Understanding Male Gynecomastia: Achieve a Muscular and Confident Physique! 

▍The “Sound Surgical Technologies” VASER Ultrasonic Surgery Aspiration System (commonly known as VASER LIPO)
Ministry of Health Medical Device Land Import License No. 001026.

▍The “Sound Surgical Technologies” VASER Ultrasonic Surgery Aspiration System (commonly known as VASER LIPO)

Ministry of Health Medical Device Land Import License No. 001026.

About Gynecomastia
Classification of Gynecomastia
Our Advantages
Our Professional Team

Do you suffer from the following problems?

1.Unnatural protrusion of the chest or nipples, affecting appearance.

2.Asymmetry in chest size, requiring possible padding.

3.Social discomfort, feeling uncomfortable at events where upper body exposure is required (e.g., swimming, hot springs).

4.Mood disturbances due to body shape, leading to psychological issues (e.g., anxiety, depression).

Appearance and physique are not only concerns for women; an increasing number of men are also paying attention to their outward appearance, and some of them may face the distress of gynecomastia. If you experience any of the above issues, it is recommended to visit a clinic for evaluation by a doctor and discuss improvement options.

What is Gynecomastia?

“Gynecomastia” refers to men with noticeably feminine-like breasts. During hot weather, men often go out wearing only a T-shirt or tank top, or engage in activities like swimming, hot springs, or going shirtless for sports. However, the presence of feminine-like breasts can cause distress and reduce confidence when participating in social. While ample breasts are often desirable for women, it can be a considerably embarrassing situation when they occur in men.

Causes of Gynecomastia

The breast structure in men is similar to that of women, but due to female hormone stimulation from the adrenal glands, ovaries, and adipose tissue, female breasts develop distinctly. In men, hormones are produced by the testes, which produce male hormones, thereby inhibiting the development of male breasts.

The causes of gynecomastia can be categorized into three main types:

1. Physiological or primary:
Gynecomastia is common during three periods:
(1)Infancy: Due to the influence of maternal female hormones, many newborn babies experience this condition, which usually disappears naturally without treatment.
(2)Adolescence: Hormonal fluctuations during puberty, influenced by female hormones, result in approximately 60% of boys experiencing slight breast enlargement, especially prevalent in overweight boys. Most cases naturally regress after puberty. If symptoms persist for more than 1-2 years after puberty, the chances of natural regression are low, and surgical intervention may be necessary.
(3)Adulthood: As men age, testosterone levels decrease gradually while the proportion of female hormones increases, coupled with a decrease in metabolic rate, making fat deposition more likely. You may notice middle-aged men with more prominent chests when soaking in hot springs or swimming, and that’s because of the reasons mentioned above.

2. Pathological (such as tumors, liver cirrhosis, uremia).

3. Drug-induced (such as diuretics, steroids, chemotherapy drugs, psychiatric medications).

Classification of Gynecomastia

The Simon classification method is most commonly used to assess severity in clinical medicine, comprising four grades:

Level 1: Slight breast enlargement with no skin looseness.
Level 2: Moderate breast enlargement with no skin looseness.
Level 3: Moderate breast enlargement with skin looseness and slight sagging.
Level 4: Severe breast enlargement with skin looseness and noticeable sagging.

Surgical Methods for Gynecomastia

While treating gynecomastia is not particularly difficult. Due to the many opportunities for men to go shirtless, such as playing sports, swimming, serving in the military, and exercising, it’s important for men to have chests be flat with well-shaped curves and minimal scarring after surgery.

In the past, treating gynecomastia mostly involved traditional liposuction or extensive excision surgery. However, due to the drawbacks of larger incisions or longer recovery periods, it is recommended to use the latest VASER Ultrasonic LIPO.

Additionally, depending on the different types of gynecomastia, surgical methods may vary slightly:

Fat type:

The chest is softer, with a wider distribution range. If there is less glandular tissue beneath the areola, it indicates a predominance of fat. Improvement can be achieved solely through VASER Ultrasonic LIPO, with an incision of approximately 0.5 cm near the armpit.

Glandular + Fat type:

Extensive fat deposits are present, with noticeable glandular hyperplasia below the areola. The chest shape is more pointed and prone to protrusion, indicating a significant presence of glandular tissue. The recommended surgical method involves combining VASER Ultrasonic LIPO with a small incision below the areola to remove glandular tissue for improvement. A drainage tube may be placed for approximately 3 days.

【The names for promotional purposes may differ from the package insert (some are for informational purposes or simplified for public understanding) and is for reference only; official treatment/device names, effectiveness, etc., should be explained by the doctor.】


VASER LIPO is a technique that uses ultrasonic cavitation to break down fat, reducing the damage to the body caused by traditional liposuction surgeries. It results in less bleeding and lower risk, therefore reducing the overall sensation of pain.

VASER LIPO utilizes 36,000 Hz ultrasonic waves to emulsify fat in the targeted areas, followed by suctioning out the fat using a negative pressure suction tube. It can remove both deep and superficial fat, making it a great option for those seeking body Sculpting.

Theory of VASER LIPO

VASER LIPO, using patented technology, differs from traditional liposuction methods such as power-assisted liposuction, water-assisted liposuction, and laser lipolysis. It employs modified ultrasonic waves at a frequency of 36,000 Hertz to generate millions of tiny bubbles, effectively emulsifying fat cells while causing minimal damage to surrounding connective tissue, nerves, and blood vessels.

As a result, there is significantly less bleeding and bruising during and after the procedure, and post-operative recovery and pain are greatly improved. Additionally, it has a skin tightening effect. Approximately 70% to 80% of the emulsified fat cells harvested can be reused for fat grafting procedures to areas such as the breasts, face, or buttocks.

By preserving elastic tissue, the recovery period is shortened, and the likelihood of irregularities is reduced after surgery. It also removes subcutaneous fibrotic tissue (cellulite), resulting in smoother and firmer skin post-surgery, thereby reducing the need for prolonged compression garment wear.

4 steps

Step 1.Anesthetic tumescent fluid is injected into the fat layer.

Step 2.The VASER probe emulsifies fat tissue at a frequency of 36,000 Hertz.

Step 3.Emulsified fat turns into a liquid, which can be aspirated using the patented VASER cannula.

Step 4.VASER preserves the connective tissue, promoting skin contraction for a smooth and tight appearance in the sculpted area after surgery.

What sets VASER LIPO apart from other liposuction surgery?

What sets VASER LIPO 

apart from other liposuction surgery?

The main difference between VASER LIPO and other types of liposuction surgery is that VASER LIPO can target both deep and superficial layers of fat. It can effectively reduce bleeding, bruising, and pain during treatment by preserving elastic tissues, shortening recovery time, and decreasing the chances of post-surgery irregularities. It also removes subcutaneous fibrotic tissue (cellulite), resulting in tighter and smoother skin after surgery, thereby reducing the time needed to wear compression garments.

Our Professional Team

VASER LIPO Procedures

1. Evaluation by a Plastic Surgeon

A professional plastic surgeon personally assesses the client’s needs, provides expert advice, and conducts pre-operative evaluations.

2. Anesthesia and Blood Tests

At Nice Cljnique, VASER LIPO procedures utilize twilight anesthesia for safety, and pre-operative blood tests are conducted to ensure safety during surgery.

3. Advanced Medical Equipment

Our facilities are equipped with sterile operating rooms comparable to medical centers, along with the latest equipment systems to enhance surgical stability and safety.

4. Gynecomastia surgery (VASER LIPO + Gland Excision):

Utilizing ultrasound technology throughout the process for liposuction, resulting in smaller incisions, reduced bruising, and significantly less bleeding, thus enhancing safety.

5. VIP recovery room:

VIP recovery rooms with attentive nursing care, allowing same-day discharge.

6. Exclusive consultant follow-up:

Scheduled follow-up appointments are arranged by the exclusive consultant to monitor the progress of recovery and offer guidance on post-surgery care.

7. Recovery services:

Tailored recovery services based on customer needs, including assistance in booking nearby accommodations, ensuring safety for those traveling from other cities for VASER LIPO surgery at Nice Clinique.


Gynecomastia FAQ

Q: Is gynecomastia a disease?

A: Most cases of gynecomastia are merely a cosmetic concern rather than a disease. It’s a symptom rather than a direct health issue. If concerned about appearance affecting confidence, consulting with a professional and considering treatment is advisable.

Q: Is wearing compression garments necessary after gynecomastia surgery?

A: It’s recommended to wear compression garments for at least one month after VASER LIPO surgery. This helps reduce postoperative swelling and looseness, while also increasing comfort. You can discuss suitable options with the plastic surgeon onsite.

Q: How long is the recovery period after gynecomastia surgery?

A: VASER LIPO, which utilizes high-frequency ultrasound, significantly reduces bleeding, bruising, and pain. Most individuals can engage in social activities the same day as surgery and return to normal activities within 2-3 days. Some bruising and swelling may persist for 1-2 weeks, which is normal.

Q: What should one pay attention to after gynecomastia surgery?

A: To expedite recovery, it’s advised to wear compression garments and avoid strenuous activities (such as heavy lifting). Feel free to consult with consultants or nursing staff if any issues arise.

Q: Can gynecomastia be resolved through exercise?

A: It’s not very effective, as exercise primarily targets fat rather than glandular tissue, which may require surgical removal for improvement.


Before Surgery

(1) Inform Your Doctor if:
1. You have a tendency for blood clotting disorders, scar tissue formation, medication allergies, smoking habits, or alcohol consumption.
2. You are currently taking medications such as aspirin, vitamin E, or warfarin, which affect blood clotting.
3. You have chronic conditions like diabetes, hypertension, heart disease, or arteriosclerosis.

(2) Anesthesia Precautions:
1. Blood tests and electrocardiograms will be conducted before surgery, and chest X-rays may be arranged depending on the situation (not applicable to everyone).
2. To avoid risks like aspiration pneumonia during or after surgery, refrain from eating or drinking anything, including water, for 8 hours before the process. If thirsty, rinse your mouth only.
3. Avoid makeup, contact lenses, and ensure clean, nail polish-free nails on the day of surgery.
4. Get ample sleep the night before surgery, and it’s recommended to have a friend or family member accompany you home on the day of surgery. Avoid driving or riding a bike.
5. Do not wear metal jewelry (including necklaces, rings, earrings, watches). Wear loose, comfortable clothing.
6. Bring identification or health insurance cards. Non-citizens should bring passports or resident cards.

(3) Pre-Surgery Medications:
Follow the doctor’s instructions for any medications prescribed before the surgery.

(4) Dietary Supplements:
Discontinue the use of dietary supplements such as vitamin E, ginkgo biloba, or grape seed extract one week before surgery to reduce the risk of bleeding.

After Surgery

(1) Care and Hygiene:
1. To shorten the recovery period, drainage tubes may be placed to remove anesthetic fluid, emulsified fat, and blood. Record the drainage amount.
2. Itching may occur during the healing process; gently pat the area to relieve discomfort.
3. Change dressings at least once a day. Clean the area with saline solution, apply a thin layer of ointment, cover with gauze, and secure with tape.

(2) Lifestyle and Diet:
1. Avoid stimulating foods such as cigarettes, alcohol, coffee, and spicy or salty foods for one month after surgery to aid wound healing.
2. Use elastic bandages (or wear compression garments) around the chest to secure the surgical site. Do not remove them until your follow-up appointment. Wear compression garments for 1-3 months after surgery to reduce swelling and increase comfort, and to minimize the gap between the skin and fat after liposuction.
3. You may shower one week after surgery, but keep the wound dry to prevent infection. Use waterproof patches from the pharmacy to cover the wound before bathing, and change dressings immediately afterward.
4. You may gradually resume normal activities; most can be resumed within 1-2 weeks, while strenuous exercise can be gradually resumed about 6 weeks after surgery.
5. Avoid excessive exercise and strenuous activities for one month after surgery to prevent complications.
6. Rest as much as possible for the first two days after surgery to minimize discomfort and bleeding.

Other notes:

1. Sensations in the nipples and breast skin may be abnormal after surgery, usually accompanied by pain. Most people recover within a few months, although some may experience partial or permanent loss of sensation in certain areas.
2. Contact the clinic if your temperature exceeds 38.5°C, if you experience nausea, vomiting, or continuous bleeding from the wound.
3. Stitches will be removed after 1-2 weeks, typically between 7-10 days.
4. This process is not covered by health insurance and must be paid for out-of-pocket. The details of the costs have been clearly explained.
5. The primary goal of the surgery is to improve appearance, not to treat a disease that necessitates the process. Patients should carefully assess the risks and benefits.

【The information above is for reference only. If you experience any side effects or have questions regarding its use, please consult a doctor.】

Package Insert


MRT Stations

Exit 14 of the East District Underground Mall at Zhongxiao Fuxing MRT Station
(connecting towards exits 3 and 4 of Zhongxiao Fuxing Station, 2-minute walk)

Bus Stops

Dinghao Market (4-minute walk)
Bus 204, 212, 212直, 262, 278, 299, 251, 600, 605, 903, 919
Zhongxiao Main Line (former 232副)