Male Breast Reduction Surgery | Gynecomastia Correction | Plastic Surgery Thailand | Medical Tourism

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Male Breast Reduction Surgery
Duration	2 - 3 Hours
Surgery type	Inpatient Surgery
Anesthetic	General Anesthesia
Hospital Stay	1 Night
Days Required in Bangkok	8 Days
Plastic Surgeon	Dr. Preecha Tiewtranon
	Dr. Saran Wannachamras
Average Cost	From US$ 4000 [see note ]

Male Breast Reduction Surgery - Introduction
Male Breast Reduction Surgery or Gynecomastia Correction Surgery Reduces abnormally-enlarged, female-like breasts in men through the procedure of liposuction and/or cutting out excess glandular tissue.

Male Breast Reduction Surgery - Procedure

If your enlarged breasts consist primarily of excessive fatty tissue, your surgeon may use liposuction. If excess glandular tissue is the primary cause, the tissue may be cut out with a scalpel. This excision may be performed alone or in conjunction with liposuction.

During an excision procedure, the incision is made either on the edge of the nipple (areola) or in the underarm area. The surgeon cuts away the excess glandular tissue, fat and skin from around the pigmented area surrounding the areola and from the sides and bottom of the breast by working through the incision. Major reductions that involve the removal of a significant amount of tissue and skin may require larger incisions and more visible scars.

If liposuction is also used to remove excess fat, a slim, hollow tube (cannula), is inserted directly through the existing incisions. The cannula is attached to a vacuum pump to suction out the fat.

For liposuction-only breast reduction, your surgeon will likely make a small incision of less than a half-inch in length around the edge of the areola. Or he or she may make the incision in the underarm area. You may feel a vibration or some friction during the procedure, but generally no pain.

Sometimes a small drain is inserted through a separate incision to remove excess fluids. Once closed, the incisions are covered with a dressing. The chest may be wrapped to keep the skin firmly in place.

Male Breast Reduction Surgery for gynecomastia is most often performed on an outpatient basis, in an office-based or ambulatory surgical facility or in the hospital. Sometimes an overnight hospital stay is recommended. Time in surgery is typically an hour and a half, but a more extensive male breast reduction may take longer.

The procedure may be performed under general anesthesia or local anesthesia with sedation. Your surgeon will discuss your anesthesia options with you once you have decided on surgery.

What To Expect After The Surgery
Results are permanent, although subsequent obesity can create a gynecomastia-like effect. Some of the benefits of surgery include a firmer, flatter, more contoured chest which may give the male patient a boost in self-confidence. There is little downtime, and you may return to work within one week usually, unless you are involved in strenuous activities.

Risks
Infection, fluid accumulations, injury to the skin, rippling or bagginess of skin, and asymmetry. Pigment changes (possibly permanent if exposed to the sun). Excessive scarring if tissue was cut away, and need for a following procedure to remove addition tissue.

Recovery

Whether you've had liposuction, excision with a scalpel or both for your gynecomastia, you will feel discomfort for a few days. The pain can be managed with a prescription from your doctor.

To help reduce swelling, you'll probably need to wear an elastic pressure garment continuously for a week or two, and for a few weeks longer at night. Although the worst of the swelling will subside in the first few weeks, it may be three months or more before the final results of your surgery are apparent.

You'll be encouraged to begin walking around on the day of surgery, and to return to work when you feel well enough, which could be in a couple of days. Stitches are removed one to two weeks after the procedure.

Your surgeon may advise you to avoid sexual activity for a week or two and heavy exercise for about three weeks. You will be told to stay away from any sport or job that risks a blow to the chest area for at least four weeks. Your activities should be back to normal after about a month.

It's important to avoid exposing surgical scars to the sun for at least six months. Sunlight can affect the skin's pigmentation permanently, causing the scar to turn dark. If sun exposure is unavoidable, use a strong sunblock.

If you experience shortness of breath, chest pains, or unusual heart beats after the procedure, contact your surgeon immediately. These complications may require hospitalization and additional treatment.

Pre-Surgery Medical checkup
Blood pressure, BUN, CBC, prothrombin & partial thromboplastin times, EKG & HIV tests prior to the surgery.

Cost

Average cost of Male Breast Reduction Surgery in Thailand is US$ 4,000 . But this cost may vary individually depending on the patients medical history and the surgeon and facility you chose to get the surgery done.

"You are required to send a Photograph of your chest area frontal , sideways to the surgeon for the initial consideration and approval. Without the photographs Surgeons will not approve and schedule the consultation appointment."

All the costs quoted by the Hospital / Surgeon includes the following

Pre-Surgery Consultation
Doctors Fee
Surgery fee
Hospital room charges
Nursing fee
All medications required
Post-Operative Follow Up

In addition to the cost of the surgery, you will need to be prepared for the following additional costs.

Stay
For this procedure you are required to stay in Bangkok for at least 8 days of which you will be spending the first night at the hospital, and then you can choose whether to stay in the serviced apartment at the hospital or a hotel outside until the post surgery follow up appointment 7 days after the surgery. Surgeon will allow you to fly only after the follow up appointment, and therefore you need to plan accordingly.

Serviced apartment at the Hospital : Piyavate hospital provides a serviced apartment manned 24/7 by registered Nurses within the hospital complex, with prices ranging from US$ 45 - US$ 195 / night depending on the type of room you choose.

Hotel: If you wish to stay in a Hotel outside the hospital it could cost you anywhere between US$ 40 - 300 / night depending on the hotel you choose. There are many Quality / Clean entry level hotels that offer rooms for as little as US$ 40 in the near vicinity of the hospital and the Up market hotels near the Sukhumvit (10 mins in taxi) or Silom (25 mins in taxi) Shopping districts, the rate could go as high as USD 300 / night.

BMT Concierge Service : If you wish to have us arrange you received at the airport and arrange the round trip airport transfer, and Transfer to all of your appointments and the surgery by one of our patient co-coordinators, there will be an additional Fee of US$ 169 which is to be paid after you confirm the surgery plan. This fees only applies if you choose our Concierge service. There are no additional fee if you choose only the Surgery planning service.

All the fees due for the surgery has to be paid directly to the surgeon or the hospital before undergoing the procedure. There are no fees to be paid to us apart from the fee for the Concierge service if you wish to have us arrange all of your transportation.
If you are HIV+ve, there will be an additional 60% fee will be levied to cover the cost of additional equipment and personnel expenses.

Hospital
This Surgery will be performed at the Plastic Surgery center at Piyavate International Hospital. piyavate Hospital is ISO 9001 certified and HA accredited International Hospital in Bangkok, Thailand.
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FACIAL PLASTIC SURGERY

	FACE LIFT SURGERY Improves sagging facial skin and loose neck skin.
	EYELID SURGERY Corrects sagging or drooping eyelids, as well as bags below the eyes.
	EAR PINNING SURGERY Reduces the size of large ears or sets ears back closer to the head.
	NOSE SURGERY Reshapes the nose by reducing or increasing size.
	CHIN AUGMENTATION Reshapes the chin by inserting an implant shaving the bone.
	CHEEK AUGMENTATION Restore the fullness to your cheeks if it has been lost with aging.
	FOREHEAD LIFT Forehead lift is often performed to treat conditions associated with aging.

BREAST PLASTIC SURGERY

	BREAST AUGMENTATION Procedure to surgically enhance breast size with breast implants.
	BREAST LIFT SURGERY Breast enhancement procedure that raises and reshapes sagging breasts.
	BREAST REDUCTION SURGERY Performed to create a more proportional chest curvature with your overall body.
	BREAST RECONSTRUCTION Restores breast appearance for women who have had their breast(s) removed.
	MALE BREAST REDUCTION Reduces abnormally-enlarged, female-like breasts in men.

BODY PLASTIC SURGERY

	LIPOSUCTION Surgical procedure that vacuums fat deposits from under the skin.
	ABDOMINOPLASTY Flatten the abdomen by removing excess skin and fat.
	CALF IMPLANTS Performed to enlarge the calves, resulting in a more defined appearance.
	BUTTOCKS AUGMENTATION Procedure to surgically enhance buttocks size with implants.
	ARM LIFT Reduces or removes loose, sagging skin from the upper arm.
	BODY LIFT Body lift aims to improve the shape and tone of the underlying tissue that supports fat and skin.

OTHER PLASTIC SURGERY

	BOTOX INJECTION A toxin designed to help eliminate or improve persistent facial wrinkles.
	INJECTABLE FILLERS Used to fill in fine lines and provide more contour and definition.
	MICRODERMABRASION Used to remove superficial layers of the skin using vacuum & sand like crystals.
	SPIDER VEIN TREATMENT Removes superficial dilated veins that lie just beneath the skin..
	HAIR TRANSPLANTATION Transplantation of Grafts containing hair follicles to bald scalp
	SEX CHANGE SURGERY Reassignment of gender using a number of surgical methods.

WEIGHT LOSS SURGERY

	GASTRIC BYPASS SURGERY Gastric Bypass, Roux en-Y (Proximal) is the most commonly employed gastric bypass technique.
	ADJUSTABLE GASTRIC BANDING b Johnson, generally known as Swedish Bandy Realize Adjustable Gastric Band from Johnson & or SAG-BAND Surgery

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