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Restore your confidence — with trusted care from Rattinan Clinic.
At Rattinan Clinic, we understand that gynecomastia — the enlargement of male breast tissue — can affect not only your appearance but also your self-esteem. Whether caused by hormones, genetics, or medication, it’s a common condition, and treatment is highly effective.
Our experienced surgical team offers safe, proven solutions to restore a more masculine chest contour. You’ll receive personalized care in a certified facility — from consultation to recovery.
“Why do I, as a man, have to deal with enlarged breast tissue?”
This might be a question you’ve wondered about but felt too embarrassed to ask anyone. However, you’re not facing this problem alone. Many men around the world experience Gynecomastia or enlarged breast tissue in men, which directly impacts self-confidence—whether it’s feeling self-conscious about taking off your shirt or worrying about your body shape.
Don’t let this issue eat away at your confidence! Read on to understand the causes and proper treatment methods for Gynecomastia.
What is Gynecomastia?
Gynecomastia is Male breast enlargement – something that shouldn’t be overlooked
If you’re dealing with “pointed breasts” or “abnormal chest enlargement in men,” you might be facing a condition called Gynecomastia (gy-ne-co-mas-tia). This condition results from the abnormal growth of breast tissue in men, causing the chest to appear larger and sometimes resembling female breasts.
Have you ever felt self-conscious wearing certain t-shirts? Have you been teased about having a “chest like a woman”? Have you tried exercising and reducing chest fat, but it still won’t go away?
Gynecomastia may be more than just ordinary fat accumulation
Not every case of “enlarged breasts” comes from simple fat accumulation. Sometimes it may involve the growth of breast tissue itself, which cannot be reduced through exercise alone.
- Pseudo-Gynecomastia
Breast enlargement from fat accumulation (can be reduced through exercise or liposuction) - True Gynecomastia
Breast enlargement from abnormal breast tissue (requires surgical treatment)
If you’ve tried losing weight and exercising but your chest remains large or pointed, this problem might not be just fat!
Flat Male Chest vs. Gynecomastia Condition
Normal Male Chest: Flat or slightly contoured, with minimal glandular and fatty tissue, mainly muscle.
Gynecomastia: Enlarged breast tissue due to hormone imbalance, giving a fuller, rounded chest shape similar to female breast tissue.
Self-check for Gynecomastia symptoms
Are you facing this problem? Self-check for Gynecomastia symptoms
Ask yourself these questions…
- Have you ever felt that your chest looks abnormally large or pointed?
- Have you ever tried to lose weight, but your chest didn’t shrink?
- Do you feel self-conscious when wearing t-shirts or taking your shirt off in front of others?
- Have you ever been teased for “having a chest like a woman”?
- Have you tried exercising and building chest muscles, but your chest still remains pointed?
If you answered “yes” to more than 2 questions, there’s a high chance you’re dealing with Gynecomastia (male breast enlargement) and should seek proper treatment.
How to self-examine for Gynecomastia
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Observe the size and shape of your chest in the mirror
- If your chest appears pointed or larger than normal, especially around the nipple area, it may be a sign of Gynecomastia
-
Review your health history and lifestyle
- Weight has been gradually increasing, but chest appears abnormally enlarged
- Have used hormones, supplements, or medications that might affect male sex hormones
- Have hormone-related health issues, such as low testosterone levels
- If you feel firm lumps beneath the nipple, it may be True Gynecomastia (caused by breast tissue)
- If you only feel soft fat tissue, it may be Pseudo-Gynecomastia (caused by fat accumulation)
If your chest appears pointed or larger than normal, especially around the nipple area, it may be a sign of Gynecomastia
- Weight has been gradually increasing, but chest appears abnormally enlarged
- Have used hormones, supplements, or medications that might affect male sex hormones
- Have hormone-related health issues, such as low testosterone levels
Gynecomastia may not resolve on its own, and leaving it untreated could further damage your confidence.
Gynecomastia can be treated! And Rattinan Clinic offers safe treatment techniques that can effectively reduce male breast size with quick, visible results.
Grades of Gynecomastia
Grade 1 Gynecomastia
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Swelling behind the nipple and areola
- Severity : Very mild
Grade 2 Gynecomastia
- Swelling across chest wall, indistinct edges
- Severity : Mild to high
Grade 3 Gynecomastia
- More prominent swelling, definite edge
- Severity : High and visible
Grade 4 Gynecomastia
- Sagging of breast (Feminization)
- Severity : Severe and visibly feminine
What causes Gynecomastia?
Why do some men develop abnormal breast enlargement?
Gynecomastia or enlarged breast tissue in men typically results from an imbalance between male and female hormones, but there are other contributing factors.
Let’s examine the main causes of Gynecomastia
Hormonal Imbalance – The Primary Cause of Male Breast Enlargement
Normally, men’s bodies have higher levels of androgens (Testosterone) compared to estrogen, which is a female hormone. However, when abnormalities occur—such as decreased testosterone or increased estrogen—the body begins developing breast tissue, causing the chest to appear larger than normal.
At-risk groups for hormonal imbalances:
- Adolescents with unstable hormones – commonly seen between ages 12-18, and some cases may improve with age
- Older men – after age 40+, testosterone levels decline, making this condition more likely
- People with hormone-related disorders – such as low testosterone, thyroid abnormalities, or liver disease
Gynecomastia in Teenagers
Breast tissue growth happens in men (men boobs) during three stages in the life span of an individual and they are infancy, adolescence and old age.
When teenagers go through puberty and becomes sexually mature, there are a lot of hormonal changes including estrogen dominance for some time and this can cause development of breast tissue.
Not all boys going through puberty will experience this but estimated 50% may develop breast tissue growth.
This called pubertal or teenage gynecomastia.
Gynecomastia in Adults
Men who are significantly overweight are very likely to feel some enlargement of their breast tissue.
This is partly caused by fat tissue under the skin on the chest wall, and partly by true breast glandular tissue.
Fat tissue anywhere in the body encourages formation of estrogen, and thus can lead to gynecomastia.
Certain medications and substances can stimulate increased estrogen or decreased testosterone, making Gynecomastia more likely to develop.
Medications that may cause breast enlargement:
- Anabolic steroids – particularly common among bodybuilders using them to increase muscle mass, but they cause male hormones to convert to female hormones
- High blood pressure or heart disease medications – such as Spironolactone, which may stimulate estrogen
- Depression and anxiety medications – such as Diazepam or SSRIs
- Prostate cancer treatments – that directly reduce male hormones
If you’re taking these medications and notice abnormal chest enlargement, consult a doctor immediately.
While most Gynecomastia cases stem from hormonal issues, some people may have this problem due to genetics or endocrine-related diseases.
Diseases and conditions that may cause Gynecomastia:
- Klinefelter Syndrome – a genetic condition causing men to have extra X chromosomes, resulting in abnormally high estrogen levels
- Liver or kidney disease – the liver and kidneys play roles in hormone regulation; dysfunction can cause hormonal imbalances
- Abnormal thyroid hormone (Hyperthyroidism) – causes the body to produce excessive estrogen
Is ‘fat equals bigger breasts’ true?
Many people think Gynecomastia is caused solely by fat accumulation, but in overweight men, the body may actually convert more male hormones to estrogen, resulting in larger breast appearance.
How to distinguish between Gynecomastia and regular fat:
- Gynecomastia (True Gynecomastia) – chest has firm lumps beneath the nipples that don’t disappear even with weight loss
- Pseudo-Gynecomastia – chest enlargement from pure fat that can be reduced through exercise and diet control
If you’ve exercised and lost weight but your chest remains pointed, it may be true Gynecomastia requiring medical treatment.
I Got Gynecomastia Surgery — Here's How It Changed My Confidence, My Body, and My Relationship
“For years, I thought I just had chest fat—but no matter how hard I trained, it never went away. I avoided taking off my shirt, even around my partner. It crushed my confidence. Then I found out I had gynecomastia—real gland tissue, not just fat. After surgery, everything changed. My chest finally looks the way I always wanted, and for the first time in years, I feel confident in my body and my relationship.”
Chad“Enlarged breasts” destroy your confidence more than you think!
You may not realize how much Gynecomastia affects your life
Many people think that “enlarged breasts” or large chest in men isn’t a big problem—just wear a shirt to cover it up. But in reality, Gynecomastia affects your mental health and confidence far more than you might expect.
- Afraid to take your shirt off when going to the beach, swimming pool, or gym—constantly looking for ways to hide
- Looking awkward in clothes – some shirts are tight enough to show nipples clearly or make your body shape look disproportionate
- Being teased and mocked – joking comments from friends can make you feel terrible and lose confidence
- Loss of identity – while not a serious health issue, it makes you feel insecure about yourself
- Trying to reduce it but it won’t go away – no matter how hard you exercise, your chest still looks pointed and not firm as desired
“Do I have to live with this forever?” The answer is No! Today, there are safe and effective solutions for this problem.
It’s not just about looking better—it’s about feeling confident in my own skin again.
“I had been training for years, but no matter how lean I got, my chest still looked soft and my abs never fully came through. I always thought I just had to live with it. After consulting with the team at Rattinan Clinic, I realized there was a safe, surgical option that could actually fix it. The experience was discreet, professional, and surprisingly smooth. Now, for the first time, I feel like my body matches the work I’ve put in.”
Third
Can Gynecomastia really be treated?
Gynecomastia can absolutely be treated! There are several treatment options available, each with different advantages and disadvantages. Choosing the right method will help you regain your confidence as quickly as possible.
- People with Pseudo-Gynecomastia (chest enlargement from fat, not breast tissue)
- People who haven’t seriously tried losing weight yet
- Exercise can reduce fat, but cannot eliminate abnormally enlarged breast tissue
- Enlarged breast glands cannot be dissolved through exercise
- May actually make the chest appear more pointed because chest muscles develop while breast tissue remains
- Tamoxifen – used to reduce breast tissue in men with hormonal imbalances
- Aromatase inhibitors (AI) – reduce estrogen levels in the body
- Only effective in early stages (if left untreated for too long, breast tissue won’t respond to medication)
- Have side effects such as fatigue, headaches, or hormonal imbalances
- Cannot eliminate breast glands that have already enlarged
Method 3 : Treating Gynecomastia with Liposuction
- People with Pseudo-Gynecomastia (breast enlargement from fat, not breast tissue)
- People with excess fat in the chest area but no abnormal breast gland enlargement
- Breast glands cannot be removed through liposuction equipment
- If it’s True Gynecomastia, surgical removal must be combined with the procedure
Method 4: Gynecomastia Surgery
Gynecomastia surgery involves removing the abnormally enlarged breast tissue to restore the chest to its normal flat appearance.
Suitable for:
- True Gynecomastia (cases with abnormally enlarged breast glands)
- People who have tried other methods without seeing results
- People who want a permanent solution with quick, visible results
Why choose Rattinan Clinic for Gynecomastia treatment?
- Have you tried losing weight and exercising, but your chest still remains pointed?
- Have you considered treatment but are worried about large scars or long recovery times?
- Do you want 100% reliable results without fear of the condition returning?
If you answered “yes” to these questions, Rattinan Clinic is the place you’ve been looking for.
Our Doctors
Dr. Suthipong Treeratana
M.D. – Founder & CEO
Dr. Jatuporn Suesat
Plastic and Reconstructive Surgeon
Dr. Taveechai Taveecharoenkool
Otolaryngologist
Dr. Aniwat Nillakarn
M.D.
We're here to support you on your journey to feeling comfortable in your own skin.
Surgical Procedure
Gynecomastia surgery typically involves liposuction, glandular tissue removal, or a combination of both.
The approach depends on the cause and severity.
- Liposuction removes excess fatty tissue through small incisions.
- Excision may be required if glandular tissue or excess skin is present.
- Incisions are placed discreetly, often around the areola or in the natural creases of the chest.
The goal is a flatter, firmer chest with natural proportions.
Hospital Admission
Most patients return home the same day. The procedure is outpatient and minimally invasive.
Duration of Operation
Approximately 1.5 to 3 hours, depending on the technique used.
Anaesthetic
Performed under general anesthesia or local anesthesia with sedation, depending on the case.
Recovery Time
2 to 3 weeks for most daily activities
Many patients return to light work or normal routines within this period.
However, full recovery—including adaptation to the new eating habits and physical activity—continues over several months with ongoing medical support.
Pre-Operative Care
Before surgery, you’ll have a full medical evaluation to confirm the diagnosis and plan the best approach. We’ll review your health history, adjust any necessary medications, and provide step-by-step preparation guidelines. Our goal is to make sure you feel informed, comfortable, and ready.
While gynecomastia isn’t usually harmful, it can affect self-esteem. Breast reduction surgery can help create a flatter, more natural chest, boosting confidence and comfort. The procedure is typically done as an outpatient under general or local anesthesia.
Investigations May Include:
- Physical exam
- Blood tests
- Breast ultrasound
- MRI (if needed)
Pre-Surgery Preparation:
- Lab tests to assess your health
- Stop aspirin, NSAIDs, blood thinners, and certain supplements (like omega-3, gingko, green tea) 1 week before surgery
- No smoking or alcohol before surgery
- Avoid caffeine on surgery day (it can affect heart rate with anesthesia)
- Fast for 6–8 hours before the procedure
- Wear loose, comfortable clothing; you may have a drain and compression garment after surgery
Planning Your Visit
For international patients, Rattinan Clinic streamlines the medical tourism experience, providing comprehensive support from the initial consultation to recovery. Our services include help with travel, accommodation, and a detailed treatment plan for a hassle-free journey. A dedicated Beauty Consultant will ensure personalized care throughout your stay.
We're here to support you on your journey to feeling comfortable in your own skin.
Dr. Suthipong Treeratana (Dr. Nueng) specializes in liposuction and body contouring surgery, focusing on personalized treatment plans to help you feel more confident in yourself.