Minimally Invasive · No General Anaesthesia
Surgery can be performed in-clinic without general anaesthesia. The procedure is simple and quick to help you regain your chest. The following are four common treatment approaches.
Treatment Methods
Subcutaneous Mastectomy
This is an intuitive and more traditional approach, yielding good results when performed by an experienced surgeon. The method involves an incision along the lower edge of the areola, using forceps to extract the mammary gland and excise the protruding portion, followed by haemostasis and suturing.
Two prerequisites for good aesthetic results: first, the breast enlargement must be due to glandular hypertrophy rather than fat accumulation; second, the surgeon must have sufficient experience, otherwise the result may appear as a disc-shaped depression with visible contour irregularities.
Rotary Curette
This is an advanced version of mastectomy. Since periareolar incisions leave scars, and in the current era emphasising minimally invasive aesthetics with hidden or scar-free outcomes, many people cannot accept the traditional approach. This led to the development of an endoscopic-style surgical method.
The rotary curette was originally a tool used by orthopaedic surgeons to remove knee cartilage. It is a hollow endoscopic tube with a cutter head at the front. The other end connects to a vacuum suction machine. When the tube is inserted into the breast tissue, tissue is drawn into the front cavity and excised by the rotating blade.
Disadvantages: Blind excision may cause haematoma; completeness of removal can only be assessed by palpation, heavily dependent on surgeon experience; excessive blade speed may breach the skin.
Liposuction
Liposuction may seem unable to address glandular hyperplasia, but using a thicker cannula combined with specialised techniques can actually remove denser glandular tissue as well — though it requires more effort than the rotary curette. The advantage is that liposuction instruments can greatly reduce the risk of haematoma compared to the rotary curette.
Therefore, in recent years, simple liposuction instruments are commonly used with a radial technique. Only a 3 mm incision on each side of the breast is needed to address most gynecomastia cases. No drain is required post-operatively. The procedure simultaneously disrupts glandular tissue and removes fat, with minimal pain.
Laser Lipolysis
Laser technology penetrates deep into subcutaneous fat. The laser light disrupts fat cell membranes, causing fat cells to rupture and dissolve, releasing lipids and reducing the number of fat cells.
Post-operatively, dissolved lipids are eliminated through the body's natural metabolism and drainage. The thermal effect of laser energy causes dermal collagen contraction. Approximately two to three months after surgery, collagen renewal occurs, completing tissue repair.
1. Preserving Chest Contour
If only fatty tissue is addressed without removing glandular tissue, a visible protrusion will remain. If too much gland is removed, a disc-shaped depression results. Surgical treatment removes surrounding excess fat while reducing breast volume, primarily focusing on preserving chest contour and curvature.
2. Perfect Chest Contour — Restoring Confidence and Social Life
Research shows that men with gynecomastia, due to embarrassment and lack of confidence, tend to become withdrawn and favour sedentary activities. Prolonged sedentary activity also contributes to obesity, further exacerbating gynecomastia. Therefore, the goal of gynecomastia surgery is to break this vicious cycle, helping patients rebuild confidence and return to social life.
3. Seek an Experienced Surgeon
Male breast volume is smaller than female, making treatment relatively simpler. However, because men go shirtless frequently — such as swimming, ball sports, or gym — post-operative chest flatness, shape, contour, and scar appearance are critical. If gynecomastia surgery scars are obvious or the aesthetic result is flawed, leaving the patient still reluctant to expose their chest, the surgery's purpose is lost. Therefore, seeking a professional and experienced surgeon ensures the best outcome.
4. Convenient, Fast, Short Recovery
- Surgery performed under local anaesthesia or painless sedation anaesthesia
- Return home immediately after surgery — no hospital stay required
- Recovery period approximately three to five days
- For surgical fees, please call 2117 1396 for details
Disclaimer: The information on this website is provided by Gynecomastic Centre (HK) for general information and reference only. No guarantee is given as to the accuracy of the information. Gynecomastic Centre (HK) shall not be liable for any loss arising from the use of information from this website.