概要
女性化乳房 is the enlargement of breast tissue in men. It is more common than most men realise — and more treatable. It is not the same as simply carrying extra weight: true gynecomastia involves glandular tissue, which is why diet and training alone often fail to flatten the chest. The result can be a persistent puffiness or fullness that no amount of exercise seems to shift.
The causes vary. Hormonal imbalance — excess estrogen or low testosterone — is a common driver. So are certain medications (such as some hair-loss drugs, antidepressants, or others), lifestyle factors like anabolic steroid use and heavy alcohol consumption, and underlying conditions affecting the liver, kidneys or thyroid. Because the cause shapes the right fix, every plan at MENHANCE starts by understanding why it happened.
MENHANCE offers three tailored solutions that can be used alone or combined: surgical excision to remove glandular tissue and fat, non-surgical fat reduction for mild cases or chest fat, and nipple reduction for enlarged or puffy nipples. The right approach is chosen together in consultation, so the treatment fits your chest, your goals and your recovery time — not a one-size protocol.
主なメリット
- A flatter, firmer, more masculine chest contour
- Surgical excision delivers permanent results with minimal scarring
- Removes the glandular tissue that diet and exercise cannot shift
- 手術不要 fat reduction option with no downtime for milder cases
- Nipple reduction available alone or combined in one procedure
- A low-risk, outpatient surgical procedure with quick recovery
- The confidence to wear fitted shirts — or none at all
仕組み
Your chest is assessed in person, the underlying cause is identified, and the most effective option — or combination — is matched to your case.

- カウンセリングA 60-minute assessment of the type, severity and underlying cause.
- カスタマイズed planWe recommend excision, fat reduction or nipple reduction — or a combination.
- 治療 & recovery切除 is a low-risk outpatient procedure with quick recovery; fat reduction has no downtime at all.
治療の流れをステップごとに
- AssessmentWe examine the chest to distinguish glandular tissue from fat, gauge severity, and identify the underlying cause.
- Choosing your optionBased on findings and goals, we recommend excision, fat reduction or nipple reduction — or a combination — and explain what to expect.
- 施術Surgical excision is a low-risk outpatient procedure removing excess glandular tissue and fat; fat reduction is non-invasive with no incisions.
- 回復切除 recovery is quick with minimal scarring; fat reduction requires no downtime, so you return to normal activities the same day.
- 結果Surgical results are permanent for a flatter, more masculine chest; fat reduction gradually reduces treated chest fat.
男性がMENHANCEを選ぶ理由
対象となる方
- Men with persistent chest fullness that diet and exercise will not shift
- Men whose chest is firm or puffy from glandular tissue rather than 脂肪
- Men with enlarged or puffy nipples seeking a flatter contour
- Men with milder cases or chest fat who prefer a non-surgical option
- Men who feel self-conscious in fitted shirts or with their shirt off
- Men who want a permanent solution from a low-risk outpatient procedure
担当外科医

Dr. Teanchai Siricharoensang — “Dr. Chai”
Senior urologist with 30 years’ experience, including 13 at Samitivej Hospital. MD from Siriraj Medical School and a member of the Thai and American Urological Associations. He leads the surgical team at MENHANCE, operating in an on-site, sterile operating room with a discreet subcutaneous suturing technique for smoother, more natural healing.
よくあるご質問
How do you confirm it is gynecomastia and not just fat?
We confirm with an ultrasound. True gynecomastia is enlarged breast gland tissue, which cannot be removed by cooling. If the ultrasound shows the fullness is actually 脂肪, the simpler, non-surgical option is CoolSwiss脂肪減少. 女性化乳房 treatment is available at our Bangkok and Pattaya clinics (not Phuket).
What causes gynecomastia?
よくある症状 causes include hormonal imbalance (excess estrogen or low testosterone), certain medications such as some hair-loss drugs, antidepressants or others, lifestyle factors like anabolic steroid use and heavy alcohol consumption, and underlying conditions affecting the liver, kidneys or thyroid. We identify the likely cause during your consultation.
Is it the same as just being overweight?
No. Obesity should not be confused with gynecomastia, which is enlargement of glandular breast tissue. Because it is glandular, it often persists even when you lose weight or train hard — which is why a targeted treatment is sometimes needed.
Surgery or fat reduction — which is right for me?
切除 suits true glandular gynecomastia and gives permanent results with minimal scarring. Fat reduction suits milder cases or chest fat and has no downtime. The right option depends on the type and severity of your case and is decided together in consultation.
Is the surgery a major operation?
女性化乳房 excision is a low-risk, outpatient procedure, typically taking around 30 分 to an hour. It is performed as a day procedure with a quick recovery, rather than requiring an extended hospital stay.
Can nipple reduction be done at the same time?
Yes. Nipple reduction can be performed on its own or combined with gynecomastia surgery in a single plan, for an enlarged or puffy nipple appearance.
Are the results permanent?
Surgical excision removes glandular tissue and fat for permanent results and a flatter, more masculine chest. Fat reduction gradually reduces treated chest fat without surgery. Your consultation will set clear expectations for your chosen option.
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