Excision

Indicated for: Dense glandular tissue and/or significant breast skin excess not suitable for liposuction.

Technique: Precise surgery to remove breast tissue and excess skin, targeting fibrous tissue.
Scarring: Strategic incision placement around the areola or in the armpit to minimise visibility.
Outcome: Creates a flatter, more traditionally masculine chest, ideal for significant glandular presence.

Liposuction

Indicated for: Excess fatty tissue in gynecomastia, ideal for cases with minimal glandular enlargement.
Technique: Uses small incisions for a cannula to vacuum out fat, focusing on chest contouring.
Scarring: Minimal, with incisions in inconspicuous areas.
Outcome: Achieves a contoured chest with enhanced definition, addressing skin changes and suitable for fat-dominant breast enlargement.

Combination (Liposuction and Tissue Excision)

Indicated for: Mixed fatty and glandular breast tissue, offering a comprehensive solution.
Technique: Combines fat removal via liposuction with glandular tissue and skin excision for cosmetic improvement.
Scarring: Incisions are strategically placed to minimise visibility, with additional small incisions for liposuction.
Outcome: Results in a sculpted, masculine chest, beneficial for achieving optimal contour in mixed tissue types.

Laser Surgery

Indicated for: Mild to moderate fat deposits, offering a less invasive option with reduced recovery times.
Technique: Uses laser energy to liquefy and remove fat cells through minimal incision; may combine with traditional methods for glandular issues.
Scarring: Minimal due to small incisions, blending into skin over time.
Outcome: Enhances chest contour with a quicker recovery, effective for fat reduction and skin tightening.

Mastectomy

Indicated for: Significant gynecomastia, focusing on glandular tissue removal.
Technique: Traditionally for breast removal, adapted here for glandular tissue, and possibly fat and skin.
Scarring: Varies, with an aim to minimise visibility while ensuring tissue removal.
Outcome: Improves chest contour significantly, depending on gynecomastia extent and surgical approach.

Areola Reduction

Indicated for: Enlarged or stretched areola post-gynecomastia treatment, affecting chest aesthetics.
Technique: Reduces areola diameter to match the contoured chest, with perimeter incisions.
Scarring: Limited to areola edges, aiming for inconspicuous marks.
Outcome: Achieves a balanced, proportionate chest appearance, enhancing gynecomastia treatment results.

To discover which option suits you best, set up an appointment with a qualified plastic surgeon at The Covette Clinic today!

Gynecomastia Surgery Procedure

Classification of Gynecomastia Man Obesity with fat tissue on the chest comparison with normal chest

The journey through gynecomastia surgery encompasses several critical stages, from initial consultation to post-operative care, each tailored to ensure the best outcomes and patient safety. Here’s a concise overview of the process.

Before the Procedure

• Consultation: You’ll meet with the surgeon to discuss your goals for the surgery and your medical history. This ensures your expectations are aligned and realistic.

• Health Evaluation: A thorough examination, including checking for symptoms like nipple discharge, to assess your overall health status will be conducted to identify any potential risks.

• Pre-operative Tests: Blood tests, including a Complete Blood Count (CBC), may be necessary to determine any underlying causes that could affect the surgery.

• Mammogram: In some cases, particularly to rule out the possibility of breast cancer or other serious conditions, you might need a mammogram to thoroughly investigate the breast tissue before surgery.

• Medication Review: You’ll be asked about current medications, especially certain medications that may need to be stopped before the procedure.
Fasting: You may need to fast for several hours before the surgery, as instructed by your surgeon.

During the Procedure

• You’ll receive anaesthesia, ensuring comfort and painlessness during surgery.

• The surgeon performs liposuction to remove excess fat.

• Surgical removal of the breast gland is done if necessary.

• The procedure aims to flatten and enhance the chest contour.

• Duration varies, typically between 1 to 3 hours.

• Post-operative care commences immediately after surgery.

After the Procedure

After undergoing gynaecomastia surgery, it is imperative that you follow a set of care instructions to promote healing and reduce the likelihood of complications. Here is a concise guide to assist you post-operation:

 

Dressings/Bandages: Your incisions will be covered with dressings or bandages.
Drains: Small tubes might be placed to drain excess blood and fluid.
Compression Garment: Wear the provided tight garment to control bruising and manage swelling.
Managing Chest Hardness: It’s common to feel areas of hardness or firmness in the chest as your body heals. This usually results from scar tissue formation and localised inflammation. Gentle massage (as approved by your surgeon), consistent use of your compression garment, and adherence to follow-up appointments can help manage this hardness. These areas typically soften over time as the healing progresses.
Fluid Intake: Increase your water consumption to recuperate fluids lost during surgery.
Activity Level: Refrain from strenuous activities and exercise for approximately four weeks.
Bruising and Tenderness: Expect some level of bruising and tenderness post-surgery; these symptoms should subside within two to three weeks.

By adhering to these directives, you set the stage for smooth recoveries.

Gynecomastia Surgery Benefits

• Comfort in Your Own Skin: Post-surgery, anticipate feeling more at ease and confident without a shirt, diminishing feelings of self-consciousness and often enhancing overall self-assurance.
• Alleviates Physical Discomfort: Reduction of tenderness in the breast area is a significant benefit, enhancing your comfort.

Refines Your Appearance: Male breast reduction surgery results in a more traditionally masculine chest contour.

Improves Clothing Fit: Post-surgery, even a simple t-shirt tends to fit better and more comfortably, complementing your body’s new shape.

Am I A Good Candidate For Male Breast Reduction Surgery?

Gynecomastia Symptoms: Close-up of Male Chest on White Background | Medical Condition Concept

Symptoms indicating gynecomastia: You may notice excess breast tissue, which is not responsive to diet or exercise.
Stable Weight: Your weight should be stable before considering surgery.
Health Status: You must be in good general health without serious medical conditions.
Hormonal Stability: Optimal hormone levels should be maintained; hormonal changes can complicate results.
Medications: Inform your surgeon about medication use, especially steroids or anabolic steroids.
Lifestyle: Non-smokers with a commitment to a healthy lifestyle, including regular exercise, are ideal.
Expectations: Having realistic expectations about the outcome is crucial.
Obesity: If obesity is present, weight loss is advised before surgery to achieve better results. Significant weight loss can lead to changes in body composition and the distribution of breast tissue, potentially reducing the extent of surgery needed.

Don’t keep guessing. Let a medical professional from the Covette Clinic advise you on your suitability for surgery. Reach out to our dedicated team now.

Gynecomastia Recovery Timeline

Before the Procedure

Immediately Post-Op: Patients are typically moved to a recovery area for monitoring. Pain and grogginess from anaesthesia are common.
First 24 Hours: Rest is crucial. Patients should arrange for someone to drive them home and stay with them. Mild to moderate pain, which can be managed with prescribed medications.
First Week:
   • Wear compression garments to reduce swelling and support healing.
   • Avoid strenuous activities; however, light walking is encouraged to promote circulation.
   • Expect some swelling, bruising, and discomfort.
   • Follow-up appointment to check incisions and possibly remove drains.
• 2 to 3 Weeks:
  • Significant reduction in swelling and bruising.
  • Gradual return to normal activities and work, avoiding any heavy lifting or vigorous exercise.
  • Most patients can stop wearing the compression garment around this time, depending on the surgeon’s advice.

4 to 6 Weeks:
  • Resumption of exercise and more strenuous activities, as per the surgeon’s guidance.
  • Most of the initial recovery symptoms should have subsided.
6 Months:
  • Final results become more apparent as swelling fully subsides.
  • Scar tissue begins to mature and fade, although complete scar maturation can take up to a year or more.

Gynecomastia Long-Term Care

To ensure the longevity of your gynecomastia surgery results, adhere to the following long-term care and lifestyle recommendations.


  • Maintain a Stable Weight: Avoid significant weight fluctuations to preserve the surgery’s results.
  • Balance Hormones: Regular check-ups with a healthcare provider to monitor and manage hormone levels.
  • Healthy Diet: Focus on a balanced diet rich in nutrients that support overall health and hormonal balance.
  • Regular Exercise: Incorporate both cardiovascular and strength training exercises to maintain body composition. Incorporate both cardiovascular and strength training exercises to maintain body composition and enhance chest contour. After recovery, focus on pectoralis major exercises such as push-ups, bench presses, and cable flys, which are excellent for building muscle and definition under your surgeon’s guidance.
  • Avoid Steroids: Steer clear of anabolic steroids and certain medications without consulting a healthcare provider, as they can affect hormone levels.
  • Alcohol and Substance Use: Moderate alcohol consumption and avoid substances that can lead to hormonal imbalances.
  • Follow-up Appointments: Regular check-ups with your surgeon to monitor your recovery and address any concerns promptly.

Gynecomastia Surgery Risks

Blood Tests: Abnormal results can indicate pre-existing conditions, increasing surgical risks.

Infection: There’s a potential for infection at the surgical sites.
Anaesthesia Risks: Possible adverse reactions to both local and general anaesthesia.
Correction Issues: The surgery might result in under or over-correction of the chest area.
Bleeding: Post-operative bleeding may lead to the formation of haematomas (blood clots).
Residual Issues: There’s a risk of residual breast disc or scars.
Blood Clots: Development of blood clots can pose serious health concerns.
Asymmetry: Possible asymmetrical chest wall contour following surgery.

A study by the American College of Surgeons on gynecomastia surgery in 204 pediatric and 1,583 adult patients found very low surgical and medical complications postoperatively.

Gynecomastia Surgery Complications

While gynecomastia surgery in Singapore is generally safe, you should be aware of certain potential complications:

 

• Infection: A risk in any surgical procedure, potentially requiring antibiotics or further surgery.
• Scarring: Incisions may result in scars, though typically discreetly placed.
• Asymmetry: Your breasts might have slight differences in size or shape post-surgery.
• Fat and Tissue Removal: Imperfect removal can lead to contour irregularities.
• Sensation: There may be changes to the sensitivity of your nipples.
Recurrence: The enlargement of male breast tissue might reoccur, necessitating additional treatment.
• Crater Deformity: Rare but possible, it’s a condition where an indentation or hollow appears in the chest area after gynecomastia surgery.

Managing Scar Tissue After Gynecomastia Surgery

Expectation: Scar tissue formation is a natural part of the healing process post-surgery.
Early Management: Gentle massage over the scar area can promote flexibility and decrease scar tissue buildup once the wound has healed and with your surgeon’s approval.

Compression Garments: Wearing recommended compression garments can help minimise scar tissue formation by applying even pressure to the surgery areas.
Silicone Gel Sheets: Using silicone gel sheets or scar gels, as advised by your surgeon, can aid in scar healing and improve the appearance of scars.
Sun Protection: Keep scars protected from the sun. UV exposure can darken scars, making them more noticeable.
Patience and Time: Scar maturation can take up to a year or more. Scars typically become less noticeable over time.
Professional Treatments: For persistent scar tissue concerns, consult with your surgeon. Treatments like laser therapy or steroid injections may be options to improve scar appearance.

The decision regarding implant placement should be discussed with your plastic surgeon, taking into consideration factors like your physical structure, lifestyle, and desired post-surgery appearance.

Gynecomastia Surgery Costs In Singapore

The costs of gynecomastia surgery in Singapore can vary widely, influenced by the complexity of the procedure and the clinical setting. Here’s roughly what to expect.

Procedure Cost Range (SGD)
Liposuction
3,000 to 7,000
Excision
3,000 to 7,000
Combination
Up to 13,000
Laser Surgery
6,000 to 15,000
Mastectomy
6,000 to 15,000
Areola Reduction
2,000 to 5,000

Additional fees may encompass:
• Surgeon fees: SGD 4,000 to SGD 6,000
• Anaesthesia: typically SGD 1,000 to SGD 1,500
• Facility usage: SGD 1,500 to SGD 2,500
• Medications and consumables: around SGD 500

Are There Subsidies for Gynecomastia Surgery in Singapore?

In Singapore, Medisave may not typically cover gynecomastia surgery.
CHAS subsidies are not directly applicable to gynecomastia surgery.
If you possess an insurance policy, check its terms as some may include coverage, especially for symptomatic cases.
Consult your healthcare provider for the most accurate and current information regarding subsidies.

Why Choose The Covette Clinic For Gynecomastia Surgery?

At The Covette Clinic, Dr. Gavin Kang and Dr. Shauna Tan bring a wealth of expertise and personalised care in plastic surgery. Here’s what sets them apart:

 

Hold high-level qualifications: Fellowship, Royal College of Surgeons Edinburgh membership, Master of Medicine (Surgery) from NUS, and American Academy of Aesthetic Medicine membership.
Expertise in gynecomastia surgery techniques: liposuction, tissue excision, laser surgery.
• Over 15 years of practice, specialising in craniofacial, cosmetic, and reconstructive plastic surgery.
• Recognised both locally in Singapore and internationally, showcasing their commitment and expertise.
• Demonstrated success through before-and-after portfolios, indicating effective patient outcomes.
• Provide personalised care, tailoring treatments to individual patient needs and goals.

 

Contact us to experience Covette hospitality for yourself.

Non-Surgical Alternatives to Gynecomastia Surgery

For gynecomastia in Singapore, non-surgical treatment options may also offer benefits, though typically less effective than surgery. Consider the following:


• Medications: Target underlying hormonal imbalances.
• Weight Loss: Reduce fatty tissue with diet adjustments.
• Exercise: Specific routines to tone the chest area.
• Hormonal Therapies: Balance oestrogen and testosterone levels.
• Fat Reduction Techniques: Non-invasive procedures targeting fat.


It’s essential to consult a healthcare professional for personalised advice.

Male Breast Plastic Surgery Before and After Photos

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Oops… Nothing to see here! If you’re keen to view our patients’ photo testimonials, contact us for an appointment.

Frequently Asked Questions

1. What Is The Success Rate Of Gynecomastia Surgery?

Gynecomastia surgery has a high success rate of around 90%. Research thoroughly and choose a credible medical provider for the procedure.

2. How Common is Gynecomastia Surgery?

In the US, about 20,000 people receive gynecomastia surgery every year. In the UK, the number of men choosing to have a male breast reduction each year has increased 33% since 2010, making it one of the most popular cosmetic surgeries for men nationwide.

3. Is Gynecomastia Surgery Painful?

The procedure typically results in minimal to moderate pain, manageable with medication. Post-surgery, patients can expect some tenderness, swelling, and bruising, which gradually subside. Techniques to minimise pain and reduce swelling are commonly used.

4. Can Gynecomastia Return After Surgery?

Yes, gynecomastia can return after surgery if there are significant hormonal fluctuations, steroid use, or weight gain, which affect the balance of oestrogen and testosterone in the body.

5. Are The Results Of Gynaecomastia Surgery Permanent?

The surgical removal of glandular tissue in gynecomastia surgery generally offers permanent results. However, about 10% of patients return for a second surgery after 10 years.

6. Is It Possible to Improve the Contour of My Chest (Pectoralis Major) Muscle to Look More Masculine?

Yes, it’s possible to improve the contour of your chest (pectoralis major) muscle to look more masculine through targeted exercise, proper nutrition, and potentially cosmetic procedures like fat reduction or pectoral implants for enhanced shape and definition.

7. Is Scarring After Gynaecomastia Surgery Inevitable?

Yes, scarring is inevitable but varies in visibility. Factors affecting scar appearance include surgical technique, extent of tissue removal, and individual healing processes. Scars usually become less noticeable over 6-12 months with proper care.

8. Do I Have Gynaecomastia Or Am I Just Fat?

Gynecomastia involves breast gland tissue enlargement, whereas being overweight results in fat deposits. A physical examination by a healthcare professional can distinguish between the two by assessing the tissue type contributing to chest fullness.

9. Why Is My Chest Uneven After Gynecomastia Surgery?

Immediate flatness post-surgery is rare due to swelling and healing duration. Full recovery and the subsidence of swelling can take several months, with post-operative care and patience being key.

10. How Soon Can I Work Out Or Go To The Gym After Gynecomastia Surgery?

Light exercise is typically possible within 10 days, avoiding chest strain. More intensive workouts can resume after 4 weeks, following surgeon approval. A gradual approach to resuming gym activities is advised for successful recovery.

11. Will Chest Workouts Get Rid of Moobs?

No, chest workouts alone won’t get rid of gynecomastia (“moobs” or “man boobs”) if it’s glandular tissue. Exercise can reduce fat and improve chest appearance if the issue is fat deposition, but it won’t eliminate glandular tissue. A medical consultation is recommended.

12. Do Male Breast Reduction Pills Work?

No. There are no conclusive studies proving the effectiveness of male breast reduction pills, and health experts generally discourage their use due to unreliable results and potential side effects. Consulting a healthcare professional for approved treatments is advised.

13. Can Gynecomastia Surgery Be Done Under Local Anesthesia?

Yes, gynecomastia surgery can be performed under local anaesthesia, especially for less extensive procedures, offering a safer alternative with a quicker recovery time for some patients.

14. Can I Undergo Gynecomastia Treatment Without Surgery at Home?

No. While non-surgical gynecomastia treatments at home such as exercise, dietary adjustments, and wearing compression garments can help manage symptoms, these methods may not be as effective as surgery for significant breast tissue reduction. Consulting a healthcare professional is recommended.

Medical References

Holzmer, Stephanie W., et al. “Surgical Management of Gynecomastia: A Comprehensive Review of the Literature.” Plastic and Reconstructive Surgery. Global Open, vol. 8, no. 10, Oct. 2020, p. e3161, doi:10.1097/gox.0000000000003161.

 

Knoedler, Leonard, et al. “Gynecomastia Surgery in 4996 Male Patients Over 14 Years: A Retrospective Analysis of Surgical Trends, Predictive Risk Factors, and Short-Term Outcomes.” Aesthetic Plastic Surgery, Mar. 2024, doi:10.1007/s00266-024-03927-0.

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