Welcome!
Gynaecomastia
(Male Chest Reduction)
​My Approach
My approach focuses on evaluating potential physiological, pharmacological, and pathological causes first. Most commonly, gynaecomastia is a benign process that, once stabilised for at least a year, can be addressed surgically.
The goal of treatment is to achieve a natural, masculine chest contour through precise surgical technique and attention to proportion. Surgery is performed as a day procedure under general anaesthesia, with the aim of a smooth, tapered transition from chest to abdomen without visible irregularities or feminising features.
In Singapore, gynaecomastia surgery is usually eligible for claims under Medisave and insurance. The amount depends on clinical assessment and prevailing Ministry of Health (MOH) guidelines.
Planning & Technique
Most cases are treated with a combination of liposuction and direct gland excision through a small incision at the lower border of the areola. This allows removal of both fatty and glandular tissue while minimising scarring.
A key part of the operation is to release the inframammary fold (IMF) - a subtle but important step often overlooked. Without this release, the chest skin may remain tethered, producing a feminising crease beneath the nipple. Releasing the IMF allows the skin to redrape naturally over the chest for a more defined, masculine result.
Another important nuance is to leave a thin layer of tissue beneath the nipple to prevent a “dinner-plate” or sunken-in appearance that can occur when too much tissue is removed. This preserves the natural chest contour while ensuring smooth transitions.
For selected patients with mild skin excess, energy-assisted liposuction devices can aid contraction. More significant laxity can be addressed with direct skin tightening or staged correction.
Recovery & Expectations
Most patients can return to light activities within a few days and to desk work in under a week. A compression garment is worn for about 4–6 weeks to control swelling and aid contouring.
Mild bruising and firmness are common initially and settle gradually as tissues remodel. In some cases, there may be temporary altered sensation of the nipple, which usually recovers on its own within 6–8 weeks. Exercise can resume progressively after about 4 weeks, depending on recovery.
Scars are typically well-concealed along the edge of the areola. Results are stable once swelling subsides, and recurrence is rare when hormonal causes are excluded.
Post-operative care extends beyond routine reviews - it is an integral part of Dr Ng’s surgical philosophy. Through Doctor Stitch, an aftercare service founded to ensure seamless continuity and comfort, every patient is followed up personally by Dr Ng. Whether at home or in clinic, he provides attentive, discreet, and consistent care throughout the recovery journey.
