GYNECOMASTIA
- Point 1 : 01 Individual assessment: The doctor evaluates whether chest fullness is primarily related to glandular tissue, adipose tissue, or a combination of both.
- Point 2 : 02 Personalized treatment planning: The treatment approach is selected according to the patient’s anatomy, tissue characteristics, skin elasticity, and aesthetic goals.
- Point 3 : 03 Balanced contouring: When appropriate, fat reduction may be considered to improve localized fullness and create a smoother transition across the chest area.
Recommended for
- Those who are concerned about male chest enlargement or localized volume that has not improved with diet or exercise.
- Those who wish to understand whether their chest fullness is related to glandular tissue, adipose tissue, or both.
- Those who want to discuss individualized options—from fat reduction to surgical correction—with a physician before deciding on treatment.
Treatment Area
Body Liposuction
At BIANCA CLINIC, the service page describes the use of VASER ultrasound technology in appropriate cases to assist with fat emulsification before removal.
When considered for the chest area, liposuction may be appropriate for localized fatty fullness. It is not a treatment for firm glandular tissue by itself.
For male chest contouring, the doctor must first determine whether the fullness is caused by adipose tissue, glandular tissue, or a combination of both. Liposuction may improve fatty fullness, while glandular tissue may require a different surgical approach.
Point2.May use VASER ultrasound technology in appropriate cases to assist with fat emulsification.
Point3.Allows treatment planning based on the patient’s anatomy and overall body proportions.
Individual results vary. Liposuction involves risks, including bleeding, infection, contour irregularity, asymmetry, sensory changes, seroma, scarring, anesthesia-related complications, and the possibility of revision surgery.
-Those who maintain a relatively stable weight but remain concerned about a specific area.
-Those who understand that liposuction is a body-contouring method, not a weight-loss procedure.
-Those who wish to discuss whether liposuction is suitable for them after a medical examination.
-Those who understand that firm glandular tissue may require surgical excision rather than liposuction alone.
Fat-dissolving injection
BIANCA CLINIC’s official page describes Kabelline as containing 0.5% deoxycholic acid, along with L-carnitine and artichoke extract.
The suitability of this treatment for the male chest area must be assessed by a physician. It should not be presented as a treatment for glandular gynecomastia.
The clinic’s Kabelline page states that the injection area and dosage are determined according to the patient’s condition and that multiple sessions may be recommended.
Because the treatment is intended for fat tissue, it may not be appropriate when chest enlargement is primarily caused by firm glandular tissue. The physician will determine whether the treatment is suitable after an examination.
Pont2.May involve temporary swelling, redness, itching, tightness, or bruising.
Pont3.May require multiple treatment sessions.
The official BIANCA CLINIC page describes Kabelline as containing 0.5% deoxycholic acid and states that L-carnitine and artichoke extract are included in the formulation. However, claims that these ingredients “boost metabolism,” “promote fat burning,” or “ensure smooth fat elimination” should not be used as definitive efficacy claims without appropriate evidence and regulatory review.
-Those who prefer to discuss non-surgical treatment options.
-Those who understand that multiple treatment sessions may be required.
-Those who accept that the degree of improvement varies among individuals.
-Those who understand that injections are not intended to remove firm glandular tissue.
Treatment Process
Consultation and Examination
Design and Preparation
Treatment
Aftercare and Recovery
FAQ
What is gynecomastia?
Gynecomastia is the benign proliferation or enlargement of glandular breast tissue in males.
It should be distinguished from pseudogynecomastia, in which chest enlargement is primarily caused by excess adipose tissue without glandular proliferation. Possible contributing factors include hormonal changes, certain medications, underlying medical conditions, and, in some cases, no identifiable cause.
A medical examination is necessary to evaluate the cause of chest enlargement.
How can I tell whether I have gynecomastia or pseudogynecomastia?
It is not possible to make a reliable diagnosis based on appearance alone.
During an examination, the physician assesses whether firm glandular tissue is present beneath the nipple area and whether the enlargement is primarily fatty tissue.
If necessary, the doctor may recommend additional assessment to rule out other medical conditions.
Treatment should be planned only after the cause and tissue composition have been evaluated.
What types of male chest enlargement are there?
Male chest enlargement may involve:
- Predominantly glandular tissue.
- Predominantly adipose tissue, sometimes called pseudogynecomastia.
- A combination of glandular and adipose tissue.
- Skin laxity or excess skin in more advanced cases.
These descriptions help guide the evaluation, but the appropriate treatment cannot be determined by a general classification alone.
Is non-surgical treatment for male chest fullness possible?
Non-surgical treatment may be considered when the fullness is primarily due to localized adipose tissue and the physician determines that the treatment is appropriate.
Fat-dissolving injections are not designed to remove firm glandular tissue.
They may also require multiple treatment sessions, and the degree of change varies among individuals.
At BIANCA CLINIC, we offer Kabelline fat-dissolving injections as an option for localized fat reduction, with the appropriate treatment area and dosage carefully determined by our physicians during consultation.
How does liposuction work for chest contouring?
Liposuction removes subcutaneous adipose tissue through small incisions using a cannula.
For body liposuction, BIANCA CLINIC utilizes VASER ultrasound technology in appropriate cases to help emulsify fatty tissue before removal, supporting a smoother contouring process.
Liposuction may improve fatty fullness, but it does not generally remove a firm glandular mass.
If glandular tissue is present, another procedure may be necessary.
What is glandular excision surgery?
Glandular excision is a surgical procedure in which firm glandular tissue is removed through an incision, often placed near the areola when clinically appropriate.
The exact incision and surgical technique depend on the location and amount of tissue, skin quality, and the patient’s anatomy.
Liposuction may be combined with excision when both fatty and glandular tissue contribute to the chest enlargement.
The physician will explain the expected scars, risks, and recovery before treatment.
How long is recovery after treatment?
Recovery depends on the procedure and the individual. After liposuction, swelling, bruising, tenderness, and temporary firmness may occur.
A compression garment may be recommended for a period specified by the physician.
Following body liposuction at BIANCA CLINIC, bruising generally subsides over approximately 10 days, with swelling often peaking during the first two weeks.
After fat-dissolving injections, mild swelling, redness, or tightness may persist for around 2 to 3 days, while potential bruising typically settles over 1 to 2 weeks. Please note that individual recovery experiences may vary.
After fat-dissolving injections, temporary redness, swelling, tightness, itching, or bruising may occur.
The clinic’s Kabelline page states that swelling, redness, and itching may last approximately two to three days, while bruising may take one to two weeks to subside.
These timeframes are general information and should not be interpreted as a guarantee.
Will there be visible scars?
Liposuction requires small access incisions, while glandular excision may require an incision near the areola or another location selected by the surgeon.
Scars may remain visible, although they often become less noticeable over time.
Scar appearance depends on the incision site, skin characteristics, healing response, aftercare, and individual factors.
The physician should explain the expected scar location before treatment.
What determines the cost of male chest contouring in Japan?
The total cost may depend on:
- The treatment selected.
- The treatment area and amount of tissue involved.
- Whether liposuction, glandular excision, or a combination procedure is performed.
- Anesthesia.
- Compression garments and medication.
- Follow-up care.
- The physician selected, if a physician selection fee applies.
At BIANCA CLINIC, male chest liposuction is available as a dedicated treatment area with individualized pricing plans. Because costs depend on the required approach and tissue volume, our physicians provide a detailed fee estimate following an in-person examination.
Why consider BIANCA CLINIC for a consultation in Japan?
BIANCA CLINIC provides cosmetic surgery and aesthetic medical services in Tokyo, with English-language support available for international patients.
At BIANCA CLINIC, we tailor treatment plans to match each patient’s individual concerns and body structure.
We offer full English-language support for international patients, assisting with consultations, reservations, and post-treatment follow-up.
Patients should consider the consultation an opportunity to discuss diagnosis, treatment alternatives, risks, downtime, costs, and the possibility that the recommended treatment may differ from their initial preference.